Hospital Public Interest Review

Hospital Public Interest Review

The 2004 Minnesota Legislature passed a law establishing a public interest review process for hospitals seeking exceptions to the state’s hospital bed moratorium law (Minnesota Statutes Chapter 144.552). Under this process, a hospital seeking to increase its number of licensed beds or an organization seeking to obtain a hospital license must submit a plan to the Minnesota Department of Health (MDH). MDH is required to review the plan and issue a finding on whether the plan is in the public interest.

In conducting its review, the MDH is required to consider certain issues, including the following:

  • Whether the new hospital or hospital beds are needed to provide timely access to care or access to new or improved services;
  • The financial impact of the new hospital or hospital beds on existing acute-care hospitals that have emergency departments in the region;
  • How the new hospital or hospital beds will affect the ability of existing hospitals in the region to maintain existing staff;
  • The extent to which the new hospital or hospital beds will provide services to nonpaying or low-income patients relative to the level of services provided to these groups by existing hospitals in the region; and
  • The views of affected parties.

Under the statute, MDH must issue a finding within 90 days of receiving a complete proposal (or up to six months in extenuating circumstances).

Guidance for Public Interest Review Process, June 2015 (PDF)

Letters of Intent

Public Interest Reviews

Completed Reviews



Updated Monday, November 29, 2021 at 09:02AM