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(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 |
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| | | (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. |
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| | | B.__In its discretion, the department may conduct additional | | supervisory activities by: |
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| | | (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; |
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| | | (2)__ Conducting a hearing in accordance with Title 5, | | chapter 375, subchapter 4 and the department's | | administrative hearings rules; or |
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| | | (3)__Using any alternative procedures appropriate under | | the circumstances. |
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| | | 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. |
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| | | 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. |
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| | | 3.__Standards governing additional supervisory activities. The | | provisions of this subsection govern the standards of any | | additional supervisory activities conducted under subsection 2. |
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| | | 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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