Certificate-of-need laws, which require healthcare providers and systems to get special permission from the state government before expanding or building a new facility, are often controversial among healthcare leaders.
While some believe that CON laws restrict access to care for patients and create health system monopolies, others believe they are beneficial when it comes to not oversaturating a market with providers.
Here are the states that do and do not require a certificate of need to construct a new ASC, according to an industry report from VMG Health published Feb. 13:
CON required for ASCs
- Alabama
- Alaska
- Connecticut
- Delaware
- Georgia
- Hawaii
- Illinois
- Iowa
- Kentucky
- Maine
- Maryland
- Massachusetts
- Mississippi
- Nevada
- New Jersey
- New York
- North Carolina
- Tennessee
- Vermont
- Virginia
- West Virginia
- Washington
- Wisconsin
No ASC CON regulations
- Arizona
- Arkansas
- California
- Colorado
- Florida
- Idaho
- Indiana
- Kansas
- Louisiana
- Michigan
- Minnesota
- Missouri
- Montana
- Nebraska
- New Hampshire
- New Mexico
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Texas
- Utah
- Wyoming