============================================================================== CERTIFICATE OF NEED INTELLIGENCE BRIEF: OREGON The Rojas Report | conlaws.rojasreport.com/states/oregon/ ============================================================================== State: Oregon (OR) Score: 65/100 Tier: Restrictive Rank: 27 of 51 jurisdictions ------------------------------------------------------------------------------ SUMMARY ------------------------------------------------------------------------------ In-depth analysis of Oregon's Certificate of Need (CON) laws, market concentration, and their impact on healthcare competition and access. ------------------------------------------------------------------------------ SCOPE OF REGULATION ------------------------------------------------------------------------------ * Psychiatric Beds * Regulated Services * Ambulatory Surgical Centers (since 2009) * Psychiatric Hospital Denied * exemption of Ambulatory Surgical Centers (ASCs) from CON review in 2009 ------------------------------------------------------------------------------ APPLICATION PROCESS ------------------------------------------------------------------------------ exemption of Ambulatory Surgical Centers (ASCs) from CON review in 2009 However, the core of the law, which covers new hospitals and long-term care facilities, remains firmly in place, preserving the gatekeeping power of the state and incumbent providers. ------------------------------------------------------------------------------ MARKET CONCENTRATION ------------------------------------------------------------------------------ The state's score of 65 reflects this mixed reality: a major reform in the past, but a system that still significantly restricts market entry for core healthcare facilities. $81.4B in discounted drugs. Zero disclosure requirements. ------------------------------------------------------------------------------ REFORM STATUS ------------------------------------------------------------------------------ exemption of Ambulatory Surgical Centers (ASCs) from CON review in 2009 The state's score of 65 reflects this mixed reality: a major reform in the past, but a system that still significantly restricts market entry for core healthcare facilities. ------------------------------------------------------------------------------ CASE LAW / DENIALS ------------------------------------------------------------------------------ Case File: NEWCO Oregon, Inc. Psychiatric Hospital Denied In 2017, the Oregon Health Authority denied a Certificate of Need for a proposed 100-bed freestanding psychiatric hospital in Wilsonville. The applicant, NEWCO, argued the state desperately needed more mental health capacity. ============================================================================== Source: The Rojas Report | conlaws.rojasreport.com/states/oregon/ Data: Cicero Institute, NASHP, FTC, DOJ, CMS, state health departments Generated: April 2026 ==============================================================================