Adoption of FGI Guidelines
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The data on state adoption that FGI has as of July 14, 2025, can be summarized as follows:
- 43 states have adopted some edition of the Guidelines (this includes Wisconsin, which has adopted only the HVAC requirements).
- 5 states (Kansas, Maine, Mississippi, New Hampshire, New York) that adopt the Guidelines permit use of a more recent edition than that adopted in some instances.
- 3 states do not adopt but allow use of the Guidelines as an alternate path to compliance in some instances.
- 4 states do not use the Guidelines in any official capacity, although most of these appear to use the documents for reference.
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Note that the descriptions of state use in the pop-up boxes often end with a date; this reflects the most recent update we have received from the state agency responsible for plan review of health and/or residential care facilities. If there is no date, it means we have attempted to verify the information with the state agency but have not yet received a response. We will update the map as we receive new information.
As stated above, the information shown on the map is what FGI knows at the dates indicated in each state description. To confirm state regulations, please check with the state department of health or other responsible state agency. The information provided here should not be relied upon to make final decisions for a design/construction project.
