In September 2018, the Centers for Medicare & Medicaid Services (CMS) announced “Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction” as part of a proposed rule that would revise the applicable Conditions of Participation (CoPs) that apply to providers and Conditions for Coverage (CfCs) that apply to ASCs. This proposal is a continuation of CMS’ efforts to reduce regulatory burden in accordance with the January 30, 2017, Executive Order “Reducing Regulation and Controlling Regulatory Costs” (Executive Order 13771). CMS estimates that these proposed changes would collectively save health care providers an estimated $1.12 billion annually. If finalized, three of these proposals would bring significant changes to the CfCs.