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‘There isn’t any Certificate of Need (CON) program in Louisiana. Louisiana dropped its Certificate of Need (CON) program about two decades ago. Louisiana never had a full-blown, or a state-enacted CON program.’ It always performed the federally mandated CON reviews under the 11-22 program review, which was named after a part found in the federal statute. It was done away with around the mid-1980s, when the federal government duly repealed its CON requirements as well as following a political scandal whereby then-Gov. Edwin Edwards got accused of selling many hospital construction permits. At present, the state has received a very limited program affecting only nursing homes accepting Medicare. AHPA newsletter, 2007 (page7)

Some opine that this lack of a good CON review process has always contributed to the state’s number of hospital beds, and a new trend of a physician-owned Specialty or the “boutique” hospitals with some community hospitals concerned. The CON was one of those kinds of issues that could argue either side. It was a system created so as to have equal access for everyone, at some point it had to put some limitations on some things and the legislature had not been eager to jump into that. This was heard from Matessino, who ran the 11-22 program in the late 1970s. & FUSA,(2009)

‘However, it is noted that, it was hard to pin Louisiana’s over bedding problem on the state dropping its review requirements. In some cases there was over bedding even prior to the section 11-22 programs, so it was kind of hard to make a judgment as to which came first and, therefore, the CON program in Louisiana was eliminated .’ FUSA, (2009)

Globally, code officials usually recognize the need for a typically modern, up-to-date building code tat will be addressing the design as well as installation of building systems through the requirements emphasizing performance and health of the public. The International Building Code appears designed to meet the needs through these model code regulations safeguarding the public health as well as safety in all the existing communities. International Building Code provisions provide many merits; among this is the model code developmental process that offers building professionals to discuss performance and prescriptive code requirements by its forum. This forum provides an excellent place to discuss proposed revisions. The model code also encourages international consistency in the application of its provisions.1. Development.

The code is founded on the principles intended to create provisions that are consistent with the building code adequately protecting public health, welfare and safety; provisions unnecessarily increasing the construction costs; the provisions that do not always restrict the use of any new materials, methods or products of construction; as well as provisions that do not usually give preferential treatment to any particular types or any classes of materials, methods or products of construction.2. Adoption.

In an adoption, the jurisdictions should totally insert all the appropriate information in the provisions that require specific local information, as the name of the adopting the jurisdiction. The locations are shown in some bracketed words, in small caps in the code and also in the sample ordinance. This sample adoption ordinance found on on page Xv addresses key elements of the ordinance code adoption, including information that is required for the insertion into the code text.

3. Maintenance.

The proposed changes are considered carefully through the process of open code development in which all the interested and affected parties participate together and hence maintenance is a crucial aspect to consider when meeting the International Building Code for a facility.

References

AHPA newsletter, 2007 (page7)

A consumer guide& overview community catalyst & FUSA,(2009)

NCSL reported update, (2009)

IBC chapter 1, technical standards of NFPA.