============================================================================== CERTIFICATE OF NEED INTELLIGENCE BRIEF: MINNESOTA The Rojas Report | conlaws.rojasreport.com/states/minnesota/ ============================================================================== State: Minnesota (MN) Score: 30/100 Tier: Moderate Rank: 21 of 51 jurisdictions ------------------------------------------------------------------------------ SUMMARY ------------------------------------------------------------------------------ In-depth analysis of Minnesota's hospital construction moratorium, market concentration, and its impact on healthcare competition. ------------------------------------------------------------------------------ SCOPE OF REGULATION ------------------------------------------------------------------------------ * Regulated Services * New Nursing Home Beds * Notably, ambulatory surgery centers and imaging centers are not subject to this review. ------------------------------------------------------------------------------ APPLICATION PROCESS ------------------------------------------------------------------------------ Notably, ambulatory surgery centers and imaging centers are not subject to this review. 150 days for MDH review, plus legislative action ------------------------------------------------------------------------------ MARKET CONCENTRATION ------------------------------------------------------------------------------ The Twin Cities market is dominated by three systems controlling ~70% of revenue: Virtual monopoly in the Rochester hospital market. ------------------------------------------------------------------------------ REFORM STATUS ------------------------------------------------------------------------------ Minnesota replaced its traditional CON program with a hospital construction moratorium, creating a unique and complex regulatory environment. CON Law Repealed 1984 ------------------------------------------------------------------------------ CASE LAW / DENIALS ------------------------------------------------------------------------------ 2024 Rehab Hospital Denial Recommendation ============================================================================== Source: The Rojas Report | conlaws.rojasreport.com/states/minnesota/ Data: Cicero Institute, NASHP, FTC, DOJ, CMS, state health departments Generated: April 2026 ==============================================================================