Certificate of Need (CON) Program Overview

Jeff Gregg, Director
Florida Center for Health Information and Policy Analysis
Jeffrey.Gregg@ahca.myflorida.com
(850) 412-3730

James McLemore, Supervisor
Certificate of Need Unit
James.McLemore@ahca.myflorida.com
(850) 412-4401

Media Relations Contact for Reporters:
Reporters are asked to contact the Agency's Media Relations Unit for information on CON applications, decisions, or any other Certificate of Need related issue at 850-412-3623.

The Certificate of Need (CON) program is a regulatory process that requires certain health care providers to obtain state approval before offering certain new or expanded services. For example, a Certificate of Need would be required if a hospital wishes to establish a comprehensive medical rehabilitation program.

The CON process is intended to help ensure that new services proposed by health care providers are needed for quality patient care within a particular region or community.

The program prevents unnecessary duplication of services by selecting the best proposal among competing applicants who wish to provide a particular health service. CON in Florida regulates hospice, skilled nursing, intermediate care for the developmentally disabled, the development of new hospitals and certain hospital services. It does not regulate outpatient services, home health services or the purchase of major medical equipment.

When a CON is Required
Making Application
CON Review Process
CON Monitoring Process
CON Appeals Process

CON rule updates and notices are posted on this website at the Proposed Rules/Rule Workshops link.

In 2001, the Florida legislature placed a moratorium on the issuance of certificates of need for additional community nursing home beds until July 1, 2006. In 2006, the legislature extended the moratorium until July 1, 2011. This action was taken because the legislature found that the continued growth in the Medicaid budget for nursing home care constrained the ability of the state to meet the needs of its elderly residents through the use of less restrictive and less institutional methods of long-term care. In 2011, the Florida legislature placed a moratorium on the issuance of certificates of need for additional community nursing home beds until Medicaid managed care is implemented statewide or October 1, 2016, whichever is earlier.

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