Certificate-of-Need Laws
Certificate-of-need (CON) laws require healthcare providers to seek permission from state regulators before they offer new services, expand facilities, or invest in technology. While the original hope was that CON laws would restrain healthcare costs, increase healthcare quality, and improve access to care for poor and underserved communities, a large body of academic research suggests that CON laws have instead limited access, degraded quality, and increased cost.
Despite this poor track record, CON laws remain in most states, keeping millions of Americans from getting the care they need.
Latest work in Certificate-of-Need Laws
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Louisiana and Certificate-of-Need Programs 2020
How CON Laws Affect Healthcare Access, Quality, and Cost in Louisiana
- | Healthcare Healthcare
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Maine and Certificate-of-Need Programs 2020
How CON Laws Affect Healthcare Access, Quality, and Cost in Maine
- | Healthcare Healthcare
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West Virginia and Certificate-of-Need Programs 2020
How CON Laws Affect Healthcare Access, Quality, and Cost in West Virginia
- | Healthcare Healthcare
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Washington and Certificate-of-Need Programs 2020
How CON Laws Affect Healthcare Access, Quality, and Cost in Washington
- | Healthcare Healthcare
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Alaska and Certificate-of-Need Programs 2020
How CON Laws Affect Healthcare Access, Quality, and Cost in Alaska
- | Healthcare Healthcare
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Arkansas and Certificate-of-Need Programs 2020
How CON Laws Affect Healthcare Access, Quality, and Cost in Arkansas
- | Healthcare Healthcare
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Connecticut and Certificate-of-Need Programs 2020
How CON Laws Affect Healthcare Access, Quality, and Cost in Connecticut
- | Healthcare Healthcare
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Delaware and Certificate-of-Need Programs 2020
How CON Laws Affect Healthcare Access, Quality, and Cost in Delaware
- | Healthcare Healthcare
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The District of Columbia and Certificate-of-Need Programs 2020
How CON Laws Affect Healthcare Access, Quality, and Cost in the District of Columbia
- | Healthcare Healthcare
- | Expert Commentary Expert Commentary
The Real Cost of CON Laws: Quality of Care Under Pressure During the Pandemic
- | Healthcare Healthcare
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Alabama and Certificate-of-Need Programs 2020
How CON Laws Affect Healthcare Access, Quality, and Cost in Alabama
- | Healthcare Healthcare
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South Carolina and Certificate-of-Need Programs 2021
How CON Laws Affect Healthcare Access, Quality, and Cost in South Carolina
- | Healthcare Healthcare
- | State Testimonies State Testimonies
Washington’s Certificate-of-Need Program: Lessons from Research
Testimony before the Washington State Legislature, House Health Care and Wellness Committee
- | Healthcare Healthcare
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CON Laws in 2020: About the Update
- | Healthcare Healthcare
- | Expert Commentary Expert Commentary
The Real Cost of CON Laws: The Long, Hard Road to State Approval
- | Healthcare Healthcare
- | Expert Commentary Expert Commentary
The Real Cost of CON Laws: Imperiling the American Dream
- | Expert Commentary Expert Commentary
The Human Cost of Outdated Regulations
One mother’s story vividly shows the real-world impact of certificate-of-need laws
- | Healthcare Healthcare
- | Expert Commentary Expert Commentary
The Human Cost of Outdated Regulations
- | Healthcare Healthcare
- | Policy Briefs Policy Briefs
Public Health in Rural States: The Case against Certificate-of-Need Laws
- | Healthcare Healthcare
- | Working Papers Working Papers
Examining Certificate-of-Need Laws in the Context of the Rural Health Crisis
Latest work in Certificate-of-Need Laws
- | Healthcare Healthcare
- | Publication
Louisiana and Certificate-of-Need Programs 2020
How CON Laws Affect Healthcare Access, Quality, and Cost in Louisiana
- | Healthcare Healthcare
- | Publication
Maine and Certificate-of-Need Programs 2020
How CON Laws Affect Healthcare Access, Quality, and Cost in Maine
- | Healthcare Healthcare
- | Publication
West Virginia and Certificate-of-Need Programs 2020
How CON Laws Affect Healthcare Access, Quality, and Cost in West Virginia
- | Healthcare Healthcare
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Washington and Certificate-of-Need Programs 2020
How CON Laws Affect Healthcare Access, Quality, and Cost in Washington
- | Healthcare Healthcare
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Alaska and Certificate-of-Need Programs 2020
How CON Laws Affect Healthcare Access, Quality, and Cost in Alaska
- | Healthcare Healthcare
- | Publication
Arkansas and Certificate-of-Need Programs 2020
How CON Laws Affect Healthcare Access, Quality, and Cost in Arkansas
- | Healthcare Healthcare
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Connecticut and Certificate-of-Need Programs 2020
How CON Laws Affect Healthcare Access, Quality, and Cost in Connecticut
- | Healthcare Healthcare
- | Publication
Delaware and Certificate-of-Need Programs 2020
How CON Laws Affect Healthcare Access, Quality, and Cost in Delaware
- | Healthcare Healthcare
- | Publication
The District of Columbia and Certificate-of-Need Programs 2020
How CON Laws Affect Healthcare Access, Quality, and Cost in the District of Columbia
- | Healthcare Healthcare
- | Expert Commentary Expert Commentary
The Real Cost of CON Laws: Quality of Care Under Pressure During the Pandemic
- | Healthcare Healthcare
- | Publication
Alabama and Certificate-of-Need Programs 2020
How CON Laws Affect Healthcare Access, Quality, and Cost in Alabama
- | Healthcare Healthcare
- | Publication
South Carolina and Certificate-of-Need Programs 2021
How CON Laws Affect Healthcare Access, Quality, and Cost in South Carolina
- | Healthcare Healthcare
- | State Testimonies State Testimonies
Washington’s Certificate-of-Need Program: Lessons from Research
Testimony before the Washington State Legislature, House Health Care and Wellness Committee
- | Healthcare Healthcare
- | Publication
CON Laws in 2020: About the Update
- | Healthcare Healthcare
- | Expert Commentary Expert Commentary
The Real Cost of CON Laws: The Long, Hard Road to State Approval
- | Healthcare Healthcare
- | Expert Commentary Expert Commentary
The Real Cost of CON Laws: Imperiling the American Dream
- | Expert Commentary Expert Commentary
The Human Cost of Outdated Regulations
One mother’s story vividly shows the real-world impact of certificate-of-need laws
- | Healthcare Healthcare
- | Expert Commentary Expert Commentary
The Human Cost of Outdated Regulations
- | Healthcare Healthcare
- | Policy Briefs Policy Briefs
Public Health in Rural States: The Case against Certificate-of-Need Laws
- | Healthcare Healthcare
- | Working Papers Working Papers