5 ways the Georgia CON laws could impact PM&R professionals

By understanding these updates, PM&R providers can better adapt to new market conditions and overall enhance patient care.

What are CONs?

First, it’s important to understand what CONs are and why they matter. CONs are legal documents— used in 35 states and Washington, D.C. — required prior to capital expenditures like new medical facilities or making changes to existing healthcare facilities.

The general goal of CONs is to allow state governments to regulate changes that may impact or increase healthcare spending. CONs also allow the states to assess whether a new facility or service is needed in the community. By considering all existing services and utilities, the goal is to ensure and promote high-quality patient care.

What does this mean for PM&R?

Potential for increased access

The CON reform generally loosens restrictions on healthcare facility development and service expansion. This has the potential to increase access to PM&R services, especially for outpatient rehabilitation facilities and specialized programs. Patients in need of physical therapy, post-surgical rehabilitation and long-term recovery services would benefit, as access to care could improve across the state.

Opportunities in new facilities and services

The new CON exemptions, especially those affecting outpatient birthing centers and psychiatric/substance abuse programs, allow PM&R specialists to collaborate on tailored rehabilitation services. Increased birthing center availability may increase demand for pediatric rehabilitation services. Additionally, the integration of mental health and physical rehabilitation could provide comprehensive care options for patients recovering from substance abuse or psychiatric conditions.

Competitive landscape and strategic planning

With fewer restrictions, competition within the PM&R market is expected to rise. Clinicians must differentiate themselves by demonstrating the unique value of their care and services. Expanding the relocation radius to five miles also gives existing providers greater flexibility to move or expand their facilities in response to market needs. PM&R professionals should carefully assess the updated regulations to identify growth opportunities and adapt their business strategies accordingly.

Impact on ambulatory surgery centers (ASCs) and hospitals

The changes to ASC exemptions, allowing broader physician utilization and clarifying management service organization arrangements, could impact PM&R practices that utilize or partner with ASCs. This may allow for more streamlined post-surgical rehabilitation programs.

Diagnostic imaging and rural healthcare expansion

The changes to diagnostic imaging regulations, including the removal of cost thresholds for repairs, replacements, and acquisitions, are a positive development for PM&R providers utilizing imaging for patient assessments. Furthermore, the focus on expanding rural healthcare access through new exemptions for birthing centers, psychiatric/substance abuse programs and rural hospitals presents opportunities for PM&R expansion.

In review

Georgia is one a few states who are taking steps to reform CON laws, which present both opportunities and challenges for PM&R professionals. With increased access to care, greater flexibility for facility relocation and expanded service options, new possibilities for growth and innovation are available throughout the specialty. However, heightened competition requires strategic operation and knowledge. By staying informed and practice, PM&R providers can leverage these changes to enhance and expand patient care.