Public Notice

Last revised date: May 7, 2025

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	Anticipated Decision
Application # 25-05	Facility/Agency MultiCare Health System	Planning Area Yakima	Hearing Request Due 04/04/2025	Comment Due 04/24/20052	Anticipated Decision 06/23/2025
Application # 25-06	Facility/Agency Fresenius Medical Care Holdings, Inc. dba FKC Longview	Planning Area Cowlitz	Hearing Request Due n/a	Comment Due 12/16/2024	Anticipated Decision 03/07/2025
Application # 25-07	Facility/Agency Olympia Multi-specialty Clinic Ambulatory Procedures Center, PLLC	Planning Area Thurston	Hearing Request Due 03/20/2025	Comment Due 04/09/2025	Anticipated Decision 06/09/2025
Application # 25-08	Facility/Agency Riverview Lutheran Retirement Community of Spokane	Planning Area Spokane	Hearing Request Due 01/06/2025	Comment Due 01/24/2025	Anticipated Decision 03/24/2025
Application # 25-11	Facility/Agency Fresenius Medical Care Holdings, Inc. dba FKC Lacey	Planning Area Thurston	Hearing Request Due 03/31/2025	Comment Due 04/18/2025	Anticipated Decision 06/13/2025
Application # 25-12	Facility/Agency Total Renal Care, Inc. dba DaVita Federal Way	Planning Area King	Hearing Request Due 03/04/2025	Comment Due 03/24/2025	Anticipated Decision 05/22/2025

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.

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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 public hearings currently scheduled. 

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

Reconsideration Hearings Granted

This section is updated as hearing requests are received. There are no reconsideration hearings currently scheduled.

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. The EERs listed below are those currently in effect. For more information on any of the following exemptions see the CN Program's project status page.

There are currently no valid Emergency Exemption Requests.

EER #	Provider	Facility	# of Temporary Stations Approved	Valid Through
EER #	Provider	Facility	# of Temporary Stations Approved	Valid Through

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

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ESRD emergency exemption requests must meet the requirements outlined by:

• Revised Code of Washington 70.38.280 Kidney disease centers - Emergency certificate of need exemptions.
• Rulemaking in progress, see the CN Program's rule-making webpage.

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)
Case # / Call Name M2023-914	General Information Thurston, ASF CN app #22-45 Petitioner: Pain Care Physicians, LLC Intervenor: MultiCare	Counsel and Health Law Judge (HLJ) AAG: Bucknell Petitioner: Tom Grimm, Ryan Swanson Intervenor: Practus LLP HLJ: Blye	Primary Issue(s) WAC 246-310-240(1)
Case # / Call Name M2023-1034	General Information East King, PCI CN app #23-28 Petitioner: Swedish	Counsel and Health Law Judge (HLJ) AAG: Bucknell Petitioner: Steven Pentz HLJ: Herington	Primary Issue(s) WAC 246-310-720(2)(b)
Case # / Call Name M2024-836	General Information Spokane, Hospice CN app #24-17 Petitioner: Providence Intervenor: MultiCare	Counsel and Health Law Judge (HLJ) AAG: Bucknell Petitioner: Steven Pentz HLJ: Blye	Primary Issue(s) Chapter 246-310 WAC
Case # / Call Name M2025-76	General Information Pierce 1, ESRD CN app #24-25 and 24-26 Petitioner: DaVita	Counsel and Health Law Judge (HLJ) AAG: Bucknell Petitioner: Grimm HLJ: Herington	Primary Issue(s) WAC 246-310-827

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

Contact and connect

• CN program contact and mailing information
• To receive CN information, subscribe for updates at the bottom of the page.