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Certificate of Need ("CON") is a review process that requires an application for, and receipt of, a certificate of need.  Applications are submitted to the Department of Inspections, Appeals, & Licensing before offering or developing a new or changed health service. Potential applicants include hospitals, nursing facilities, ambulatory surgery centers or anyone purchasing medical equipment costing more than $1.5 million.  Department staff and the State Health Facilities Council review proposed projects against criteria in the law.

The State Health Facilities Council is a five-member committee appointed by the Governor. The members each serve a six year term.  Authority for the State Health Facilities Council is in the Code of Iowa Chapter 135.61-.83. It is the Council's mandate to ensure that growth and changes in the health care system are orderly and cost effective, and that the system is adequate and efficient.

Go to the State Health Facilties Council page for more information. 

Iowa Code Related to CON

Iowa Administrative Chapters Related to CON


Following are the dates of the scheduled meetings of the State Health Facilities Council and the accompanying deadlines for filing a letter of intent, an application for consideration or a reviewability determination.  Remember, a letter of intent must be on file for a minimum of 30 days prior to filing an application. These documents are due by 4:00 pm on the appointed date.   

Filing an application by the deadline is no guarantee that the application will be heard at that meeting.  The completeness of the application and the number of applications on file will be factors.  It is best to file an application as early as possible. 

The Council will schedule additional meetings if needed. Please note that this schedule is subject to change.


Meeting and Submission Deadlines

Please note that Letters of Intent are kept for one year after the date of submission or update.

Letters of Intent

CON applications that are currently on file awaiting review.

Applications on File

Guidelines for preparing letters of intent, affected party letters, and CON applications.


Other Information