Certificate-of-Need Laws and North Carolina: Rural Health Care, Medical Imaging, and Access

Certificate of Need laws decrease the supply and availability of healthcare services by limiting entry and competition. For North Carolina specifically, the data show that CON programs are associated with decreases in access and availability. This means there are fewer hospitals and ASCs across the state and in rural communities, imaging services are less available across the state, and an increasing number of patients are choosing to seek care outside of North Carolina.

For policymakers in North Carolina, repealing CON laws would open the local healthcare market for new providers, allow for increased competition, and ultimately offer more options for quality care for North Carolinians.

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