asset_type: authorization-threshold

body: 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 About 35 states plus DC have CON programs; ~15 states have repealed them.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'.

key_field: state

licence: unknown

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

type: dataset


body:
**State:** Maryland

**CON program status:** active

**Hospital capital threshold ($):** the lesser of 25% of the hospital's gross regulated charges for the immediately preceding year or $50,000,000

**Non-hospital capital threshold ($):** N/A — non-hospital CON is triggered by bed capacity changes or new medical services, not a dollar threshold

**Bed change trigger:** for non-hospitals, increase or decrease exceeding the lesser of 10% of total bed capacity or 10 beds in a 2-year period; for hospitals, changes in bed capacity require CON with exceptions for transfers within merged asset systems

**Services requiring CON:** cardiac surgery, organ transplant surgery, burn or neonatal intensive care, home health, hospice, freestanding ambulatory surgical centers

**Reviewing agency:** Maryland Health Care Commission

**Repeal date:** N/A

**Statutory citation:** Md. Code, Health-General §19-120

> Hospital 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.

Source: <https://mgaleg.maryland.gov/mgawebsite/Laws/StatuteText?article=ghg&section=19-120>

con_program_status: active

reviewing_agency: Maryland Health Care Commission

state: Maryland

statutory_citation: Md. Code, Health-General §19-120

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

type: authorization-threshold

unverified_fields: bed_change_trigger, con_program_status, covered_services, non_hospital_capital_threshold, repeal_date, reviewing_agency, state, statutory_citation