Public Notice

Last revised date: December 10, 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
24-20 Virginia Mason Franciscan Health King 10/28/24 11/15/24
24-22 Apex Spine Institute, PLLC Benton 10/07/24 11/08/24
25-01 and 25-02 MultiCare Yakima Memorial Surgery Center at Ridgeview and MEC Yakima Yakima 11/27/24 12/17/24
25-03 PSKC Richmond Beach King 1 n/a 12/05/24
25-04 PeaceHealth Southwest, LLC & PMB Vancouver 2, LLC Clark 12/26/24 01/14/25
25-06 Fresenius Kidney Care Longview Cowlitz n/a 12/16/24

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. 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.

EER # Provider Facility # of Temporary Stations Approved Valid Through
25-02 Northwest Kidney Centers NKC SeaTac 4 01/05/2025
25-03 Total Renal Care, Inc.  DaVita Renton 2 12/12/2024

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.

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