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Recent Audit, What States require a Certificate of Need in order to build a Surgery Center.

Alabama: yes Alaska: yes Arizona: yes* Arkansas: yes California: no Colorado: no Connecticut: yes Delaware: yes Florida: yes Georgia: yes Hawaii: yes Idaho: no Illinois: yes Indiana: no Iowa: yes Kansas: no Kentucky: yes Louisiana: no Maine: yes Maryland: yes Massachusetts: yes Michigan: yes Minnesota: yes* Mississippi: yes** Missouri: yes Montana: yes Nebraska: yes Nevada: yes New Hampshire: no New Jersey: yes New Mexico: no New York: yes North Carolina: yes North Dakota: no Ohio: yes Oregon: yes Pennsylvania: no Rhode Island: yes South Carolina: yes South Dakota: no Tennessee: yes Texas: no Utah: no Vermont: yes Virginia: yes Washington: yes Wisconsin: yes* Wyoming: no

*indicates a variation on certificate-of-need legislation

**exception for single-specialty ASCs

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