News & Analysis as of

State and Local Government Healthcare Facilities Healthcare Reform

Sheppard Mullin Richter & Hampton LLP

Policy Brief: Aligning Nursing Home Bed Planning with New York’s Certificate of Need Reform Goals

Last month, New York State began a formal review of its Certificate of Need (CON) process for nursing homes, launching a timely conversation about how best to align regulatory oversight with evolving system needs. A new...more

Robinson+Cole Health Law Diagnosis

Connecticut Budget Bill Reinforces EMTALA and Emergency Medical Services Obligations for State Hospitals

On June 30, 2025, Connecticut Governor Ned Lamont signed into law Public Act No. 25-168 (PA 25-168) (the Act), Connecticut’s Budget Bill for the period between July 1, 2025, and June 30, 2027. The Act includes two new laws...more

Robinson+Cole Health Law Diagnosis

Connecticut Budget Bill Includes Notable Changes to CON Laws

On June 30, 2025 Connecticut Governor Ned Lamont signed a bill implementing the state budget through June 30, 2027, Public Act No. 25-168 (PA-168).  PA-168, among other things, contains changes to the state’s Certificate of...more

King & Spalding

Senate Finance Committee Releases Budget Bill with More Aggressive Medicaid Provider Changes Than House Version

King & Spalding on

On June 16, 2025, the U.S. Senate Finance Committee released draft legislative language for its version of the “One Big Beautiful Bill Act,” a comprehensive budget reconciliation proposal that includes significant changes to...more

Robinson+Cole Health Law Diagnosis

Connecticut Governor Signs Bill Adding Requirements for Hospitals and Expanding DPH’s Enforcement Scope

On June 25, 2025, Connecticut Governor Ned Lamont signed into law Public Act No. 25-96, “An Act Concerning the Department of Public Health’s Recommendations Regarding Various Revisions to the Public Health Statutes” (the...more

Bradley Arant Boult Cummings LLP

Alabama CON Report - June 2025

I. Certificate of Need Program - A. AL2024-031, Springhill Hospital, Inc. d/b/a Springhill Medical Center, Mobile County, AL: Proposes to add twenty (20) inpatient rehabilitation beds to an existing eighteen (18) bed...more

Pullman & Comley - Connecticut Health Law

Three Bills Affecting Health Care Transactions That Will Not Be Signed into Law This Year

Members of the health care community may recall that the 2025 legislative session of the Connecticut General Assembly started out with Governor Lamont signing into law an emergency certificate of need (CON) process for...more

Spilman Thomas & Battle, PLLC

Certificate of Need in West Virginia – Where We Stand | Spilman Thomas & Battle

Certificate of Need (CON) emerged as a central issue during West Virginia's recent legislative session, with substantial efforts to eliminate the system ultimately falling short. The CON reform has been a longstanding policy...more

Orrick, Herrington & Sutcliffe LLP

Vermont bans credit reporting of medical debt

On May 16, the governor of Vermont signed into law S 27, an act that is meant to provide medical debt relief for Vermont residents by, among other things, excluding medical debt from credit reporting. For fiscal year 2026, $1...more

Bradley Arant Boult Cummings LLP

Alabama CON Report - April 2025

I. II. Certificate of Need Program - A. AL2024-025, 211-213 Ana Drive Operations, LLC d/b/a Hilltop at Glenwood II, Lauderdale County, AL: Proposes to convert sixteen (16) existing assisted living facility (ALF) beds into...more

Sheppard Mullin Richter & Hampton LLP

CMS to Withdraw Federal Medicaid Match for Workforce, Social Needs, and Infrastructure: What States, Health Care Providers and...

In a move signaling a major shift in federal priorities, the Centers for Medicare & Medicaid Services (“CMS”) recently announced it will limit federal funding for state Medicaid initiatives that support services beyond direct...more

Mandelbaum Barrett PC

Medicaid Under Threat: How Budget Cuts Will Harm New Jersey’s Most Vulnerable

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Last month, House Republicans introduced a budget resolution that would drastically cut funding for social welfare programs such as Medicaid and the Supplemental Nutrition Assistance Program (“SNAP”) if passed. Unfortunately,...more

Husch Blackwell LLP

New Legislation Revises Massachusetts' Determination of Need Statute

Husch Blackwell LLP on

On January 8, 2025, Massachusetts Governor Maura Healey signed into law “An Act Enhancing the Health Care Market Review Process.” Part of this sweeping healthcare oversight law includes changes to the Determination of Need...more

Epstein Becker & Green

D.C.’s Certificate of Need (CON) Process Could See Improvement with Proposed Legislation

Epstein Becker & Green on

In September 2024, a group of Washington, D.C., legislators introduced the Certificate of Need (CON) Improvement Act of 2024, B25-0948. ...more

Sheppard Mullin Richter & Hampton LLP

Update: AB 3129 Passes in California Senate and Nears Finish Line

After its passage in the California Senate on August 31, 2024, Assembly Bill No. 3129 (AB 3129) is now headed to Governor Newsom’s desk. As discussed in depth in our previous blog series on AB 3129, the legislation would...more

Sheppard Mullin Richter & Hampton LLP

California is Capping Health Care Cost Increases – Starting at 3.5% in 2025

As we previewed last year regarding SB 184 and the establishment of the California Office of Health Care Affordability (OHCA), California now has taken a significant regulatory step aimed at restraining growth in health care...more

Bradley Arant Boult Cummings LLP

Alabama CON Report - January 2024

I. Certificate of Need Program - A. Project Modification Request - AL2021-003, Crimson Village, LLC, Tuscaloosa County, AL: The project modification request is for the approval to relocate the specialty care assisted...more

Bradley Arant Boult Cummings LLP

Alabama CON Report - June 2023

I. Certificate of Need Program - A. AL2023-011, Metro Treatment of Alabama, L.P. d/b/a Birmingham Metro Treatment Center, Birmingham, AL: Proposes to relocate Birmingham Metro Treatment Center, an existing outpatient...more

Butler Snow LLP

Tennessee Reforms Certificate of Need Process and Coverage

Butler Snow LLP on

The Tennessee General Assembly enacted legislation in 2021 to update and reform the certificate of need (“CON”) process. The legislative effort to change Tennessee CON law began in the General Assembly’s 2020 session. With...more

Bradley Arant Boult Cummings LLP

Tennessee Makes Major Changes to CON Law

Tennessee healthcare providers will soon have a very different certificate of need (CON) law to consider as they plan new facilities and services. Tennessee’s legislature and governor recently enacted Public Chapter 557,...more

Butler Snow LLP

No Surprise Act: The Long-Anticipated Prohibitions on Balance Billing

Butler Snow LLP on

No Surprise Act - On December 27, 2020, Congress enacted the No Surprise Act (the “Act”) as part of the $900 billion omnibus spending bill. Effective January 1, 2022, the Act provides long-anticipated statutory protections...more

Downs Rachlin Martin PLLC

Vermont Legislative Update 02-07-2020 - An analysis from DRM's Government & Public Affairs Team

Underfunded pension liabilities get needed attention The topic of Vermont’s overwhelming state employee and teachers’ pension burdens rears its head on occasion, but legislators quickly move on to challenges more easily...more

Downs Rachlin Martin PLLC

Vermont Health Care Update 01-20-20 - An analysis from DRM's Health Law Team

Rural Health Task Force presents report to health committee - The Rural Health Services Task Force presented its report to the House Health Care Committee on Tuesday. Green Mountain Care Board member and Task Force Chair...more

Downs Rachlin Martin PLLC

Vermont Health Care Update 01-13-2020 - An analysis from DRM's Health Law Team

DVHA presents budget adjustment proposal - The House Health Care Committee heard from Department of Vermont Health Access Commissioner Cory Gustafson on Tuesday on his department’s 2020 budget adjustment. ...more

Bass, Berry & Sims PLC

Tennessee Government Update – January 2020

Bass, Berry & Sims PLC on

Tennessee lawmakers reconvened Tuesday in Nashville for the second session of the 111th General Assembly. While 2019 was notable for the number of new faces in the Capitol — a new governor in Bill Lee and over 30 legislators...more

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