Certificate of need legislation makes a big difference for surgery center development.
It's easier for physicians to develop surgery centers in states without CON restrictions, and some states with CON requirements are considering removing them in the future. There have been notable developments in North Carolina and Montana to revise CONs, according to a report from HealthCare Appraisers, and a new law eliminated CON requirements in South Carolina for ASCs earlier this year.
CON required for ASCs
1. Washington
2. Nevada
3. Iowa
4. Illinois
5. Wisconsin
6. Alabama
7. Mississippi
8. Georgia
9. Hawaii
10. North Carolina
11. Tennessee
12. Kentucky
13. West Virginia
14. Virginia
15. Massachusetts
16. New Jersey
17. New York
18. Maryland
19. Connecticut
20. Maine
21. Rhode Island
22. Vermont
23. Alaska
CON law not applicable to ASCs
24. Montana
25. Nebraska
26. Oklahoma
27. Missouri
28. Arkansas
29. Louisiana
30. Florida
31. Indiana
32. Ohio
33. Oregon
No CON laws
34. South Carolina
35. Idaho
36. California
37. Utah
38. Arizona
39. New Mexico
40. Colorado
41. Wyoming
42. North Dakota
43. South Dakota
44. Kansas
45. Texas
46. Minnesota
47. Wisconsin
48. Pennsylvania
49. New Hampshire
50. Delaware