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  CERTIFICATE OF NEED INTELLIGENCE BRIEF: ALASKA
  The Rojas Report | conlaws.rojasreport.com/states/alaska/
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  State:    Alaska (AK)
  Score:    55/100
  Tier:     Restrictive
  Rank:     25 of 51 jurisdictions

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  SUMMARY
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  In-depth analysis of Alaska's Certificate of Need (CON) laws, examining
their impact on healthcare competition, market concentration, and consumer
costs.

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  SCOPE OF REGULATION
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  * Regulated Services
  * Hospitals (General, Psychiatric)
  * Ambulatory Surgical Facilities
  * Independent Diagnostic Testing Facilities (MRI, CT, PET)
  * Residential Psychiatric Treatment Centers
  * Skilled Nursing Facilities / Nursing Homes

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  APPLICATION PROCESS
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  105-135 days (plus extensions)

  Alaska has not pursued any significant repeal or reform of its Certificate
of Need program. The law, enacted in 1976, remains firmly in place, with only
minor threshold adjustments over the decades. The regulatory environment
continues to favor incumbents and limit new market entrants.

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  MARKET CONCENTRATION
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  Anchorage is dominated by Providence Health (48% inpatient share), while
Fairbanks is a virtual monopoly with a single hospital holding 100% market
share.

  $81.4B in discounted drugs. $66.4B in gross margin. Zero disclosure
requirements.

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  REFORM STATUS
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  Alaska has not pursued any significant repeal or reform of its Certificate
of Need program. The law, enacted in 1976, remains firmly in place, with only
minor threshold adjustments over the decades. The regulatory environment
continues to favor incumbents and limit new market entrants.

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  CASE LAW / DENIALS
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  Alaska Regional's Blocked ER

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  Source: The Rojas Report | conlaws.rojasreport.com/states/alaska/
  Data: Cicero Institute, NASHP, FTC, DOJ, CMS, state health departments
  Generated: April 2026
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