In Kentucky, a health care facility needs what's called a certificate of need for expansion or major expenses.

It's granted if the expense is considered beneficial to a community.

But some question if certificate of need laws are necessary or need to be modernized.

Critics say it can give a hospital a monopoly on services.

Especially in rural areas.

But supporters say without it, competitors would take patients from hospitals, hurting them financially.

The state created a task force to discuss this complicated issue during a meeting yesterday.

One lawmaker said compromise might be the best idea.

We've heard really compelling statistical presentations from both sides on this issue.

And I think the truth is that complex problems deserve nuanced solutions.

So when I look at the state of health in Kentucky, I'm not drawn to a drastic change and I'm also not drawn to the status quo.

I think Kentuckians deserve something in the middle.

It's a time that we really look at principled and I'll say, surgical approaches to how we make changes here.

We need to look closely at our Certificate of Need program, find ways to make those principled changes that are needed.

And also, we need to address the statewide health plan.

The task force will meet again November the 20th.