Requires that medical facilities obtain a certificate of public need before developing or expanding medical services. The criteria for determining public need include: “(i) the relationship of the project to the long term health care state plan, (ii) the need for enhanced facilities to serve the population of an area, [and] (iii) the extent to which the project is accessible to all residents in the proposed area and the immediate economic impact and financial feasibility of the project.” A certificate of need program allows the state to contain health care costs but can also curtail competition by frustrating new market-entrants.