It’s not just HHS, it’s typically at the state level where they ask the hospitals — https://reason.com/2020/02/26/these-state-level-health-care-regulations-rais

It’s not just HHS, it’s typically at the state level where they ask the hospitals — https://reason.com/2020/02/26/these-state-level-health-care-regulations-raise-prices-and-create-shortages-heres-how-to-fix-them/ https://reason.com/2020/02/26/these-state-level-health-care-... I’ve seen first hand hospitals “justify” not letting competitors as local hospitals always give input (they need to pull records). What happens is the hospitals generate projected reports and showing they’d be bankrupt if another hospital is allowed.