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Certificate of Need and Licensure for Facilities and Services


While every industry has its growing pains, health care often has more onerous obstacles than other fields. Health care providers who own or manage facilities or services located in 36 states, including Kentucky, are subject to Certificate of Need (CON) laws. Bingham Greenebaum Doll LLP helps such health care providers understand and comply with any necessary CON obligations so that they may build bigger health care institutions offering new services. 

CON laws generally require a health care entity to obtain a CON prior to establishing a new facility or service, making a “substantial change” to an existing health facility or service, adding beds or surgical suites, obligating capital expenditures, or making major medical equipment expenditures over a certain amount.
Our attorneys are familiar with how the complex statutory schemes involved in CON work, which generally provide for comparative hearings between applicants with competing claims. 

Our services related to CON laws  and licensure for facilities and services include:

  • Developmental planning, including an initial advisory opinion to determine necessity of obtaining a CON
  • Guidance through the CON application process
  • Preparation of CON applications
  • Representation of providers during review of their CON applications
  • Appearing before administrative tribunals supporting and/or opposing applicants
  • Post-hearing representation during appellate proceedings
  • Assistance through any CON review process
  • Advice with respect to physician exemptions from any CON requirements
  • Assistance with advocating for any changes to the statutory framework at the legislative level

In this time of heightened competition among health care providers and stricter oversight in many states, the attorneys at Bingham Greenebaum Doll LLP draw on our experience to be trusted advisors and advocates for health care providers in matters related to CON laws and licensure.

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