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  CERTIFICATE OF NEED INTELLIGENCE BRIEF: MICHIGAN
  The Rojas Report | conlaws.rojasreport.com/states/michigan/
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  State:    Michigan (MI)
  Score:    65/100
  Tier:     Restrictive
  Rank:     27 of 51 jurisdictions

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  SUMMARY
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  In-depth analysis of Michigan's Certificate of Need (CON) program, its
market impact on healthcare providers like Corewell Health, and the regulatory
landscape.

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  SCOPE OF REGULATION
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  * Regulated Services
  * **Facilities:** Hospitals, Nursing Homes, Psychiatric Hospitals, and Ambulatory Surgical Centers (ASCs).
  * **Imaging:** CT, MRI, and PET scanners.

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  APPLICATION PROCESS
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  Michigan's CON law covers a broad range of healthcare services and
facilities, requiring state approval for new projects, expansions, or
equipment purchases over a certain cost.

  The Application Gauntlet

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  MARKET CONCENTRATION
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  $81.4B in discounted drugs. Zero disclosure requirements.

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  REFORM STATUS
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  The path to approval is a bureaucratic maze managed by the Department of
Health & Human Services (MDHHS) and a governor-appointed commission.

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  CASE LAW / DENIALS
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  In a landmark case, Huron Valley Hospital's 1977 CON application was denied
after local planners favored an established competitor. The subsequent lawsuit
alleged that the CON process was used not to manage resources, but to actively
conspire against new market entrants. The courts found evidence of potential
abuses, highlighting how CON laws can be weaponized to protect incumbents and
stifle competition, a legal battle that underscores the system's capacity for
cronyism.

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