Legislative Workgroup : CON Modernization Task Force

The Chairs of the Senate Finance Committee and the Health and Government Operations Committee have asked the Maryland Health Care Commission (MHCC) to develop recommendations for modernizing Maryland's health facility planning and CON programs in light of Maryland's implementation of the global budgets under the All-Payer Model and the proposed migration to the Total Cost of Care Demonstration in 2019.  The Committees have asked MHCC to submit an interim report in May and a final report in December of next year.   The Commission supports this review and further believes that we should consider changes in our health planning and Certificate of Need (CON) authority across all categories of services at the same time.

Charge Letter

Member List

Final Report

Interim Report on Modernization of the Maryland Certificate of Need Program

Comments Received on Interim Report

  1. Certificate of Need Regulation and Entry: Evidence from the Dialysis Industry
  2. Does Removing Certificate of Need Regulation Lead to a Surge in Health Care Spending?
  3. The Effects of CON Repel on Medicaid Nursing Home and Long Term Care Expenditures
  4. Contemporary Impact of State Certificate of Need Regulations for Cardiac Surgery: Analysis Using the Society of Thoracic Surgeons National Cardiac Surgery Database
  5. Certificate of Need Regulations and Use of Coronary Revascularization After Acute Myocardiac Infarction
  6. Effects of Regulation and Competition on Health Care Disparities: The Case of Cardiac Angiography in New Jersey
  7. Input Constraints and the Efficiency of Entry: Lessons from Cardiac Surgery
  8. The Effect of Certificate of Need Laws on Hospital Beds and Healthcare Expenditures: An Empirical Analysis
  9. Certificate of Need (CON) for Cardiac Care: Controversy over the Contributions of CON
  10. The Effects of Certificate of Need Regulation on Hospital Costs
  11. The Rise and Fall of Certificate of Need in Pennsylvania: An Experiment in Health Care Planning & the Role of the Commonwealth Court
  12. Certificate of Need Over Hospitals in Rhode Island: A Forty-year Retrospective
  13. Joint Statement of the Federal Trade Commission and the Antitrust Division of the U.S. Dept. of Justice to the Virginia Certificate of Public Need Work Group
  14. Travel Distance and Health Outcomes for Scheduled Surgery
  15. Should Minnesota Reinstate a Certificate of Need Program for Health Care Expenditures?
  16. The Effect of Certificate of Need Laws on All-Cause Mortality
  17. The impact of Certificate of Need Laws on Nursing Home and Home Health Care Expenditures
  18. Can Health Care Spending be Reined in through Supply Constraints?
  19. Certificate of Need in the Post-Affordable Care Act Era
  20. Certificate of Need (CON) Task Force: Final Report
  21. Joint Statement of the Antitrust Division of the U.S. Dept. of Justice and the Federal Trade Commission on Certificate of Need Laws and Alaska Senate Bill 62
  22. Making Health Care Markets Work: Competition Policy for Health Care
  23. Taking the CON out of Pennsylvania:  Did Hip and Knee Replacement Patients Benefit? 
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