IA SF2459

Raises dollar thresholds for requiring a certificate of need (CON) for new institutional health facility construction from $1.5 million to $4 million (2027-2031), $4.5 million (2032-2036), and $5 million (2037 and after).

Increases capital expenditure thresholds triggering CON review for existing health facilities to $4 million (2027-2031), $4.5 million (2032-2036), and $5 million (2037 and after) within a 12-month period.

Raises the equipment acquisition threshold requiring CON review to $4-5 million (phased in) when the equipment results in offering a new health service not previously provided.

Removes certain categories from CON review requirements, including deletions or relocations of health services between facilities and replacement equipment acquisitions.

Specifies that leased building market values must be included when calculating whether construction costs meet CON thresholds.