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additional amending the Health American Hospital Association application fee approval Budget and Finance Bureau of Planning capital costs capital expenditures cardiac catheterization Certificate of Need Commonwealth's CON program costs avoided criteria CT scanners Dario Delaware Valley Department of Health determination of reviewability develop dollar threshold established Facilities Act Facility Hearing Board facility's Finance Committee Harrisburg HCF Act Health Care Cost Health Care Facilities Health Coordinating Council Health Facility Hearing Health Plan goals Health Service Act Health Systems Agency Hospital Association LB&FC staff found Legislative Budget letter of intent major medical equipment Medicare ment of Health million MRIs Need program NHPRDA non-hospital providers nursing home Pennsylvania Department Pennsylvania Health Pennsylvania's CON program percent period PPOs Preferred Provider Organizations prospective payment system Radiation Therapy reimbursement repeal of Title review process review regardless review thresholds Statewide Health Coordinating substantial tion Title XV U.S. Department undergo CON review