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  CERTIFICATE OF NEED INTELLIGENCE BRIEF: CONNECTICUT
  The Rojas Report | conlaws.rojasreport.com/states/connecticut/
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  State:    Connecticut (CT)
  Score:    90/100
  Tier:     Highly Restrictive
  Rank:     37 of 51 jurisdictions

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  SUMMARY
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  In-depth analysis of Connecticut's Certificate of Need (CON) laws,
evaluating their impact on healthcare competition, cost, and quality.

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  SCOPE OF REGULATION
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  * Services Regulated
  * New Hospitals & Long-Term Care Facilities
  * Ambulatory Surgery Centers (ASCs)
  * CT, MRI, PET Scanners & Linear Accelerators
  * Increases in Licensed Beds or Operating Rooms
  * DSS (Nursing Homes)

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  APPLICATION PROCESS
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  Connecticut's CON law is comprehensive, covering a wide array of healthcare
services and facilities. Any significant capital expenditure, service
addition, or equipment acquisition requires state approval.

  The process is managed by the Office of Health Strategy (OHS) for most
facilities and the Department of Social Services (DSS) for long-term care. It
involves fees, lengthy reviews, and public hearings where competitors can
intervene.

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  MARKET CONCENTRATION
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  Connecticut's hospital market is a duopoly. Two behemoth systems, Yale New
Haven Health and Hartford HealthCare, control approximately 60% of the state's
hospital revenue, creating a highly concentrated and anti-competitive
landscape.

  $81.4B in discounted drugs. Zero disclosure requirements.

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  CASE LAW / DENIALS
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  In a clear example of CON laws restricting access to care, Norwalk Hospital
was denied a certificate to offer elective angioplasty (PCI) services. The
state's rationale was the hospital's lack of an on-site cardiac surgery
backup—a requirement that protects incumbent hospitals with full-service
cardiac programs. This decision forced patients in the Norwalk area to travel
farther for a common, life-saving procedure, prioritizing market stability
over patient convenience and access.

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