The pros and cons of Certificate of Need repeal
A move is underway in at least two states to repeal or revisit certificate of need (CON) laws, which regulate healthcare expansion. The law prohibits providers from entering new markets or expanding their organizations without the approval of state regulators. Opponents say the regulations hurt competition. But proponents claim a repeal could reduce or eliminate certain services, limiting patient access to care.
Thirty-six states and the District of Columbia currently have CON laws. Among them–for the moment–is Virginia, the 12th most populous state, but ranked in the bottom third of states for capacity to treat patients overnight, according to Michael W. Thompson, chairman and president of the Thomas Jefferson Institute for Public Policy, in an opinion piece for Richmond.com. Moreover, an analysis by the Mercatus Center at George Mason University found the state has 10,800 fewer beds due to the law.
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