Since its establishment in mid-1989, the DOE Office of Isotope Production and Distribution has examined the recommendations of the Los Alamos Report and the Health and Environmental Research Advisory Committee (HERAC) Report. The main recommendation from these deliberations is for the DOE to establish an accelerator dedicated to biomedical radioisotope production. Representatives of the nuclear medicine community, meeting at a DOE workshop in August 1988, evaluated present and future needs for accelerator-produced radioisotopes. Workshop participants concluded in the Los Alamos Report that approximately 90% of their radioisotope needs could be met by a machine that delivers a 70 million electronic volts (MeV), 500-microamp proton beam. The HERAC Report provides more quantification of radioisotope needs, and included isotopes that can be produced effectively only at higher energies. An accelerator facility with an upper energy limit of 100 MeV and beam current of 750 to 1,000 microamps, could produce all important accelerator- produced radioisotopes in current use, as well as those isotopes judged to have future potential value in medical research and clinical practice. We therefore recommend that the NBTF have a 100-MeV proton beam accelerator with an extracted beam current of 750 to 1,000 microamps.