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
Is Indiana Governor Mike Pence Falling into ObamaCare’s Medicaid Trap?
By Ashton Ellis
Wednesday, May 28 2014
Indiana Republican Governor Mike Pence says his plan to use ObamaCare’s Medicaid dollars to expand his state’s health savings account program won’t create a new open-ended entitlement. Before considering Pence’s arguments, it’s important to understand how ObamaCare changes Medicaid. If states expand Medicaid eligibility to people making up to 138 percent of the federal poverty line (FPL), ObamaCare will pay 100 percent of the costs for covering the “new-eligibles.” After three years, the federal government will pay for 90 percent. In light of this, 26…
 
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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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