Certificate of Need

New York's Certificate of Need (CON) process governs the establishment, construction, renovation and major medical equipment acquisitions of health care facilities, such as hospitals, nursing homes, home care agencies, and diagnostic and treatment centers. Through the CON process, the Department seeks to promote the delivery of high-quality health care services and to ensure that facility-based health care services are aligned with community health needs. The CON process also reins in investments in excess facility capacity and unneeded medical equipment that drive up health care costs for everyone, without contributing materially to the health of our communities.

CON applications that involve the addition of certain specialized services and major capital projects and/or equipment acquisitions are reviewed by the State Hospital Review and Planning Council, and those that involve the establishment of a new facility are also reviewed by the Public Health Council