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.

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April 23, 2026 • 10:49 AM
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What factors usually re-elect or throw out incumbent presidents? The economy counts most. Recessions, or at least chronic economic pessimism, sink incumbents. Presidents Jimmy Carter and George H.W. Bush were tagged with sluggish growth, high unemployment and a sense of perceived stagnation — and were easily defeated. The 2008 financial crisis likely ended any chance for John McCain to continue eight years of Republican rule. Barack Obama campaigned on the message that incumbent George W. Bush was to blame for the meltdown and that McCain, his potential Republican successor, would…
 
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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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