In the field of neonatology, regionalization of care has been shown to improve care - both morbidity and mortality. Without COPN requirements in place, the number of NICUs has expanded tremendously leading to deregionalization across the US. Both the American Academy of Pediatrics and the March of Dimes as well as other leading neonatal/perinatal organizations have continued to advocate for regionalization of care. In order to ensure the best possible outcomes for premature and critically ill infants, COPN regulations should remain in place.