After the removal of the federal requirements for certificate of need
(CON) in 1986, the majority of stares (40) and the District of Columbi
a retained their CON and/or added a moratorium on new nursing faciliti
es and beds. Some states were also regulating the growth of other type
s of long term care (LTC) facilities and home health agencies. States
with a CON and/or moratoria were more likely to have a greater non-Whi
te population. to have liberal politicians, and to have a lower capaci
ty to raise tares. When state financial budgets are limited policymake
rs are likely to continue to regulate the supply of LTC providers.