The three states that lost the most ASCs were:
1. Tennessee: 6
2. Oregon: 4
3. South Carolina: 4
All three states have a certificate-of-need program in place, although legislators in South Carolina have made attempts over the past few years to change their policy. California, Texas and Georgia gained the most ASCs over the past year, with California adding 26 centers. Two of the three states with the biggest gains — California and Texas — do not have CON programs in place.
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