North carolina certificate of need
John locke foundation panel outlines n.c. certificate-of-need
North Carolina’s Certificate of Need law would be repealed under the Health Care Expansion Act of 2019 (Senate Bill 361). In addition, the Act would provide $41 million in state funding to expand services for intellectually and developmentally disabled people through the state Medicaid program, include North Carolina in a multi-state agreement allowing psychologists to practice across state lines, and add licensed family and marriage counselors to the list of providers who can evaluate people under consideration.
Sens. Joyce Krawiec (R-District 31 – Davie, Forsyth), Dan Bishop (R-District 39 – Mecklenburg), and Ralph Hise (R-District 47 – Madison, McDowell, Mitchell, Polk, Rutherford, Yancey) are among the bill’s sponsors.
Health care facilities in North Carolina are prohibited from adding, purchasing, or replacing health care facilities or equipment without first obtaining approval from the state Department of Health and Human Services. Before beginning construction, new health-care facilities must receive a Certificate of Need. A Certificate of Need is also needed for the provision of certain medical services, as well as for health-care facilities to upgrade or renovate their facilities if the cost exceeds a certain threshold.
Jlf’s jordan roberts discusses n.c. certificate-of-need
North Carolina, like many other states, has a comprehensive CON process for healthcare services and facilities. Obtaining approval for a CON application can be a lengthy and difficult process. Working with RPC gives clients access to a team of consultants who have worked on CON projects before.
RPC should prepare the entire CON application or parts of the application as the client prefers when working on a CON project. When a client is identifying a project and determining whether to file an application, RPC may assist in assessing the market and regulatory environment to determine the project’s relative chances of success. RPC not only works with the client’s staff, architects, engineers, and other outside consultants to create a solid CON application, but also with them to create a comprehensive market, need, and financial analysis.
RPC is headed by Ron Luke, JD, PhD, who has been preparing CON applications and testifying in CON hearings in more than 20 states since 1981. The opening of new acute care hospitals, hospices, physical rehabilitation and psychiatric specialty hospitals, ambulatory surgery centers, and nursing homes, as well as the relocation and addition of beds, are all examples of RPC’s work on CON projects. Working with RPC during the CON process provides the applicant with the benefit of a highly competent expert team that can provide expert advice and help them create a strong CON application.
Mercatus center experts pan n.c. certificate-of-need
State regulatory mechanisms for creating or extending health care facilities and services in a given region are known as Certificate of Need (CON) laws. A state health planning agency must approve substantial capital expenditures for certain health care facilities in a state with a CON program. CON programs aim to keep health-care costs under control by limiting duplicative services and deciding whether new capital expenditures are needed in the community.
A CON program is currently in place in 35 states and Washington, D.C., with varying degrees of success from state to state. As of December 2019, the following 50-state map shows the health care facilities and capital spending covered by the CON law in each state.
The basic premise of CON regulation is that excess health-care facility capacity leads to an increase in health-care prices. When a hospital’s beds aren’t filled, fixed costs must be met through higher charges for the beds that are used, which can lead to price inflation. Because larger institutions have higher costs, hospitals and other health care facilities may raise prices to cover the costs of new, underutilized medical services or vacant beds. CON programs necessitate a health care facility seeking approval from a health planning agency based on a set of criteria and community need. Once a health facility has applied for state approval, the health planning agency has the authority to approve, refuse, or place restrictions on the project.
Con laws and healthcare monopolies: a doctor’s
The North Carolina Supreme Court released a decision last month that ends a nearly two-year legal battle over the state’s Certificate of Need (CON) Statute. The CON Statute governs the number, type, and location of the vast majority of health services in North Carolina, and prohibits the Governor from issuing a CON for any health service, facility, or equipment that is not identified as needed in the annual State Medical Facilities Plan (SMFP), which is issued annually by the Governor with substantial input from the N.C. Department of Health and Human Services (SHCC).
In Wake County Superior Court in 2008, a Raleigh orthopaedic clinic and an Asheville physician oncology practice challenged the CON Statute as unconstitutional. The suit claimed, among other things, that the Governor gave the SHCC too much authority in developing the annual SMFP, which is made up of competing providers, health care provider groups (including the North Carolina Healthcare Facilities Association), and members of the public. It also claimed that the law prevented plaintiffs from creating needed health services, facilities, or equipment by prohibiting them from filing a CON application demonstrating need for specific services, facilities, or equipment unless those services, facilities, or equipment were listed as required in the annual SMFP.