Health Systems Development, Office of


To prevent unnecessary duplication of medical services, facilities, and equipment; and promote access, safe and adequate treatment, and quality improvement in healthcare facilities.

What we do

  • Approve, or deny, initial licenses for healthcare facilities including: freestanding emergency care facilities, outpatient kidney treatment centers, organized ambulatory care facilities, and outpatient birth centers.
  • Certify the need for expensive medical services and equipment, in accordance with guiding principles, to avoid unnecessary duplication.
  • Approve or deny changes in ownership, control or leases of healthcare facilities including: hospitals, nursing homes, organized ambulatory care facilities, outpatient kidney dialysis facilities, outpatient hospice care facilities, freestanding emergency care facilities, home health care providers.

Our Programs