Jaimie Cavanaugh, a researcher at the Pacific Legal Foundation, dives into the shortcomings of certificate of need laws during the pandemic. She highlights how these regulations hindered healthcare facilities, resulting in higher mortality rates in affected states. Cavanaugh also discusses South Carolina's recent repeal of such laws, aimed at improving access to essential health services. Additionally, she emphasizes women's autonomy in childbirth and the barriers restrictive licensure laws pose to midwives, shedding light on the urgent need for reform in maternal care.
Certificate of need laws led to increased hospital bed shortages and higher COVID-19 mortality rates during the pandemic.
The recent repeal of these laws in states like South Carolina aims to enhance access to crucial healthcare services, especially for maternal care.
Deep dives
Impact of Certificate of Need Laws During the Pandemic
States with certificate of need laws faced significant challenges during the pandemic, notably with hospital bed shortages. Research revealed that hospitals in these states were 27% more likely to run out of beds, even with emergency waivers allowing for additional bed capacity. The longstanding restrictions on expanding hospital facilities created a rigidity that hindered quick adaptation in response to the crisis. Additionally, higher COVID-19 mortality rates were noted in states with these laws, underscoring the detrimental effects of such regulatory frameworks during emergency situations.
Recent Reforms in Healthcare Regulation
South Carolina's recent repeal of certificate of need laws for healthcare, excluding nursing homes, marks a significant shift in oversight. This change will improve access to vital services such as birth centers, mental health facilities, and imaging services, which have been historically constrained under these regulations. States like Connecticut and West Virginia also joined the effort by dismantling similar laws, indicating a growing movement towards deregulation. The push for more accessible healthcare options reflects a recognition of the urgent need for reform in various sectors, particularly mental health services and maternal care.
Addressing Barriers to Maternal Healthcare
The podcast explores various barriers that women face in accessing maternal healthcare, particularly regarding birth centers. Despite the repeal of certificate of need laws in states like Georgia, obstacles still exist, such as hospitals refusing to sign transfer agreements, which can prevent birth centers from opening. The dialogue emphasizes the need for states to ensure that trained professionals like midwives can assist in births without restrictive regulations. The conversation highlights a broader issue of maternal health outcomes in the U.S., calling for increased options and support for women's choices during childbirth.
States with certificate of need laws, where incumbent firms get to shut down their would-be competitors' plans, had more difficulties handling the pandemic. Jaimie Cavanaugh of the Pacific Legal Foundation explains.