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

For Iowa, con program status is active; hospital capital threshold ($) is in excess of one million five hundred thousand dollars within a twelve-month period; non-hospital capital threshold ($) is in excess of one million five hundred thousand dollars within a twelve-month period; new services costing over five hundred thousand dollars are separately reviewable; bed change trigger is a permanent change in the bed capacity, as determined by the department, of an institutional health facility; repeal date is N/A, recorded from its source on 2026-08-18.

- **State:** Iowa _(our reading, not quoted from the source)_
- **CON program status:** active _(our reading, not quoted from the source)_
- **Hospital capital threshold ($):** in excess of one million five hundred thousand dollars within a twelve-month period _(verified: appears in the quote below)_
- **Non-hospital capital threshold ($):** in excess of one million five hundred thousand dollars within a twelve-month period; new services costing over five hundred thousand dollars are separately reviewable _(verified: appears in the quote below)_
- **Bed change trigger:** a permanent change in the bed capacity, as determined by the department, of an institutional health facility _(verified: appears in the quote below)_
- **Repeal date:** N/A _(our reading, not quoted from the source)_
- **Statutory citation:** Iowa Code §135.61(16)(c) _(our reading, not quoted from the source)_

## What the source says

> Any capital expenditure, lease, or donation by or on behalf of an institutional health facility in excess of one million five hundred thousand dollars within a twelve-month period.

## Source

- https://www.legis.iowa.gov/docs/code/135.61.pdf

Last verified: 2026-08-18. Review by: 2027-08-18.
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/).