Datasets:

referencesource
/

state-certificate-of-need-programs

covered_services string	derived_fields list	has_con_program string	id string	moratorium string	source string	source_quote string	state string	statute_citation string	url string	verified_fields list
general hospitals, specialized hospitals, nursing facilities, intermediate care facilities, rehabilitation centers, hospice service providers, home health agencies, HMOs, ambulatory surgery centers, kidney disease treatment centers	[ "has_con_program" ]	yes	alabama	No	https://www.ncsl.org/health/certificate-of-need-state-laws	Alabama Health Care Facility Licensing/Certification Agency \| <http://shpda.alabama.gov/> Alabama Health Planning and Development Agency \| Certificate of Need Law \| <https://alison.legislature.state.al.us/code-of-alabama> Ala. Code § 22-21-260 \|	Alabama	Ala. Code § 22-21-260	https://referencesource.org/state-certificate-of-need-programs/alabama/	[ "state" ]
Private, municipal, state or federals hospitals. Psychiatric hospitals. Independent diagnostic testing facilities. Residential psychiatric treatment centers. Tuberculosis hospitals. Skilled nursing facilities. Kidney disease treatment centers, including free-standing hemodialysis units. Intermediate care facilities. Am...	[ "has_con_program" ]	yes	alaska	No	https://www.ncsl.org/health/certificate-of-need-state-laws	Alaska Health Care Facility Licensing/Certification Agency \| <http://dhss.alaska.gov/dhcs/Pages/CertificateOfNeed/default.aspx> Alaska Department of Health and Social Services / Division of Health Care Services \| Certificate of Need Law \| <https://www.akleg.gov/basis/statutes.asp#18.07.031> Alaska Stat. § 18-07-31...	Alaska	Alaska Stat. § 18-07-31 et seq.	https://referencesource.org/state-certificate-of-need-programs/alaska/	[ "state" ]
null	[ "has_con_program" ]	no	arizona	No	https://www.ncsl.org/health/certificate-of-need-state-laws	Arizona Health Care Facility Licensing/Certification Agency \| <https://www.azdhs.gov/preparedness/emergency-medical-services-trauma-system/index.php#ambulance-ground-program-con> Arizona Department of Health Services / Emergency Medical Services & Trauma System \| Certificate of Need Law \| No* \| Recent Legislative Activ...	Arizona	null	https://referencesource.org/state-certificate-of-need-programs/arizona/	[ "moratorium", "state" ]
Nursing home facilities. Residential care facilities. Assisted living facilities. Post-acute head injury retraining facilities. Residential care facilities. Other long-term medical care or personal care facilities. Home health care services agencies.	[ "has_con_program" ]	yes	arkansas	Constructing a new residential care facility. Replacing a residential care facility with 16 beds or more. Adding new beds or expanding existing bed capacity for residential care facilities.	https://www.ncsl.org/health/certificate-of-need-state-laws	Arkansas Health Care Facility Licensing/Certification Agency \| <https://ahspa.arkansas.gov/> Arkansas Health Services Permit Agency \| Certificate of Need Law \| <https://advance.lexis.com/documentpage/?pdmfid=1000516&crid=ccc8ac90-61ce-4fa9-a0d1-2e20ed919ea5&config=00JAA2ZjZiM2VhNS0wNTVlLTQ3NzUtYjQzYy0yYWZmODJiODRmMDYKA...	Arkansas	Ark. Stat. Ann. § 20-8-109 et seq.	https://referencesource.org/state-certificate-of-need-programs/arkansas/	[ "state" ]
null	[ "has_con_program" ]	no	california	No	https://www.ncsl.org/health/certificate-of-need-state-laws	California Health Care Facility Licensing/Certification Agency \| <https://hcai.ca.gov/> California Department of Health Care Access and Information \| Certificate of Need Law \| No \| Recent Legislative Activity \| N/A \| Facilities and Activities Overview \| Facilities Regulated Under Certificate of Need Laws \| N/A \| Activi...	California	null	https://referencesource.org/state-certificate-of-need-programs/california/	[ "moratorium", "state" ]
null	[ "has_con_program" ]	no	colorado	No	https://www.ncsl.org/health/certificate-of-need-state-laws	Colorado Health Care Facility Licensing/Certification Agency \| Colorado Department of Public Health and Environment / <https://cdphe.colorado.gov/health-facilities-and-emergency-medical-services-division-contacts> Health Facilities and Emergency Medical Services Division \| Certificate of Need Law \| No \| Recent Legislat...	Colorado	null	https://referencesource.org/state-certificate-of-need-programs/colorado/	[ "moratorium", "state" ]
hospitals, specialty hospitals, free-standing emergency departments, outpatient surgical facilities, mental health facilities, substance abuse treatment facilities, nursing homes, rest homes, residential care homes	[ "has_con_program" ]	yes	connecticut	No	https://www.ncsl.org/health/certificate-of-need-state-laws	Connecticut Health Care Facility Licensing/Certification Agency \| <https://portal.ct.gov/OHS> Connecticut State Office of Health Strategy (General Health Facilities) \| <https://portal.ct.gov/dss/health-and-home-care/reimbursement-and-certificate-of-need/certificate-of-need?language=en_US> Department of Social Services ...	Connecticut	Conn. Gen. Stat. § 19a-638 (General Health Facilities); Conn Gen. Stat. 17b-352 (Long Term Care Facilities)	https://referencesource.org/state-certificate-of-need-programs/connecticut/	[ "state", "statute_citation" ]
hospitals, nursing homes, free-standing birthing centers, free-standing surgical centers, free-standing acute inpatient rehabilitation hospitals, free-standing emergency centers, continual care community and other non-traditional long-term care facilities	[ "has_con_program" ]	yes	delaware	null	https://www.ncsl.org/health/certificate-of-need-state-laws	Delaware Health Care Facility Licensing/Certification Agency \| <https://www.dhss.delaware.gov/dhss/dhcc/hrb/dhrbhome.html> Delaware Department of Health and Social Services / Health Care Commission, Health Resources Board <http://www.dhss.delaware.gov/dhss/dhcc/hrb/dhrbhome.html> \| Certificate of Need Law \| <https://de...	Delaware	Del. Code Ann. Tit. 16 § 9301 et seq.	https://referencesource.org/state-certificate-of-need-programs/delaware/	[ "state", "statute_citation" ]
skilled nursing facilities, hospices, intermediate care facilities for the developmentally disabled	[ "has_con_program" ]	yes	florida	null	https://www.ncsl.org/health/certificate-of-need-state-laws	Florida Health Care Facility Licensing/Certification Agency \| <https://ahca.myflorida.com/> Florida Agency for Health Care Administration \| Certificate of Need Law \| <https://www.flsenate.gov/Laws/Statutes/2025/408.031> Fla. Stat. § 408.031 et seq. \|	Florida	Fla. Stat. § 408.031 et seq.	https://referencesource.org/state-certificate-of-need-programs/florida/	[ "state" ]
hospitals, destination cancer hospitals, skilled nursing facilities, intermediate care facilities, personal care homes, ambulatory surgical facilities, obstetrical facilities, free-standing emergency departments, HMOs, home health agencies, diagnostic/treatment/rehabilitation centers	[ "has_con_program" ]	yes	georgia	null	https://www.ncsl.org/health/certificate-of-need-state-laws	Georgia Health Care Facility Licensing/Certification Agency \| <https://dch.georgia.gov/divisionsoffices/office-health-planning> Georgia Department of Community Health / Office of Health Planning \| Certificate of Need Law \| <https://advance.lexis.com/documentpage/?pdmfid=1000516&crid=b036b561-e98d-47ef-a26c-51111cb331f5...	Georgia	Ga. Code § 31-6-40 et seq.	https://referencesource.org/state-certificate-of-need-programs/georgia/	[ "state" ]
hospitals, surgical centers, extended care and rehabilitation centers, nursing homes, skilled nursing facilities, intermediate care facilities, hospices, kidney disease treatment centers, outpatient clinics, ambulatory health care facilities, emergency care facilities, home health agencies, HMOs	[ "has_con_program" ]	yes	hawaii	No	https://www.ncsl.org/health/certificate-of-need-state-laws	Hawaii Health Care Facility Licensing/Certification Agency \| <http://health.hawaii.gov/shpda/certificate-of-need/> Hawaii Department of Health / State Health Planning & Development Agency \| Certificate of Need Law \| <http://www.capitol.hawaii.gov/hrscurrent/Vol06_Ch0321-0344/HRS0323D/HRS_0323D-0042.htm> Hawaii Rev. Sta...	Hawaii	Hawaii Rev. Stat. § 323D-42 et seq.	https://referencesource.org/state-certificate-of-need-programs/hawaii/	[ "state" ]
null	[ "has_con_program" ]	no	idaho	No	https://www.ncsl.org/health/certificate-of-need-state-laws	Idaho Health Care Facility Licensing/Certification Agency \| <https://healthandwelfare.idaho.gov/> Idaho Department of Health and Welfare \| Certificate of Need Law \| No \| Recent Legislative Activity \| N/A \| Facilities and Activities Overview \| Facilities Regulated Under Certificate of Need Laws \| N/A \| Activities Regula...	Idaho	null	https://referencesource.org/state-certificate-of-need-programs/idaho/	[ "moratorium", "state" ]
hospitals, long-term care facilities, dialysis centers, ambulatory surgery centers, alternative health care delivery models, free-standing emergency centers, birthing centers	[ "has_con_program" ]	yes	illinois	No	https://www.ncsl.org/health/certificate-of-need-state-laws	Illinois Health Care Facility Licensing/Certification Agency \| <https://hfsrb.illinois.gov/> Illinois Health Facilities & Services Review Board \| Certificate of Need Law \| <https://ilga.gov/legislation/ILCS/ilcs3.asp?ActID=407&ChapterID=5> Ill. Rev. Stat. ch. 20, § 3960/1 et. seq. \|	Illinois	Ill. Rev. Stat. ch. 20, § 3960/1 et. seq.	https://referencesource.org/state-certificate-of-need-programs/illinois/	[ "state", "statute_citation" ]
comprehensive care facilities (nursing homes)	[ "has_con_program" ]	yes	indiana	No	https://www.ncsl.org/health/certificate-of-need-state-laws	Indiana Health Care Facility Licensing/Certification Agency \| <https://www.in.gov/health/cshcr/home/> Indiana Department of Health / Consumer Services and Health Care Regulation \| Certificate of Need Law \| <https://iga.in.gov/laws/2024/ic/titles/16#16-29-7> Ind. Code § 16-29-7 et seq. \|	Indiana	Ind. Code § 16-29-7 et seq.	https://referencesource.org/state-certificate-of-need-programs/indiana/	[ "state" ]
hospitals, residential care facilities, nursing facilities, intermediate care facilities, organized outpatient health facilities, outpatient surgical facilities, community mental health facilities, birthing centers	[ "has_con_program" ]	yes	iowa	No	https://www.ncsl.org/health/certificate-of-need-state-laws	Iowa Health Care Facility Licensing/Certification Agency \| <https://dial.iowa.gov/state-health-facilities-council> Iowa Department of Public Health / State Health Facilities Council \| Certificate of Need Law \| <https://www.legis.iowa.gov/docs/ico/chapter/10A.pdf> Iowa Code § 135.61 et seq. \| <https://www.legis.iow...	Iowa	Iowa Code § 135.61 et seq.; Iowa Code § 135B.5A (Rural Emergency Hospitals)	https://referencesource.org/state-certificate-of-need-programs/iowa/	[ "state", "statute_citation" ]
null	[ "has_con_program" ]	no	kansas	No	https://www.ncsl.org/health/certificate-of-need-state-laws	Kansas Health Care Facility Licensing/Certification Agency \| <https://www.kdhe.ks.gov/449/Facilities-Licensing> Kansas Department of Health and Environment / Health Facilities Program \| Certificate of Need Law \| No \| Recent Legislative Activity \| N/A \| Facilities and Activities Overview \| Facilities Regulated Under Cer...	Kansas	null	https://referencesource.org/state-certificate-of-need-programs/kansas/	[ "moratorium", "state" ]
hospitals, psychiatric hospitals, physical rehabilitation hospitals, chemical dependency programs, nursing facilities, nursing homes, personal care homes, intermediate care facilities, family care homes, outpatient clinics, ambulatory care facilities, ambulatory surgical centers, emergency care centers, ambulance provi...	[ "has_con_program" ]	yes	kentucky	No	https://www.ncsl.org/health/certificate-of-need-state-laws	Kentucky Health Care Facility Licensing/Certification Agency \| <https://chfs.ky.gov/agencies/os/oig/dcn/Pages/cn.aspx> Kentucky Cabinet for Health and Family Services / Division of Certificate of Need \| Certificate of Need Law \| <https://apps.legislature.ky.gov/law/statutes/chapter.aspx?id=38238%22%20\t%20%22_blank> Ky...	Kentucky	Ky. Rev. Stat. § 216B.020 et seq.	https://referencesource.org/state-certificate-of-need-programs/kentucky/	[ "state" ]
nursing facilities, intermediate care facilities for persons with developmental disabilities, home- and community-based service providers, hospice providers, pediatric day health care facilities, behavioral health services providers, opioid treatment programs	[ "has_con_program" ]	yes	louisiana	Intermediate care facilities for the developmentally disabled. Nursing facilities (until July 1, 2027) .	https://www.ncsl.org/health/certificate-of-need-state-laws	Louisiana Health Care Facility Licensing/Certification Agency \| <https://ldh.la.gov/> Louisiana Department of Health \| Certificate of Need Law \| <https://legis.la.gov/Legis/Law.aspx?p=y&d=98042> La. Rev. Stat. Ann. § 2116 * \|	Louisiana	La. Rev. Stat. Ann. § 2116	https://referencesource.org/state-certificate-of-need-programs/louisiana/	[ "state" ]
hospitals, psychiatric hospitals, nursing facilities, kidney disease treatment centers, rehabilitation facilities, ambulatory surgical facilities, independent radiological service centers, independent cardiac catheterization centers, cancer treatment centers	[ "has_con_program" ]	yes	maine	No	https://www.ncsl.org/health/certificate-of-need-state-laws	Maine Health Care Facility Licensing/Certification Agency \| <https://www.maine.gov/dhhs/dlc> Maine Department of Health and Human Services / Division of Licensing and Certification \| Certificate of Need Law \| <https://legislature.maine.gov/statutes/22/title22sec327.html> Me. Rev. Stat. Ann. Tit. 22, Chapter 103-A et se...	Maine	Me. Rev. Stat. Ann. Tit. 22, Chapter 103-A et seq.	https://referencesource.org/state-certificate-of-need-programs/maine/	[ "state", "statute_citation" ]
hospitals, limited-service hospitals, related institutions providing domiciliary/personal/nursing care, ambulatory surgical facilities, rehabilitation facilities, home health agencies, hospices	[ "has_con_program" ]	yes	maryland	No	https://www.ncsl.org/health/certificate-of-need-state-laws	Maryland Health Care Facility Licensing/Certification Agency \| <https://mhcc.maryland.gov/mhcc/Pages/hcfs/hcfs_con/hcfs_con.aspx> Maryland Department of Health / The Maryland Health Care Commission \| Certificate of Need Law \| <https://mgaleg.maryland.gov/2022RS/Statute_Web/ghg/ghg.pdf> Md. Health Code Ann. § 19-12...	Maryland	Md. Health Code Ann. § 19-120 et seq.; COMAR 10.24.01 et seq.	https://referencesource.org/state-certificate-of-need-programs/maryland/	[ "state", "statute_citation" ]
hospitals or clinics, long-term care facilities, clinical laboratories, public medical institutions	[ "has_con_program" ]	yes	massachusetts	No	https://www.ncsl.org/health/certificate-of-need-state-laws	Massachusetts Health Care Facility Licensing/Certification Agency \| <https://www.mass.gov/determination-of-need-don> Massachusetts Department of Public Health / Determination of Need \| Certificate of Need Law \| <https://malegislature.gov/Laws/GeneralLaws/PartI/TitleXVI/Chapter111/Section25c> Mass. Gen. Laws Ann. ch. 11...	Massachusetts	Mass. Gen. Laws Ann. ch. 111 §25C et seq.	https://referencesource.org/state-certificate-of-need-programs/massachusetts/	[ "state", "statute_citation" ]
hospitals, psychiatric hospitals or psychiatric units, nursing homes or hospital long-term care units, free-standing surgical outpatient facilities, HMOs	[ "has_con_program" ]	yes	michigan	No	https://www.ncsl.org/health/certificate-of-need-state-laws	Michigan Health Care Facility Licensing/Certification Agency \| <https://www.michigan.gov/mdhhs/0,5885,7-339-71551_2945_5106---,00.html> Michigan Department of Health and Human Services \| Certificate of Need Law \| <http://www.legislature.mi.gov/(S(ln4plkvwgje13fxor03vheje))/mileg.aspx?page=getObject&objectName=mcl-333-2...	Michigan	Mich. Comp. Laws § 333.22201 et seq.	https://referencesource.org/state-certificate-of-need-programs/michigan/	[ "state" ]
null	[ "has_con_program" ]	no	minnesota	Hospitals and hospital beds ( Minn. Stat. § 144.551 ). Nursing home beds ( Minn. Stat. § 144A.071 ). Intermediate care facilities for persons with developmental disabilities ( Minn. Stat. § 252.291 ). Radiation therapy facilities in certain counties ( Minn. Stat. § 144.5509 ).	https://www.ncsl.org/health/certificate-of-need-state-laws	Minnesota Health Care Facility Licensing/Certification Agency \| <https://www.health.state.mn.us/facilities/regulation/index.html> Minnesota Department of Health \| Certificate of Need Law \| No* \| Recent Legislative Activity \| N/A \| Facilities and Activities Overview \| Facilities Regulated Under Certificate of Need Laws ...	Minnesota	null	https://referencesource.org/state-certificate-of-need-programs/minnesota/	[ "state" ]
hospitals, psychiatric hospitals, chemical dependency hospitals, skilled nursing facilities, end-stage renal disease facilities, intermediate care facilities, ambulatory surgical facilities, home health agencies, psychiatric residential treatment facilities, pediatric skilled nursing facilities, long-term care hospital...	[ "has_con_program" ]	yes	mississippi	Skilled nursing facilities. Intermediate care facilities. Converting hospitals beds to skilled or intermediate nursing home care. Medicaid-certified child/adolescent psychiatric or chemical dependency beds. Intermediate care facilities for the intellectually disabled.	https://www.ncsl.org/health/certificate-of-need-state-laws	Mississippi Health Care Facility Licensing/Certification Agency \| <https://msdh.ms.gov/msdhsite/_static/30,0,84,301.html> Mississippi Department of Health / Office of Health Policy and Planning \| Certificate of Need Law \| <https://advance.lexis.com/documentpage/?pdmfid=1000516&crid=21111bd4-1df4-4a62-bbc0-d14fd105f05d&...	Mississippi	Miss. Code Ann. § 41-7-171 et seq.	https://referencesource.org/state-certificate-of-need-programs/mississippi/	[ "state" ]
hospitals, residential care facilities, assisted living facilities, intermediate care facilities, skilled nursing facilities, long-term care beds in a hospital, long-term care hospitals	[ "has_con_program" ]	yes	missouri	No	https://www.ncsl.org/health/certificate-of-need-state-laws	Missouri Health Care Facility Licensing/Certification Agency \| <https://health.mo.gov/information/boards/certificateofneed/index.php> Missouri Department of Health and Senior Services / Missouri Health Facilities Review Committee \| Certificate of Need Law \| <https://revisor.mo.gov/main/OneSection.aspx?section=197.300&b...	Missouri	Mo. Rev. Stat. § 197.300 et seq.	https://referencesource.org/state-certificate-of-need-programs/missouri/	[ "state" ]
long-term care facilities	[ "has_con_program" ]	yes	montana	No	https://www.ncsl.org/health/certificate-of-need-state-laws	Montana Health Care Facility Licensing/Certification Agency \| <https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/CertificateofNeed> Montana Department of Public Health and Human Services / Quality Assurance Division, Licensure Bureau \| Certificate of Need Law \| <https://leg.mt.gov/bills/mca/title_0500/chap...	Montana	Mont. Code Ann. § 50-5-301 et seq.	https://referencesource.org/state-certificate-of-need-programs/montana/	[ "state" ]
skilled nursing facilities, intermediate care facilities, nursing facilities, long-term care hospitals	[ "has_con_program" ]	yes	nebraska	Long-term care beds.	https://www.ncsl.org/health/certificate-of-need-state-laws	Nebraska Health Care Facility Licensing/Certification Agency \| <http://dhhs.ne.gov/licensure/Pages/Hospital-Licensing.aspx> Department of Health and Human Services / Division of Public Health, Licensure Unit \| Certificate of Need Law \| <https://nebraskalegislature.gov/laws/statutes.php?statute=71-5801> Neb. Rev. Stat. ...	Nebraska	Neb. Rev. Stat. § 71-5829 et seq.	https://referencesource.org/state-certificate-of-need-programs/nebraska/	[ "state" ]
health facilities broadly defined as a facility in or through which health services are provided	[ "has_con_program" ]	yes	nevada	No	https://www.ncsl.org/health/certificate-of-need-state-laws	Nevada Health Care Facility Licensing/Certification Agency \| <http://dpbh.nv.gov/Programs/Certificate_of_Need/Certificate_of_Need_-_Home/> Nevada Division of Public and Behavioral Health / Health Planning and Primary Care \| Certificate of Need Law \| <https://www.leg.state.nv.us/nrs/nrs-439a.html#NRS439ASec100> Nev. Rev...	Nevada	Nev. Rev. Stat. § 439A.100 et seq.	https://referencesource.org/state-certificate-of-need-programs/nevada/	[ "state" ]
null	[ "has_con_program" ]	no	new-hampshire	No	https://www.ncsl.org/health/certificate-of-need-state-laws	New Hampshire Health Care Facility Licensing/Certification Agency \| <https://www.dhhs.nh.gov/doing-business-dhhs/licensing-certification/health-facilities-administration> New Hampshire Department of Health and Human Services / Health Facilities Administration \| Certificate of Need Law \| No* \| Recent Legislative Activit...	New Hampshire	null	https://referencesource.org/state-certificate-of-need-programs/new-hampshire/	[ "moratorium", "state" ]
general hospitals, special hospitals, mental hospitals, public health centers, diagnostic centers, treatment centers, rehabilitation centers, extended care facilities, skilled nursing homes, intermediate care facilities, assisted living residences, outpatient clinics, home health care agencies, bioanalytical laboratori...	[ "has_con_program" ]	yes	new-jersey	No	https://www.ncsl.org/health/certificate-of-need-state-laws	New Jersey Health Care Facility Licensing/Certification Agency \| <https://www.nj.gov/health/healthfacilities/certificate-need/> New Jersey Department of Health / Health Facilities \| Certificate of Need Law \| <https://law.justia.com/codes/new-jersey/title-26/section-26-2h-7/> N.J. Rev. Stat. §26-2H-7 et seq. \|	New Jersey	N.J. Rev. Stat. §26-2H-7 et seq.	https://referencesource.org/state-certificate-of-need-programs/new-jersey/	[ "state" ]
null	[ "has_con_program" ]	no	new-mexico	No	https://www.ncsl.org/health/certificate-of-need-state-laws	New Mexico Health Care Facility Licensing/Certification Agency \| <https://nmhealth.org/about/ofm/> New Mexico Department of Health / Office of Facilities Management \| Certificate of Need Law \| No \| Recent Legislative Activity \| N/A \| Facilities and Activities Overview \| Facilities Regulated Under Certificate of Need La...	New Mexico	null	https://referencesource.org/state-certificate-of-need-programs/new-mexico/	[ "moratorium", "state" ]
hospitals, nursing homes, diagnostic and treatment centers, ambulatory surgery centers, certified home health agencies, long term home health care programs, hospices, adult care facilities, adult day health care programs	[ "has_con_program" ]	yes	new-york	No	https://www.ncsl.org/health/certificate-of-need-state-laws	New York Health Care Facility Licensing/Certification Agency \| <https://www.health.ny.gov/facilities/cons/> New York State Department of Health \| Certificate of Need Law \| <https://www.nysenate.gov/legislation/laws/PBH/2802> N.Y. Public Health Law § 2802 et seq. \|	New York	N.Y. Public Health Law § 2802 et seq.	https://referencesource.org/state-certificate-of-need-programs/new-york/	[ "state" ]
hospitals, long-term care hospitals, psychiatric facilities, rehabilitation facilities, nursing home facilities, adult care homes, kidney disease treatment centers, intermediate care facilities, home health agency offices, chemical dependency treatment facilities, diagnostic centers, hospice offices, ambulatory surgica...	[ "has_con_program" ]	yes	north-carolina	No	https://www.ncsl.org/health/certificate-of-need-state-laws	North Carolina Health Care Facility Licensing/Certification Agency \| <https://info.ncdhhs.gov/dhsr/coneed/index.html> North Carolina Department of Health and Human Services / Division of Health Service Regulation \| Certificate of Need Law \| <https://www.ncleg.net/EnactedLegislation/Statutes/HTML/ByArticle/Chapter_131E/...	North Carolina	N.C. Gen. Stat. § 131E-175 et seq.; N.C. Gen. Stat. § 131E-175 (State-operated facilities) *statute not yet updated	https://referencesource.org/state-certificate-of-need-programs/north-carolina/	[ "state", "statute_citation" ]
null	[ "has_con_program" ]	no	north-dakota	No	https://www.ncsl.org/health/certificate-of-need-state-laws	North Dakota Health Care Facility Licensing/Certification Agency \| <https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit> North Dakota Health Department / Health Facilities Unit \| Certificate of Need Law \| No \| Recent Legislative Activity \| N/A \| Facilities and Activities Overview...	North Dakota	null	https://referencesource.org/state-certificate-of-need-programs/north-dakota/	[ "moratorium", "state" ]
long-term care facilities	[ "has_con_program" ]	yes	ohio	Long-term care beds.	https://www.ncsl.org/health/certificate-of-need-state-laws	Ohio Health Care Facility Licensing/Certification Agency \| <https://odh.ohio.gov/> Ohio Department of Health \| Certificate of Need Law \| <https://codes.ohio.gov/ohio-administrative-code/chapter-3701-12> Ohio Rev. Code Ann. § 3701-12-01 et seq. \|	Ohio	Ohio Rev. Code Ann. § 3701-12-01 et seq.	https://referencesource.org/state-certificate-of-need-programs/ohio/	[ "state" ]
long-term care facilities, specialized facilities for developmentally disabled clients, hospital-based skilled nursing units	[ "has_con_program" ]	yes	oklahoma	No	https://www.ncsl.org/health/certificate-of-need-state-laws	Oklahoma Health Care Facility Licensing/Certification Agency \| <https://oklahoma.gov/health.html> Oklahoma State Department of Health \| Certificate of Need Law \| <https://oksenate.gov/sites/default/files/2022-05/os63.pdf> Okla. Stat. Tit. 63 § 1-850 et seq. \|	Oklahoma	Okla. Stat. Tit. 63 § 1-850 et seq.	https://referencesource.org/state-certificate-of-need-programs/oklahoma/	[ "state" ]
hospitals, skilled nursing facilities, intermediate care facilities, long-term care facilities, health facilities established by HMOs	[ "has_con_program" ]	yes	oregon	No	https://www.ncsl.org/health/certificate-of-need-state-laws	Oregon Health Care Facility Licensing/Certification Agency \| <https://www.oregon.gov/oha/ph/ProviderPartnerResources/HealthcareProvidersFacilities/CertificateNeed/Pages/index.aspx> Oregon Health Authority / Public Health Division \| Certificate of Need Law \| <https://www.oregonlegislature.gov/bills_laws/ors/ors442.html>...	Oregon	Or. Rev. Stat. § 442-015 et seq.	https://referencesource.org/state-certificate-of-need-programs/oregon/	[ "state" ]
null	[ "has_con_program" ]	no	pennsylvania	No	https://www.ncsl.org/health/certificate-of-need-state-laws	Pennsylvania Health Care Facility Licensing/Certification Agency \| <https://www.health.pa.gov/Pages/default.aspx> Pennsylvania Department of Health \| Certificate of Need Law \| No \| Recent Legislative Activity \| N/A \| Facilities and Activities Overview \| Facilities Regulated Under Certificate of Need Laws \| N/A \| Activi...	Pennsylvania	null	https://referencesource.org/state-certificate-of-need-programs/pennsylvania/	[ "moratorium", "state" ]
hospitals, nursing facilities, home nursing-care providers, home care providers, hospice providers, inpatient rehabilitation centers, free-standing emergency care facilities, facilities providing surgical treatment, facilities providing inpatient hospice care	[ "has_con_program" ]	yes	rhode-island	New nursing facilities, nursing facility licensed beds, and increases in capacity of licensed nursing facilities (until July 1, 2022).	https://www.ncsl.org/health/certificate-of-need-state-laws	Rhode Island Health Care Facility Licensing/Certification Agency \| <http://health.ri.gov/programs/detail.php?pgm_id=1012> State of Rhode Island Department of Health / Center for Health Systems Policy and Regulation \| Certificate of Need Law \| <https://webserver.rilegislature.gov/Statutes/TITLE23/23-15/INDEX.htm> R.I. G...	Rhode Island	R.I. Gen. Laws § 23-15-2 et seq.	https://referencesource.org/state-certificate-of-need-programs/rhode-island/	[ "state" ]
hospitals (except hospital care at home programs), nursing homes	[ "has_con_program" ]	yes	south-carolina	No	https://www.ncsl.org/health/certificate-of-need-state-laws	South Carolina Health Care Facility Licensing/Certification Agency \| <https://dph.sc.gov/professionals/healthcare-quality/certificate-need-con> South Carolina Department of Public Health \| Certificate of Need Law \| <https://www.scstatehouse.gov/code/t44c007.php> S.C. Code Ann. § 44-7-110 et seq. \|	South Carolina	S.C. Code Ann. § 44-7-110 et seq.	https://referencesource.org/state-certificate-of-need-programs/south-carolina/	[ "state" ]
null	[ "has_con_program" ]	no	south-dakota	No	https://www.ncsl.org/health/certificate-of-need-state-laws	South Dakota Health Care Facility Licensing/Certification Agency \| <https://doh.sd.gov/health-care-professionals/health-facility-licensure/> South Dakota Department of Health / Office of Health Facilities Licensure and Certification \| Certificate of Need Law \| No \| Recent Legislative Activity \| N/A \| Facilities and Act...	South Dakota	null	https://referencesource.org/state-certificate-of-need-programs/south-dakota/	[ "moratorium", "state" ]
nursing homes, recuperation centers, hospitals, ambulatory surgical treatment centers, mental health hospitals, intellectual disability institutional habilitation facilities, home care organizations, outpatient diagnostic centers, rehabilitation facilities, residential hospices, long-term care hospitals	[ "has_con_program" ]	yes	tennessee	No	https://www.ncsl.org/health/certificate-of-need-state-laws	Tennessee Health Care Facility Licensing/Certification Agency \| <https://www.tn.gov/hfc/certificate-of-need-information.html> Tennessee Department of Health / Division of Health Planning \| Certificate of Need Law \| <https://advance.lexis.com/documentpage/?pdmfid=1000516&crid=29a824c5-56ea-4141-a8b8-6730555239ea&nodeid=...	Tennessee	Tenn. Code Ann. § 68-11-1602 et seq.	https://referencesource.org/state-certificate-of-need-programs/tennessee/	[ "state" ]
null	[ "has_con_program" ]	no	texas	No	https://www.ncsl.org/health/certificate-of-need-state-laws	Texas Health Care Facility Licensing/Certification Agency \| <https://hhs.texas.gov/doing-business-hhs/provider-portals/health-care-facilities-regulation> Texas Health and Human Services \| Certificate of Need Law \| No \| Recent Legislative Activity \| N/A \| Facilities and Activities Overview \| Facilities Regulated Under C...	Texas	null	https://referencesource.org/state-certificate-of-need-programs/texas/	[ "moratorium", "state" ]
null	[ "has_con_program" ]	no	utah	No	https://www.ncsl.org/health/certificate-of-need-state-laws	Utah Health Care Facility Licensing/Certification Agency \| <https://dlbc.utah.gov/home/office-of-licensing/health-facilities/> Utah Department of Health / Division of Licensing and Background Checks (DLBC) Oﬃce of Licensing (OL) \| Certificate of Need Law \| No \| Recent Legislative Activity \| N/A \| Facilities and Activit...	Utah	null	https://referencesource.org/state-certificate-of-need-programs/utah/	[ "moratorium", "state" ]
general hospitals, mental hospitals, chronic disease facilities, birthing centers, maternity hospitals, psychiatric facilities, nursing homes, HMOs, home health agencies, outpatient diagnostic or therapy programs, kidney disease treatment centers, mental health agencies, diagnostic imaging facilities, cardiac catheteri...	[ "has_con_program" ]	yes	vermont	No certificate of need can be granted for the offering of home health services, which includes hospices or new home health agencies, through Jan. 1, 2025, or until the General Assembly lifts the moratorium.	https://www.ncsl.org/health/certificate-of-need-state-laws	Vermont Health Care Facility Licensing/Certification Agency \| <https://gmcboard.vermont.gov/> State of Vermont Green Mountain Care Board \| Certificate of Need Law \| <https://legislature.vermont.gov/statutes/section/18/221/09432%22%20/t%20%22_blank> Vt. Stat. Ann. Tit. 18 V.S.A., § 9432 et seq. \|	Vermont	Vt. Stat. Ann. Tit. 18 V.S.A., § 9432 et seq.	https://referencesource.org/state-certificate-of-need-programs/vermont/	[ "state", "statute_citation" ]
general hospitals, sanitariums, nursing homes, intermediate care facilities, extended care facilities, mental hospitals, facilities for individuals with developmental disabilities, psychiatric hospitals, specialized centers for ambulatory surgery/cardiac catheterization/CT/radiosurgery/lithotripsy/MRI/MSI/PET/radiation...	[ "has_con_program" ]	yes	virginia	None, but Certificates of Public Need for an increase in nursing beds are subject to the department issuing a request for applications for an increase in beds.	https://www.ncsl.org/health/certificate-of-need-state-laws	Virginia Health Care Facility Licensing/Certification Agency \| <http://www.vdh.virginia.gov/licensure-and-certification/the-certificate-of-public-need-program/> Virginia Department of Health/Office of Licensure and Certification, Division of Certificate of Public Need \| Certificate of Need Law \| <https://law.lis.virgin...	Virginia	Va. Code §32.1-102.1 et seq.	https://referencesource.org/state-certificate-of-need-programs/virginia/	[ "state" ]
hospices, hospice care centers, hospitals, psychiatric hospitals, nursing homes, ambulatory surgical facilities, home health agencies	[ "has_con_program" ]	yes	washington	No	https://www.ncsl.org/health/certificate-of-need-state-laws	Washington Health Care Facility Licensing/Certification Agency \| <https://www.doh.wa.gov/LicensesPermitsandCertificates/FacilitiesNewReneworUpdate/CertificateofNeed> Washington State Department of Health \| Certificate of Need Law \| <https://app.leg.wa.gov/RCW/default.aspx?cite=70.38.025> Wash. Rev. Code §70-38-025...	Washington	Wash. Rev. Code §70-38-025 et seq.	https://referencesource.org/state-certificate-of-need-programs/washington/	[ "state" ]
private general hospitals, psychiatric hospitals, other specialty hospitals, rehabilitation facilities, skilled nursing facilities, intermediate care facilities, ambulatory care centers, ambulatory surgical facilities, kidney disease treatment centers, free-standing hemodialysis facilities, diagnostic health care facil...	[ "has_con_program" ]	yes	washington-d-c	null	https://www.ncsl.org/health/certificate-of-need-state-laws	Washington, D.C. Health Care Facility Licensing/Certification Agency \| <https://dchealth.dc.gov/node/1599286> District of Columbia Health/State Health Planning and Development Agency \| Certificate of Need Law \| <https://code.dccouncil.gov/us/dc/council/code/titles/44/chapters/4/> D.C. Code Ann. § 44-401 et seq. \|	Washington, D.C.	D.C. Code Ann. § 44-401 et seq.	https://referencesource.org/state-certificate-of-need-programs/washington-d-c/	[ "state" ]
public or private facility, agency or entity that offers or provides health services	[ "has_con_program" ]	yes	west-virginia	New intermediate care or skilled nursing beds. New skilled nursing facilities. New intermediate care beds for persons with intellectual disabilities. Opioid treatment programs (unless it is part of an approved clinical trial and registered with the Board of Pharmacy). In-home personal care services.	https://www.ncsl.org/health/certificate-of-need-state-laws	West Virginia Health Care Facility Licensing/Certification Agency \| <https://hca.wv.gov/certificateofneed/Pages/default.aspx> West Virginia Health Care Authority \| Certificate of Need Law \| <https://code.wvlegislature.gov/16-2D-2/> W. Va. Code §16-2D-2 et seq. \|	West Virginia	W. Va. Code §16-2D-2 et seq.	https://referencesource.org/state-certificate-of-need-programs/west-virginia/	[ "state" ]
null	[ "has_con_program" ]	no	wisconsin	Nursing homes are subject to a statewide bed limit. Hospital beds.	https://www.ncsl.org/health/certificate-of-need-state-laws	Wisconsin Health Care Facility Licensing/Certification Agency \| <https://www.dhs.wisconsin.gov/regulations/index.htm> Wisconsin Department of Health Services \| Certificate of Need Law \| No* \| Recent Legislative Activity \| N/A \| Facilities and Activities Overview \| Facilities Regulated Under Certificate of Need Laws \| N...	Wisconsin	null	https://referencesource.org/state-certificate-of-need-programs/wisconsin/	[ "moratorium", "state" ]
null	[ "has_con_program" ]	no	wyoming	No	https://www.ncsl.org/health/certificate-of-need-state-laws	Wyoming Health Care Facility Licensing/Certification Agency \| <https://health.wyo.gov/aging/hls/> Wyoming Department of Health / Healthcare Licensing and Surveys \| Certificate of Need Law \| No \| Recent Legislative Activity \| N/A \| Facilities and Activities Overview \| Facilities Regulated Under Certificate of Need Laws ...	Wyoming	null	https://referencesource.org/state-certificate-of-need-programs/wyoming/	[ "moratorium", "state" ]

Certificate of need programs by US state

Canonical, always-current version: https://referencesource.org/state-certificate-of-need-programs/ Machine-readable: https://referencesource.org/state-certificate-of-need-programs/data.json — this mirror is a point-in-time copy.

Last verified: 2026-08-19
Stale after: 2027-02-15 (past this date, prefer the canonical copy — it re-verifies on a cadence this snapshot does not)
Records: 51

Which US states operate a certificate-of-need (CON) program for healthcare facilities, and what each program regulates. Each record is one state or DC: whether a CON program exists, which facility types and services are subject to review, whether any moratorium applies, and the statute citation. Answers 'does [state] require a certificate of need at all' and 'is [hospital beds / imaging equipment / an ambulatory surgery centre] reviewable in [state]'. Where NCSL's overview states a dollar trigger it is recorded here too, but it does so for only about half the CON states — for dollar thresholds read from each state's own statute, see con-capital-expenditure-thresholds-by-state.

Provenance — what every record carries

Every record carries source (the URL the value was read from) and source_quote (a verbatim quote from that page stating it). A value you cannot check against its page is indistinguishable from an invented one; these can all be checked. Each record is also individually addressable on the canonical site at its url.

Licence position

Facts extracted from NCSL's legislative overview of state certificate-of-need laws; whether a state operates a CON program, and the statutory citation for it, are facts and are not copyrightable

Facts are not copyrightable; what this dataset takes from each source is a fact plus a short attributed quote linking back to the page that states it.

Sources

https://www.ncsl.org/health/certificate-of-need-state-laws

Fields

See any record in data/records.jsonl — field names are self-describing, and the canonical page for each record renders them with labels: https://referencesource.org/state-certificate-of-need-programs/

Downloads last month: 42

Number of rows:

Total file size:

56.4 kB