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Florida Statute 408.035 - Full Text and Legal Analysis
Florida Statute 408.035 | Lawyer Caselaw & Research
Link to State of Florida Official Statute
F.S. 408.035 Case Law from Google Scholar Google Search for Amendments to 408.035

The 2025 Florida Statutes

Title XXIX
PUBLIC HEALTH
Chapter 408
HEALTH CARE ADMINISTRATION
View Entire Chapter
408.035 Review criteria.The agency shall determine the reviewability of applications and shall review applications for certificate-of-need determinations for health care facilities in context with the following criteria:
(1) The need for the health care facilities being proposed.
(2) The availability, quality of care, accessibility, and extent of utilization of existing health care facilities in the service district of the applicant.
(3) The ability of the applicant to provide quality of care and the applicant’s record of providing quality of care.
(4) The availability of resources, including health personnel, management personnel, and funds for capital and operating expenditures, for project accomplishment and operation.
(5) The extent to which the proposed services will enhance access to health care for residents of the service district.
(6) The immediate and long-term financial feasibility of the proposal.
(7) The extent to which the proposal will foster competition that promotes quality and cost-effectiveness.
(8) The costs and methods of the proposed construction, including the costs and methods of energy provision and the availability of alternative, less costly, or more effective methods of construction.
(9) The applicant’s past and proposed provision of health care services to Medicaid patients and the medically indigent.
(10) The applicant’s designation as a Gold Seal Program nursing facility pursuant to s. 400.235, when the applicant is requesting additional nursing home beds at that facility.
History.s. 22, ch. 87-92; s. 20, ch. 88-294; s. 15, ch. 92-33; ss. 37, 50, ch. 93-217; s. 30, ch. 95-210; s. 36, ch. 97-103; s. 39, ch. 97-264; s. 2, ch. 97-270; s. 20, ch. 99-394; s. 6, ch. 2000-256; s. 7, ch. 2000-318; s. 5, ch. 2004-383; s. 1, ch. 2008-29; ss. 11, 12, ch. 2019-136.
Note.Former s. 381.705.

F.S. 408.035 on Google Scholar

F.S. 408.035 on CourtListener

Amendments to 408.035


Annotations, Discussions, Cases:

Cases Citing Statute 408.035

Total Results: 8  |  Sort by: Relevance  |  Newest First

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Delray Med. Ctr., Inc. v. State Agency for Health Care Admin., 5 So. 3d 26 (Fla. 4th DCA 2009).

Cited 7 times | Published | Florida 4th District Court of Appeal | 2009 Fla. App. LEXIS 571, 34 Fla. L. Weekly Fed. D 240

...proposition that "need" is the polestar of CON law. In the absence of the methodology in the acute care bed need rule, the determination of "need" for new acute care beds must be made based upon a balanced consideration of the statutory criteria in section 408.035, Florida Statutes, and the criteria in Florida Administrative Code 59C-1.008(2)(e)2, which provides: If no agency policy [upon which to determine need for the proposed beds or service] exists, the applicant will be responsible for dem...
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Bethesda Healthcare Sys., Inc. v. AHCA, 945 So. 2d 574 (Fla. 4th DCA 2006).

Cited 4 times | Published | Florida 4th District Court of Appeal

...that its current beds were underutilized, and that there were any physical or cost-prohibitive restraints that would preclude Bethesda from expanding its current location. We note that this explanation is not inconsistent with the governing statute. § 408.035, Fla....
...s persuasive. It reasons that while JFK's argument that the number of beds in a subdistrict will effectively become irrelevant, it also noted that the agency was still bound by the current statutory criteria calling for an evaluation of "need" under section 408.035(1). § 408.035(1), Fla....
...lization, or by providing other information to illustrate that the situation is not `normal' in the service area." The 2004 criteria essentially encompass the same factors: availability, quality of care, accessibility and use of existing facilities. § 408.035, Fla....
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MARTIN MEM. MED. Ctr., INC. v. Tenet Healthsystem Hospitals, Inc., 875 So. 2d 797 (Fla. 1st DCA 2004).

Cited 3 times | Published | Florida 1st District Court of Appeal | 2004 WL 1439872

...AHCA is the state agency responsible for issuing, revoking or denying CON's; and for issuing, revoking or denying exemptions from CON review. § 408.034(1), Fla. Stat. (2002). Pursuant to the Act, AHCA must review CON applications based on numerous statutory and rule criteria, including (but not limited to) those set out in section 408.035....
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Lawnwood Med. Ctr. v. Agency for Health Care, 678 So. 2d 421 (Fla. 1st DCA 1996).

Cited 3 times | Published | Florida 1st District Court of Appeal

...istrict 9. After hearing all of the testimony and examining all of the evidence, hearing officer Eleanor Hunter issued a recommended final order on March 13, 1995, in which she set forth a detailed comparison of the applicants based upon a review of section 408.035, Florida Statutes (1993). The hearing officer first reviewed the need for health care facilities and services in relation to the applicable district and state health plans as required by section 408.035(1)(a)....
...She noted prior CON compliance reports filed by Martin demonstrating difficulty in meeting applicable Medicaid levels due to the demographics of Martin's service area. The hearing officer next reviewed each of the criteria for comparison established by section 408.035(1)(b)-( o ). Several criteria either did not apply or were neutral, since they were met by both Lawnwood and Martin. At least two of the statutory criteria, however, did not apply equally. Reviewing section 408.035(1)( l ), the hearing officer found that the existing open heart program at PBG would suffer an adverse impact from the approval of a program at Martin....
...Although PBG's program would remain profitable, it would experience, based upon the evidence, losses in a range between $2.8 and $3.1 million. The hearing officer concluded that PBG would be disproportionately adversely affected by a program at Martin. The hearing officer also ranked Lawnwood over Martin on the criteria in section 408.035(1)(n) which addresses applicant's past and proposed provision of health care services to Medicaid patients and medically indigent....
...ring officer also recognized the close comparability of Lawnwood and Martin. She determined, however: Lawnwood is better situated to reverse district out-migration (of patients), and has to be preferred, under the state and local health plans and subsection 408.035(1)(n), Florida Statutes, for its history of providing a disproportionate share of its services to Medicaid and charity patients....
...Howell that Martin Memorial's long standing presence in the community (since 1939), stability of management, and board of directors made up of volunteers from the community are deserving of greater weight. These considerations are relevant under the criteria of section 408.035(1)(c), (h) and (i), Florida Statutes.......
...The agency improperly received Martin's document and improperly engaged in fact finding by way of inferences drawn from these documents. We also hold that AHCA improperly reweighed the evidence and recast the findings of fact as policy questions. The hearing officer reviewed the statutory criteria under section 408.035(1), and found that those criteria that applied favored Lawnwood....
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Fed. Trade Comm'n v. Hosp. Bd. of Directors, 38 F.3d 1184 (11th Cir. 1994).

Cited 1 times | Published | Court of Appeals for the Eleventh Circuit

...§§ 408.031-408.045, which requires a Certificate of Need (C.O.N.) from the State of Florida in order to construct new hospital facilities. The State can grant the C.O.N. only if there is a need for new hospitals or facilities in a specific area. Id. at § 408.035....
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Hope Hospice & Cmty. Servs., Inc. v. Agency for Health Care Admin.; Vitas Healthcare Corp. of Florida, Inc. (Fla. 1st DCA 2025).

Published | Florida 1st District Court of Appeal

...health care services to Medicaid patients and the medically indigent. (10) The applicant’s designation as a Gold Seal Program nursing facility pursuant to s. 400.235, when the applicant is requesting additional nursing home beds at that facility. § 408.035, Fla....
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Life Care Centers of Am., Inc. v. State, Agency for Health Care Admin., 656 So. 2d 1329 (Fla. Dist. Ct. App. 1995).

Published | District Court of Appeal of Florida | 1995 Fla. App. LEXIS 9015, 1995 WL 348294

...project. At the final hearing, the parties stipulated that the Life Care application met all statutory and rule criteria except the capital project listing requirement of section 408.037(2)(a), and the financial feasibility determination required by section 408.035(l)(i), Florida Statutes (1993)....
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Lawnwood Med. Ctr., Inc. v. Agency For Health Care Admin., 678 So. 2d 421 (Fla. Dist. Ct. App. 1996).

Published | District Court of Appeal of Florida | 1996 Fla. App. LEXIS 7908

...istrict 9. After hearing all of the testimony and examining all of the evidence, hearing officer Eleanor Hunter issued a recommended final order on March 13, 1995, in which she set forth a detailed comparison of the applicants based upon a review of section 408.035, Florida Statutes (1993). The hearing officer first reviewed the need for health care facilities and services in relation to the applicable district and state health plans as required by section 408.035(l)(a)....
...She noted prior CON compliance reports filed by Martin demonstrating difficulty in meeting applicable Medicaid levels due to the demographics of Martin’s service area. The hearing officer next reviewed each of the criteria for comparison established by section 408.035(l)(b)-(o). Several criteria either did not apply or were neutral, since they were met by both Lawnwood and Martin. At least two of the statutory criteria, however, did not apply equally. Reviewing section 408.035(l)(i), the hearing officer found that the existing open heart program at PBG would suffer an adverse impact from the approval of a program at Martin....
...Although PBG’s program would remain profitable, it would experience, based upon the evidence, losses in a range between $2.8 and $3.1 million. The hearing officer concluded that PBG would be disproportionately adversely affected by a program at Martin. The hearing officer also ranked Lawnwood over Martin on the criteria in section 408.035(l)(n) which addresses applicant’s past and proposed provision of health care services to Medicaid patients and medically indigent....
...ring officer also recognized the close comparability of Lawnwood and Martin. She determined, however: Lawnwood is better situated to reverse district out-migration (of patients), and has to be preferred, under the state and local health plans and subsection 408.035(l)(n), Florida Statutes, for its history of providing a disproportionate share of its services to Medicaid and charity patients....
...Howell that Martin Memorial’s long standing presence in the community (since 1939), stability of management, and board of directors made up of volunteers from the community are deserving of greater weight. These considerations are relevant under the criteria of section 408.035(l)(c), (h) and (i), Florida Statutes.......
...The agency improperly received Martin’s document and improperly engaged in fact finding by way of inferences drawn from these documents. We also hold that AHCA improperly reweighed the evidence and recast the findings of fact as policy questions. The hearing officer reviewed the statutory criteria under section 408.035(1), and found that those criteria that applied favored Lawn-wood....

This Florida statute resource is curated by Graham W. Syfert, Esq., a Jacksonville, Florida personal injury and workers' compensation attorney. For legal consultation, call 904-383-7448.