Whitehall Boca v. DEPT. OF HEALTH & R. SERV.

456 So. 2d 928
CourtDistrict Court of Appeal of Florida
DecidedSeptember 5, 1984
DocketAW-15, AW-16, AW-179 and AW-193
StatusPublished
Cited by1 cases

This text of 456 So. 2d 928 (Whitehall Boca v. DEPT. OF HEALTH & R. SERV.) is published on Counsel Stack Legal Research, covering District Court of Appeal of Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Whitehall Boca v. DEPT. OF HEALTH & R. SERV., 456 So. 2d 928 (Fla. Ct. App. 1984).

Opinion

456 So.2d 928 (1984)

WHITEHALL BOCA, an Illinois Limited Partnership, Appellant,
v.
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES, Appellee. and
HEALTH CARE AND RETIREMENT CORPORATION OF AMERICA, Appellants,
v.
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES, Appellee.

Nos. AW-15, AW-16, AW-179 and AW-193.

District Court of Appeal of Florida, First District.

September 5, 1984.
Rehearing Denied October 17, 1984.

*929 Jean Laramore and Alfred W. Clark, of Laramore & Clark, P.A., Tallahassee, for appellants.

James M. Barclay, Dept. of Health and Rehabilitative Services, Tallahassee, for appellees.

WIGGINTON, Judge.

By this consolidated appeal, Health Care and Retirement Corporation of America (HCR) and Whitehall Boca (Whitehall) seek review of final agency action taken by the Department of Health and Rehabilitative Services (HRS) and the Department of Administrative Hearings (DOAH) pursuant to section 120.54(3) and (4)(a), Florida Statutes. Specifically, they challenge HRS's denial of HCR's and Whitehall's petitions for separate 120.57 hearings, and DOAH's conclusion that the proposed amendment to rule 10-5.11, Florida Administrative Code, is a valid exercise of delegated legislative authority. We affirm.

The Florida Health Facilities and Health Services Planning Act, section 381.493 et seq., requires all health care related projects to file applications for certificates of need. Sections 381.494(1) and 381.495(2), Fla. Stat. (1983). The Department of Health and Rehabilitative Services, charged with the authority to issue licenses to health care facilities and health service providers, section 381.495(1), and to issue, revoke, or deny certificates of need, section 381.494(8)(a), promulgated rule 10-5.11 listing twelve general criteria against which applications for certificates of need were to be evaluated. In particular, subsection (3) of that rule allowed HRS to consider "[t]he need that the population served or to be served has for such proposed health hospice services." However, in Farmworker Rights Organization, Inc. v. State, Department of Health and Rehabilitative Services, 430 So.2d 1 (Fla. 1st DCA 1983), this Court held rule 10-5.11 to be an invalid exercise of delegated legislative authority. Although we noted therein that subsection (3) dealt with "access," we held it was not broad enough to include criteria mandated by applicable federal statutes and regulations concerned with access of low income and minority groups to health care facilities.[1]Id., at 7. Accordingly, HRS caused to be published notice of a proposed amendment to rule 10-5.11, seeking to amend the rule to read as follows:

(3)(a) The need that the population served or to be served has for the health or hospice services proposed to be offered or changed, and the extent to which all residents of the district, and in particular low income persons, racial and ethnic minorities, women, handicapped persons, other underserved groups and the elderly, are likely to have access to those services.
(b) The extent to which that need will be met adequately under a proposed reduction, elimination or relocation of a service, under a proposed substantial change in admissions policies or practices, or by alternative arrangements, and the effect of the proposed change on the ability of members of medically underserved groups which have traditionally experienced difficulties in obtaining equal access to health services to obtain needed health care.
(c) The contribution of the proposed service in meeting the health needs of members of such medically underserved groups, particularly those needs identified in the applicable district plan and State health plan as deserving of priority.
*930 (d) In determining the extent to which a proposed service will be accessible, the following will be considered:
1. The extent to which medically underserved individuals currently use the applicant's services, as a proportion of the medically underserved population in the applicant's proposed service area(s), and the extent to which medically underserved individuals are expected to use the proposed services, if approved;
2. The performance of the applicant in meeting any applicable Federal regulations requiring uncompensated care, community service, or access by minorities and handicapped persons to programs receiving Federal financial assistance, including the existence of any civil rights access complaints against the applicant;
3. The extent to which Medicare, Medicaid and medically indigent patients are served by the applicant; and
4. The extent to which the applicant offers a range of means by which a person will have access to its services.
(e) In any case where it is determined that an approved project does not satisfy the criteria specified in subparagraph (3)(a) through (d), the Department may, if it approves the application, impose the condition that the applicant must take affirmative steps to meet those criteria.
(f) In evaluating the accessibility of a proposed project, the accessibility of the current facility as a whole must be taken into consideration. If the proposed project is disapproved because it fails to meet the need and access criteria specified herein, the Department will so state in its written findings. In any case where a project does not satisfy the criteria specified in subparagraph (3)(a) through (d) above, the Department shall so notify in writing the applicant and the appropriate Regional Office of the United States Department of Health and Human Services.

HCR is a corporation which owns and operates nursing homes in several states, taking both private-pay patients and patients paying through Medicare and Medicaid, and has pending several applications for certificates of need to establish nursing homes in Florida. Whitehall operates a nursing home located in Boca Raton, Florida. Those residing there are entirely private-pay patients, as Whitehall's concept is to provide elite nursing home services to persons in the upper income bracket. The home is presently licensed for sixty-nine beds, but Whitehall desires to expand that number.

Pursuant to section 120.54(3),[2] both HCR and Whitehall requested a public hearing on the proposed rule. At the same time, both parties filed petitions seeking an administrative determination of the validity of the proposed rule as provided in section 120.54(4)(a).[3]

At the informal public hearing, HCR and Whitehall, each represented by counsel, and members of the public were given the opportunity to comment on the proposed rule amendments. At the outset of the hearing, though, the administrative hearing officer advised the parties that they could present evidence and argument, provide any written information or material, and direct specific questions to department personnel at the conclusion of the hearing, or alternatively, into the record, but that he and his staff would not conduct a "question and answer session," as it was the department's primary duty at a 120.54(3) informal hearing "to listen rather than to speak." In response to HCR's inquiry as to whether *931 HRS would make any presentation regarding the rule, the hearing officer stated that questions would be commented on by department personnel but not resolved.

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Related

Redman v. Department of Corrections
10 Fla. Supp. 2d 162 (State of Florida Division of Administrative Hearings, 1985)

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Bluebook (online)
456 So. 2d 928, Counsel Stack Legal Research, https://law.counselstack.com/opinion/whitehall-boca-v-dept-of-health-r-serv-fladistctapp-1984.