This certificate shows that the entity is in compliance with all state requirements. Obtaining a copy runs the gamut from a simple, free online form to a pricier, expedited mail-in option.

In 1974, Congress passed a law that encouraged states to enact certificate-of-need laws for capital medical expenses. All but one state did and ... bother to apply. We're forced to rely on ...

The certificate-of-need process is lengthy and costly, deterring surgeons and organizations in many states from even considering opening ASCs. Nashville, Tenn.-based ASC company SurgNet is struggling ...