============================================================================== CERTIFICATE OF NEED INTELLIGENCE BRIEF: GEORGIA The Rojas Report | conlaws.rojasreport.com/states/georgia/ ============================================================================== State: Georgia (GA) Score: 95/100 Tier: Most Restrictive Rank: 41 of 51 jurisdictions ------------------------------------------------------------------------------ KEY METRICS ------------------------------------------------------------------------------ 11 Categories regulated by CON 1979 Year CON enacted 7,453 Albany market HHI 86% Phoebe Putney market share ------------------------------------------------------------------------------ SUMMARY ------------------------------------------------------------------------------ Georgia CON score 95/100 (most restrictive). 11 categories of services regulated since 1979. The Phoebe Putney system controls 86% of the Albany hospital market. ------------------------------------------------------------------------------ SCOPE OF REGULATION ------------------------------------------------------------------------------ * Services Requiring CON Approval ------------------------------------------------------------------------------ APPLICATION PROCESS ------------------------------------------------------------------------------ The statutory timeline for a review is 120 days, with the actual process taking about four months. A key feature of Georgia's process is the formal 'opposition meeting,' which allows incumbent providers a platform to officially contest applications from potential new competitors. ------------------------------------------------------------------------------ MARKET CONCENTRATION ------------------------------------------------------------------------------ Georgia's CON laws, enacted in 1979, regulate a broad range of healthcare services. This has led to highly concentrated markets, exemplified by the Albany area, where one system, Phoebe Putney, controls 86% of the market. Atlanta Hospital Market Share (Estimated) ------------------------------------------------------------------------------ REFORM STATUS ------------------------------------------------------------------------------ Georgia's CON laws, enacted in 1979, regulate a broad range of healthcare services. This has led to highly concentrated markets, exemplified by the Albany area, where one system, Phoebe Putney, controls 86% of the market. Georgia (No Full Repeal) ------------------------------------------------------------------------------ CASE LAW / DENIALS ------------------------------------------------------------------------------ — U.S. Supreme Court, FTC v. Phoebe Putney Health System, Inc. FTC v. Phoebe Putney Health System, Inc. Decided February 2013 · U.S. Supreme Court ============================================================================== Source: The Rojas Report | conlaws.rojasreport.com/states/georgia/ Data: Cicero Institute, NASHP, FTC, DOJ, CMS, state health departments Generated: April 2026 ==============================================================================