Ohio Code § 3702.524

§ 3702.524.

(A) Not later than twenty-four months after the date the director of health mails the

notice that the certificate of need has been granted or, if the grant or denial of

the certificate of need is appealed under section 3702.60 of the Revised Code , not later than twenty-four months after issuance of an order granting the certificate

that is not subject to further appeal, each person holding a certificate of need granted

shall: (1) If the project for which the certificate of need was granted primarily involves construction

and is to be financed primarily through external borrowing of funds, secure financial

commitment for the stated purpose of developing the project and commence construction

that continues uninterrupted except for interruptions or delays that are unavoidable

due to reasons beyond the person's control, including labor strikes, natural disasters,

material shortages, or comparable events; (2) If the project for which the certificate of need was granted primarily involves construction

and is to be financed primarily internally, receive formal approval from the holder's

board of directors or trustees or other governing authority to commit specified funds

for implementation of the project and commence construction that continues uninterrupted

except for interruptions or delays that are unavoidable due to reasons beyond the

person's control, including labor strikes, natural disasters, material shortages,

or comparable events; (3) If the project for which the certificate of need was granted involves no capital

expenditure or only minor renovations to existing structures, provide the long-term

care service by the means specified in the approved application for the certificate; (4) If the project for which the certificate of need was granted primarily involves leasing

a building or space that requires only minor renovations to the existing space, execute

a lease and provide the long-term care service by the means specified in the approved

application for the certificate; (5) If the project for which the certificate of need was granted primarily involves leasing

a building or space that has not been constructed or requires substantial renovations

to existing space, commence construction for the purpose of implementing the reviewable

activity that continues uninterrupted except for interruptions or delays that are

unavoidable due to reasons beyond the person's control, including labor strikes, natural

disasters, material shortages, or comparable events. (B) The twenty-four-month period specified in division (A) of this section shall not

be extended by any means, including the granting of a subsequent or replacement certificate

of need.  Each person holding a certificate of need shall provide the director of health documentation

of compliance with that division not later than the earlier of thirty days after complying

with that division or five days after the twenty-four-month period expires.  Not later than the earlier of fifteen days after receiving the documentation or

fifteen days after the twenty-four-month period expires, the director shall send by

certified mail a notice to the holder of the certificate of need specifying whether

the holder has complied with division (A) of this section. (C) A certificate of need expires, regardless of whether the director sends a notice

under division (B) of this section, if the holder fails to comply with division (A)

of this section or to provide information under division (B) of this section as necessary

for the director to determine compliance.  The determination by the director that a certificate of need has expired is final

and not appealable under Chapter 119. of the Revised Code.