The certificate of need program is designed to prevent unnecessary duplication of expensive medical services and equipment. In some states the certificate of need process is a two-step process that consists of a Letter of Intent and the Certificate of Need Application. The required elements of such a letter of intent will most likely vary somewhat from state to state.
Vermont Letter of Intent in Connection with Obtaining a Certificate of Need for a New Health Care Facility or Major Capital Expenditure in the Health Care Industry
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How to fill out Letter Of Intent In Connection With Obtaining A Certificate Of Need For A New Health Care Facility Or Major Capital Expenditure In The Health Care Industry?
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FAQ
Since 1973, Florida has restricted the supply of health care with certificate-of-need (CON) programs. These programs prohibit health care providers from entering new markets or making changes to their existing capacity without first gaining the approval of state regulators.
Since 1971, Oregon has restricted the supply of health care with certificate-of-need (CON) programs. These programs prohibit health care providers from entering new markets or making changes to their existing capacity without first gaining the approval of state regulators.
New health care projects in Vermont must obtain a Certificate of Need (CON) from the Green Mountain Care Board prior to implementation.
*Although Arizona does not operate an official CON program, the state requires an application for ambulance services and ambulances to be filed with the Department of Health Services, Bureau of Emergency Medical Services & Trauma System (Ariz. Rev.
Three states?Arizona, Minnesota and Wisconsin?do not officially operate a CON program, but they maintain several approval processes that function similarly to CON. At least six states?Michigan, Montana, New York, North Carolina, Tennessee and Washington?and Washington, D.C., enacted CON legislation in 2021.
Since 1979, Missouri has restricted the supply of health care with certificate-of-need (CON) programs.
Eleven states have no CON laws or caps: California, Colorado, Idaho, Kansas, New Hampshire, North Dakota, Pennsylvania, South Dakota, Texas, Utah, and Wyoming (see the accompanying chart).
In 1987, the federal government repealed the CON mandate, and throughout the 1980s, states began retiring their CON programs. By 1990, Arizona, California, Colorado, Idaho, Kansas, Minnesota, New Mexico, South Dakota, Texas, Utah, Wisconsin, and Wyoming (a total of 12 states) repealed their CON programs.