Certificate of Need capital expenditure thresholds by US state — dollar thresholds by facility type, covered services, reviewing agencies, and program status
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 About 35 states plus DC have CON programs; ~15 states have repealed them.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'.
The data
- MarylandHospital capital threshold” means the lesser of: (i) 25% of the hospital’s gross regulated charges for the immediately preceding year; or (ii) $50,000,000.
Where this came from
Every record above links the page it was taken from and quotes the sentence that states it. These are the 1 source this dataset was assembled from.
- mgaleg.maryland.govhttps://mgaleg.maryland.gov/mgawebsite/Laws/StatuteText?article=ghg§ion=19-120
Machine-readable
- data.jsonThe whole dataset — every record with its source URL and source quote.
- Open Knowledge Format bundleOne JSON object per line — every record's frontmatter and quoted span exactly as it is held here, in one fetch.
- How this is made and checkedWhat "verified against source" does and does not mean.