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
The Biggest Conservative Victory in 30 Years
By Stephen Moore
Tuesday, July 08 2025
Everyone knows that the "big, beautiful" tax bill signed into law on the Fourth of July lowers tax burdens for families and businesses. It also averts a $4 trillion tax increase starting next year. That's enough reason to heartily celebrate. But what isn't well known is that this new law doesn't just change tax policy. It includes dozens of other long-sought policy goals – what I call "hidden gems." Here is a list of some of the major policy victories: The law is the most aggressive federal advancement of school choice by allowing low-income parents to direct…
 
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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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