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CON States

Certificate of Need state by state.

CON programs differ materially by state — what's reviewable, how batches work, how long review takes, and how contested cases are decided. Here's where PDA works, and how each program compares. All regulatory specifics carry a [VERIFY] flag pending state-source confirmation.

CON program comparison — PDA experience states
StateReviewing agencyReviewable highlightsTypical timeline
North CarolinaDHSR CON SectionHospitals, nursing home and adult care home beds, ambulatory surgery centers, MRI and PET scanners, cardiac catheterization, gastrointestinal endoscopy rooms, dialysis stations, home health and hospice agencies.Typically 6–12 months from filing through public hearing, agency decision, and potential contested case — longer where competing applications or appeals are involved.
ConnecticutOHSHospitals, ambulatory surgical centers, terminations of services, major medical equipment, and certain transfers of ownership.Roughly 90–180 days for straightforward filings; contested proceedings and requests for additional information can push timelines beyond a year.
DelawareDHRBHospitals, nursing facilities, freestanding surgical and imaging centers, major medical equipment, and select capital expenditures above statutory thresholds.Typically 90–150 days from acceptance through DHRB decision, with additional time for reconsideration or judicial review.
FloridaAHCAGeneral hospitals, tertiary services, hospices, nursing home beds, and specialty categories retained after Florida's 2019 CON reform.Batch cycles publish fixed application, comment, and decision dates.
GeorgiaDCHHospitals, ambulatory surgery, imaging, cardiac catheterization, obstetric services, long-term care, and other categories governed by the State Health Plan.Typically 120 days for review after acceptance, with additional time for appeal to the Certificate of Need Appeal Panel and courts.
MarylandMHCCHospitals, ambulatory surgery beyond specified thresholds, comprehensive care facilities, home health, hospice, and other services under the State Health Plan.Docketing and review typically spans 6–12 months, with contested cases extending timelines through evidentiary hearings and Commission decision.
OregonOHANew hospitals, long-term care facilities, and select capital projects and services above statutory thresholds.Typically 90–180 days from complete filing through decision, with additional process for hearings and appeals.
South CarolinaDPHHospitals, nursing homes, and other categories retained after South Carolina's phased CON reform.Review of accepted applications typically runs 4–8 months, with contested cases extending timelines through the Administrative Law Court.
UtahDHHSLong-term care beds and select other categories retained under Utah's limited CON framework.Typically several months from complete filing through decision.
West VirginiaWVHCAHospitals, ambulatory surgery, imaging, dialysis, home health, hospice, long-term care, and other categories governed by the State Health Plan.Typically 3–6 months for standard review after acceptance, with expedited and letter-of-intent procedures for certain projects and longer timelines for contested matters.
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