Q: What are your biggest advocacy wins?
BL: Reflecting on two decades of leadership, it is hard to single out one achievement. I am deeply proud of the work we have done to increase understanding of the importance of the ASC community and help nurture its growth. In the early days, ASCs were often dismissed as small, mom-and-pop operations. Today, they are recognized for delivering high-quality, cost-effective care. Watching the community evolve has been nothing short of inspiring. Navigating the legislative and regulatory landscape has always been a challenge, but our persistence is paying off. Our message—centered on quality, access and affordability—is finally gaining traction on both the state and federal levels.
Q: Are there any major advocacy efforts CASA is working on now that you hope to see achieved in the near future?
BL: Two key policy initiatives are front and center. First, addressing insufficient Medi-Cal reimbursement remains a critical issue in California, especially with expanded eligibility. Second, we are working diligently to allow certain cardiology procedures to be performed in ASCs. We have made meaningful progress and continue to have constructive conversations educating legislators and stakeholders of the benefits of expanding the role ASCs can play in our healthcare system—cardiology procedures included. We remain optimistic and fully committed to ensuring ASCs continue serving as a vital partner in advancing California’s goals—expanding access to care, strengthening quality and driving down healthcare costs across the state.
Q: What are the major changes you have seen in your time in the ASC community, both in California and nationally?
BL: The transformation has been remarkable. There was a time when we had to explain what an ASC was; those days are largely behind us. Millions of Americans have now experienced care in ASCs, and the pandemic underscored their essential role in delivering safe and effective surgical care. Thanks to innovation and technology, procedures once considered too complex—like total joints and spine surgeries—are now routinely performed in ASCs. The horizon is expanding further with cardiology, and it is thrilling to imagine what is next.
Q: We are currently living through a moment of upheaval in the health policy landscape. What advice do you have for other state association leaders advocating for ASCs at this moment?
BL: Stay focused on the core message. ASCs deliver high-quality care, improve access and save the healthcare system billions—all the while maintaining exceptional patient satisfaction and outcomes. That message has remained consistent and continues to resonate. In times of policy upheaval, clarity and consistency are your strongest tools.
Q: What are the positive trends you see impacting ASCs in the next 5–10 years?
BL: We are seeing a continued migration of complex procedures to the ASC setting, driven by advancements in technology and patient preference. Value-based care models also are aligning well with ASC efficiency and outcomes. Additionally, increased recognition of the value of ASCs by payers and policymakers is opening doors for expanded services and reimbursement opportunities.
Q: What key issues do you see the ASC community having to confront in the next 5–10 years?
BL: Workforce shortages, reimbursement pressures and regulatory complexity will continue to challenge ASCs. But with strong leadership, strategic advocacy and a commitment to innovation, the ASC community is well-positioned to meet these challenges head-on and continue to thrive.
Q: Any big plans after retirement?
BL: So far, I am really looking forward to reconnecting and spending more time with my family, granddaughter and friends.