First Hospital Corp. of Norfolk v. Stroube

32 Va. Cir. 279, 1993 Va. Cir. LEXIS 758
CourtRichmond County Circuit Court
DecidedDecember 8, 1993
DocketCase No. HD-1045-4
StatusPublished
Cited by1 cases

This text of 32 Va. Cir. 279 (First Hospital Corp. of Norfolk v. Stroube) is published on Counsel Stack Legal Research, covering Richmond County Circuit Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
First Hospital Corp. of Norfolk v. Stroube, 32 Va. Cir. 279, 1993 Va. Cir. LEXIS 758 (Va. Super. Ct. 1993).

Opinion

By Judge Randall G. Johnson

This is an action by First Hospital Corporation of Norfolk, d/b/a Norfolk Psychiatric Center, seeking declaratory and injunctive relief. Defendants are Robert B. Stroube, the duly appointed State Health Commissioner, and Norfolk Community Hospital Association, Incorporated (NCH). Plaintiff alleges that the Commissioner acted improperly in issuing a Certificate of Public Need (COPN) allowing NCH to establish an acute care psychiatric unit in Norfolk. Plaintiff seeks an order declaring that the Commissioner’s issuance of the COPN was improper and enjoining defendants from taking any further action to establish or operate the facility authorized by such issuance.

Each defendant has filed a demurrer, and the Commissioner has filed a plea of sovereign immunity. Basically, it is defendants’ position that Virginia’s Administrative Process Act (APA) provides the sole remedy for plaintiff’s complaints and that, because this action is not filed under the Act, it must be dismissed. Plaintiff, on the other hand, argues that the APA is inapplicable to the facts of this case and that this chancery action is its only means of obtaining relief. Because the court agrees with the position taken by defendants, the demurrers and plea will be sustained, and the action will be dismissed.

The procedural and factual history of the case is not very much in dispute. Under § 32.1-102.3, no person may commence a health care facility project without first obtaining from the Commissioner a COPN. Pursuant to Va. Code § 32.1-102.2, the State Board of Health [280]*280has promulgated the Virginia Medical Care Facilities Certificate of Public Need Rules and Regulations, which establish the procedures for the review of COPN applications, and the issuance or denial of COPNs. Part V of the Regulations establishes the COPN review process and provides for the review of COPN applications by the Department of Health and by the regional health planning agency for the geographic area to be served by the COPN applicant. Section 5.4 of the Regulations expressly provides that the Department shall review COPN applications for psychiatric hospitals in two 120-day review cycles, beginning on April 10 and October 10 of each year. In order to be considered during a cycle, a COPN application must be completed by the cycle’s beginning date; that is, April 10 or October 10. Section 5.6 of the Regulations provides, however, that the Commissioner may waive the normal review schedule, but only at the request of a COPN applicant, and only in the case of a documented emergency.

On or about October 27, 1992, the Medical College of Hampton Roads (MCHR) requested the Commissioner to waive the normal review schedule pursuant to § 5.6, and to grant to MCHR a COPN to reopen its acute care psychiatric unit. MCHR based its request for waiver of the normal review cycle on the allegation that patient overcrowding at Eastern State Mental Hospital constituted an emergency. By letter dated November 20, 1992, the Commissioner, finding that no emergency as alleged by MCHR existed, denied MCHR’s request for a waiver of the normal review cycle. In that same letter, however, the Commissioner established a special psychiatric facilities review cycle to begin January 10, 1993, which would be open to all COPN applicants in the subject health planning region, provided that all applications for the special cycle were filed on or before December 21, 1992.

On or about January 5, 1993, after the December 21, 1992, deadline for applications established by the Commissioner for the special review cycle had passed, defendant NCH submitted an application to convert twenty of its general hospital beds to psychiatric beds, thereby proposing to establish an acute care psychiatric unit at NCH. No other COPN applications were submitted during the special review cycle. On or about April 7, 1993, the Eastern Virginia Health Systems Agency, the regional health planning agency for the relevant geographic area, submitted its report on NCH’s application, recommending approval of the application to the Department of Health. On or about April 23, [281]*2811993, the Department of Health staff issued its report, recommending approval of NCH’s application to the Commissioner.

On May 19, 1993, plaintiff submitted to the Commissioner written comments on NCH’s application as permitted by § 5.8 of the COPN Regulations. In its comments, plaintiff objected to what it alleged was the Commissioner’s unauthorized establishment of the special review cycle under which NCH’s COPN application was considered.

On May 28, 1993, and notwithstanding plaintiff’s objections, the Commissioner granted to NCH a COPN for the proposed twenty-bed psychiatric unit. Claiming immediate and irreparable harm from the competition it alleges was improperly allowed by the issuance of the COPN, plaintiff filed this action for declaratory and injunctive relief.

The Administrative Process Act, Va. Code § 9-6.14:1 et seq., provides for judicial review of certain agency actions. In fact, for those matters covered by it, the APA provides the exclusive judicial remedy:

Thus, the General Assembly has waived sovereign immunity only to allow a party to obtain judicial review of the [agency’s] adoption of rules or the [agency’s] case decisions, as such are defined in the VAPA, in the manner provided in the VAPA. In short, the [agency] has consented to and may be sued only for its promulgation of a rule or its decision of a case, as both are defined in the VAPA. The [plaintiff’s] right to bring a declaratory judgment action and in turn the court’s jurisdiction to exercise jurisdiction over the action must be founded on the provisions of Code § 9-6.14:16(A) and fall within the explicit and limited waiver of sovereign immunity contained in that Code section.

Virginia Bd. of Medicine v. VPTA, 12 Va. App. 458, 466, 413 S.E.2d 59 (1991), aff’d, 245 Va. 125, 427 S.E.2d 183 (1993) (emphasis in original).

It is plaintiff’s position that the matter about which it complains — the establishment of the special review cycle — is outside the scope of the APA and, thus, not affected by it. The court disagrees.

Section 9-6.14:16(A) of the Code of Virginia provides, in pertinent part, as follows:

§ 9-6.14:16. Right, forms, venue. — A. Any person affected by and claiming the unlawfulness of any regulation, or party aggrieved by and claiming unlawfulness of a case decision, as [282]*282the same are defined in § 9-14:4 of this chapter . . . shall have a right to the direct review thereof by appropriate and timely court action against the agency as such or its officers or agents in the manner provided by the rules of the Supreme Court of Virginia.

Section 9-6.14:4(D) defines “case” or “case decision” as:

[A]ny agency proceeding or determination that, under laws or regulations at the time, a named party as a. matter of past or present fact, or of threatened or contemplated private action, either is, is not, or may or may not be (i) in violation of such law or regulation or (ii) in compliance with any existing requirement for obtaining or retaining a license or other right or benefit.

Emphasis added.

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Related

Loudoun Hospital Center v. Stroube
68 Va. Cir. 271 (Loudoun County Circuit Court, 2005)

Cite This Page — Counsel Stack

Bluebook (online)
32 Va. Cir. 279, 1993 Va. Cir. LEXIS 758, Counsel Stack Legal Research, https://law.counselstack.com/opinion/first-hospital-corp-of-norfolk-v-stroube-vaccrichmondcty-1993.