36 states and the District of Columbia (DC) crave a Affidavit of Allegation (CON) afore medical accessories are accustomed to accessible or expand. The goals of CON are:
- Contain bloom costs,
- Promote bread-and-butter value,
- Prevent accidental services,
- Ensure affinity of healthcare services.
So CON prevents balance capacity. The supporters of CON affirmation balance accommodation will access the costs of medical services. Medical accessories allegation to allegation added to accomplish a accumulation if the accessories are underutilized. A abstraction conducted by the Big Three automakers supports this which shows lower bloom affliction costs in states that accept CON than states without. In addition, the Leapfrog Accumulation for Patient Safety maintains that the advance for added medical centers may accept a abrogating appulse on quality. For abounding circuitous medical treatments, there is accurate affirmation of above after-effects in hospitals with college volumes. For referrals, this accumulation tends to favor hospitals with a assertive aggregate threshold, e.g., at atomic 500 cases per year for Coronary avenue bypass surgery.
The opponents altercate that CON is adjoin a chargeless bazaar arrangement and can advance to college healthcare costs due to beneath competition. In 2004, the Federal Trade Commission and Department of Justice aswell apprenticed “States with Affidavit of Allegation programs should amend whether these programs best serve their citizens’ bloom affliction needs.”
The ambit of Affidavit of Allegation Laws varies from state-to-state accoutrement the afterward above medical accessories and services: Acute Hospital Beds, Air Ambulance, Ambulatory Surgical Centers, Burn Care, Cardiac Catheterization, Computed Tomography Scanners, Gamma Knives, Home Health, Hospice, Intermediate Affliction Facilities/Mental Retardation, Long Term Acute Care, Lithotripsy, Nursing Home/Long Term Care, Medical Appointment Buildings, Mobile Hi Technology, Magnetic Resonance Imaging (MRI) Scanners, Neonatal Intensive Care, Obstetrics Services, Accessible Heart Surgery, Organ Transplants, Positron Emission Tomography (PET) Scanners, Psychiatric Services, Radiation Therapy, Rehabilitation, Renal Dialysis, Assisted Living & Residential Affliction Facilities, Sub-acute Services, Substance/Drug Abuse, Swing Beds, and Ultra-Sound.
Twenty-four states, including District of Columbia, crave CON for Accessible Heart Surgical Centers, while alone Vermont and District of Columbia crave CON for accepted medical appointment barrio (MOBs). Among 36 states, Connecticut has the accomplished authoritative burdens in accepting CON, while Louisiana has the lowest. Besides CON, accompaniment and bounded governments can use zoning and assorted restrictions to absolute the bulk of medical facilities. For example, a two-story able appointment architecture will not be able to charter to medical tenants on the additional attic if it does not accept an elevator.
Application for Affidavit of Need
The CON appliance amalgamation consists of the name of the applicant, site, a detail description of the project, activity absolution of the allegation for the facility, staffing, costs advice of the activity (evidence of adeptness to access financing, antecedent of financing, amount, interest, etc.), activity design, architecture schedule, and amount estimate.
Once the activity is approved, the appellant is issued a Affidavit of Allegation which specifies:
- The concrete breadth of the MOB.
- The being the affidavit is affair to,
- The best basic expenditure,
- The account area, and
- The accustomed medical services.
The appliance again has a assertive time anatomy to complete the project.
So, if you are the buyer of a medical appointment building, you should be blessed as CON banned the food of MOBs. This makes your investment beneath chancy as your tenants are added acceptable to renew the lease.