Official State of Iowa Website Here is how you know
Iowa Department of Health and Human Services

Certificate of Need

As of July 1, 2023,  Professional Licensing and other health and occupational licenses will become part of the Iowa Department of Inspections,  Appeals, and Licensing (DIAL) as a new organizational structure for state government goes into effect. Government departments and agencies that provide related services or have similar business functions are aligning to better serve Iowans.  You can expect the same quality services you get now from HHS to continue as usual. 

Certificate of Need is a review process that requires an application for, and receipt of, a certificate of need.  Applications are submitted to the Department of Inspections, Appeals and Licensing before offering or developing a new or changed health service. Potential applicants include hospitals, nursing facilities, ambulatory surgery centers or anyone purchasing medical equipment costing more than $1.5 million.  Department staff and the State Health Facilities Council review proposed projects against criteria in the law.

Meetings and Deadlines

Current Agenda

  • Agenda to be posted.

Meeting Minutes and Decisions Archive

If you are looking for minutes or decisions, please contact Becky Swift at 515-218-4969 or

State Health Facilities Council

The State Health Facilities Council is a five-member committee appointed by the Governor. The members serve a six year term.  Authority for the State Health Facilities Council is int he Code of Iowa Chapter 135.61-.83. It is the Council's mandate to ensure that growth and changes in the health care system are orderly and cost effective, and that the system is adequate and efficient.

Iowa Code

Iowa Administrative Code

List of Applications on File

List of Letters of Intent

Annual Reports

For annual reports prior to SFY 2023, please contact Becky Swift at 515-218-4969.

Other Information

For more information please reach out to