| 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. |