Scope of Regulation
What Requires a Certificate of Need?
Each checkmark means a state requires government permission before that type of healthcare facility can be built or expanded. Filter by category to find which states regulate a specific service.
36 states
| State | Score | Hospitals | ASCs | Psychiatric | Substance | Nursing/LTC | Day Surgery | Home Health/Hospice | Imaging | Other | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Kentucky | 100 | 2/9 | |||||||||
| Nevada | 100 | 4/9 | |||||||||
| New Jersey | 100 | 5/9 | |||||||||
| North Carolina | 100 | 2/9 | |||||||||
| Vermont | 100 | 1/9 | |||||||||
| Virginia | 100 | 3/9 | |||||||||
| Washington | 100 | 5/9 | |||||||||
| West Virginia | 100 | 3/9 | |||||||||
| Georgia | 95 | 1/9 | |||||||||
| Maryland | 95 | 3/9 | |||||||||
| Connecticut | 90 | 5/9 | |||||||||
| Iowa | 90 | 4/9 | |||||||||
| Massachusetts | 90 | 1/9 | |||||||||
| Mississippi | 90 | 1/9 | |||||||||
| Washington, D.C. | 90 | 6/9 | |||||||||
| Tennessee | 85 | 5/9 | |||||||||
| Alabama | 80 | 1/9 | |||||||||
| Missouri | 80 | 5/9 | |||||||||
| Rhode Island | 80 | 6/9 | |||||||||
| Hawaii | 65 | 5/9 | |||||||||
| Illinois | 65 | 2/9 | |||||||||
| Maine | 65 | 5/9 | |||||||||
| Michigan | 65 | 6/9 | |||||||||
| New York | 65 | 3/9 | |||||||||
| Oregon | 65 | 4/9 | |||||||||
| Alaska | 55 | 5/9 | |||||||||
| Louisiana | 55 | 3/9 | |||||||||
| Delaware | 45 | 2/9 | |||||||||
| Nebraska | 45 | 5/9 | |||||||||
| Minnesota | 30 | 4/9 | |||||||||
| Oklahoma | 20 | 7/9 | |||||||||
| Arkansas | 15 | 6/9 | |||||||||
| Florida | 5 | 3/9 | |||||||||
| Montana | 5 | 5/9 | |||||||||
| North Dakota | 5 | 4/9 | |||||||||
| Wisconsin | 5 | 5/9 |