State Healthcare Transaction Laws

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Our interactive map provides an overview of states’ pre-merger notification requirements applicable to healthcare transactions (aka “Baby HSR Acts” or “mini-HSRs”). Our team updates this map regularly, as many states are or will be contemplating legislation that results in new pre-merger notification laws.

The map identifies three categories of such notification requirements based on the type of healthcare entity subject to the notification requirement:

BROAD:

ONE

Certain states colored in light blue have pre-merger notification requirements that apply to a broad range of health care entities (e.g., plans, hospitals and other facilities, physician groups, and others). Some of these requirements may be “suspensory” in nature, meaning the parties cannot close the transaction until the state regulatory regime clears the transaction.

LIMITED:

Certain states colored in light grey have pre-merger notification requirements that apply to only certain entities (e.g., hospitals), and in some instance, those entities must meet certain thresholds in addition to those related to the transaction, such as market share.

TWO

NONE:

States colored in light green do not currently have pre-merger notification requirements applicable to healthcare transactions.

THREE

Note that in many states, healthcare transactions, and particularly regulated healthcare entities, may also be subject to additional review and requirements not identified in this map, such as facility licensure requirements.

Finally, and most importantly, this map is intended to serve as a starting point for analyzing whether a transaction would be subject to any pre-merger notification requirements in any state. Accordingly, we invite you to please reach out to our team with any questions about potential regulatory approvals for you healthcare transaction, as well as attorneys on our healthcare and antitrust and competition teams.

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