evelopment Act of 1974 (P.L. 93-641), almost every state implemented a CON program. Not only did that federal law require administering CON programs as part of their overall health planning process, it provided federal funds to support health planning initiatives at the state and local level.
             During the deregulatory 1980s, the federal CON mandate was repealed, and a number of states abolished their programs or allowed them to sunset. Currently 37 states and the District of Columbia have CON programs in operation. Among those, there is considerable variation in the types of capital expenditures, major medical equipment, and institutional health services subject to review. Still, most generally adhere to the original federally established standards and procedures.
             Health facilities and other categories of providers wishing to make capital expenditures, purchase major medical equipment, or initiate or expand health services with costs over established
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