Number of competing dialysis facilities available for patients to choose from increased slightly between 2001 and 2011. The percentage of patients receiving hemodialysis with zero, one, or two choices among competing facilities decreased over the decade. *Instances where the proportions were significantly different between 2001 and 2011 at a P value of 0.05 using a test of equality of proportions. P values were as follows: P=0.03 for zero facilities, P=0.01 for five and 10 facilities, P=0.001 for 12 facilities, and P<0.001 for one, two, six, seven, and ≥15 facilities.