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Determination of Need (DON)

The goal of DoN and the framework for analysis by the Department of Public Health is to promote population health and increased public health value.

The DoN law and regulation governs Health Care Facilities as that term is defined in G.L. c 111, § 25B. Under Massachusetts law M.G.L. c. 111, §§ 25C, proposals for a Substantial Capital Expenditure, Substantial Change in Services and Original Licensure as well as many Transfers of Ownership and Changes in Site for Health Care Facilities, must be reviewed and approved under the DoN Regulatory scheme.

The purpose and objective of the DoN program is to encourage competition with a public health focus; to promote population health; to support the development of innovative health delivery methods and population health strategies within the health care delivery system; and to ensure that resources will be made reasonably and equitably available to every person within the Commonwealth at the lowest reasonable aggregate cost. In this way the Department hopes to advance the Commonwealth’s goals for cost containment, improved public health outcomes, and delivery system transformation.

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