Public Notice

Last revised date: October 4, 2024

Applications in Review

This section is updated bi-monthly. If you are interested in a specific project’s timeline or additional details see the Certificate of Need (CN) Program's project status page. Projects will be removed from this list once the corresponding evaluation is released.

Application # Facility/Agency Planning Area Hearing Request Due Comment Due
24-24 DaVita Redondo Heights King 5 07/30/24 08/19/24
24-25 and 24-26 DaVita Lake Tapps and FKC Bonney Lake Pierce 1 08/20/24 09/04/24
24-21 MultiCare Health System Spokane 08/22/24 09/11/24
24-22 Apex Spine Institute, PLLC Benton 10/07/24 11/08/24

Pro tip: Type CN application # in the search bar on the CN project status webpage (linked above) to quickly find more information on a specific project.


Beginning of CN application review is dictated by WAC 246-310-170.

Public Hearings Requested

This section is updated as hearing requests are received. There are no upcoming public hearings scheduled for CN applications with a decision pending.


The public hearing process for certificate of need is detailed in WAC 246-310-180.

Reconsideration Hearings Granted

This section is updated once a hearing request is granted. There are no upcoming reconsideration hearings granted on CN applications.


The reconsideration process for CN applications is detailed in WAC 246-310-560.

End Stage Renal Disease Emergency Exemption Requests (EER)

This section is updated bi-monthly. For more information on any of the following exemptions see the CN Program's project status page.

EER # Provider Facility # of Temporary Stations Approved
25-01 Fresenius Medical Care FKC Aberdeen 12
24-01 Puget Sound Kidney Centers PSKC Whidbey Island 2
24-01.01 Puget Sound Kidney Centers PSKC Whidbey Island 2
24-01.02 Puget Sound Kidney Centers PSKC Whidbey Island 0

Pro tip: Type "eer2" in the search bar on the CN project status webpage (linked above) to filter for all EERs.


ESRD emergency exemption requests must meet the requirements outlined by:

Current Appeals

This section is updated bi-monthly. For more information on any of the following cases contact the department's Adjudicative Services Unit.

Case # / Call Name General Information Counsel and Health Law Judge (HLJ) Primary Issue(s)
M2023-914

Thurston, ASF

CN app#22-45

Petitioner: Pain Care Physicians, LLC

Intervenor: MultiCare

AAG: Bucknell

Petitioner: Tom Grimm, Ryan Swanson

Intervenor: Practus LLP

HLJ: Blye

WAC 246-310-240(1)

M2023-936 and -937

PCI revocation

CN#1407 MultiCare Auburn and VMFH St. Francis

AAG: Bucknell

Respondents: Practus LLP and Polsinelli PC

HLJ: Herington

WAC 246-310-720(1)
M2023-1034

East King, PCI

CN app#23-28

Petitioner: Swedish

AAG: Bucknell

Petitioner: Steven Pentz

HLJ: Herington

WAC 246-310-720(2)(b)

Additional Health Law Judge final decisions are available on the Adjudicative Services Unit's webpage.

Contact and connect