Certificate of Need

New health care projects in Vermont are required to obtain a Certificate of Need (CON) from the Green Mountain Care Board prior to implementation.  The CON process is intended to prevent unnecessary duplication of health care facilities and services, guide their establishment in order to best serve public needs, promote cost containment, and ensure the provision and equitable allocation of high quality health care services and resources to all Vermonters. 


The law that governs the Certificate of Need process can be found in Chapter 221 of Title 18 of the Vermont Statutes and in the GMCB's Certificate of Need rule, GMCB Rule 4.00, which apply to all CON matters for which an application was filed on or after January 1, 2013.



In accordance with Chapter 221 of Title 18 V.S.A., the Green Mountain Care Board (GMCB) is conducting reviews of two Certificate of Need applications submitted by the University of Vermont Medical Center.


Starting the CON Process

The CON process typically begins with the potential applicant filing a Letter of Intent, see 18 V.S.A. § 9440(c)(2)(A), which must provide information in sufficient detail to allow the Board to ascertain the scope of the project and determine whether a Certificate of Need is required. If the Board concludes that the project does not fall within its CON jurisdiction, it will issue a "no jurisdiction letter."   

The Board has developed a form to guide you in this process: CON Letter of Intent

To receive a determination of whether your project is subject to CON review, send a signed copy of the Letter of Intent (via the form provided or its equivalent), a Projected Project Costs spreadsheet, and any required additional information to gmcb.con@Vermont.gov.

Note that applicants that concede jurisdiction - when the project plainly meets CON statutory threshold requirements - are not required to submit a Letter of Intent, but may wish to do so to aid the Board in its initial assessment of the proposed project.


Application Fee

For each CON application, the applicant must remit a fee of 0.125% of project costs not to exceed $20,000 with a minimum fee of $250 regardless of project costs.  18 V.S.A. § 9441. Note that the fee will be invoiced to the applicant upon receipt of the application, which is not considered complete for review until payment is received. Payment should be sent to the attention of Janet Richard.


Health Resource Allocation Plan (HRAP)

A CON applicant is required to show that its application is consistent with the health resource allocation plan (HRAP). The HRAP identifies Vermont needs in health care services, programs, and facilities, the resources available to meet those needs, and the priorities for addressing those needs on a statewide basis.  Because of the variety of CON projects that are submitted for review, not all of its requirements must be met for any given project.  Please contact us if you have further questions on HRAP standards.

More information about the HRAP is available at 18 V.S.A. § 9405.


Pending and Issued CONs

The Board makes available through this website information regarding specific projects filed on or after January 1, 2013. 

For Certificates of Need filed prior to that date, please contact Donna Jerry at donna.jerry@vermont.gov.


Pending Applications   

Jurisdiction Asserted

No Jurisdiction Asserted

CONs Issued

CONs Denied



To discuss a proposed project or to receive guidance on a CON application, you can contact us at 802-828-2177 or send an e-mail to gmcb-con@vermont.gov