It is also recommended that a new body called Qualifications Wales should be established atarmslength from the Welsh government to regulate qualifications.
In a statement after a 5 to 0 vote on the matter, Pennsylvania's Public Service Commission said separating the divisions would be enough to force them to operate atarmslength.
Based at a Welsh government-owned building in Llantrisant, Rhondda Cynon Taf, the centre will be an arms-length subsidiary company of the Aneurin Bevan Health Board, acting on behalf of all seven LHBs.