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Reference Table

NFPA 99 Editions
by State

The exact NFPA 99 edition mandated in every U.S. state, with direct links to official fire marshal and health department sources. Last updated November 2025.

Understanding
NFPA 99 Requirements

CMS requires the 2012 edition as the federal baseline for all 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 general state adoption.

Disclaimer: 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.

Please do not rely on this exclusively—always check your primary source at your state level. If you find an error, please let us know.
State Mandated Edition Effective Date Official Source
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Note: CMS mandates the 2012 edition for Medicare/Medicaid facilities. States may require newer editions for state-licensed facilities. Always verify with your local Authority Having Jurisdiction (AHJ). — National Association of State Fire Marshals Directory →

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