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Bill

Bill

H 4799

Certificate of Need

2025-2026 Regular Session Introduced by Micah Caskey and 9 co-sponsors

South Carolina modifies Certificate of Need requirements for healthcare facilities, adjusting regulatory thresholds that govern medical equipment purchases and service expansion approval.

Act No. 153
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WeVote Research Nonpartisan
Bill Summary · H 4799

Legislative bill overview

H 4799 modifies South Carolina's Certificate of Need (CON) program, which requires healthcare providers to obtain government approval before purchasing certain medical equipment or expanding services. The bill adjusts the regulatory requirements and thresholds that trigger CON review for healthcare facilities in the state.

Why is this important

Certificate of Need laws significantly impact healthcare access and costs by controlling which medical services and equipment can be added in a given area. Changes to CON rules affect whether new hospitals, imaging centers, or surgical facilities can open, potentially influencing healthcare competition, pricing, and patient access to services.

Potential points of contention

  • Market access vs. planning control: Opponents of strict CON requirements argue they limit competition and innovation, while supporters contend they prevent costly duplication and ensure coordinated healthcare planning
  • Rural vs. urban impact: Changes may disproportionately affect rural areas' ability to attract new healthcare providers or urban areas' ability to expand existing services
  • Economic stakeholder interests: Existing healthcare providers may benefit from restrictions on new competitors, while potential new entrants and consumers seeking more options may oppose the regulatory barriers

Compiled from official sources — confirm details with the bill’s official record.

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