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Pros and cons of certificates. American Health Planning Association directory suggests that certificate-of-need process is regulatory in theory, not in practice.

As state lawmakers diluted the impact of certificate-of-need laws last year, more and more CON boards are approving a vast array of projects. Almost one-third of the 27 states that regulate acute-care hospitals gave the OK to every project they reviewed. Condell Medical Center, Libertyville, Ill., shown at left and on the cover, spent $99,300 three years ago to win state approval for its expansion project.

Certificate of Need↗