Lot of things could be added to this list. Good luck getting permission to start a hospital, or permission to mine/refine anything with a slightly messy process (e.g. rare earth metals). You can't build a new port. The California Coastal Commission won't let you open a new hotel anywhere on the water. You can't even keep a bar open late in San Francisco.

I just searched "new hospital opened in CA" on Google and see that there were two new hospitals opened in Irvine in December, half of a new hospital complex in Santa Clara opened in October, more being built and slated to open this year or next...