What Mark said. He's covered it pretty well.
I would add that unless you are wanting an original design, your best, and most cost saving, way to go, is to enquire if the design you are interested is available as a CAD drawing, or a laser kit.
It takes a bit of time to make a copy in CAD from a hand drawing, and that can be a bit expensive, depending on the skill, and experience of the CAD draftsman. Some charge upwards of $40.00 an hour, and it isn't simply scanning in the hand drawing. The scan has to be converted from a rastor scan, which is what you get when scanning, to a Vector Scan, which is what a CAD, and a CNC file is.
They do make software that can do this, but unless it's a very high end software, it will have an extreem amount of errors. I've basically given up on this, except for the most basic work.
Instead, for the best accuracy, I've found it best to hand copy everything in. It can be time consuming.
In the end though, I believe it's worth it, as a CAD file can be manipulated in so many ways. Scaling, for instance, is only a few key strokes away.