"Florida and Iowa legislators have passed bills that will reform their respective certificate-of-need processes."
Florida simplifies the process, and establishes a "loser pays" provision to discourage lawsuits meant only to obstruct the process.
Iowa's CON legislation has not passed both houses. "The bill would let replacement critical-access hospitals serving 75 percent of the same area, providing 75 percent of the same services and keeping 75 percent of the same staff avoid the CON process entirely."