Talk about barrier to entry! In 2015, certificate of need (CON) application costs totaled just under $1.5 million. Fees for health care project proposals such as building adult care home facilities, kidney dialysis centers, or even relocating inpatient rehabilitation hospital beds range between $5,000 and $50,000. And, no, these application costs are not refundable. CON has become a high-risk regulatory game for medical professionals to navigate.

It’s time to end a law that prohibits patient choice, innovation, and access to lower cost care for North Carolina patients. For more information on the history and evolution of this law, be sure to visit