(a) The Texas Health and Human Services Commission (HHSC) may include terms or conditions of compliance in connection with issuing a Certificate of Public Advantage (COPA), if necessary, to ensure that the proposed merger likely benefits the public as specified in this chapter.(b) A hospital operating under a COPA shall comply with all terms or conditions required in the issuance of a COPA.(c) Any terms or conditions for a COPA are separate from the COPA itself. HHSC retains the authority to amend the terms or conditions. HHSC shall notify the hospital of any change in the terms or conditions not less than 30 days before the change takes effect.