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
Cheer Up: Liberal Majorities Rarely Last Long
By Timothy H. Lee
Thursday, January 07 2021
I’m old enough to remember 2008, when Barack Obama’s election and Democratic Congressional supermajorities supposedly signaled the dawn of a new and permanent liberal governance.   Heck, I’m old enough to remember 1992, when Bill Clinton’s victory supposedly passed the proverbial torch from a more conservative Greatest Generation of World War II veterans like George H.W. Bush to a new enduring governance by “pragmatic” liberals like Clinton.   And while I’m assuredly not old enough to remember conservative Barry Goldwater’s 1964…
 
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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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