On Feb. 10, 2011, Gregory S. Vistnes completed a report commissioned by MIssion Health System and submitted to state legislators: An Economic Analysis of the Certificate of Public Advantage Agreement Between the State of North Carolina and Mission Health. Vistnes examines the local and regional impacts of the 1995 agreement, which set guidelines for the merger of Mission and St. Joseph hospitals. In April, Franklin, N.C., orthodontist Sen. Jim Davis, Republican, proposed SB 698, a bill calling for further review of the COPA.