PUBLIC HEALTH ADVISORY CONCERNING FENTANYL AND FENTANYL-LACED SUBSTANCES

COPA Application Proceedings

Announcement on the COPA decision: Tennessee Department of Health Commissioner John Dreyzehner, MD, MPH, announced Sept. 19, 2017 that the request for a Certificate of Public Advantage from Wellmont Health System and Mountain States Health Alliance has been granted.​
Press Release
Terms of Certification
Executed Letter of Approval
Approval Certificate Signed by MSHA
Approval Certificate Signed by WHS 
*The resolution unanimously adopted by the Board of Wellmont Health System approved the September 16, 2017 draft of the Terms of Certification and any subsequent “more favorable terms” as may be agreed to by the State of Tennessee.  The September 18, 2017 draft of the Terms of Certification contains a “more favorable term” that was agreed to by the State and, therefore, the September 18, 2017 draft of the Terms of Certification were approved by the Wellmont Board.​

Mountain States Health Alliance and Wellmont Health System

Last Updated: May 22, 2017
Dates have been updated to reflect the document date rather than the date posted. 

Map of MSHA-WHS Service Area  COPA Timeline  Comments

Public Hearing Video and Transcripts

 


May 22, 2017

Letter from Commissioner John Dreyzehner to Alan Levine and Bart Hove


April 11, 2017

Report from Compass Lexecon


April 7, 2017

Letter from WHS and MSHA to Janet Kleinfelter regarding Expert Reports
Report from the Advisory Board
Report from the Healthy Communities Institute


January 13, 2017

Joint Determination as to Completeness of the Application for Certificate of Public Advantage Submitted by Mountain States Health Alliance and Wellmont Health System on February 16, 2016


December 13 to December 17, 2016

Responses to Questions Submitted November 22, 2016 by Tennessee Department of Health in Connection With Application for a Certificate of Public Advantage


November 22, 2016

TDH Letter “Meeting Follow-up and Request for Information” to Bob Cooper and Claire Haltom, attorneys for the applicants


September 30, 2016

Notice of Public Hearing


September 12, 2016

First Amendment to Master Affiliation Agreement and Plan of Integration (Exhibits in this document can be found in the other application documents above.)


September 9, 2016

Revised Plan of Separation


August 17, 2016

Letter from Commissioner John J. Dreyzehner to the Bristol, Johnson City, and Kingsport Chambers of Commerce


July 25, 2016

Response #2 to Questions Submitted April 22, 2016 by Tennessee Department of Health in Connection with Application for a Certificate of Public Advantage


July 20, 2016

Letter from Bristol, Johnson City, and Kingsport Chambers of Commerce to Commissioner John J. Dreyzehner


July 13, 2016

Response #1 to Questions Submitted April 22, 2016 by Tennessee Department of Health in Connection with Application for a Certificate of Public Advantage


June 7, 2016

Video of TDH COPA Public Hearing
Transcript of TDH COPA Public Hearing


April 25, 2016

Letter from Alan Levine and Bart Hove in response to Request #2


April 22, 2016

TDH Request for Information #2


April 19, 2016

Written Comments of America’s Health Insurance Plans

Economic Analysis submitted by America’s Health Insurance Plans


March 28, 2016

TDH Request for Information #1


March 16, 2016

WHS-MSHA Addendum #1 to COPA Application

Exhibit 11.4 – Attachment D: Mountain States Covenant Compliance Certificates

Exhibit 11.4 – Attachment E: Mountain States Officer’s Certificate 


March 3, 2016

Crosswalk comparing the Tennessee and Virginia application requirements and the corresponding sections in both applications


February 29, 2016

TDH Request for Addendum to January 25, 2015, Letter


February 16, 2016

Application Submitted by: Mountain States Health Alliance Wellmont Health System


January 15, 2016

TDH Response to Pre-Submission Report


January 7, 2016

Community & Stakeholder Pre-Submission Report


December 22, 2015

FTC Letter to TDH: Regarding Request for Staff Opinion


September 16, 2015

Letter of Intent from Mountain States Health Alliance and Wellmont Health System


June 25, 2015

TDH Letter to FTC: Request for advisory opinion regarding the effect of the sale of a merged hospital entity operating pursuant to a certificate of public advantage