Created by Grace Totman, Co-Head of Capstone’s Healthcare Practice
Regulatory scrutiny around healthcare consolidation – specifically private equity investments – has increased over the past couple of years. Although federal investigations often receive the most headline attention, Capstone believes that state-level scrutiny will be more impactful in the long term and should be top of mind for investors. This scrutiny often manifests in “notice” or disclosure requirements, which we estimate exist in at least ten states. These laws require disclosure of transactions (at certain thresholds) involving a healthcare entity. Notice laws also typically target acquisitions of or investments in provider groups, reflecting a focus on Physician Practice Management (PPM) rollups.
In this tracker, Capstone provides analysis of the existing state-level regulation/legislation in this space, including applicability, materiality thresholds, and particular reporting requirements.

Grace Totman, Co-Head of Capstone’s Healthcare Practice
Read more Capstone coverage on Healthcare Private Equity Ownership:
The New Front in the Private Equity Healthcare Battle: State AGs
Healthcare Pressure Points, Opportunities, and Questions for the Balance of 2024
Private Equity’s Healthcare Problem