| 5.__Standards for approval of a certificate of public |
advantage. The department shall issue a certificate of public |
advantage for a cooperative agreement if it determines that the |
applicants have demonstrated by a preponderance of the evidence |
that the likely benefits resulting from the agreement outweigh |
any disadvantages attributable to a reduction in competition |
likely to result from the agreement.__The department may not |
issue to health care providers a certificate of public advantage |
for a cooperative agreement that allows coordinated negotiation |
and contracting with payors or employers unless such negotiation |
and contracting are ancillary to clinical or financial |
integration.__In issuing a decision on an application for a |
certificate of public advantage under this section, the |
department shall make specific findings as to the nature and |
extent of any likely benefits and disadvantages found under this |
subsection. |