Certificate of Public Need Law

McCandlish Holton has a vigorous and wide-ranging Certificate of Public Need practice in Virginia. We represent all types of providers – from hospitals and hospital systems, to nursing homes, to physicians and freestanding diagnostic imaging providers – in all stages of the COPN process. Our nearly three decades of practice in COPN ensures that we have vast in-house resources about the COPN law, agency interpretations, case decisions, trends in health policy and regulation, and utilization data. We appreciate the complex health planning precepts, payment mechanisms, and federal and state laws that intertwine with Virginia's COPN law. From early-stage strategy through appellate litigation, we understand the COPN process.

We have represented clients in essentially every element of the Virginia COPN law, guiding them through the application process, helping to garner approvals, and crafting offensive and defensive strategies. Our record of COPN representation includes:

  • New hospitals
  • Ambulatory surgery centers
  • Nursing Homes
  • Diagnostic imaging centers and services, including MRI, CT, and PET
  • Obstetrical and neonatal intensive care services
  • Cancer services, including radiation therapy and stereotactic radiosurgery
  • Cardiac services, including catheterization and open heart surgery
  • Organ transplant
  • Lithotripsy
  • Inpatient and outpatient surgical services
  • Psychiatric services

Here are some links to Virginia COPN materials: