# Alabama — Certificate of need capital expenditure thresholds by US state

For Alabama, has con program is yes; hospital threshold is $4,000,000; long-term care threshold is $4,000,000; general threshold is $4,000,000; major equipment threshold is $2,000,000, recorded from its source on 2026-08-13.

- **State:** Alabama
- **Has CON program:** yes
- **Hospital threshold:** $4,000,000 _(verified: appears in the quote below)_
- **Long-term care threshold:** $4,000,000 _(verified: appears in the quote below)_
- **General threshold:** $4,000,000 _(verified: appears in the quote below)_
- **Major equipment threshold:** $2,000,000 _(verified: appears in the quote below)_
- **Covered services:** general hospitals, specialized hospitals, nursing facilities, intermediate care facilities, rehabilitation centers, hospice service providers, home health agencies, HMOs, ambulatory surgery centers, kidney disease treatment centers
- **Moratorium:** no
- **Statute citation:** Ala. Code § 22-21-260

## What the source says

> Capital expenditures greater than: $2,000,000 for major medical equipment. $800,000 for new annual operating costs. $4,000,000 for any other capital expenditures.

## Source

- https://www.ncsl.org/health/certificate-of-need-state-laws

Last verified: 2026-08-13. Review by: 2027-02-09.
Part of [Certificate of need capital expenditure thresholds by US state](https://referencesource.org/state-con-capital-expenditure-thresholds/).