Nevada Certificate of Need Laws
Nevada
Most Restrictive
Year Enacted
—
Services Regulated
—
National Rank
43 of 51
Top Systems
- Sunrise Health (HCA)
- Dignity Health Nevada
Reform Status
Most Restrictive with no active reform bill.
Key Case
Source: Nevada Supreme Court
Nevada's stringent Certificate of Need program creates significant barriers to entry, particularly in rural areas, stifling competition and innovation.
5 Services Held Hostage
- ✓Hospitals
- ✓Ambulatory Surgery Centers (ASCs)
- ✓Imaging (MRI, CT, PET)
- ✓End-Stage Renal Disease / Dialysis
- ✓Air Ambulance
The Nevada Healthcare Cartel
Insurer Dominance
- Insurer Landscape
- The commercial insurance market is a duopoly, limiting choices for employers and patients.
- Hometown Health (BCBS)
- UnitedHealthcare
Any rural project with capital costs over $2,000,000
$81.4B in discounted drugs. Zero disclosure requirements.
Source: Nevada Supreme Court
Source: Nevada Supreme Court
Reform Status: Most Restrictive
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.
Data sourced from state agencies, Cicero Institute, and public records.
Last updated: April 2026