State Policies on Provider Market Power

The Source is a comprehensive platform that monitors and documents various state-level activities related to healthcare prices and competition. It provides valuable resources in the form of legislation and litigation databases, which are searchable and easily accessible.

The Database of State Laws Impacting Healthcare Cost and Quality focuses on legislative measures that have an impact on the cost and quality of healthcare. This database allows stakeholders at the state level to gain insights into their legal and regulatory environment. By understanding the laws in place, these stakeholders can make informed decisions and take necessary actions to enhance access, quality, and efficiency in healthcare while also striving to reduce costs.

Additionally, The Source includes a collection of maps that offer a visual representation of notable legislation and initiatives in health policy and reform across all 50 states. These maps provide a convenient way to explore the different approaches taken by each state and the progress made in addressing healthcare challenges.

If users have specific laws or cases they are interested in, they can utilize the search functionality within the database. This feature enables targeted exploration of laws and cases pertaining to a particular state, making it easier to find relevant information.

Overall, The Source serves as a valuable tool for stakeholders involved in healthcare, providing them with the necessary information to navigate the complex landscape of healthcare legislation and policy across the United States.

Through a review of state laws, CPR found a short list of states – California, Massachusetts, Montana, New Hampshire, North Carolina, Oregon, and Rhode Island – that are particularly active in their policy efforts regarding healthcare provider consolidation and market power.

The Database of State Laws Impacting Healthcare Cost and Quality (SLIHCQ)

The Source on Healthcare Price & Competition

The Source tracks state activities impacting healthcare price and competition in both legislation (The Database of State Laws Impacting Healthcare Cost and Quality) and litigation in a searchable database to help stakeholders at the state level understand their legal and regulatory environment as they make efforts to improve access, quality, and efficiency, and reduce costs in healthcare.

Browse through the maps below to find out more about notable legislation and initiatives in health policy and reform across 50 states or search the database for specific laws and cases of a particular state.

ARTICLES & REPORT

• The Source Staff Co-Author New Research on the State Protection of Academic Medical Centers from Antitrust Oversight
  25 Mar 2026 by Bruce Allain, Managing Editor
  The Source’s founder Jaime S. King, and executive editor Katherine L. Gudiksen, working with Harvard’s Anna D. Sinaiko, have authored a report on state antitrust exemptions for academic medical centers (AMCs) published recently by the New England Journal of Medicine.  There is a recent history of AMCs merging with nonacademic systems, with states creating "carve-outs" to exempt AMCs from antitrust oversight.  The research […]
• California’s Antitrust Reform Recommendation Reaches the Legislature as AB 1776
  23 Mar 2026 by Kassie Williams
  Background In August of last year, The Source shared information about the California Law Revision Committee's (CLRC) antitrust study, spurred by the 2022 Assembly Concurrent Resolution No. 95. At its outset, the study aimed to address the U.S. monopoly problem and the "threat of market concentration" in California.  The legislature tasked the CLRC with determining […]
• Anticompetitive Provider Contract Terms Come Under Fire
  16 Mar 2026 by Bruce Allain, Managing Editor
  Antitrust scrutiny of anticompetitive healthcare contract terms is on the rise, and the use of anticompetitive contract terms are increasingly in the crosshairs of both regulators and courts. When healthcare systems acquire a dominant market share, one method of capitalizing on this dominance is to impose anticompetitive terms on entities they contract with for financial […]
• The Source Roundup: March 2026 Edition
  1 Mar 2026 by Leelah Klauber
  Healthcare Markets and Acquisitions Health Insurance After Corporatization —What Next? New England Journal of Medicine Perspective Leemore Dafny, Ph.D. The author explores whether the corporatization of the U.S. health insurance industry (i.e., the consolidation of insurers within and across markets) contributes to the industry's poor performance among the commercially insured population. The answer is maybe. […]
• 2026 California Healthcare Legislation: Ambitious Despite Challenges
  27 Feb 2026 by Anna Chau
  For 2026, California is in the second year of a two-year legislative session.  And while a significant number of bills have carried over from last year, we are seeing the introduction of new bills for 2026.  With economic uncertainty and reduced federal funds, the state is facing challenges.  However, lawmakers are still pursuing some ambitious […]
• Court Rules in Favor of OHCA’s Demurrer Against CHA
  23 Feb 2026 by Megan Bochum
  On February 17, 2026, California Hospital Association (CHA) and Office of Health Care Affordability (OHCA) representatives were before the Superior Court of San Francisco as CHA contested the court’s tentative ruling sustaining OHCA’s demurrer. A demurrer is a motion that does not address factual allegations in a case, but rather challenges a plaintiff’s legal basis […]