Total Renal Care of North Carolina LLC v. North Carolina Department of Health

673 S.E.2d 137, 195 N.C. App. 378, 2009 N.C. App. LEXIS 202
CourtCourt of Appeals of North Carolina
DecidedFebruary 17, 2009
DocketCOA07-1479
StatusPublished
Cited by10 cases

This text of 673 S.E.2d 137 (Total Renal Care of North Carolina LLC v. North Carolina Department of Health) is published on Counsel Stack Legal Research, covering Court of Appeals of North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Total Renal Care of North Carolina LLC v. North Carolina Department of Health, 673 S.E.2d 137, 195 N.C. App. 378, 2009 N.C. App. LEXIS 202 (N.C. Ct. App. 2009).

Opinion

STEPHENS, Judge.

Pursuant to the powers conferred upon it by the North Carolina Constitution, the General Assembly has enacted legislation which requires a person or entity seeking to “offer or develop a new institutional health service” to first apply for and obtain a Certificate of Need (“CON”) from the Department of Health and Human Services, Division of Health Service Regulation, Certificate of Need Section (“DHHS”). N.C. Gen. Stat. §§ 131E-175 to -192 (2005) (hereinafter, “CON Law”). The CON Law does not authorize DHHS to withdraw a CON after the project or facility for which a CON was issued is complete or becomes operational. N.C. Gen. Stat. § 131E-189. In this case, *379 DHHS issued a CON to Respondents-Intervenors-Appellees BioMedical Applications of North Carolina, Inc., d/b/a Fresenius Medical Care of North Carolina (“BMA”), and Nephro Rentals, LLC to develop a kidney disease treatment center. Petitioner-Appellant Total Renal Care of North Carolina LLC (“TRC”) appealed DHHS’s decision to this Court. While the appeal was pending, BMA completed and began operating the kidney disease treatment center. Accordingly, this appeal is now moot. See Mooresville Hosp. Mgmt. Assocs. v. N.C. Dep’t of Health & Human Services, 360 N.C. 156, 622 S.E.2d 621 (2005) (per curiam), vacating 169 N.C. App. 641, 611 S.E.2d 431 (2005).

NORTH CAROLINA’S CERTIFICATE OF NEED LAW

This Court has previously and ably reviewed the history and purpose of the CON Law and the procedure involved in obtaining a CON in North Carolina. See, e.g., Living Centers-Southeast, Inc. v. N.C. Dep’t of Health & Human Services, 138 N.C. App. 572, 532 S.E.2d 192 (2000). However, we find it useful to once again set forth the CON Law’s somewhat complicated regime before addressing the merits of this appeal.

The General Assembly enacted the CON Law in 1977 after the United States Congress passed the National Health Planning and Resource Development Act of 1974 requiring states to establish certificate of need programs as a prerequisite to obtaining federal health program financial grants. Hosp. Grp. of W. N.C., Inc. v. N.C. Dep’t of Human Res., 76 N.C. App. 265, 267, 332 S.E.2d 748, 750 (1985). Congress repealed the Health Planning Act effective 1 January 1987, Pub. L. No. 99-660, title VII, § 701(a), 100 Stat. 3799 (1986), but the General Assembly did not repeal the CON Law. The fundamental purpose of the CON Law is to limit the construction of health care facilities in North Carolina to those that are needed by the public and that can be operated efficiently and economically for the public’s benefit. In re Humana Hosp. Corp. v. N. C. Dep’t of Human Res., 81 N.C. App. 628, 632, 345 S.E.2d 235, 237 (1986). See N.C. Gen. Stat. § 131E-175.

Under the CON Law, “[n]o person shall offer or develop a new institutional health service without first obtaining a [CON] from [DHHS][.]” N.C. Gen. Stat. § 131E-178(a). A CON is defined as a “written order which affords the person so designated as the legal proponent of the proposed project the opportunity to proceed with the development of such project.” N.C. Gen. Stat. § 131E-176(3). Health *380 care facilities to which the CON Law applies include: hospitals; long-term care hospitals; psychiatric facilities; rehabilitation facilities; nursing home facilities; adult care homes; kidney disease treatment centers, including freestanding hemodialysis units; intermediate care facilities for the mentally retarded; home health agency offices; chemical dependency treatment facilities; diagnostic centers; hospice offices, hospice inpatient facilities, hospice residential care facilities; and ambulatory surgical facilities. N.C. Gen. Stat. § 131E-176(9b).

DHHS normally has 90 days to review an application for a CON before it must “issue a decision to ‘approve,’ ‘approve with conditions,’ or ‘deny,’ ” the application. N.C. Gen. Stat. § 131E-186(a). DHHS bases its initial decision upon its determination of whether the applicant has complied with the statutory criteria contained in N.C. Gen. Stat. § I31E-183(a). The statutory criteria include, among other things, documentation of the needs of the subject population, the applicant’s financial and operational projections, and a demonstration that the proposed project will not result in unnecessary duplication of existing or approved health service capabilities or facilities. N.C. Gen. Stat. §§ 131E-183(a)(3), (5), and (6).

After DHHS issues its initial decision to approve, approve with conditions, or deny a CON application, “any affected person[]” may file a petition under the Administrative Procedure Act with the Office of Administrative Hearings (“OAH”) for a contested case hearing before an Administrative Law Judge (“ALJ”). N.C. Gen. Stat. § 131E-188(a). If no person files a petition for a contested case hearing, DHHS must issue the CON within 35 days of its initial decision if “all applicable conditions of approval that can be satisfied before issuance of the [CON] have been met.” N.C. Gen. Stat. § 131E-187(a).

If an affected person files a petition for a contested case hearing, DHHS may not issue the CON until the petition is withdrawn or until DHHS issues a final agency decision,following a hearing before an ALJ. N.C. Gen. Stat. § 131E-187(b). OAH must assign an AU to the case within 15 days after the filing of a petition, and the parties must complete discovery within 90 days after the assignment of the AU. N.C. Gen. Stat. §§ 131E-188(a)(l) and (2). Within 45 days from the conclusion of the discovery period, a “hearing at which sworn testimony is taken and evidence is presented shall be held[.]” N.C. Gen. Stat. § 131E-188(a)(3). The ALJ must make a non-binding recommended decision within 75 days after the hearing. N.C. Gen. Stat. § 131E-188(a)(4). After issuing the recommended decision, OAH compiles an official record in the case, which contains:

*381 (1) Notices, pleadings, motions, and intermediate rulings;
(2) Questions and offers of proof, objections, and rulings thereon;
(3) Evidence presented;
(4) Matters officially noticed, except matters so obvious that a statement of them would serve no useful purpose; and
(6) The [AU’s] decision, or order.

N.C. Gen. Stat. § 150B-37(a) (2005). OAH then forwards the record to DHHS for a final agency decision.

DHHS must issue a final agency decision within 30 days of receiving the official record from OAH. N.C. Gen. Stat. § 131E-188(a)(5).

Free access — add to your briefcase to read the full text and ask questions with AI

Related

State v. Elder
Supreme Court of North Carolina, 2022
Sca-Blue Ridge, LLC v. Wakemed
2016 NCBC 2 (North Carolina Business Court, 2016)
Cumberland Cnty. Hosp. Sys., Inc. v. N.C. Dep't of Health & Human Servs.
776 S.E.2d 329 (Court of Appeals of North Carolina, 2015)
Tinajero v. Balfour Beatty Infrastructure, Inc.
758 S.E.2d 169 (Court of Appeals of North Carolina, 2014)
TOWN OF MIDLAND v. Morris
704 S.E.2d 329 (Court of Appeals of North Carolina, 2011)
Mission Hospitals, Inc. v. North Carolina Department of Health & Human Services
696 S.E.2d 163 (Court of Appeals of North Carolina, 2010)
Hope—A Women's Cancer Center, P.A. v. State
693 S.E.2d 673 (Court of Appeals of North Carolina, 2010)

Cite This Page — Counsel Stack

Bluebook (online)
673 S.E.2d 137, 195 N.C. App. 378, 2009 N.C. App. LEXIS 202, Counsel Stack Legal Research, https://law.counselstack.com/opinion/total-renal-care-of-north-carolina-llc-v-north-carolina-department-of-ncctapp-2009.