Regulated Projects

the establishment of a medical care facility
an increase in the total number of beds or operating rooms in an existing authorized medical care facility
relocation at the same site of 10 beds or 10 percent of the beds, whichever is less, from one existing physical facility to another in any 2 year period (except that a hospital shall not be required to obtain a COPN for the use of 10 percent of its beds as nursing home beds for a maximum of 30 days for any one patient, i.e. swing beds)
introduction into any existing medical care facility of:

any new nursing home service, such as intermediate care, extended care, or skilled care facility services except when such medical care facility is an existing nursing home
any new cardiac catheterization, CT gamma knife surgery, lithotripsy, MRI, MSI, medical rehabilitation, neonatal special care services, obstetrical services, open heart surgery, PET scanning, organ or tissue transplant service, radiation therapy, nuclear medicine imaging, psychiatric, substance abuse treatment, or such other specialty clinical services as may be desginated by regulation, which the facility has not provided or has not provided in the previous 12 months
the conversion of beds in an existing medical care facility to medical rehabilitation beds or psychiatric beds
the addition by an existing medical care facility of any medical equipment for cardiac catheterization, CT, gamma knife surgery, lithotripsy, MRI, MSI, open heart surgery, PET scanning, radiation therapy, or other specialized services designated by regulation
any capital expenditure of $15 million or more by or on behalf of a medical care facility not defined as reviewable under the categories listed above (but capital expenditures between $1 million and $15 million shall be registered with the Commissioner of Health)