============================================================================== CERTIFICATE OF NEED INTELLIGENCE BRIEF: MISSISSIPPI The Rojas Report | conlaws.rojasreport.com/states/mississippi/ ============================================================================== State: Mississippi (MS) Score: 90/100 Tier: Highly Restrictive Rank: 37 of 51 jurisdictions ------------------------------------------------------------------------------ KEY METRICS ------------------------------------------------------------------------------ 7 Services regulated by CON 1979 Year CON enacted 40 Years of home health moratorium 50% BCBS market share ------------------------------------------------------------------------------ SUMMARY ------------------------------------------------------------------------------ Mississippi CON score 90/100 (highly restrictive). 7 services regulated since 1979. A 40-year moratorium on new home health agencies was struck down by a federal court. ------------------------------------------------------------------------------ SCOPE OF REGULATION ------------------------------------------------------------------------------ * Services Requiring CON Approval * A 40-year moratorium on home health agencies was only lifted by federal court order. ------------------------------------------------------------------------------ APPLICATION PROCESS ------------------------------------------------------------------------------ The applicant bears the burden of proving the proposed service is necessary. The process allows for intervention from competitors, who can request administrative hearings to contest the application. The decision showcases how incumbents can use the CON process to block new competitors from entering a market. ------------------------------------------------------------------------------ MARKET CONCENTRATION ------------------------------------------------------------------------------ Market share estimated based on available revenue and operational data. In 2010, St. Dominic's Hospital sought to build a new $121 million hospital in Madison County, one of the fastest-growing and wealthiest counties in the state. The proposed facility would have brought new services and competition to an area dominated by existing providers. ------------------------------------------------------------------------------ REFORM STATUS ------------------------------------------------------------------------------ Mississippi's CON laws have been in place since 1979. They regulate 7 different services, devices, and procedures. For 40 years, the state enforced a moratorium on new home health agencies, a policy so blatantly anti- competitive it took a federal court to strike it down. Mississippi (No Substantive Reform) ------------------------------------------------------------------------------ CASE LAW / DENIALS ------------------------------------------------------------------------------ Mississippi's CON laws have been in place since 1979. They regulate 7 different services, devices, and procedures. For 40 years, the state enforced a moratorium on new home health agencies, a policy so blatantly anti- competitive it took a federal court to strike it down. In 2010, St. Dominic's Hospital sought to build a new $121 million hospital in Madison County, one of the fastest-growing and wealthiest counties in the state. The proposed facility would have brought new services and competition to an area dominated by existing providers. The decision showcases how incumbents can use the CON process to block new competitors from entering a market. ============================================================================== Source: The Rojas Report | conlaws.rojasreport.com/states/mississippi/ Data: Cicero Institute, NASHP, FTC, DOJ, CMS, state health departments Generated: April 2026 ==============================================================================