50-State Scan of State Certificate-of-Need Programs
May 22, 2020/ by Adney Rakotoniaina and Johanna Butler
A certificate of need (CON) program is a state regulatory tool that controls the number of health care resources in an area. CON laws require a hospital or health system to demonstrate community need before establishing or expanding a health care facility or service. State CON laws differ, but generally address:
- The types of health care facilities requiring CONs;
- Activities that trigger CON review;
- The agency or board that reviews applications; and
- The information considered during a CON review.
This interactive map is based on a review of state statutes, administrative codes, websites, and other documents and was reviewed by nearly all states with CON programs.* To learn more, read the National Academy for State Health Policy’s blog, 50-State Scan Shows Diversity of State Certificate-of-Need Laws or visit the Center for Health System Costs.
*At the time of publication, Alabama, Georgia, North Carolina, and South Carolina were still in the review process.


For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 























































































































































