Who Needs a Certificate of Need?

A Certificate of Need (CON) is required by any person, partnership, or corporation proposing to:

• Construct, develop, or otherwise establish a new health care facility, health care service, or home health agency.
• Make a capital expenditure of $2 million or more in connection with a health service or health facility.
• Make a capital expenditure of $1.3 million or more to acquire major medical equipment.
• Acquire, through lease, rental, or donation, any facility or major medical equipment for use in a health care facility or health service.
• Relocate beds from one facility to another.
• Redistribute the beds of a health care facility by 10 beds or 10 percent, whichever is less, in any two-year period.
• Offer any health service, which was not offered on a regular basis by the health care facility within the previous 12-month period.
• Increase the number of renal dialysis stations in a facility, or move stations from one facility to another.
• Acquire an existing health care facility by purchase, lease, or other arrangement.
• Permanently close a health care facility or service, if closure involves a capital expenditure in any amount.