Freedom#51 of 102 · Added August 27, 2026
Hospital Permission Slips
States requiring a certificate of need to add health care capacity
Data: National Conference of State Legislatures, 2024 ↗nhmaps.com/93
In New Hampshire, saving lives doesn't require a permission slip.
Certificate-of-need requirements for health care facilities (state CON program status)
Source & data: National Conference of State Legislatures, 2024 ↗
View the data (50 states)
| # | State | Value |
|---|---|---|
| 1 | California | No CON program |
| 2 | Colorado | No CON program |
| 3 | Idaho | No CON program |
| 4 | Kansas | No CON program |
| 5 | New Hampshire | No CON program |
| 6 | New Mexico | No CON program |
| 7 | North Dakota | No CON program |
| 8 | Pennsylvania | No CON program |
| 9 | South Dakota | No CON program |
| 10 | Texas | No CON program |
| 11 | Utah | No CON program |
| 12 | Wyoming | No CON program |
| 13 | Arizona | Limited review only |
| 14 | Louisiana | Limited review only |
| 15 | Minnesota | Limited review only |
| 16 | Wisconsin | Limited review only |
| 17 | Alabama | CON program |
| 18 | Alaska | CON program |
| 19 | Arkansas | CON program |
| 20 | Connecticut | CON program |
| 21 | Delaware | CON program |
| 22 | Florida | CON program |
| 23 | Georgia | CON program |
| 24 | Hawaii | CON program |
| 25 | Illinois | CON program |
| 26 | Indiana | CON program |
| 27 | Iowa | CON program |
| 28 | Kentucky | CON program |
| 29 | Maine | CON program |
| 30 | Maryland | CON program |
| 31 | Massachusetts | CON program |
| 32 | Michigan | CON program |
| 33 | Mississippi | CON program |
| 34 | Missouri | CON program |
| 35 | Montana | CON program |
| 36 | Nebraska | CON program |
| 37 | Nevada | CON program |
| 38 | New Jersey | CON program |
| 39 | New York | CON program |
| 40 | North Carolina | CON program |
| 41 | Ohio | CON program |
| 42 | Oklahoma | CON program |
| 43 | Oregon | CON program |
| 44 | Rhode Island | CON program |
| 45 | South Carolina | CON program |
| 46 | Tennessee | CON program |
| 47 | Vermont | CON program |
| 48 | Virginia | CON program |
| 49 | Washington | CON program |
| 50 | West Virginia | CON program |