VANTAGE CANCER CENTERS OF GEORGIA, LLC v. GEORGIA DEPARTMENT OF COMMUNITY HEALTH (Three Cases)

318 Ga. 361
CourtSupreme Court of Georgia
DecidedFebruary 20, 2024
DocketS23G0405, S23G0408, S23G0409
StatusPublished
Cited by2 cases

This text of 318 Ga. 361 (VANTAGE CANCER CENTERS OF GEORGIA, LLC v. GEORGIA DEPARTMENT OF COMMUNITY HEALTH (Three Cases)) is published on Counsel Stack Legal Research, covering Supreme Court of Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
VANTAGE CANCER CENTERS OF GEORGIA, LLC v. GEORGIA DEPARTMENT OF COMMUNITY HEALTH (Three Cases), 318 Ga. 361 (Ga. 2024).

Opinion

318 Ga. 361 FINAL COPY

S23G0405. VANTAGE CANCER CENTERS of GEORGIA, LLC et al. v. DEPARTMENT OF COMMUNITY HEALTH et al. S23G0408. NORTHEAST GEORGIA MEDICAL CENTER, INC. et al. v. NORTHSIDE HOSPITAL, INC. S23G0409. NORTHEAST GEORGIA MEDICAL CENTER, INC. et al. v. DEPARTMENT OF COMMUNITY HEALTH.

BOGGS, Chief Justice.

This case concerns the standard of review that the

Commissioner of the Georgia Department of Community Health

must apply when reviewing the decision of a hearing officer on an

application for a certificate of need to establish a new health service.

The Court of Appeals held that in this case the Commissioner

applied the correct standard of review, see Northside Hosp. v.

Northeast Ga. Med. Center, 365 Ga. App. 778, 782-785 (880 SE2d

286) (2022), and we granted certiorari to review that decision. We

now vacate the Court of Appeals’ judgment, set forth the standard

applicable to the Commissioner’s review, and remand the case to the

Court of Appeals. 1. In 2020, Northside Hospital, Inc. d/b/a Northside Hospital

Gwinnett (“Northside”) applied to the Georgia Department of

Community Health (“the Department”) for a certificate of need

(“CON”) to establish a new radiation therapy service at the

Northside Gwinnett Hospital. Northside filed its application under

a Department regulation permitting need exceptions for atypical

barriers to care, asserting that atypical barriers impeded the

delivery of radiation therapy services to inpatients at Northside

Gwinnett.1 More specifically, Northside contended that its inpatient

cancer patients had to be transported offsite for radiation therapy

and that, as a result, its inpatients experienced negative quality

issues, such as missed appointments and delayed treatment. The

1 Ga. Comp. R. & Regs., r. 111-2-2-.42 sets forth the requirements for a

CON to establish a new radiation therapy service. Among other things, an applicant must either show a need for the service, see Ga. Comp. R. & Regs., r. 111-2-2-.42 (3) (a), or establish grounds for applying an exception to the usual need requirement. See Ga. Comp. R. & Regs., r. 111-2-2-.42 (3) (b). The atypical barrier exception to the need standard permits the Department to issue a certificate “[t]o remedy an atypical barrier to [radiation therapy] services based on cost, quality, financial access and geographic accessibility.” Ga. Comp. R. & Regs., r. 111-2-2-.42 (3) (b) (4).

2 Northeast Georgia Medical Center (“Northeast”), RCOG Cancer

Centers, LLC (“RCOG”), and Vantage Cancer Centers of Georgia,

LLC (“Vantage”), opposed the application. Northeast provides

radiation therapy service at three locations in Hall County, one of

which is just across the Gwinnett County line. Northeast provides

radiation therapy to numerous Gwinnett County residents. Vantage

and RCOG provide radiation therapy at facilities in Gwinnett

County that are about 0.3 miles and 0.8 miles from Northside,

respectively.2 The Department’s staff granted the CON on June 16,

2020, concluding, among other things, that Northside had justified

an exception to the numerical need methodology based on quality of

care. See OCGA § 31-6-43 (b) (providing that Department staff

makes an initial decision to grant or deny a CON).

(a) Appeal to Hearing Officer

2 See OCGA § 31-6-43 (d) (2) (A) (allowing certain parties to “oppose an

application for a certificate of need for a proposed project,” including parties who “offer[ ] substantially similar services as proposed within a 35 mile radius of the proposed project”). 3 Northeast, RCOG, and Vantage filed administrative appeals to

a hearing officer. See OCGA § 31-6-44 (d). The hearing officers are

part of a “Certificate of Need Appeal Panel” that is “an agency

separate and apart from the department,” the purpose of which is

“to serve as a panel of independent hearing officers to review the

department’s initial decision to grant or deny a certificate of need

application.” OCGA § 31-6-44 (a). The hearing officer conducts “a de

novo review of the decision of the department.” OCGA § 31-6-44 (f).

Here, on April 21, 2021, following a hearing, the hearing officer

reversed the Department’s decision approving the CON. The

hearing officer’s decision contained 86 paragraphs designated as

“Findings of Fact” (“FOF”). FOF 29, for example, stated that “the

evidence at [the] hearing did not support the proposition that there

is any atypical quality barrier to care associated with a hospital’s

inpatients receiving radiation therapy at a nearby freestanding

center, as they have for decades.” FOF 34 stated that “[t]here is

nothing atypical about a hospital such as [Northside] utilizing

nearby freestanding [radiation therapy] providers staffed by

4 physicians on the hospital’s medical staff to treat its inpatients, and

that situation does not constitute an atypical barrier to care”; that

“[t]his is consistent with the overwhelmingly-outpatient nature of

the service, and medical transport to nearby radiation therapy

centers offers good access and quality for those few patients who

would benefit from radiation while admitted”; and that “[t]he

available data presented at the hearing further indicated that

inpatients at [Northside] are not accessing radiation at lower rates,

thus confirming that inpatients at [Northside] have good access, and

relying upon a detached nearby facility does not pose a barrier to

care.” Meanwhile, FOF 37 stated that the “[m]edical transport of

cancer inpatients for radiation therapy is routine, safe, and

effective” and “has been the practice at [Northside] for many years.”

(b) Appeal to the Commissioner

Northside and the Department appealed the hearing officer’s

decision to the Commissioner of the Department. See OCGA § 31-6-

44 (i) (permitting parties, including the Department, to appeal the

5 hearing officer’s decision to the commissioner). The Commissioner’s

scope of review is defined by OCGA § 31-6-44 (k) (1), which provides:

In the event an appeal of the hearing officer’s decision is filed, the commissioner may adopt the hearing officer’s order as the final order of the department or the commissioner may reject or modify the conclusions of law over which the department has substantive jurisdiction and the interpretation of administrative rules over which it has substantive jurisdiction. By rejecting or modifying such conclusion of law or interpretation of administrative rule, the department must state with particularity its reasons for rejecting or modifying such conclusion of law or interpretation of administrative rule and must make a finding that its substituted conclusion of law or interpretation of administrative rule is as or more reasonable than that which was rejected or modified.

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