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Rules and Statutes

Certificate of Need Rules and Statutes


Notice of Temporary Rulemaking - OAR 333-590 and 615 - "Demonstration of Need for Acute Inpatient Beds and Psychiatric Hospitals"

The Oregon Health Authority (OHA) is temporarily amending rules in OAR chapter 333, divisions 590 and 615, temporarily suspending OAR 333-615-0020, and temporarily adopting OARs 333-615-0025, 333-615-0035, 333-615-0060, and 333-615-0070 relating to the analysis of information an applicant must provide to OHA to demonstrate the need for psychiatric inpatient beds. These amendments are necessary to be able to adequately evaluate a Certificate of Need application using relevant data, methods, and timelines. There are currently outdated data references in the rules that direct an applicant to review data outside the window of time relevant to current applicants. Additionally, there are assumptions built into the current rules that direct an applicant to assume a declining use rate for hospitals, and prescribe methodology built on this now inaccurate trend for Oregon’s hospital use rates. Current rules reference studies that are no longer published or relevant to the grant of a Certificate of Need. Prior to the submission of any letter of intent, the updated rules must be in place so current, relevant data, timelines, and methodology can be analyzed and used for purposes of reviewing the application.

These temporary rules are effective October 22, 2025 through April 19, 2026. 

OHA intends to make these rule changes permanent through a permanent rulemaking process prior to expiration.

For more details, please see the Temporary Administrative Order, including the Statement of Need and Justification and the full text of the temporary rule:
If you have any questions or would prefer a hardcopy be sent, please email Matt Gilman at matt.s.gilman@oha.oregon.gov.

CN Program Rulemaking Advisory Committee

For information on applying to serve on the CN Program Rulemaking Advisory Committee to consider these temporary rules and whether additional changes are necessary before proceeding with permanent rulemaking, please go to the following webpage under "Rulemaking Advisory Committees in Progress." 







Oregon Administrative Rules (OAR)

Chapter 333, Division 545
Purpose, Applicability and Definitions for Certificate of Need
 
Chapter 333, Division 550
Projects or Proposals Subject to Certificate of Need Review
 
Chapter 333, Division 555
Certificate of Need Letters of Intent
 
Chapter 333, Division 560
Abbreviated Certificate of Need Review, Delay of Review, Waiver of Review for Facilities and Expedited Review
 
Chapter 333, Division 565
Certificate of Need Fees and Civil Penalties
 
Chapter 333, Division 570
Certificate of Need Review Requirements and Procedures
 
Chapter 333, Division 575
Monitoring of Implementation and Completion of Projects with Certificate of Need
 
Chapter 333, Division 580
Certificate of Need Application Instructions and Forms
 
Chapter 333, Division 585
General Criteria for Demonstration of Need in Certificate of Need Applications
 
Chapter 333, Division 590
Demonstration of Need for Acute Inpatient Beds and Facilities
 
Chapter 333, Division 600
Demonstration of Need for 24-Hour Health Facility Inpatient Chemical Dependency Services
 
Chapter 333, Division 610
Demonstration of Need for Long-Term Care Services
 
Chapter 333, Division 615
Demonstration of Need for Psychiatric Inpatient Beds
 
Chapter 333, Division 645
Demonstration of Need for Rehabilitation Services
 
Chapter 333, Division 670
Reconsideration of Certificate of Need Decision

Oregon Revised Statutes (ORS)

ORS Chapter 442 - Health Planning