NC hospital assoc. allegedly lobbied against Medicaid expansion to keep competition out

  • HCA’s Mission Health is a member of North Carolina Healthcare Association (NCHA), which was recently exposed for blocking a state Senate bill to expand Medicaid to protect the state’s Certificate of Need (CoN) regulations.
  • The bill proposes changes to NC’s CoN laws, which NCHA argues would be “a blow to hospitals’ revenues.”
  • While NCHA claims to support Medicaid expansion, in this case the association’s interest in protecting CoN laws to limit competition and protect hospital profits took precedence. Dive deeper.
  • HCA’s lack of transparency around its lobbying and political expenditures (including millions to conservative dark money groups in Florida) has been a major concern for investors and was the subject of two shareholder resolutions this year.