In re ACTD LLC, d/b/a The Green Mountain Surgery Center

2020 VT 89, 250 A.3d 590
CourtSupreme Court of Vermont
DecidedOctober 2, 2020
Docket2019-245
StatusPublished
Cited by3 cases

This text of 2020 VT 89 (In re ACTD LLC, d/b/a The Green Mountain Surgery Center) is published on Counsel Stack Legal Research, covering Supreme Court of Vermont primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In re ACTD LLC, d/b/a The Green Mountain Surgery Center, 2020 VT 89, 250 A.3d 590 (Vt. 2020).

Opinion

NOTICE: This opinion is subject to motions for reargument under V.R.A.P. 40 as well as formal revision before publication in the Vermont Reports. Readers are requested to notify the Reporter of Decisions by email at: JUD.Reporter@vermont.gov or by mail at: Vermont Supreme Court, 109 State Street, Montpelier, Vermont 05609-0801, of any errors in order that corrections may be made before this opinion goes to press.

2020 VT 89

No. 2019-245

In re ACTD LLC, d/b/a The Green Mountain Supreme Court Surgery Center On Appeal from Green Mountain Care Board

April Term, 2020

Kevin Mullin, Chair

Karen Tyler of Dunkiel Saunders Elliott Raubvogel & Hand, PLLC, Burlington, and Eric Citron and Daniel Woofter of Goldstein & Russell, P.C., Bethesda, Maryland, for Appellant.

Thomas J. Donovan, Jr., Attorney General, and Benjamin D. Battles, Solicitor General, Montpelier, for Appellee.

Daniel P. Richardson of Tarrant, Gillies & Richardson, Montpelier, for Amicus Curiae Vermont Education Health Initiative.

PRESENT: Reiber, C.J., Eaton, Carroll and Cohen, JJ., and Pearson, Supr. J. (Ret.), Specially Assigned

¶ 1. EATON, J. This appeal concerns a certificate of need (CON) granted by the Green

Mountain Care Board to applicant ACTD, LLC, to operate the Green Mountain Surgery Center

(GMSC), a for-profit multi-specialty ambulatory surgery center. During the CON application

process, applicant indicated that it initially planned to offer surgical services in five identified

specialties. After the CON was issued, applicant notified the Board that in addition to these five

specialties, it planned to offer plastic surgery and ophthalmology procedures. The Board chose to

review these changes and, after hearing, issued a decision clarifying that the original CON was

limited in scope to the five specialties applicant had identified in its application and that the proposed addition of plastic surgery and ophthalmology procedures was a nonmaterial change to

the project. The Board concluded that applicant had demonstrated a need for greater access to

plastic surgery and ophthalmology procedures currently performed in a hospital setting and

approved the addition of these services. However, it rejected applicant’s proposal to offer

ophthalmology procedures already available at another ambulatory surgery center nearby. The

Board also extended applicant’s implementation reporting period for two additional years.

Applicant argues that the Board improperly restricted the scope of the CON and lacked the power

to extend the reporting requirement. We conclude that the Board acted within its authority and

affirm.

I.

¶ 2. We find it helpful to begin by explaining the statutory framework applicable to this

case. Under Vermont law, hospitals and health care facilities are required to obtain a CON from

the Board before developing “a new health care project.” 18 V.S.A. § 9434(a). The statute defines

“a new health care project” to include “[t]he construction, development, purchase, lease, or other

establishment of an ambulatory surgical center.” Id. § 9434(a)(6). The purpose of the CON

requirement is to ensure that new health care projects are “developed in a manner that avoids

unnecessary duplication and contains or reduces increases in the cost of delivering services, while

at the same time maintaining and improving the quality of and access to health care services, and

promoting rational allocation of health care resources in the State.” Id. § 9431(a).

¶ 3. To grant a CON, the Board must find that: the project is consistent with Vermont’s

Health Resource Allocation Plan; the cost of the project is reasonable because, among other

reasons, the impact of the project on other health care providers’ services, expenditures, and

charges is outweighed by the benefit of the project to the public; “[t]here is an identifiable, existing,

or reasonably anticipated need for the project that is appropriate for the applicant to provide”; the

project will improve the quality of or provide greater access to health care for Vermonters; and the

2 project will serve the public good. Id. § 9437(1)-(4). It is the applicant’s burden to show that these

and other statutory criteria are satisfied. In re Cent. Vt. Med. Ctr., 174 Vt. 607, 611, 816 A.2d

531, 538 (2002); Green Mountain Care Board Rule 4.000, Certificate of Need, § 4.302(3), Code

of Vt. Rules 80 280 004 [hereinafter Green Mountain Care Board Rule],

http://www.lexisnexis.com/hottopics/codeofvtrules.

¶ 4. The Board has broad authority to administer the CON program. See 18 V.S.A.

§ 9433(a) (stating Board “shall exercise such duties and powers as necessary for the

implementation of the certificate of need program”). The Board may issue a CON approving a

proposed project “in whole or in part . . . subject to such conditions as the Board may impose.” Id.

§ 9440(d)(4); Green Mountain Care Board Rule 4.500. The Board may revoke a CON for

substantial noncompliance with the scope of the project as set forth in the application, or for failure

to comply with conditions in the CON. 18 V.S.A. § 9444(a).

¶ 5. An applicant must notify the Board if it wishes to make changes to the project after

a CON is issued. Id. § 9444(b). The Board must review material changes and has discretion to

review nonmaterial changes. Id. We have held that the Board has the power to clarify an existing

CON after it is issued. In re Prof’l Nurses Serv., Inc., 164 Vt. 529, 535, 671 A.2d 1289, 1293

(1996) [hereinafter Prof’l Nurses Serv. I]. A CON expires when the Board accepts the final

implementation report filed in connection with the project. 18 V.S.A. § 9443(c).

II.

¶ 6. With the above framework in mind, we turn to the facts of this case. In June 2015,

applicant filed a letter of intent with the Board stating that it planned to apply for a CON to open

and operate GMSC, a multi-specialty ambulatory surgical center in Colchester. Applicant

proposed that GMSC would provide elective surgeries for patients who did not require

hospitalization and in cases in which the expected duration of medical services did not exceed

twenty-four hours following admission. Applicant stated that GMSC’s scope of service would

3 initially include gastroenterology, obstetrics and gynecology, pain medicine, general surgery, and

orthopedics procedures.

¶ 7. Applicant filed its CON application in July 2015. In the application, it reiterated

that GMSC’s initial scope of service would include gastroenterology, obstetrics and gynecology,

pain medicine, general surgery, and orthopedics procedures. Applicant stated that it expected the

majority of procedures to be diagnostic and screening colonoscopies and endoscopies. It

anticipated that “once [GMSC] is up and running, there will be strong demand to provide operating

and procedure room time for physicians working in other specialties, including orthopedics,

gynecology, and plastic surgery.” To demonstrate that the proposed project met the CON criteria,

applicant provided projections of anticipated caseloads by physician and specialty in the five

specialties above. Applicant also provided a list of the specific procedures it might offer in each

of the five specialties. In its discussion of the various CON criteria, applicant focused primarily

on the benefits of expanding access to colonoscopies and pain-management procedures. The

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2020 VT 89, 250 A.3d 590, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-actd-llc-dba-the-green-mountain-surgery-center-vt-2020.