MacEachern Lillian
Issue Brief Health Policy Track Serv. 2003 Dec 31:1-8.
At one time, every state was required by the federal government to have a certificate of need (CON) program. The process was intended to keep down costs associated with the construction of new health facilities in the state, and prevent over development. When the federal requirement was lifted, however, a number of states did away with their programs. Some later restored them in some form, and many have kept their programs alive for years, requiring a governmental seal of approval for building new facilities such as hospitals and long-term care facilities or for acquiring major medical equipment.
曾经，联邦政府要求每个州都要有需求证明（CON）项目。该程序旨在降低与该州新建医疗设施相关的成本，并防止过度发展。然而，当联邦要求取消后，一些州废除了它们的项目。一些州后来以某种形式恢复了这些项目，还有许多州多年来一直保留着这些项目，要求新建医院和长期护理设施等设施或购置大型医疗设备时需获得政府的批准印章。
