Becker's Healthcare February 13, 2025
Francesca Mathewes

Here are five states that could be promising locations for ASC growth based on recent development trends, and political and economic policy shifts.

1. North Carolina: The state advanced plans to repeal certificate-of-need requirements for ASCs in counties with populations over 125,000 people, effective Nov. 21, 2025. Affected ASCs must meet specific charity care obligations and submit annual data reports to maintain compliance.

Richard Saver, a professor of law at the University of North Carolina Chapel Hill who works in the departments of social medicine, the UNC school of medicine and the UNC Gillings School of Public Health, told Becker’s that the change in CON policy could heat up competition in the state.

“This may vary region by region,”...

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