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- “Certificate-of-need laws are outdated relics that still exist in several states, requiring surgery centers to prove public need before opening — a monumental task that local hospitals successfully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.
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