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SPOTLIGHT: The history of certificate-of-need laws, explained

This surgeon wants to offer cheap MRIs. A state law is getting in his way.

Dr. Gajendra Singh is suing to overturn North Carolina’s “certificate of need” law.

Under North Carolina’s law, a medical provider must obtain a government permit (a “certificate of need”) if they want to offer certain new services or buy new equipment. But first, every year, state officials will make a determination about whether certain services are needed in different places.

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