referencesource/con-capital-expenditure-thresholds-by-state

Certificate of Need capital expenditure thresholds by US state — dollar thresholds by facility type, covered services, reviewing agencies, and program status

Canonical, always-current version: https://referencesource.org/con-capital-expenditure-thresholds-by-state/ Machine-readable: https://referencesource.org/con-capital-expenditure-thresholds-by-state/data.json — this mirror is a point-in-time copy.

• —Last verified: 2026-08-19
• —Stale after: 2027-08-19 (past this date, prefer the canonical copy — it re-verifies on a cadence this snapshot does not)
• —Records: 13

State-by-state comparison of Certificate of Need (CON) program requirements for healthcare facilities. Each record is one state with whether it has a CON program (and repeal date if not), the capital expenditure threshold that triggers CON review for hospitals and for non-hospital facilities, whether bed capacity changes trigger review (and at what level), the reviewing agency, and the statutory citation. Thresholds range from $1.5 million (Iowa) to $50 million (Maryland) for hospitals. About 35 states plus DC have CON programs; ~15 states have repealed them. Answers 'does my hospital expansion need a Certificate of Need', 'what is the CON threshold for an ASC in [state]', and 'which states have eliminated CON requirements'.

Provenance — what every record carries

Every record carries source (the URL the value was read from) and source_quote (a verbatim quote from that page stating it). A value you cannot check against its page is indistinguishable from an invented one; these can all be checked. Each record is also individually addressable on the canonical site at its url.

Licence position

unknown

Facts are not copyrightable; what this dataset takes from each source is a fact plus a short attributed quote linking back to the page that states it.

Sources

• —https://delcode.delaware.gov/title16/c093/index.html
• —https://dchealth.dc.gov/service/certificate-need
• —https://www.capitol.hawaii.gov/hrscurrent/Vol06Ch0321-0344/HRS0323D/HRS0323D-0002.htm
• —https://www.legis.iowa.gov/docs/code/135.61.pdf
• —https://legislature.maine.gov/statutes/22/title22sec329.html
• —https://mgaleg.maryland.gov/mgawebsite/Laws/StatuteText?article=ghg&section=19-120
• —https://www.revisor.mo.gov/main/OneSection.aspx?section=197.305
• —https://www.ncleg.gov/EnactedLegislation/Statutes/HTML/BySection/Chapter131E/GS131E-176.html
• —https://webserver.rilegislature.gov/Statutes/TITLE23/23-15/23-15-2.htm
• —https://www.scstatehouse.gov/code/t44c007.php
• —https://law.lis.virginia.gov/vacode/32.1-102.1:3/
• —https://app.leg.wa.gov/rcw/default.aspx?cite=70.38.025
• —https://code.wvlegislature.gov/16-2D-2/

Fields

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