The Impact of Certificate of Need Laws on Healthcare Access

Certificate of Need laws restrict the ability of healthcare providers to expand or establish new facilities, hindering convenient and considerate medical care. These laws require explicit permission from competitors who may lose business, rather than responding to the actual needs of patients. The formula used to determine need often overlooks those who are not currently receiving services due to limited availability. Preferences and specialties are also not considered. However, some states are now realizing the drawbacks of these laws, particularly after facing shortages during the COVID-19 pandemic. Changes are being made to free up private health service providers and increase accessibility to care.