NFPA 99 Editions by State
Discover the exact NFPA 99 edition mandated in every U.S. state, with direct links to official fire marshal and health department sources. While CMS requires the 2012 edition nationwide for Medicare/Medicaid facilities, some states enforce newer versions. Use this searchable, up-to-date table to ensure compliance for hospitals and ASCs.
Please do not rely on this exclusively - always check your primary source at your state level.
We do our best to keep this up to date...
Last updated 11/11/2025
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Understanding NFPA 99 Requirements
CMS requires the 2012 edition as the federal baseline for Medicare/Medicaid facilities
Individual states may require newer editions through state codes
When state and federal requirements differ, the more stringent applies
New construction often requires the latest edition regardless of state adoption
Disclaimer of Liability
State regulations change frequently. This table provides guidance only.
ALWAYS verify with your state's fire marshal or health department before making compliance decisions.
This information is provided for educational purposes only and does not constitute legal or regulatory compliance advice. Users are solely responsible for ensuring compliance with applicable codes and regulations.
| State | Mandated Edition | Effective Date | Source (Official) |
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