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  CERTIFICATE OF NEED INTELLIGENCE BRIEF: LOUISIANA
  The Rojas Report | conlaws.rojasreport.com/states/louisiana/
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  State:    Louisiana (LA)
  Score:    55/100
  Tier:     Restrictive
  Rank:     25 of 51 jurisdictions

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  SUMMARY
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  In-depth analysis of Louisiana's Facility Need Review (FNR) laws, market
concentration, and the real-world impact on healthcare access and competition.

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  SCOPE OF REGULATION
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  * Regulated Services
  * Hospice Providers & Facilities
  * Limited Scope, But Still a Barrier

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  APPLICATION PROCESS
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  Facility Need Review (FNR)

  Louisiana's Facility Need Review (FNR) process is narrower than traditional
CON laws and primarily targets specific provider types, many linked to
Medicaid reimbursement.

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  MARKET CONCENTRATION
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  Louisiana's hospital market is dominated by a few large, non-profit systems
that wield significant market power, particularly in metro areas like New
Orleans and Baton Rouge.

  $81.4B in discounted drugs. Zero disclosure requirements.

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  CASE LAW / DENIALS
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  Blocked: Sivad Home and Community Services

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