ASCs are subjected to a varying degree of state, federal and voluntary regulation and accreditation standards, including certificate of need laws, Medicare accreditation and voluntary accreditation by bodies such as the AAAHC or The Joint Commission, according to the American College of Foot and Ankle Surgeons.
Here is a breakdown of what individual states require, based off data from the American College of Foot and Ankle Surgeons and the National Conference of State Legislatures.
Alabama
Accreditation: Not required
State licensure: Required
CON: Required
Alaska
Accreditation: Not required
State licensure: Required
CON: Required
Arizona
Accreditation: Required
State licensure: Required
CON: Not required
Arkansas:
Accreditation: Not required
State licensure: Required
CON: Not required
California
Accreditation: Required
State licensure: Required
CON: Not required
Colorado
Accreditation: Not required
State licensure: Required
CON: Not required
Connecticut
Accreditation: Not required
State licensure: Required
CON: Required
Delaware
Accreditation: Required
State licensure: Required
CON: Not required
Washington, D.C.
Accreditation: Required
State licensure: Required
CON: Required
Florida
Accreditation: Required
State licensure: Required
CON: Not required
Georgia
Accreditation: Required
State licensure: Required
CON: Required
Hawaii
Accreditation: Not required
State licensure: Required
CON: Required
Idaho
Accreditation: Not required
State licensure: Not required
CON: Not required
Illinois
Accreditation: Not required
State licensure: Required
CON: Required
Indiana
Accreditation: Required
State licensure: Required
CON: Required
Iowa
Accreditation: Not required
State licensure: Not required
CON: Required
Kansas
Accreditation: Required
State licensure: Required
CON: Not required
Kentucky
Accreditation: Not required
State licensure: Required
CON: Required
Louisiana
Accreditation: Not required
State licensure: Required
CON: Not required
Maine
Accreditation: Not required
State licensure: Required
CON: Required
Maryland
Accreditation: Required
State licensure: Not required
CON: Required
Massachusetts
Accreditation: Not required
State licensure: Required
CON: Required
Michigan
Accreditation: Not required
State licensure: Required
CON: Required
Minnesota
Accreditation: Not required
State licensure: Required
CON: Not required
Mississippi
Accreditation: Not required
State licensure: Required
CON: Required
Missouri
Accreditation: Not required
State licensure: Required
CON: Not required
Montana
Accreditation: Required
State licensure: Required
CON: Required
Nebraska
Accreditation: Required
State licensure: Required
CON: Not required
Nevada
Accreditation: Required
State licensure: Required
CON: Required
New Hampshire
Accreditation: Required
State licensure: Required
CON: Not required
New Jersey
Accreditation: Required
State licensure: Required
CON: Not required
New Mexico
Accreditation: Required
State licensure: Required
CON: Not required
New York
Accreditation: Required
State licensure: Required
CON: Required
North Carolina
Accreditation: Required
State licensure: Required
CON: Required
North Dakota
Accreditation: Not required
State licensure: Required
CON: Not required
Ohio
Accreditation: Required
State licensure: Required
CON: Not required
Oklahoma
Accreditation: Not required
State licensure: Required
CON: Not required
Pennsylvania
Accreditation: Required
State licensure: Required
CON: Not required
Puerto Rico
Accreditation: Not required
State licensure: Not required
CON: Not required
Rhode Island
Accreditation: Required
State licensure: Required
CON: Required
South Carolina
Accreditation: Required
State licensure: Required
CON: Required
South Dakota
Accreditation: Not required
State licensure: Required
CON: Not required
Tennessee
Accreditation: Required
State licensure: Required
CON: Required
Texas
Accreditation: Required
State licensure: Required
CON: Not required
Utah
Accreditation: Required
State licensure: Required
CON: Not required
Vermont
Accreditation: Not required
State licensure: Not required
CON: Required
Virginia
Accreditation: Required
State licensure: Required
CON: Required
Washington
Accreditation: Not required
State licensure: Not required
CON: Required
West Virginia
Accreditation: Not required
State licensure: Not required
CON: Required
Wisconsin
Accreditation: Not required
State licensure: Not required
CON: Not required
Wyoming
Accreditation: Required
State licensure: Not required
CON: Not required