The much debated updates to R. 61-91, the South Carolina regulations for ASCs, became effective on June 26, 2015. The updated regulations can be viewed at http://www.scdhec.gov/Agency/docs/health-regs/R61-91-ASF.pdf. The update modernizes several sections to bring the regulations into compliance with current standards for ASCs. As has been much debated, the regulations also include a change in definition to “Same Day” that now allows ASCs to keep patients up to 24 hours.