The Act defines destination cancer hospital and includes this type of hospital within the definition of health care facility. A destination cancer hospital will not be required to apply for or obtain certificates of need for new institutional health services. The Act requires destination cancer hospitals to provide a minimum amount of uncompensated, charitable care to Georgia residents and provides for fines if less than 65% if its patients are not Georgia residents. The Act classifies general surgeons as a single specialty for purposes of the certificate of need process. The Act allows two closely related specialties to be classified as a single specialty practice. The Act provides for charity and indigent care obligations for ambulatory surgical centers. The Act facilitates joint venture ambulatory surgical centers between hospitals and doctors.