The John Locke Foundation has written extensively over several years on the impediment NC’s Certificate of Need laws are for the expansion of health care services.  We believe that repealing NC’s CON laws will restore health care freedom. National studies show that CON laws increase cost and reduce access but yet NC hangs on to its antiquated system of stifling competition in the health care system.

So what do these CON laws, requiring health care providers get permission before they can open, expand their practice or purchase certain devices or new technologies, actually impact?

If you or a family member have sought any of these health care services, you have been impacted by NC’s CON laws:

Acute hospital beds

Ambulatory Surgical Centers (ASC)

Assisted Living/Residential Care Facilities

Burn Care

Cardiac Catherization

Gamma Knives

Home Health


Intermediate Care Facilities for Individuals with Intellectual Disability (ICF/IDs)

Linear Accelerator Radiology


Long Term Acute Care (LTAC)

Magnetic Resonance Imaging (MRI) scanners

Mobile Medical Imaging

Neonatal Intensive Care

Nursing Home Beds/Long-Term Care Beds

Ocular surgery

Open Heart Surgery

Organ Transplants

Positron Emission Tomography (PET) scanners

Psychiatric Services

Radiation Therapy


Renal Failure/Dialysis

Subacute Services

Substance/Drug Abuse

Vascular Access

Forward thinking legislative leaders have recognized the impediment CON laws impose on patients and their doctors and have proposed a repeal of NC’s Certificate of Need laws. For anyone interested in ensuring access to care, lowering costs, preserving the doctor patient relationship, putting doctors and patients before government control, and relieving anxiety when people are most vulnerable, this should come as very good news.