District of Columbia
For District of Columbia, con program status is active; hospital capital threshold ($) is $6 million or more; non-hospital capital threshold ($) is $3.5 million in connection with a health service or health facility; bed change trigger is Redistribute the beds of a health care facility by 10 beds or 10 percent, whichever is less, in any two-year period; services requiring con is new health care facility, health care service or home health agency; major medical equipment ($3.5 million by a hospital, $2 million by a healthcare facility, or a single diagnostic/therapeutic device over $350,000); relocation of beds; new health services not offered in the previous 12 months; renal dialysis stations; acquisition of an existing facility or major medical equipment, recorded from its source on 2026-08-19.
- State
- District of Columbia our reading
- CON program status
- active our reading
- Hospital capital threshold ($)
- $6 million or more verified
- Non-hospital capital threshold ($)
- $3.5 million in connection with a health service or health facility verified
- Bed change trigger
- Redistribute the beds of a health care facility by 10 beds or 10 percent, whichever is less, in any two-year period.
- Services requiring CON
- new health care facility, health care service or home health agency; major medical equipment ($3.5 million by a hospital, $2 million by a healthcare facility, or a single diagnostic/therapeutic device over $350,000); relocation of beds; new health services not offered in the previous 12 months; renal dialysis stations; acquisition of an existing facility or major medical equipment our reading
- Reviewing agency
- State Health Planning and Development Agency (SHPDA)
- Repeal date
- N/A our reading
- Statutory citation
- DC Official Code 44-401 et seq. (Health Services Planning Program Reestablishment Act of 1996, as amended); Certificate of Need Regulations, Title 22B, DC Municipal Regulations, Sec. 4000 et seq. our reading
Values marked our reading are our classification of what the source says — the source does not print them in those words. The quote below is the evidence for each one; judge it yourself.
What the source says
Make a capital expenditure of $6 million or more in connection with a hospital and $3.5 million in connection with a health service or health facility.
— dchealth.dc.gov, retrieved 2026-08-19
Source
- dchealth.dc.govhttps://dchealth.dc.gov/service/certificate-need