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

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, not quoted from the source)_
- **CON program status:** active _(our reading, not quoted from the source)_
- **Hospital capital threshold ($):** $6 million or more _(verified: appears in the quote below)_
- **Non-hospital capital threshold ($):** $3.5 million in connection with a health service or health facility _(verified: appears in the quote below)_
- **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, not quoted from the source)_
- **Reviewing agency:** State Health Planning and Development Agency (SHPDA)
- **Repeal date:** N/A _(our reading, not quoted from the source)_
- **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, not quoted from the source)_

## 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.

## Source

- https://dchealth.dc.gov/service/certificate-need

Last verified: 2026-08-19. Review by: 2027-08-19.
Part of [Certificate of Need capital expenditure thresholds by US state — dollar thresholds by facility type, covered services, reviewing agencies, and program status](https://referencesource.org/con-capital-expenditure-thresholds-by-state/).