Signal Intelligence Resource / Healthcare Expansion Tracking
CON & Non-CON State Expansion Tracking Directory
Every mandatory CON state, verified portal links, API access status, and regulatory scope — plus proxy tracking strategies for states without CON requirements. A technical reference for monitoring capital expenditure projects, ASC applications, and behavioral health filings across all 50 states & DC.
36 CON States & DC14 Non-CON StatesAPI availability mappedAll links verified
A Certificate of Need (CON) filing is the ultimate leading indicator for healthcare expansion. Because health systems are legally required to file public applications months — or years — before breaking ground, an approved CON means future executive, clinical, and operational hiring is already funded and locked in. States marked Long-Term Care Only or Specialized Scope have deregulated hospitals and ASCs — filter them out of your pipeline tracking.
| # | State | API | Scope | Verified Portal | Regulatory Scope & Notes |
|---|---|---|---|---|---|
| 01 | Alabama | Scrapable | Broad | shpda.alabama.gov ↗ | Broad Scope: Regulates general/specialized hospitals, ASCs, psychiatric systems, and major medical equipment entries. // Online filing system; scrapable via POST session handling. |
| 02 | Alaska | Dynamic | Broad | certofneed.health.alaska.gov ↗ | Broad Scope: Mandatory for acute care builds, residential psychiatric centers, and high-tier capital expenditure thresholds. // Dynamic web platform (MyAlaska framework) with live data tables. |
| 03 | Arkansas | No API | LTC Only | healthy.arkansas.gov ↗ | Long-Term Care Only: General acute hospitals, ASC configurations, and behavioral centers are deregulated. Monitors nursing spaces only. |
| 04 | Connecticut | Socrata API | Broad | portal.ct.gov/ohs ↗ | Broad Scope: Controls hospital setups, corporate transfers of ownership, absolute terminations of service, and imaging assets. // Socrata Native API (data.ct.gov) tracking active dockets. |
| 05 | Delaware | No API | Broad | dhss.delaware.gov ↗ | Broad Scope: Governs healthcare institutions, freestanding emergency departments, and ambulatory surgery environments. |
| 06 | District of Columbia | No API | Broad | dchealth.dc.gov ↗ | Broad Scope: Applies to any physical healthcare setting, psychiatric clinic addition, or major asset acquisition. |
| 07 | Florida | No API | LTC Only | ahca.myflorida.com ↗ | Long-Term Care Only: Eliminated standard hospital and ASC limits entirely. Framework strictly targets nursing homes and hospices. |
| 08 | Georgia | No API | Broad | dch.georgia.gov ↗ | Broad Scope: Regulates acute facilities, specialized equipment, and surgical centers. // Structured DB publishing monthly Excel status updates. Minor carve-outs for selective psych beds. |
| 09 | Hawaii | No API | Broad | health.hawaii.gov/shpda ↗ | Broad Scope: Covers new builds, behavioral therapy layouts, clinical service entries, and high-capital spending adjustments. |
| 10 | Illinois | Dynamic | Broad | hcaap.illinois.gov ↗ | Broad Scope: Monitors hospital bed modifications, long-term environments, dialysis setups, and absolute facility closures. // Dynamic project query system on a legacy database. |
| 11 | Indiana | No API | LTC Only | in.gov/health ↗ | Long-Term Care Only: Does not manage or restrict acute hospitals, standalone ASCs, or psychiatric clinics via CON. |
| 12 | Iowa | No API | Broad | hhs.iowa.gov ↗ | Broad Scope: Regulates institutional additions and surgical environments. // Safe-harbor rules exist for adding acute psych beds. |
| 13 | Kentucky | Dynamic | Broad | chfs.ky.gov ↗ | Broad Scope: Covers acute care footprints, inpatient mental facilities, scanner allocations, and ambulatory modifications. // Office of Health Data system providing weekly application summaries. |
| 14 | Louisiana | No API | Specialized | ldh.la.gov ↗ | Specialized Scope: Primarily restricts specialized environments, long-term nursing beds, and developmental disability additions. // Health Standards division logs; low programmatic access. |
| 15 | Maine | No API | Broad | maine.gov/dhhs/dlc ↗ | Broad Scope: Enforced on major capital improvements, introduction of novel technological assets, and hospital campus builds. |
| 16 | Maryland | Dynamic | Broad | mhcc.maryland.gov ↗ | Broad Scope: Extensive governance covering all new footprints, surgical centers, complex renovations, and program extensions. // MHCC portal featuring queryable dynamic docket listings. |
| 17 | Massachusetts | Socrata API | Broad | mass.gov/determination-of-need-don ↗ | Broad Scope: Termed 'Determination of Need'. Restricts clinical service changes, substantial capital expenditures, and equipment. // Socrata Data Engine (data.mass.gov) archives available. |
| 18 | Michigan | Socrata API | Broad | michigan.gov/mdhhs ↗ | Broad Scope: Explicitly regulates hospital beds, dynamic air ambulances, CT/MRI scanners, open-heart programs, and ASC slots. // Socrata platform (data.michigan.gov) handles inventory counts. |
| 19 | Mississippi | No API | Broad | msdh.ms.gov ↗ | Broad Scope: Enforces strict rules regarding new service rollouts, geographic asset relocation, and institutional expansion caps. |
| 20 | Missouri | Dynamic | Broad | health.mo.gov ↗ | Hospital Focused: Triggered by facility construction or expensive machinery procurement. // Standalone ASC entries are mostly exempt. Query system tracking historical listings. |
| 21 | Nebraska | No API | LTC Only | dhhs.ne.gov ↗ | Long-Term Care Only: Hospital components were repealed. Program manages rehabilitation configurations and nursing setups. |
| 22 | Nevada | No API | LTC Only | dpbh.nv.gov ↗ | Rural Geographic Scope: Restricts development exclusively within counties under 100,000 population to stabilize asset distribution. |
| 23 | New Jersey | No API | Broad | nj.gov/health ↗ | Broad Scope: Controls comprehensive hospital infrastructure and high-tier specialized options. // ASCs frequently use expedited paths. |
| 24 | New York | Socrata API | Broad | health.ny.gov ↗ | Broad Scope (Strictest): Governed via Article 28. Regulates all hospital bed changes, behavioral clinic entries, remodeling, and additions. // Socrata Native Engine (health.data.ny.gov). Full developer API. |
| 25 | North Carolina | No API | Broad | info.ncdhhs.gov ↗ | Broad Scope: Requires a CON for all acute care additions, psychiatric expansions, surgical spaces, and capital spending overrides. |
| 26 | Ohio | No API | LTC Only | odh.ohio.gov ↗ | Long-Term Care Only: Hospital frameworks were dropped in 1997. Active architecture only limits nursing home beds. |
| 27 | Oklahoma | No API | Specialized | oklahoma.gov/health ↗ | Specialized Scope: Focuses on long-term healthcare environments, psychiatric facilities, and managed substance abuse spaces. // HRDS regulatory data center posting text roster dumps. |
| 28 | Oregon | No API | Broad | oregon.gov/oha ↗ | Hospital Focused: Reviews standard hospitals and medical rehab wings. Outpatient surgical entries are largely exempt. |
| 29 | Rhode Island | No API | Broad | health.ri.gov ↗ | Broad Scope: Controls innovative institutional systems, high-tier clinical assets, outpatient surgical setups, and closures. |
| 30 | South Carolina | No API | LTC Only | dph.sc.gov ↗ | Long-Term Care Focused: Recent legislative updates heavily scaled back rules, leaving nursing care and narrow specialized services regulated. |
| 31 | Tennessee | Dynamic | Broad | tn.gov/hsda ↗ | Broad Scope: Enforced on new acute care structures and behavioral programs. // ASC facilities face strict geographic rules. Dynamic administrative engine. |
| 32 | Vermont | Dynamic | Broad | gmcboard.vermont.gov ↗ | Broad Scope: Highly structured. Reviews all clinical infrastructure, mental health structures, and capital investments over $3M. // GMCB dynamic document library housing continuous cases. |
| 33 | Virginia | No API | Broad | vdh.virginia.gov ↗ | Broad Scope: Called 'Certificate of Public Need' (COPN). Triggers on neonatal units, psychiatric wings, surgical suites, and beds. |
| 34 | Washington | No API | Broad | doh.wa.gov ↗ | Broad Scope: Regulates tertiary clinical options, new hospital builds, specialized ASC operations, and mental health facilities. |
| 35 | West Virginia | Dynamic | Broad | hca.wv.gov ↗ | Broad Scope: Captures all new healthcare operations, physical expansions, and high-cost machinery. // Comprehensive legal search tool. Birthing centers are exempt. |
| 36 | Wisconsin | No API | LTC Only | dhs.wisconsin.gov ↗ | Long-Term Care Only: Focuses capital expenditure restrictions heavily onto long-term nursing facilities and specialized beds. |
In states without CON laws, health systems must still submit architectural plans to state healthcare construction divisions and apply for facility license modifications. By trackingState Health Facility Plan Reviews and Facility Licensing pipelines, you can capture when a health system applies to build, expand, or modify — before they begin hiring.
| # | State | API | Tracking Entity | Verified Portal | Interception Strategy |
|---|---|---|---|---|---|
| 01 | Arizona | No API | AZ Dept of Health Services | azdhs.gov ↗ | Track changes across the ADHS public medical facility portal updates or scrape dynamic provider logs to catch new entries. |
| 02 | California | Socrata API | HCAI & CDPH | hcai.ca.gov ↗ | Track projects using HCAI structural building safety permits (data.chhs.ca.gov). Full REST streams from review to completion. |
| 03 | Colorado | Dynamic | CDPHE Health Facilities | cdphe.colorado.gov ↗ | Plan reviews and licensure managed under CDPHE. Monitor facility additions via automated folder inspections and downloadable directory files. |
| 04 | Idaho | No API | ID Bureau of Facility Standards | healthandwelfare.idaho.gov ↗ | Track structural updates or license variances issued by the Idaho Division of Licensing and Certification. Quarterly file updates only. |
| 05 | Kansas | No API | KDHE Health Facilities Program | kdhe.ks.gov ↗ | Intercept changes by regularly comparing master rosters uploaded by the KDHE Health Facilities Program. |
| 06 | Minnesota | No API | MN Dept of Health | health.state.mn.us ↗ | Minnesota uses a unique Hospital Moratorium framework instead of CON. Expansions require public review logs indexed here. |
| 07 | New Hampshire | No API | DHHS Health Facilities Licensure | dhhs.nh.gov ↗ | Capture active expansions by running automated check routines against the DHHS Health Facilities Licensing ledger changes. CON fully repealed 2016. |
| 08 | New Mexico | No API | NM Health Facility Licensing Bureau | nmhealth.org ↗ | Managed by the Health Facility Licensing Bureau. Regular parsing of HTML directories lets you extract facility type edits. |
| 09 | North Dakota | No API | ND HHS Health Facilities | hhs.nd.gov ↗ | The Health Facilities Unit updates basic downloadable data logs tracking hospitals, specialized ASC units, and behavioral sites. |
| 10 | Pennsylvania | Enterprise API | PA Dept of Health — Acute & Ambulatory | health.pa.gov ↗ | Monitor blueprints via Division of Safety Inspection logs alongside the state's master health facility locator registry. Highly scrapable enterprise database. |
| 11 | South Dakota | No API | SD Office of Health Facilities Licensure | doh.sd.gov ↗ | Run basic file comparison routines against the Office of Health Facilities Licensure log additions to track new setups. |
| 12 | Texas | Socrata API | TX HHSC Health Care Regulation | hhs.texas.gov ↗ | Use the Texas Open Data portal (data.texas.gov) via API to stream newly distributed licenses and bed adjustments. Excellent programmatic target. |
| 13 | Utah | No API | UT DHHS Licensing | dhhs.utah.gov ↗ | Track monthly data sheet variations for behavioral treatment and surgical centers via the DHHS Licensing framework. |
| 14 | Wyoming | No API | WY Healthcare Licensing & Surveys | health.wyo.gov ↗ | The Healthcare Licensing and Surveys unit uploads text-based facility directories. Expansions require row-by-row matrix diffing. |
Formerly CON — Now Deregulated
These four repealed or gutted their CON statutes. The expansion still happens; it just leaves a licensing trail instead of a filing one.
Florida
Monitor Agency for Health Care Administration (AHCA) Facility Licensing System. Hospital, ASC, and psychiatric expansions still require license modification. ahca.myflorida.com ↗
Indiana
Monitor Indiana Department of Health (IDOH) Acute Care Facility Licensing. Track changes via quarterly updates to hospital and ASC rosters. in.gov/health ↗
Ohio
Monitor Ohio Department of Health (ODH) Health Care Facilities Licensing. Downloadable layout files track active hospital and ambulatory surgical facility records. odh.ohio.gov ↗
South Carolina
Following extensive CON rollbacks, monitor Department of Public Health (DPH) Healthcare Quality Licensing. dph.sc.gov ↗
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