Nevada certificate of need
Nevada has a certificate of need program, run by Nevada Department of Health and Human Services, Director (health planning); licensing withheld by the Health Care Purchasing and Compliance Division of the Nevada Health Authority. It covers 2 kinds of services, listed below.
- CON program
- Yes
- Services covered
- 2
On this page
Nevada CON program
Nevada has a certificate of need program, run by Nevada Department of Health and Human Services, Director (health planning); licensing withheld by the Health Care Purchasing and Compliance Division of the Nevada Health Authority. It covers 2 kinds of services, listed below.
- CON program
- Yes
- Program
- Approval of Director for certain projects (NRS 439A.100), commonly called certificate of need
- Recent changes
- Review criteria now include the project's effect on disparate health outcomes across populations. NRS 439A.102 requires Director approval before a hospital in a county of 100,000+ closes or converts. Chapter 439A was amended in 2023 and 2025 (e.g., NRS 439A penalty section: Statutes 2023 p. 2018; 2025 p. 3703).
- Statute
- NRS 439A.100 and 439A.102
Services that need a certificate of need
- new construction by or for any health facility costing more than the greater of $2,000,000 or a regulatory amount, but only in counties under 100,000 population or in cities/towns under 25,000 inside larger counties
- closure of a hospital, or its conversion to another facility type, in counties of 100,000 or more (NRS 439A.102)
Frequently asked questions
Does Nevada have a certificate of need law?
Nevada has a certificate of need program, run by Nevada Department of Health and Human Services, Director (health planning); licensing withheld by the Health Care Purchasing and Compliance Division of the Nevada Health Authority. It covers 2 kinds of services, listed below.