Maryland
For Maryland, con program status is active; hospital capital threshold ($) is the lesser of 25% of the hospital's gross regulated charges for the immediately preceding year or $50,000,000; non-hospital capital threshold ($) is N/A — non-hospital CON is triggered by bed capacity changes or new medical services, not a dollar threshold; bed change trigger is 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 is cardiac surgery, organ transplant surgery, burn or neonatal intensive care, home health, hospice, freestanding ambulatory surgical centers, recorded from its source on 2026-08-15.
- 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 $50,000,000 verified
- Non-hospital capital threshold ($)
- 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
What the source says
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.
— mgaleg.maryland.gov, retrieved 2026-08-15
Source
- mgaleg.maryland.govhttps://mgaleg.maryland.gov/mgawebsite/Laws/StatuteText?article=ghg§ion=19-120