Certificate of Need Laws

Virginia

Virginia's CON laws, in place since 1973, regulate 19 different services. This extensive regulation has led to highly concentrated hospital markets, limiting patient choice and shielding incumbent providers from competition.

Restrictiveness Score
100/ 100
Most Restrictive
National Rank
35of 50
More Restrictive
Governor
Glenn Youngkin
Republican
19
Services regulated by CON
1973
Year CON enacted
17.71%
Top Insurer Market Share
Highly Concentrated
Northern VA Hospital Market
01

What CON Covers in Virginia

Virginia's COPN program is administered by the Virginia Department of Health. Incumbent providers can actively participate in the review process to object to new competitors.

CategoryServices Requiring CON Approval
FacilitiesHospitals, Nursing Homes, Ambulatory Surgical Centers (ASCs), Psychiatric Hospitals, Rehabilitation Hospitals
EquipmentMedical Equipment (MRI, PET, CT scanners), Lithotripsy, Radiation Therapy
ServicesOrgan Transplantation, Open Heart Surgery, Neonatal Special Care, Substance Abuse Treatment
OtherHome Health Agencies, Hospice, Capital expenditures exceeding $15 million

The Application Process

Review DetailValue
Reviewing AgencyVirginia Department of Health
Application FeeVaries
Review Timeline90-180 days
Can Competitors Intervene?Yes
02

Who Benefits From CON in Virginia?

CON laws often lead to consolidated markets, where a few large players dominate. This reduces competition and can lead to higher prices for consumers.

Highly Concentrated
Northern Virginia Market
Dominant
Sentara in Hampton Roads
17.71%
Top Insurer Market Share
$13B
Revenue of Top System (Sentara)

Virginia Hospital System Revenue

A few large systems control the majority of hospital revenue in Virginia, a sign of a concentrated market.

Sentara Health ($13B)
Inova Health System ($6.5B)
UVA Health System ($5.6B)
Others
03

The Human Cost of CON

The stories of those denied care or the ability to provide it.

Colon Health Centers v. Virginia

MRI Machine Denial

CON Upheld

In 2015, a federal court ruled against a physician who challenged the CON law after being denied a certificate to purchase a second MRI machine for his independent practice. The court upheld the state's right to regulate, showcasing how the law prevents providers from expanding services based on demand.

"The court found that the COPN law's burdens on interstate commerce were not 'clearly excessive in relation to the putative local benefits.'"
04

Where Reform Stands in Virginia

Current State: No Meaningful Reform

Despite numerous attempts, Virginia's COPN law remains largely intact. Bills to repeal or significantly reform the law have consistently failed in the General Assembly, often due to strong opposition from the hospital lobby.

  • CON program since 1973
  • 19 services regulated
  • Score: 100/100 (Most Restrictive)
  • Repeal efforts have failed

States That Reformed

States that have repealed their CON laws have seen increases in healthcare availability, particularly in rural areas, and lower costs. For example, after repealing its CON law, New Hampshire saw a significant increase in the number of ambulatory surgery centers.

  • 15 states have no CON law
  • Increased competition
  • Lower healthcare costs
  • Improved access to care
05Editorial

The Rojas Report Take

Virginia's Certificate of Public Need (COPN) program is a classic example of a government-sanctioned cartel. Since 1973, it has served to protect established hospital systems from competition, driving up costs and limiting access for patients. The state regulates a staggering 19 services, far more than the national average, creating a bureaucratic minefield for anyone attempting to offer new healthcare options.

Look at the market concentration. In Northern Virginia, Inova Health System acts as a regional powerhouse, while Sentara Health dominates the Hampton Roads area. These systems don't have to compete on price or quality because the state's COPN law ensures no new players can threaten their dominance. When a physician can't even buy a second MRI machine to serve his patients because the state denies his application, it's clear the system is not designed for the public's benefit.

This isn't a free market; it's a protection racket. With a score of 100, Virginia's laws are highly restrictive, creating an environment where incumbents thrive and patients pay the price. The argument that these laws ensure quality or control costs is a smokescreen for the real purpose: protecting the profits of the hospital lobby.

The Rojas Report

Data sourced from the Virginia Department of Health, Centers for Medicare & Medicaid Services (CMS), Mercatus Center, and the Institute for Justice.