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In four different bills introduced over the last month, North Carolina’s General Assembly is once again proposing changes to North Carolina’s certificate of need (“CON”) law, first enacted in 1971. This law extensively regulates the acquisition, development and expansion of a variety of health care services in North Carolina, such as hospital beds, operating rooms, ambulatory surgery facilities, MRI scanners and long-term care facilities. In North Carolina, CON requirements may be triggered by how much something costs (such as a CT scanner) or by the nature of a new institutional health service (such as a MRI scanner). The proposed changes range from what appear to be relatively minor updates to complete repeal and share common sponsors who appear intent on revising, if not wholesale repealing, the CON Law. In this post, we briefly review the changes under consideration.