============================================================================== CERTIFICATE OF NEED INTELLIGENCE BRIEF: WISCONSIN The Rojas Report | conlaws.rojasreport.com/states/wisconsin/ ============================================================================== State: Wisconsin (WI) Score: 5/100 Tier: Mostly Free Rank: 14 of 51 jurisdictions ------------------------------------------------------------------------------ SUMMARY ------------------------------------------------------------------------------ Wisconsin has very limited CON laws, applying only to nursing homes. Explore its impact on healthcare access and market competition. ------------------------------------------------------------------------------ SCOPE OF REGULATION ------------------------------------------------------------------------------ * Nursing Home Bed Moratorium * Regulated Services * Nursing Home Beds * Ambulatory Surgery Centers (ASCs) * MRI & CT Scanners ------------------------------------------------------------------------------ APPLICATION PROCESS ------------------------------------------------------------------------------ Wisconsin's CON program is a narrow exception in an otherwise free market. The only service requiring approval is the establishment of or increase in beds for nursing homes and certain long-term care facilities. The process is administered by the Wisconsin Department of Health Services under the Nursing Home Bed Moratorium (Wis. Stat. 150.31). ------------------------------------------------------------------------------ MARKET CONCENTRATION ------------------------------------------------------------------------------ The broader hospital and outpatient market is competitive, featuring several large non-profit systems. These systems compete on price and quality, unhindered by CON for most services. Major players include: Like many states, Wisconsin had a broad CON program covering a wide range of healthcare services. This system was criticized for stifling competition and innovation. ------------------------------------------------------------------------------ REFORM STATUS ------------------------------------------------------------------------------ Nursing Home Bed Moratorium The process is administered by the Wisconsin Department of Health Services under the Nursing Home Bed Moratorium (Wis. Stat. 150.31). ============================================================================== Source: The Rojas Report | conlaws.rojasreport.com/states/wisconsin/ Data: Cicero Institute, NASHP, FTC, DOJ, CMS, state health departments Generated: April 2026 ==============================================================================