Here is how certificate-of-need laws are changing and impacting the ASC space since the start of 2025, as reported by Becker’s:
- Two proposed bills in North Carolina, Senate Bill 380 and House Bill 455, would repeal certificate-of-need laws for certain types of healthcare facilities, including ASCs.
- A report from MedPAC found that while certificate-of-need laws are a major factor in ASC development, other state-specific factors, such as healthcare payment models and demographics, can blunt their effects.
- California lacks certificate-of-need laws, which is a major barrier to ASC growth in the state, according to many industry leaders.
- “Certificate-of-need laws are outdated relics that still exist in several states, requiring surgery centers to prove public need before opening — a monumental task that local hospitals successfully block in most cases,” Shakeel Ahmed, MD, CEO of Atlas Surgical Group in St. Louis, told Becker’s.
- Cardiac care and cardiology, a rapidly growing ASC specialty, is running into roadblocks when it comes to development in states that have certificate-of-need laws.
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.
