{"asset": "con-capital-expenditure-thresholds-by-state", "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 About 35 states plus DC have CON programs; ~15 states have repealed them.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'.\n", "description": "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 $50 million (Maryland) for hospitals. About 35 states plus DC have CON programs; ~15 states have repealed them. Answers 'does my hospital expansion need a Certificate of Need', 'what is the CON threshold for an ASC in [state]', and 'which states have eliminated CON requirements'.", "file": "index.md", "generated": true, "harvested": "2026-08-15", "key_field": "state", "licence": "unknown", "sources": ["https://mgaleg.maryland.gov/mgawebsite/Laws/StatuteText?article=ghg&section=19-120"], "stale_after": "2027-08-15", "title": "Certificate of Need capital expenditure thresholds by US state \u2014 dollar thresholds by facility type, covered services, reviewing agencies, and program status", "type": "dataset", "verified": false}
{"asset": "con-capital-expenditure-thresholds-by-state", "bed_change_trigger": "for non-hospitals, increase or decrease exceeding the lesser of 10% of total bed capacity or 10 beds in a 2-year period; for hospitals, changes in bed capacity require CON with exceptions for transfers within merged asset systems", "body": "**State:** Maryland\n\n**CON program status:** active\n\n**Hospital capital threshold ($):** the lesser of 25% of the hospital's gross regulated charges for the immediately preceding year or $50,000,000\n\n**Non-hospital capital threshold ($):** N/A \u2014 non-hospital CON is triggered by bed capacity changes or new medical services, not a dollar threshold\n\n**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\n\n**Services requiring CON:** cardiac surgery, organ transplant surgery, burn or neonatal intensive care, home health, hospice, freestanding ambulatory surgical centers\n\n**Reviewing agency:** Maryland Health Care Commission\n\n**Repeal date:** N/A\n\n**Statutory citation:** Md. Code, Health-General \u00a719-120\n\n> Hospital capital threshold&rdquo; means the lesser of: (i) 25% of the hospital&rsquo;s gross regulated charges for the immediately preceding year; or (ii) $50,000,000.\n\nSource: <https://mgaleg.maryland.gov/mgawebsite/Laws/StatuteText?article=ghg&section=19-120>\n", "con_program_status": "active", "covered_services": "cardiac surgery, organ transplant surgery, burn or neonatal intensive care, home health, hospice, freestanding ambulatory surgical centers", "file": "maryland.md", "generated": true, "harvested": "2026-08-15", "hospital_capital_threshold": "the lesser of 25% of the hospital's gross regulated charges for the immediately preceding year or $50,000,000", "id": "maryland", "non_hospital_capital_threshold": "N/A \u2014 non-hospital CON is triggered by bed capacity changes or new medical services, not a dollar threshold", "repeal_date": "N/A", "reviewing_agency": "Maryland Health Care Commission", "source_quote": "Hospital capital threshold&rdquo; means the lesser of: (i) 25% of the hospital&rsquo;s gross regulated charges for the immediately preceding year; or (ii) $50,000,000.", "sources": ["https://mgaleg.maryland.gov/mgawebsite/Laws/StatuteText?article=ghg&section=19-120"], "stale_after": "2027-08-15", "state": "Maryland", "statutory_citation": "Md. Code, Health-General \u00a719-120", "title": "Maryland \u2014 Certificate of Need capital expenditure thresholds by US state \u2014 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", "verified": false}