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All persons proposing to offer or develop in the District a new institutional health service, or to obligate a capital expenditure to obtain a medical/health asset to be located in the District shall, prior to proceeding with that offering, development, or obligation, obtain from the State Health Planning and Development Agency (SHPDA) a certificate of need that demonstrates a public need for the new health service, facility or expenditure.
A Certificate of Need allows health care providers to establish new facilities or services, make certain capital expenditures, or take certain other actions as specified in DC Official Code 44 – 401 et. seq. of the Health Services Planning Program Reestablishment Act of 1996, as amended, and the Certificate of Need (CON) Regulations (Title 22B, DC Municipal Regulations, Sec. 4000, et seq.).
After a review of the need for the proposed service or facility, Certificates of Need are issued for up to three years. Unless a project is completed within the specified period, the project is reviewed for renewal of the Certificate. The renewal review is normally based on whether the holder of the Certificate has made substantial progress on the project or has adequate justification for a lack of progress. The Certificate holder's compliance with any conditions that may have been placed on the Certificate is also assessed during renewal reviews.
A Certificate of Need is required by any person, partnership, or corporation proposing to:
Certificate of Need Laws (PDF)
State Health Plan [PDF]