# Maryland — Certificate of Need capital expenditure thresholds by US state — dollar thresholds by facility type, covered services, reviewing agencies, and program status 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 $50,000,000 _(verified: appears in the quote below)_ - **Non-hospital capital threshold ($):** 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. ## Source - https://mgaleg.maryland.gov/mgawebsite/Laws/StatuteText?article=ghg§ion=19-120 Last verified: 2026-08-15. Review by: 2027-08-15. 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/).