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Committee approves repeal of CON for methadone clinics after extended debate

House Health Committee · March 17, 2026
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Summary

The House Health Committee voted to remove the certificate-of-need requirement for methadone while preserving physician oversight and counseling; members raised zoning, community-impact and commercialization concerns during extended floor debate.

The House Health Committee passed House Bill 2100, which removes the certificate-of-need (CON) requirement for methadone provision while keeping physician supervision and counseling requirements in place. Sponsor Representative (SEG 468) said the bill "doesn't do away with" physician oversight and is intended to expand access to addiction treatment in facilities that meet existing local requirements.

Committee members pressed the sponsor on community controls and unintended consequences. Representative Williams warned that repeal could let clinics locate outside municipal zoning oversight, recalling a local clinic that relocated to Putnam County because city zoning blocked siting; he asked what remedy citizens would have if a clinic located near a school. The sponsor responded that the bill does not override local ordinances: "You still have to follow any local ordinances or zoning," and that current CON processes were being phased out in favor of licensure. The bill passed and will move to finance and ways and means with a 13–6 vote recorded by the clerk.