Trump FTC warns TN against repealing Ballad hospital monopoly without stronger competition law

By: Adam Friedman

Outlets: Tennessee Lookout

Published: April 6, 2026

Words: 541

Last Updated: 2 months, 2 weeks ago

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The U.S. Federal Trade Commission has warned Tennessee lawmakers that if they pass legislation allowing Ballad Health’s monopoly hospital agreement to end without allowing immediate competition, they risk driving up health care costs.

Tennessee lawmakers are contemplating passing legislation that formally ends Ballad’s Certificate of Public Advantage, COPA, agreement in 2028, removing restrictions on the 20-hospital chain in northeastern Tennessee and southwestern Virginia, and a second bill eliminating a law that allows hospitals …

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