============================================================================== CERTIFICATE OF NEED INTELLIGENCE BRIEF: NEVADA The Rojas Report | conlaws.rojasreport.com/states/nevada/ ============================================================================== State: Nevada (NV) Score: 100/100 Tier: Most Restrictive Rank: 43 of 51 jurisdictions ------------------------------------------------------------------------------ SUMMARY ------------------------------------------------------------------------------ In-depth analysis of Nevada's highly restrictive Certificate of Need (CON) laws, market concentration, and their impact on healthcare access and competition. ------------------------------------------------------------------------------ SCOPE OF REGULATION ------------------------------------------------------------------------------ * Regulated Services * Ambulatory Surgery Centers (ASCs) in rural areas * Imaging & Dialysis Centers in rural areas ------------------------------------------------------------------------------ APPLICATION PROCESS ------------------------------------------------------------------------------ Competitors can intervene ------------------------------------------------------------------------------ MARKET CONCENTRATION ------------------------------------------------------------------------------ Any rural project with capital costs over $2,000,000 $81.4B in discounted drugs. Zero disclosure requirements. ------------------------------------------------------------------------------ REFORM STATUS ------------------------------------------------------------------------------ Nevada's CON law, enacted in 1971, remains firmly in place with no significant repeals. While administrative oversight is shifting, the core regulatory barriers persist, maintaining a restrictive environment that favors established players. ------------------------------------------------------------------------------ CASE LAW / DENIALS ------------------------------------------------------------------------------ Source: Nevada Supreme Court ============================================================================== Source: The Rojas Report | conlaws.rojasreport.com/states/nevada/ Data: Cicero Institute, NASHP, FTC, DOJ, CMS, state health departments Generated: April 2026 ==============================================================================