The Tennessee General Assembly recently passed important legislation to repeal the state’s Certificate…
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CFIF Thanks Legislative Champions of Certificate of Need (CON) Reform in Tennessee

The Tennessee General Assembly recently passed important legislation to repeal the state’s Certificate of Need (CON) requirements for acute care hospitals and other critical healthcare services. Pending Governor Bill Lee’s signature, the bill paves the way for more choices and better-quality care for patients across the state.

CON laws compel hospitals and other healthcare providers to demonstrate a “need” for and to receive special government permission to build new facilities and offer certain new healthcare services. Not only is that approval process governed by a government board unaccountable to voters, but incumbent providers also get a say in whether new facilities are permitted to open or new services can be offered by competitors in their geographic footprint.

Simply…[more]

April 23, 2026 • 10:49 AM
Why America Is in So Much Trouble
By Stephen Moore
Tuesday, January 07 2025
Shortly before Milton Friedman's death in 2006, I had the privilege of interviewing him over dinner in San Francisco. The last question I asked him was: What are the three things we have to do to make America more prosperous? His answer I have never forgotten: "First, allow universal school choice; second, expand free trade; third and most importantly, cut government spending." That was long before Barack Obama and Joe Biden came along. There aren't too many problems in America that can't be traced back to the growth of big and incompetent government. It is notable that the two big…
 
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CFIF Launches New Ad Campaign Calling for Full Repeal of Tennessee’s Certificate of Need Laws
"Get Big Government Out of Our Healthcare, Reduce Costs and Improve Care." NASHVILLE –…
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Notable Quote   
 
"In 2025, the Republican-led One Big Beautiful Bill Act created a federal school choice tax credit program -- the first of its kind.The program allows states and Washington, DC, to opt in. Governors can make that decision on their own, though legislatures can also step in.So far, 30 states say they plan to participate, including five with Democratic governors (though in Kansas and Kentucky, Republican…[more]
 
 
— Ingrid Jacques, USA Today
 
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