Virginia’s Certificate of Public Need (COPN), sometimes referred to as CON (Certificate of Need), program was created in 1973 by a federal mandate. The mandate requires health care providers seeking to open or expand a health care facility to receive approval from a regulatory body to prove that a community needs the services the facility would deliver. Its original purpose was to control cost and increase access to care, but it has failed to do either. The federal mandate was repealed in 1986, but Virginia’s program remains.
COPN creates higher out of pockets costs for patients and care is delayed because they can’t shop for lower priced services.
MSV participated in the 2019 multi-stakeholder COPN workgroup, convened by the Secretary of Health and Human Resources, Daniel Carey, MD.
MSV supports modernizing Virginia’s COPN. Any changes must ensure patient safety and access to quality, affordable health care, as well as include charity care requirements.
If you are interested in learning more about MSV's work on COPN contact the MSV Government Affairs team.