Status of Certificate of Need Laws & Health Planning in Other States Research Division Staff January 21, 2014 LRC Committee on Market Based Solutions & Elimination of Anti-Competitive Practices in Health Care
Currently 36 States and the District of Columbia regulate Health Care Facilities using Certificate of Need.… Which states no longer have Certificate of Need laws? Arizona New Mexico California North Dakota Colorado Pennsylvania Idaho South Dakota Indiana Texas Kansas Utah Minnesota Wyoming
Certificate of Need Summary By State, 2010 Source: American Health Planning Association, 2011 (http://www.ahpanet.org/matrix_copn.html)
States with CON law States with CON law that DO NOT include ASCs: that include ASCs: Alabam a Arkansas Alaska Florida Connecticut Louisiana Delaw are Nebraska District of Colum bia New Jersey Georgia Ohio Haw aii Oklahom a I llinois Oregon I ow a W isconsin Kentucky Maine Maryland Massachusetts Michigan Mississippi Missouri Montana Nevada New Ham pshire New York North Carolina Rhode I sland South Carolina Tennessee Verm ont Virginia W ashington W est Virginia Source: Ambulatory Surgery Centers Association (www.ascaassociation.org)
Figur re 1: Pr revalenc ce of Ce ertificat te of Ne eed 27% 73% 37 Stat tes w/ CO ON 14 Stat tes w/out t CON Fig gure 2: Regula ation of Ambula atory Su urgery C Centers s 4 5% 55% % 28 Sta ates ASCs s regula ated by C CON 23 Sta ates NO A ASCs regula ated by C CON
Health Care Expenditures per Capita by State of Residence, 2009 Utah 5,030.94 Arizona 5,433.89 Georgia 5,467.47 Idaho 5,658.00 Nevada 5,735.30 Texas 5,923.73 Colorado 5,993.80 Arkansas 6,166.94 California 6,237.59 Alabama 6,271.66 Virginia 6,286.49 South Carolina 6,323.38 Tennessee 6,410.61 North Carolina 6,444.02 Oklahoma 6,531.86 Mississippi 6,571.04 Oregon 6,579.89 Kentucky 6,595.79 Michigan 6,618.37 Montana 6,639.83 New Mexico 6,650.61 Indiana 6,666.31 Illinois 6,756.37 Kansas 6,781.86 Washington 6,781.86 Louisiana 6,795.26 Hawaii 6,856.16 Iowa 6,921.33 Missouri 6,967.41 Wyoming 7,040.26 Nebraska 7,047.57 South Dakota 7,055.91 Ohio 7,075.91 Florida 7,156.32 Wisconsin 7,232.85 Minnesota 7,409.33 Maryland 7,491.79 New Jersey 7,582.94 Vermont 7,634.93 West Virginia 7,667.14 Pennsylvania 7,729.96 North Dakota 7,748.82 New Hampshire 7,839.32 Rhode Island 8,309.08 New York 8,341.37 Delaware 8,479.75 Maine 8,520.95 Connecticut 8,653.57 No CON Law Alaska 9,127.63 5 or less services regulated by CON Massachusetts 9,277.90 6 or more services regulated by CON District of Columbia 10,348.85 Source: Centers for Medicare Medicaid Services
Resources: Delaware: (2013): Certificate of Need (CON) Programs: Stakeholder Views and Outcomes Research: http://dhss.delaware.gov/dhss/dhcc/hrb/files/conprograms.pdf New York (2012): Report of the Public Health and Health Planning Council on Redesigning Certificate of Need and Health Planning http://www.health.ny.gov/facilities/public_health_and_health_planning_council/docs/con_redesign_re port.pdf Connecticut (2012): Statewide Health Care Facilities and Services Plan http://www.ct.gov/dph/lib/dph/ohca/publications/2012/ohcastatewide_facilities_and_services.pdf New Jersey (2008): New Jersey Commission on Rationalizing Health Care Resources Final Report http://www.nj.gov/health/rhc/finalreport/documents/entire_finalreport.pdf Illinois (2007): http://cgfa.ilga.gov/Upload/LewinGroupEvalCertOfNeed.pdf Georgia (2006): An Analysis and Evaluation of Certificate of Need Regulation in Georgia http://dch.georgia.gov/sites/dch.georgia.gov/files/imported/vgn/images/portal/cit_1210/61/51/724849 34FINAL_Georgia_CON_Commission_Report.pdf Washington (1999): Effects of Certificate of Need and Its Possible Repeal http://www.leg.wa.gov/JLARC/AuditAndStudyReports/1999/Documents/99 ‐ 1.pdf Certificate of Need: State Health Laws and Programs, National Conference of State Legislators http://www.ncsl.org/research/health/con ‐ certificate ‐ of ‐ need ‐ state ‐ laws.aspx
Recommend
More recommend
