50-State Regulatory Atlas Data and maps
Data and maps
State regulatory maps
Each map answers one question for every state, with the answer and its verification shown separately, a methodology note and the sources. Every value comes from the same findings as the state pages.
Licensing
How each state licenses home health branch offices (2026)
7 jurisdictions license each office separately and 23 list branches on one license; 6 issue no state agency license, and in 15 the branch rule is not confirmed.
Open the mapHome healthStates that require a certificate of need for home health (2026)
14 jurisdictions require a certificate of need for home health (14 verified, 0 provisional) and 3 require one only for Medicare or Medicaid agencies; 7 are not confirmed.
Open the mapHospiceStates confirmed to require a certificate of need for hospice (2026)
3 states are confirmed to require a certificate of need for hospice (2 verified, 1 provisional); 48 are not confirmed.
Open the mapHome healthStates that issue a home health agency license (2026)
43 jurisdictions issue a home health agency license; 6 issue none (4 verified, 2 provisional or disputed), and 2 are not confirmed.
Open the mapHome infusion nursingHow states license home infusion nursing (2026)
2 states issue an infusion-specific license; in 14 a verified finding places infusion nursing under the general license; 35 are not confirmed.
Open the mapMedicare
States that accept accreditation in place of a home health licensure survey (2026)
4 states accept accreditation in place of a routine licensure survey and 4 accept it for part of licensure (6 verified in all); 43 are not confirmed.
Open the mapMedicare home healthMedicare Review Choice Demonstration (home health) states (2026)
6 states are in the Medicare Review Choice Demonstration for home health (all verified).
Open the mapHospiceStates with the Medicare provisional period of enhanced oversight for new hospices (2026)
CMS applies its provisional period of enhanced oversight to newly enrolling hospices in 6 states (all verified).
Open the mapMedicare home healthMedicare-certified home health agencies by state (CMS data, 2026-05-27)
CMS lists 12,412 Medicare-certified home health agencies in the 50 states and DC (dataset modified 2026-05-27).
Open the mapHospiceMedicare-certified hospices by state (CMS data, 2026-08-19)
CMS lists 6,621 Medicare-certified hospices in the 50 states and DC (dataset modified 2026-08-19).
Open the mapWorkforce
Nurse Licensure Compact states (2026)
40 jurisdictions are implemented compact members, 1 has enacted the compact without implementing it, and 10 are not members.
Open the mapHealthcare staffingState rules for healthcare staffing agencies (2026)
13 states license or register healthcare staffing agencies (4 with rate caps; 10 verified); 1 has enacted registration not yet in effect; 5 have no staffing-specific law found (provisional); 28 are not researched.
Open the mapPrograms
About these maps. Published and maintained by Paloma Health Technologies; see the editorial policy.