South Carolina governor’s push to repeal health facility construction rules gets boost from Feds

South Carolina is one of dozens of states that require health facilities to get state permission for many kinds of construction and expansion projects.

Nikki Haley, the state’s governor, has been working to repeal these rules, and the federal government recently weighed in with its support. In a letter and attached statement to Haley, the Department of Justice and the Federal Trade Commission wrote that laws requiring a certificate of need impede competition and make such projects more expensive.

"By interfering with the market forces that normally determine the supply of facilities and services, CON laws can suppress supply, misallocate resources, and shield incumbent health care providers from competition from new entrants," federal officials wrote.

State lawmakers are considering a provision that would end the certificate of need requirement in 2018. A 1974 federal law required states to enact the certificate of need process in an effort to control health care costs, but Congress repealed it 13 years later after studies showed it had little effect on cost control.

Rural hospitals present unique opportunities and challenges for healthcare facility operators. Oftentimes, the infrastructure and building systems have not been updated for years and require significant improvements in order to meet today’s modern medical demands. Additionally, as these smaller, more remote hospitals are acquired by larger regional and national healthcare systems, the first step by new ownership is often to update and rehabilitate the building. But how can this be done thoughtfully, economically, and efficiently in ways that allow the engineering and facility staff to adapt to the changes? And how can the updates accurately reflect the specific needs of rural communities and the afflictions with which these areas most commonly face?

Healthcare Facilities | Dec 7, 2021

Wheeler Kearns Architects completes Howard Brown Health’s Broadway Youth Center in Chicago

The new facility will provide medical and social service programs to LGBTQI+ youth.

Healthcare Facilities | Nov 23, 2021

Why vertical hospitals might be the next frontier in healthcare design

In this article, we’ll explore the opportunities and challenges of high-rise hospital design, as well as the main ideas and themes we considered when designing the new medical facility for the heart of London.

Healthcare Facilities | Nov 12, 2021

Centro Hospitalario Serena Del Mar is Safdie Architects’ first project in Latin America

The hospital project is characterized by its connectivity to nature.

Healthcare Facilities | Nov 2, 2021

Key design considerations for designing the smart patient room

The complete patient experience encompasses the journey to the hospital, the care experience, and the trip back home. All these touchpoints come with an expectation.

Pictured: Boulder Community Health’s West Medical Building, Lafayette, Colo. Photo: 2020 Caleb Tkach

Cladding and Facade Systems | Oct 26, 2021

14 projects recognized by DOE for high-performance building envelope design

The inaugural class of DOE’s Better Buildings Building Envelope Campaign includes a medical office building that uses hybrid vacuum-insulated glass and a net-zero concrete-and-timber community center.