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
Honest Medicare Reform Impossible So Long as President Refuses to Follow the Law
By Ashton Ellis
Tuesday, March 04 2014
For all the heated political rhetoric and hard-hitting campaign ads, there is a little-discussed reality that should be remembered – Republicans and Democrats agree that Medicare needs reform. They also agree that the senior-focused entitlement system should reroute money toward elements that work and reduce funding for those that don’t. And while they disagree on which programs should be promoted or pruned, their biggest difference is over whether to get public support before implementing their reforms. Simply put, Republicans like Representative Paul Ryan (R-WI) are engaged in a…
 
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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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