Texas Health Facilities Commission v. Charter Medical-Dallas, Inc.

665 S.W.2d 446, 27 Tex. Sup. Ct. J. 234, 1984 Tex. LEXIS 319
CourtTexas Supreme Court
DecidedFebruary 15, 1984
DocketC-2478
StatusPublished
Cited by704 cases

This text of 665 S.W.2d 446 (Texas Health Facilities Commission v. Charter Medical-Dallas, Inc.) is published on Counsel Stack Legal Research, covering Texas Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Texas Health Facilities Commission v. Charter Medical-Dallas, Inc., 665 S.W.2d 446, 27 Tex. Sup. Ct. J. 234, 1984 Tex. LEXIS 319 (Tex. 1984).

Opinion

BARROW, Justice.

This is an appeal from three consolidated orders of petitioner Texas Health Facilities Commission. The orders of the Commission granted certificates of need to petitioners Healthcare International and Memorial Hospital of Garland and denied a similar request made by respondent Charter Medi-eal-Dallas, Inc. The action of the Commission was upheld by the trial court. The court of appeals, with one justice dissenting, reversed the judgment of the trial court and remanded the cause to the Commission for further proceedings. Charter Medical-Dallas, Ins. v. Texas Health Facilities Com’n, 656 S.W.2d 928. We reverse the judgment of the court of appeals and affirm the judgment of the trial court.

The Texas Health Facilities Commission is the Texas administrative agency charged with governing the availability of health care facilities in this state. See Health Planning and Development Act, Tex.Rev. Civ.Stat.Ann. art. 4418h, §§ 1.01-6.04 (HPDA). The Commission’s primary function is to prevent the development of new health care facilities with services that are not needed or that cannot feasibly be developed, staffed, or operated. This function is performed primarily by the Commission’s administration of a state certificate of need program. Id., § 2.06. Under this program, a person proposing to establish or modify a health care facility must obtain a certificate of need from the Commission. Id., § 3.01.

*449 In December of 1979 and January of 1980, the parties to this appeal filed applications seeking certificates of need for proposed projects. Memorial sought permission to convert a portion of its general hospital into psychiatric use; Healthcare proposed to construct a new facility, “Green Oaks;” and Charter Medical applied for permission to construct “Dallas Psychiatric Hospital.” All three projects were planned for the area encompassing north Dallas County and Collin County. These three applications were consolidated by the Commission, and a hearing was held to determine whether one or more of the applications should be granted. The Commission rendered its orders in October of 1980 granting certificates of need to Healthcare and Memorial and denying the application of Charter Medical.

The trial court rendered judgment sustaining the orders of the Commission as to all three applications. This judgment was reversed by the court of appeals and the cause remanded to the Commission. The stated reason for the court of appeals’ decision is that the Commission’s orders contain insufficient underlying (basic) facts to support the ultimate findings or conclusions of the Commission on the three applications. The court of appeals held that the absence of underlying facts rendered the Commission’s ultimate findings arbitrary and capricious. The court of appeals remanded all three applications to the Commission since the Commission’s denial of Charter Medical’s request may have been based upon the granting of the other two applications.

In reaching its decision, the court of appeals set forth a lengthy recitation of the facts and Commission rules applicable to this appeal; we refer the reader to that opinion for a more complete statement on these matters. We limit our discussion to the specific points properly before this Court and upon which we base our decision.

This administrative appeal arises under the authority of the HPDA in conjunction with the Texas Administrative Procedure and Texas Register Act. Tex.Rev.Civ.Stat. Ann. art. 6252-13a (APTRA). Under the legislative scheme of the APTRA, the manner of review of agency actions is governed by the enabling statute in the area under adjudication. APTRA, § 19(e); Southwestern Bell Telephone Co. v. Public Utility Commission, 571 S.W.2d 503, 508 (Tex.1978). Section 1.04 of the HPDA incorporates the APTRA “except to the extent inconsistent with” the HPDA. Therefore, the scope of judicial review in this case must be discerned from both the HPDA and the APTRA.

In determining the role of the reviewing court, we must first ascertain the legislative standards to which the Commission must adhere in making its decisions, i.e., what findings and conclusions the Commission must make before it properly may grant a certificate of need. Subsection 3.10(a) of the HPDA requires the Commission to promulgate rules establishing criteria to determine whether an applicant is to be issued a certificate of need for a proposed project. Subsection 3.10(b) sets forth five specific factors that must be included among the Commission’s criteria:

Criteria established by the commission must include at least the following:
(1) whether a proposed project is necessary to meet the healthcare needs of the community or population to be served;
(2) whether a proposed project can be adequately staffed and operated when completed;
(3) whether the cost of a proposed project is economically feasible;
(4) if applicable, whether a proposed project meets the special needs and circumstances for rural or sparsely populated areas; and
(5) if applicable, whether the proposed project meets special needs for special services or special facilities.

Thereafter, subsection 3.10(c) contains six factors that the Commission “shall consider” in developing its criteria.

The Commission has promulgated “General Criteria for Use in Certificate of Need *450 Reviews” that incorporate both the factors required by subsection 3.10(b) and the factors that the legislature has directed the Commission to “consider.” 1 These criteria include thirteen broad categories addressing such matters as “Community Health Care Requirements,” “Service Area Population,” and “Relationship to Existing Services and Existing Facilities.”

Under these broad, general categories are approximately fifty-four subcategories or factors that the Commission considers relevant to its decision on the ultimate factors. These subcategories are referred to by the court of appeals as “intermediate facts.” The findings of the Commission on the totality of these criteria form the basis of the Commission’s decision to grant or deny a certificate of need. “An applicant or party who is aggrieved by an order of the commission ... is entitled to judicial review under the substantial evidence rule.” HPDA, § 3.15.

Having determined the prerequisites to agency action under the HPDA, we look to the APTRA to determine its guidelines for judicial review. Section 16(b) of the AP-TRA states: “A final decision must include findings of fact and conclusions of law, separately stated. Findings of fact, if set forth in statutory language, must be accompanied by a concise and explicit statement of the underlying facts supporting the findings.” The exact manner of judicial review is stated in section 19(e):

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665 S.W.2d 446, 27 Tex. Sup. Ct. J. 234, 1984 Tex. LEXIS 319, Counsel Stack Legal Research, https://law.counselstack.com/opinion/texas-health-facilities-commission-v-charter-medical-dallas-inc-tex-1984.