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The Governor has asked the South Carolina House of Representatives to fully repeal Certificate of Need.

“There is no data to support that these laws improve access to care. In fact, there's more than sufficient data to show that they're actually detrimental.” 

“CON laws were designed to provide oversight and prevent wasteful duplication of services. However, there has been severe overshoot of those goals resulting in suppression in new facilities and services.”

South Carolina’s CON program is one of the most restrictive in the United States. South Carolina requires a CON for 18 different services, including hospital renovations/new equipment that is over $600,000 and adding one or more hospital beds to a facility.

Certificate of Need is that odious, decades-old law that requires permission from the state (and often one’s competitors) to build a healthcare facility or even offer a healthcare service.

PPI Senior Fellow Oran Smith is quoted in this article from The Center Square.

PPI Senior Fellow Oran Smith is interviewed in this article on the upcoming audit of South Carolina's CON law.

South Carolina’s Legislative Audit Council (LAC) has voted to conduct a performance audit of South Carolina’s long-standing and anti-competitive healthcare regulations known as Certificate of Need (CON). This decision was in response to a July 16 letter signed by thirteen South Carolina Senators requesting the review.    

PPI is commended for our work on scope of practice law reform in this article by Philanthropy Roundtable.

PPI visiting fellow Dr. Marcelo Hochman coauthored this op-ed in USA Today to discuss healthcare reform and repealing CON laws. Policymakers talk about comprehensive health care reform. They see a broken system and want to fix everything at once. Emergency room workers can relate, but they take a more strategic approach when patients arrive with multiple