Many states have responded to growing Medicaid long-term care expenditures by limiting the number of nursing home, home health, and nonmedical residential facilities through certificate-of-need (CON) programs and moratoria on new construction. This report focuses on the use of CON programs and moratoria as a long-term care cost-control strategy in the 13 states which are the focus of the ANF study. These programs typically focus on nursing home beds. While this strategy may be effective in the short-to-medium term, states must also consider the needs of an aging population.