POSCSParks, Open Space and Cultural Services (Santa Cruz, CA)
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The new exemption process creates opportunities for existing POSCs to add a second operating room without obtaining a certificate of need.
Historically, a certificate of need was not, and is still not, required for an ambulatory surgery center or physician outpatient surgery center if the center does not have more than one operating room (POSC).
An applicant proposing to add an operating room to an existing POSC must demonstrate that its existing operating room was used at or above optimal capacity in the most recent 12-month period.