Becker's Healthcare December 30, 2025
Francesca Mathewes

The policy debate surrounding certificate-of-need laws heated up in 2025, as critics claim the laws have long-stifled competition in healthcare, particularly in the ASC space.

Here are three states where CON laws have shifted in 2025:

Alabama:

Alabama state Sen. Larry Stutts announced plans to file legislation to reform the state’s CON laws in August. He argues that the current process is overly costly and burdensome, and says he has been working with healthcare groups to craft reform proposals.

New York:

In February, New York proposed raising capital expenditure thresholds in its CON process. Under the proposal, the threshold for general hospitals would increase from $15 million to $30 million, and for ASCs and clinics from $6 million...

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