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Certificate of need · Illinois

Illinois certificate of need

Illinois has a certificate of need program, run by Illinois Health Facilities and Services Review Board (HFSRB), staffed by the Illinois Department of Public Health. It covers 7 kinds of services, listed below.

Verified Oct 6, 2026Sources: official state and federal agencies

CON program
Yes
Services covered
7
On this page
Certificate of need

Illinois CON program

Illinois has a certificate of need program, run by Illinois Health Facilities and Services Review Board (HFSRB), staffed by the Illinois Department of Public Health. It covers 7 kinds of services, listed below.

CON program
Yes
Program
Certificate of Need permit (Illinois Health Facilities Planning Act)
Application fee
Permit applications: $5,000 initial fee with the application; total fee is $5,000 for projects under $2,250,000 and 0.22% of project cost at or above $2,250,000, capped at $150,000. Most exemption applications: $5,000 (change-of-ownership exemptions: greater of $5,000 or 0.22% of fair market value). Fee must be paid within 30 days of notice of amount due (77 Ill. Adm. Code 1130.230).
Recent changes
The Planning Act carries a sunset: most sections are scheduled to be repealed on December 31, 2029 unless extended.
Statute
20 ILCS 3960 (Illinois Health Facilities Planning Act); 77 Ill. Adm. Code Parts 1110, 1120, 1125, 1130
Scope

Services that need a certificate of need

  • hospitals
  • ambulatory surgical treatment centers
  • skilled and intermediate long-term care facilities (nursing homes)
  • ID/DD and MC/DD skilled and intermediate care facilities
  • Specialized Mental Health Rehabilitation Act facilities
  • kidney disease treatment centers / freestanding hemodialysis
  • state-operated hospitals, nursing homes, surgery and dialysis centers
FAQ

Frequently asked questions

Does Illinois have a certificate of need law?

Illinois has a certificate of need program, run by Illinois Health Facilities and Services Review Board (HFSRB), staffed by the Illinois Department of Public Health. It covers 7 kinds of services, listed below.

How much is a Illinois CON application?

Permit applications: $5,000 initial fee with the application; total fee is $5,000 for projects under $2,250,000 and 0.22% of project cost at or above $2,250,000, capped at $150,000. Most exemption applications: $5,000 (change-of-ownership exemptions: greater of $5,000 or 0.22% of fair market value). Fee must be paid within 30 days of notice of amount due (77 Ill. Adm. Code 1130.230).