The proposed amendments to these rules remove all references to adult open heart surgery programs, as these programs no longer require a certificate of need (CON) to be established, as well as removing travel standard language, need determination and other components of the adult program's CON criteria. The rule updates the definition of a pediatric patient, adds the collection of utilization reports and incorporates Medicare Severity Diagnosis Related Group coding. It also incorporates materials used to determine need for a new pediatric cardiac catheterization program and pediatric open heart surgery program.