ORS Chapter 442 — Health Planning

ORS 442.710. Application for approval of cooperative program; form; content; review; modification; order. (1) The Oregon Health and Science University and one or more entities, each of which operates at least three hospitals in a single urban area in this state, may apply to the Director of the Oregon Health Authority for approval of a cooperative program. The application shall include an executed written copy of all agreements for the cooperative program. (2) An application for approval of a cooperative program shall be made in the form and manner and shall set forth any information regarding the proposed cooperative program that the director may prescribe. The information shall include, but not be limited to: (a) A list of the names of all health care providers who propose to provide heart and kidney transplant services under the cooperative program, together with appropriate evidence of compliance with any licensing or certification requirements for those health care providers to practice in this state. In the case of employed physicians, the list and the information to be submitted may be limited to the employer or organizational unit of the employer; (b) A description of the activities to be conducted by the cooperative program; (c) A description of proposed anticompetitive practices listed in ORS 442.715, any practices that the parties anticipate will have significant anticompetitive effects and a description of practices of the cooperative program affecting costs, prices, personnel positions, capital expenditures and allocation of resources; (d) A list of the goals identified in ORS 442.705 (2) that the cooperative program expects to achieve; (e) A description of the proposed places and manner of providing heart and kidney transplant services and services related to heart and kidney transplants under the cooperative program; (f) A proposed budget for operating the cooperative program; (g) Satisfactory evidence of financial ability to deliver heart and kidney transplant services in accordance with the cooperative program; (h) The agreement that establishes the cooperative program and policies that shall govern it; and (i) Other information the director believes will assist in determining whether the cooperative program will likely achieve the goals listed in ORS 442.705 (2). (3) The director shall review the application in accordance with the provisions of this section and shall grant, deny or request modification of the application within 90 days of the date the application is filed. The director shall hold one or more public hearings on the application, which shall conclude no later than 80 days after the date the application is filed. The decision of the director on an application shall be considered an order in a contested case for the purposes of ORS chapter 183. (4) The director shall approve an application made under subsection (2) of this section after: (a) The applicants have demonstrated they will achieve at least six of the goals of ORS 442.700 to 442.760 and 646.740, including at least the goals identified in ORS 442.705 (2)(a) to (d); and (b) The director has reviewed and approved the specifics of the anticompetitive activity expected to be conducted by the cooperative program. (5) In evaluating the application, the director shall consider whether a cooperative program will contribute to or detract from achieving the goals listed in ORS 442.705 (2). The director may weigh goals relating to circumstances that are likely to occur without the cooperative program, and relating to existing circumstances. The director may also consider whether any alternative arrangements would be less restrictive of competition while achieving the same goals. (6) An order approving a cooperative program shall identify and define the limits of the permitted activities for purposes of granting antitrust immunity under ORS 442.700 to 442.760. (7) An order approving a cooperative program shall include: (a) Approval of specific activities listed in ORS 442.715; (b) Approval of activities the director anticipates will have substantial anticompetitive effects; (c) Approval of the proposed budget of the cooperative program; (d) The goals listed in ORS 442.705 (2) that the cooperative program is expected to achieve; and (e) Approval of the cooperative program as described in the application and a finding that the cooperative program is in the public interest. (8) An order denying the application for a cooperative program shall identify the findings of fact and reasons supporting denial. (9) Either the director or all the parties to the cooperative program may request a modification of an application made under this section. A request for a modification shall result in one extension of 30 days after submission of the modified application. The director shall issue an order under this section within 30 days after submission of the modified application.