Certificate of Need (CON) laws are state regulatory mechanisms for approving major capital expenditures and projects for certain health care facilities. In a state with a CON program, a state health planning agency or other entity must review and approve projects like establishing a new health care facility or expanding a facility’s health service capacity in a specified area. CON programs primarily aim to control health care costs by restricting duplicative services and determining whether new capital expenditures meet a community need.
Interactive Map of State CON Laws
Currently, 35 states and Washington, D.C., operate a CON program with wide variation state to state. The following interactive 50-state map lists the health care facilities and proposed activities covered under the CON law for each state as of December 2021. It also includes enacted CON legislation for the past three legislative sessions (2019, 2020 and 2021) as well as whether a state has a moratorium on certain health care facilities or activities.