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
How to Win the Next Budgetary Fight
By Quin Hillyer
Wednesday, December 18 2013
When fighting budget-related battles during Fiscal Year 2014, can conservatives have any hopes that the third time is the charm? Yes, but only if they are willing to play “small ball.” The “third time,” in this case, will involve the next confrontation with the federal debt ceiling, expected in early February. Budget Committee Chairman Paul Ryan is trying to make up for his weak negotiating on this month’s spending deal by promising to take a tough line then. But, after bitter defeats in the Ryan negotiations and in the “shutdown” fight in October, it…
 
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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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