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  CERTIFICATE OF NEED INTELLIGENCE BRIEF: NORTH DAKOTA
  The Rojas Report | conlaws.rojasreport.com/states/north-dakota/
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  State:    North Dakota (ND)
  Score:    5/100
  Tier:     Mostly Free
  Rank:     14 of 51 jurisdictions

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  SUMMARY
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  In-depth analysis of North Dakota's limited Certificate of Need (CON) laws,
which apply only to long-term and basic care facilities, and their impact on
the state's healthcare market.

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  SCOPE OF REGULATION
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  * Long-Term Care Facilities
  * Hospitals & Ambulatory Surgery
  * Advanced Imaging (MRI, CT)

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  APPLICATION PROCESS
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  Source materials include state legislative documents, reports from the
Mercatus Center, and public filings from health systems. All data as of latest
update.

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  MARKET CONCENTRATION
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  Source materials include state legislative documents, reports from the
Mercatus Center, and public filings from health systems. All data as of latest
update.

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