Only a dozen states don't require certificate-of-need approval for outpatient surgery center development and expansion, according to Transwestern, a commercial real estate company.
Transwestern consulted the National Conference of State Legislatures for data on state regulations.
States without CON regulations in place:
1. California
2. Idaho
3. Utah
4. Colorado
5. Wyoming
6. New Mexico
7. Texas
8. Kansas
9. North Dakota
10. South Dakota
11. Pennsylvania
12. New Hampshire
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