LD 2110
pg. 8
Page 7 of 16 An Act To Establish the Hospital and Health Care Provider Cooperation Act Page 9 of 16
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LR 3274
Item 1

 
(1) For certificates of public advantage not involving
mergers, at least once in the first 18 months after the
transaction described in the cooperative agreement has
closed; and

 
(2) For certificates of public advantage involving
mergers, at least once between 12 and 30 months after
the transaction described in the cooperative agreement
has closed.

 
B.__In its discretion, the department may conduct additional
supervisory activities by:

 
(1)__Soliciting and reviewing written submissions from
the certificate holders, the Attorney General, the
Governor's Office of Health Policy and Finance or the
public;

 
(2)__ Conducting a hearing in accordance with Title 5,
chapter 375, subchapter 4 and the department's
administrative hearings rules; or

 
(3)__Using any alternative procedures appropriate under
the circumstances.

 
C.__The department shall notify the certificate holders if
it intends to consider the imposition of any additional
conditions or measures authorized under subsection 3.__If
the department notifies certificate holders under this
paragraph, the certificate holders may request and are
entitled to a hearing in accordance with Title 5, chapter
375, subchapter 4.

 
D.__A decision of the department regarding additional
supervisory activities is governed by the standards set
forth in subsection 3.__The burden of proof is on the
parties seeking any remedial order.__A remedial order may
not issue unless the basis for it is established by a
preponderance of the evidence.

 
3.__Standards governing additional supervisory activities. The
provisions of this subsection govern the standards of any
additional supervisory activities conducted under subsection 2.

 
A.__If the department determines in any additional supervisory
activities conducted under subsection 2 that the certificate
holders are not in substantial compliance with any conditions
included in the certificate under section


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