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

For Washington, con program status is active; hospital capital threshold ($) is no dollar threshold — hospital certificate of need review is triggered by construction of new facilities, changes in bed capacity, and new tertiary health services rather than by a capital expenditure amount; non-hospital capital threshold ($) is for nursing homes, $1,000,000 adjusted by the department by rule; reviewing agency is Washington State Department of Health; repeal date is N/A, recorded from its source on 2026-08-18.

- **State:** Washington _(our reading, not quoted from the source)_
- **CON program status:** active _(our reading, not quoted from the source)_
- **Hospital capital threshold ($):** no dollar threshold — hospital certificate of need review is triggered by construction of new facilities, changes in bed capacity, and new tertiary health services rather than by a capital expenditure amount _(verified: appears in the quote below)_
- **Non-hospital capital threshold ($):** for nursing homes, $1,000,000 adjusted by the department by rule _(verified: appears in the quote below)_
- **Reviewing agency:** Washington State Department of Health _(verified: appears in the quote below)_
- **Repeal date:** N/A _(our reading, not quoted from the source)_
- **Statutory citation:** RCW 70.38.105; RCW 70.38.025(5) _(our reading, not quoted from the source)_

## What the source says

> (5) "Expenditure minimum" means, for the purposes of the certificate of need program, $1,000,000 adjusted by the department by rule to reflect changes in the United States department of commerce composite construction cost index; or a lesser amount required by federal law and established by the department by rule.

## Source

- https://app.leg.wa.gov/rcw/default.aspx?cite=70.38.025

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/).