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The FDA’s decades-old requirement that drugs prove “efficacy” before approval has slowed access to promising treatments, raised costs, and left patients waiting. A “Safe to Try” approach would keep regulators focused on safety while allowing doctors and patients to decide what works.

As we celebrate 250 years of independence, it’s time states let that freedom ring in health care, too. Repealing certificate of need laws is a small but meaningful first step.
New Hampshire has always prided itself on being first, on being bold, and on trusting its citizens to make decisions about their own lives. This is not a hard call. It is a chance to lead and a chance to honor the people who fought so hard to make this freedom possible.

Americans for Prosperity is committed to making health care affordable, less complex, and more transparent. Patients deserve greater choice and control when it comes to their health care.


Every presidential administration since 1987 — from conservative Reagan to progressive Biden — has called for the repeal of these regulations.
On July 14, Sofia Hamilton testified in opposition to H.2562/S.1568, An Act to Create a Nicotine Free Generation.
On March 12, Sofia Hamilton testified on L.B. 437, Repeal the Nebraska Health Care Certificate of Need Act.
On February 26, Sofia Hamilton testified on House Bill 735 for the Maryland House Health and Government Operations Committee.