# Washington, D.C. — Certificate of need capital expenditure thresholds by US state

For Washington, D.C., state is Washington, D.C; has con program is yes; hospital threshold is $6,000,000; long-term care threshold is $3,500,000; general threshold is $3,500,000, recorded from its source on 2026-08-13.

- **State:** Washington, D.C.
- **Has CON program:** yes
- **Hospital threshold:** $6,000,000
- **Long-term care threshold:** $3,500,000
- **General threshold:** $3,500,000
- **Major equipment threshold:** $3,500,000 (hospital) / $2,000,000 (other facility) / $350,000 (physician or independent owner/operator) _(verified: appears in the quote below)_
- **Covered services:** private general hospitals, psychiatric hospitals, other specialty hospitals, rehabilitation facilities, skilled nursing facilities, intermediate care facilities, ambulatory care centers or clinics, ambulatory surgical facilities, kidney disease treatment centers, free-standing hemodialysis facilities, diagnostic health care facilities, home health agencies, hospices
- **Statute citation:** D.C. Code Ann. § 44-401 et seq.

## What the source says

> Making capital expenditures of $6 million or more in connection with a hospital and $3.5 million in connection with a health service or health facility. Making a capital expenditure $3.5 million or more by a hospital, or $2 million by a health care facility to acquire major medical equipment. Acquiring by lease, purchase, donation or other comparable arrangement a single piece of diagnostic or therapeutic equipment by or on behalf of a physician, physician group or independent owner/operator. Applies to acquisitions above $350,000.

## 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/).