Status of Certificate of Need Laws & Health Planning in Other - - PowerPoint PPT Presentation
Status of Certificate of Need Laws & Health Planning in Other - - PowerPoint PPT Presentation
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
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 that include ASCs: States with CON law that DO NOT 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)
Fig Figur gure 2:
4
re 1: Pr Regula
27% 5%
revalenc ation of ce of Ce Ambula
73% 55%
ertificat atory Su 37 Stat 14 Stat
%
28 Sta regula 23 Sta regula te of Ne urgery C tes w/ CO tes w/out ates ASCs ated by C ates NO A ated by C eed Centers ON t CON s CON ASCs CON s
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