Category: Legislation

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

• Global Dynamics of US Most-Favored-Nation Drug Pricing
  August 26, 2026 by Guest Author
  By: Bernard Chao Introduction In December 2025, the US Centers for Medicare & Medicaid Services (CMS) published proposed rules for two mandatory models that link Medicare drug reimbursement to international benchmark prices. The GLOBE model (Part B) would require manufacturers of high-cost single-source drugs to rebate the difference between US prices and a benchmark derived […]
• California Hospital Association Files Opposition to OHCA Demurrer
  August 21, 2026 by Anna Chau
  On August 10th, 2026, the California Hospital Association (CHA) filed an Opposition to OHCA's Demurrer to Second Amended Petition for Writ of Mandate. In it, CHA defended its position that both its members, and itself as an organization, have standing in being harmed by the spending targets. CHA refuted California’s Office of Health Care Affordability’s […]
• California Hospital Association Makes New Claims in its Case Against OHCA Spending Targets
  August 11, 2026 by Anna Chau
  Overview In April 2024, the Health Care Affordability Board at California’s Office of Health Care Affordability (OHCA) approved a statewide health care spending target, setting an annual per capita growth rate that health plans and providers are expected to meet in order to slow the rise in health care costs. Starting January 1, 2026, OHCA […]
• New Podcast: Cross-Market Mergers and the Next Frontier in Healthcare Antitrust
  August 6, 2026 by Megan Bochum
  The Source's Katie Gudiksen joined Jaime King and host Andréa Caballero of Catalyst for Payment Reform on the latest episode of Listening In (With Permission) to discuss cross-market hospital mergers and the challenges they pose for antitrust enforcement. In the conversation, Gudiksen and King explain why mergers between hospitals in separate geographic areas have become […]
• DOJ and State of Ohio Announce a Settlement of Anticompetitive Contracting Case
  June 27, 2026 by Bruce Allain, Managing Editor
  On February 20, 2026, the Department of Justice (DOJ) and the Ohio Attorney General’s office filed suit against OhioHealth, a 16-hospital nonprofit health system, claiming that OhioHealth’s use of all-or-nothing terms (requiring insurers to include all of its providers in their networks) inflates costs for policyholders and disadvantages competitors.  The suit also claimed that OhioHealth’s contracts included terms requiring OhioHealth […]
• Tennessee Sued Over Structural Approach to PBM Vertical Integration
  June 12, 2026 by Bruce Allain, Managing Editor
  Across the healthcare system, companies that once occupied a single layer of the supply chain increasingly own the layers above and below them, and that vertical consolidation can raise costs, narrow patient choice, and create conflicts of interest when one firm both sets prices and competes in the market it is pricing.  Pharmacy benefit managers […]