38 states with CON programs of any kind

Outpatient surgery center projects are subject to certificate-of-need requirements in the overwhelming majority of U.S. states, according to Transwestern, a commercial real estate company.

Transwestern consulted the National Conference of State Legislatures for data on state regulations.

States with a CON program in place:

1. Washington
2. Oregon
3. Nevada
4. Montana
5. Alaska
6. Nebraska
7. Oklahoma
8. Iowa
9. Missouri
10. Arkansas
11. Louisiana
12. Illinois
13. Mississippi
14. Alabama
15. Georgia
16. Tennessee
17. Kentucky
18. Ohio
19. Michigan
20. West Virginia
21. Virginia
22. South Carolina
23. North Carolina
24. New York
25. Delaware
26. New Jersey
27. Maryland
28. Massachusetts
29. Connecticut
30. Rhode Island
31. Hawaii
32. Vermont
33. Washington, D.C.

States with some variation on CON:

34. Arizona
35. Minnesota
36. Wisconsin
37. Indiana
38. Florida

More articles on ASC development:
AtlantiCare to open 4th surgery center — 5 things to know
4 hospitals, health systems opening or planning ASCs
Eye ASC in the works at $1.2M North Carolina property 

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