Updated: States with Certificate of Public Advantage (COPA) Laws
In the most recent legislative session, Indiana enacted a new certificate of public advantage (COPA) law (SB 416) that allows mergers of certain hospitals to receive immunity from claims of state antitrust laws for the duration of the certificate. Specifically, hospitals eligible for the COPA must be located in a predominately rural county with a specific population cap and has no more than two hospitals in the statewide comprehensive trauma care system.
Indiana joins 17 other states with existing COPA laws and 1 states with limited COPA laws, mostly enacted since 1993. Five other states, including North Carolina and Montana, have repealed their COPA statutes.
See map below for an overview of existing and repealed COPA laws across the country. Click on the state for citations and to download the statute text available in the SLIHCQ Database.
[…] laws, which exist in 17 states, allow hospitals that want to merge to be immunized against federal antitrust law, which is meant […]
[…] [3] Amy Y. Gu, Updated: States with Certificate of Public Advantage (COPA) Laws, The Source on healthcare Price & Competition (Aug. 10, 2021), https://sourceonhealthcare.org/updated-states-with-certificate-of-public-advantage-copa-laws/. […]
[…] Nineteen states at the moment have COPA legal guidelines in place, whereas five states have repealed their COPA legal guidelines. The remaining nineteen states may repeal their COPA legal guidelines and permit federal antitrust enforcement to supervise a better proportion of mergers than they at the moment do. Wanting repealing COPA legal guidelines, state regulators accountable for processing COPA functions may scrutinize candidates extra strictly. Not too long ago in New York, a COPA utility fell through seemingly as a result of the merged entity would have had a mixed share of almost two-thirds of the commercially insured inpatient companies in a single county. […]
[…] Nineteen states at present have COPA legal guidelines in place, whereas 5 states have repealed their COPA legal guidelines. The remaining nineteen states might repeal their COPA legal guidelines and permit federal antitrust enforcement to supervise the next proportion of mergers than they at present do. Wanting repealing COPA legal guidelines, state regulators answerable for processing COPA functions might scrutinize candidates extra strictly. Not too long ago in New York, a COPA utility fell via seemingly as a result of the merged entity would have had a mixed share of almost two-thirds of the commercially insured inpatient companies in a single county. […]
[…] Nineteen states presently have COPA legal guidelines in place, whereas 5 states have repealed their COPA legal guidelines. The remaining nineteen states might repeal their COPA legal guidelines and permit federal antitrust enforcement to supervise a better proportion of mergers than they presently do. In need of repealing COPA legal guidelines, state regulators accountable for processing COPA purposes might scrutinize candidates extra strictly. Lately in New York, a COPA utility fell by way of seemingly as a result of the merged entity would have had a mixed share of almost two-thirds of the commercially insured inpatient companies in a single county. […]
[…] Nineteen states at the moment have COPA legal guidelines in place, whereas 5 states have repealed their COPA legal guidelines. The remaining nineteen states might repeal their COPA legal guidelines and permit federal antitrust enforcement to supervise a better proportion of mergers than they at the moment do. Wanting repealing COPA legal guidelines, state regulators in control of processing COPA functions might scrutinize candidates extra strictly. Not too long ago in New York, a COPA utility fell by means of seemingly as a result of the merged entity would have had a mixed share of almost two-thirds of the commercially insured inpatient companies in a single county. […]
[…] Nineteen states at present have COPA legal guidelines in place, whereas 5 states have repealed their COPA legal guidelines. The remaining nineteen states might repeal their COPA legal guidelines and permit federal antitrust enforcement to supervise the next proportion of mergers than they at present do. Wanting repealing COPA legal guidelines, state regulators in command of processing COPA functions might scrutinize candidates extra strictly. Not too long ago in New York, a COPA utility fell via seemingly as a result of the merged entity would have had a mixed share of practically two-thirds of the commercially insured inpatient providers in a single county. […]
[…] Nineteen states at present have COPA legal guidelines in place, whereas 5 states have repealed their COPA legal guidelines. The remaining nineteen states may repeal their COPA legal guidelines and permit federal antitrust enforcement to supervise the next proportion of mergers than they at present do. Wanting repealing COPA legal guidelines, state regulators in control of processing COPA purposes may scrutinize candidates extra strictly. Lately in New York, a COPA utility fell by way of seemingly as a result of the merged entity would have had a mixed share of practically two-thirds of the commercially insured inpatient providers in a single county. […]
[…] Nineteen states at present have COPA legal guidelines in place, whereas 5 states have repealed their COPA legal guidelines. The remaining nineteen states might repeal their COPA legal guidelines and permit federal antitrust enforcement to supervise a better proportion of mergers than they at present do. In need of repealing COPA legal guidelines, state regulators in command of processing COPA functions might scrutinize candidates extra strictly. Not too long ago in New York, a COPA utility fell by seemingly as a result of the merged entity would have had a mixed share of almost two-thirds of the commercially insured inpatient providers in a single county. […]
[…] Nineteen states at the moment have COPA legal guidelines in place, whereas five states have repealed their COPA legal guidelines. The remaining nineteen states may repeal their COPA legal guidelines and permit federal antitrust enforcement to supervise the next proportion of mergers than they at the moment do. Wanting repealing COPA legal guidelines, state regulators in control of processing COPA functions may scrutinize candidates extra strictly. Lately in New York, a COPA utility fell through seemingly as a result of the merged entity would have had a mixed share of almost two-thirds of the commercially insured inpatient companies in a single county. […]
[…] Nineteen states presently have COPA legal guidelines in place, whereas 5 states have repealed their COPA legal guidelines. The remaining nineteen states may repeal their COPA legal guidelines and permit federal antitrust enforcement to supervise the next proportion of mergers than they presently do. In need of repealing COPA legal guidelines, state regulators answerable for processing COPA functions may scrutinize candidates extra strictly. Lately in New York, a COPA software fell by way of seemingly as a result of the merged entity would have had a mixed share of almost two-thirds of the commercially insured inpatient companies in a single county. […]
[…] Nineteen states presently have COPA legal guidelines in place, whereas five states have repealed their COPA legal guidelines. The remaining nineteen states may repeal their COPA legal guidelines and permit federal antitrust enforcement to supervise the next proportion of mergers than they presently do. Wanting repealing COPA legal guidelines, state regulators answerable for processing COPA functions may scrutinize candidates extra strictly. Not too long ago in New York, a COPA software fell through seemingly as a result of the merged entity would have had a mixed share of almost two-thirds of the commercially insured inpatient providers in a single county. […]
[…] Nineteen states at the moment have COPA legal guidelines in place, whereas 5 states have repealed their COPA legal guidelines. The remaining nineteen states may repeal their COPA legal guidelines and permit federal antitrust enforcement to supervise a better proportion of mergers than they at the moment do. Wanting repealing COPA legal guidelines, state regulators answerable for processing COPA purposes may scrutinize candidates extra strictly. Lately in New York, a COPA utility fell via seemingly as a result of the merged entity would have had a mixed share of practically two-thirds of the commercially insured inpatient companies in a single county. […]
[…] Nineteen states at present have COPA legal guidelines in place, whereas 5 states have repealed their COPA legal guidelines. The remaining nineteen states may repeal their COPA legal guidelines and permit federal antitrust enforcement to supervise a better proportion of mergers than they at present do. In need of repealing COPA legal guidelines, state regulators accountable for processing COPA purposes may scrutinize candidates extra strictly. Not too long ago in New York, a COPA software fell via seemingly as a result of the merged entity would have had a mixed share of practically two-thirds of the commercially insured inpatient companies in a single county. […]
[…] Nineteen states at the moment have COPA legal guidelines in place, whereas five states have repealed their COPA legal guidelines. The remaining nineteen states might repeal their COPA legal guidelines and permit federal antitrust enforcement to supervise the next proportion of mergers than they at the moment do. Wanting repealing COPA legal guidelines, state regulators accountable for processing COPA functions might scrutinize candidates extra strictly. Lately in New York, a COPA utility fell through seemingly as a result of the merged entity would have had a mixed share of practically two-thirds of the commercially insured inpatient providers in a single county. […]
[…] Nineteen states presently have COPA legal guidelines in place, whereas 5 states have repealed their COPA legal guidelines. The remaining nineteen states might repeal their COPA legal guidelines and permit federal antitrust enforcement to supervise a better proportion of mergers than they presently do. Wanting repealing COPA legal guidelines, state regulators accountable for processing COPA functions might scrutinize candidates extra strictly. Just lately in New York, a COPA software fell by means of seemingly as a result of the merged entity would have had a mixed share of practically two-thirds of the commercially insured inpatient companies in a single county. […]
[…] to protect well being care suppliers from antitrust scrutiny in sure circumstances. For instance, 19 states have Certificates of Public Benefit (COPA) rules, which immunize a merger from antitrust demanding […]