RS12 HB 458 - POSSIBLE KEY VOTE - Granting Health Care Monopolies Drive Up Costs
HB 458 would allow an innovation to the delivery of health care in the form of an "ambulatory surgical center". An ambulatory surgical center would be a health facility where physicians can provide outpatient (non-dental) surgical services. In theory, a group of physicians or surgeons could open a center and offer these health services, probably in competition with other providers, most likely hospitals.
As David Adams points out:
Surgery in a hospital is much more expensive than surgery in a doctor's office and Kentucky's House Health and Welfare Committee wants to keep you going to the hospital.The committee voted this afternoon to require doctor's seeking to establish outpatient "ambulatory surgical centers" in their office's to apply to the state's archaic and inefficient Certificate of Need department so the state can prevent them from providing these services in competition with hospitals.
Competition is one way to help reduce prices in health care, and prices are the driver of high health care expenditures in the US. Unfortunately, this legislation subjects this new innovation to the state's "Certificate of Need", meaning that the state will only approve these innovative centers if they are not too much in competition with others offering the service.
Subjecting ambulatory surgical centers to state rationing will limit the impact of these centers, is anti-competitive and anti-growth, which is why this bill will likely be a KEY VOTE.