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2018 Georgia Code 31-6-21 | Car Wreck Lawyer

TITLE 31 HEALTH

Section 6. State Health Planning and Development, 31-6-1 through 31-6-95.

ARTICLE 2 ORGANIZATION

31-6-21. Department of Community Health generally.

  1. The Department of Community Health, established under Chapter 2 of this title, is authorized to administer the certificate of need program established under this chapter and, within the appropriations made available to the department by the General Assembly of Georgia and consistently with the laws of the State of Georgia, a state health plan adopted by the board. The department shall provide, by rule, for procedures to administer its functions until otherwise provided by the board.
  2. The functions of the department shall be:
    1. To conduct the health planning activities of the state and to implement those parts of the state health plan which relate to the government of the state;
    2. To prepare and revise a draft state health plan;
    3. To seek advice, at its discretion, from the Health Strategies Council in the performance by the department of its functions pursuant to this chapter;
    4. To adopt, promulgate, and implement rules and regulations sufficient to administer the provisions of this chapter including the certificate of need program;
    5. To define, by rule, the form, content, schedules, and procedures for submission of applications for certificates of need and periodic reports;
    6. To establish time periods and procedures consistent with this chapter to hold hearings and to obtain the viewpoints of interested persons prior to issuance or denial of a certificate of need;
    7. To provide, by rule, for such fees as may be necessary to cover the costs of hearing officers, preparing the record for appeals before such hearing officers and the Certificate of Need Appeal Panel of the decisions of the department, and other related administrative costs, which costs may include reasonable sharing between the department and the parties to appeal hearings;
    8. To establish, by rule, need methodologies for new institutional health services and health facilities. In developing such need methodologies, the department shall, at a minimum, consider the demographic characteristics of the population, the health status of the population, service use patterns, standards and trends, financial and geographic accessibility, and market economics. The department shall establish service-specific need methodologies and criteria for at least the following clinical health services: short stay hospital beds, adult therapeutic cardiac catheterization, adult open heart surgery, pediatric cardiac catheterization and open heart surgery, Level II and III perinatal services, freestanding birthing centers, psychiatric and substance abuse inpatient programs, skilled nursing and intermediate care facilities, home health agencies, and continuing care retirement community sheltered facilities;
    9. To provide, by rule, for a reasonable and equitable fee schedule for certificate of need applications;
    10. To grant, deny, or revoke a certificate of need as applied for or as amended; and
    11. To perform powers and functions delegated by the Governor, which delegation may include the powers to carry out the duties and powers which have been delegated to the department under Section 1122 of the federal Social Security Act of 1935, as amended.

(Code 1981, §31-6-21, enacted by Ga. L. 1983, p. 1566, § 1; Ga. L. 1984, p. 22, § 31; Ga. L. 1985, p. 829, § 1; Ga. L. 1992, p. 6, § 31; Ga. L. 1994, p. 684, § 1; Ga. L. 1999, p. 296, §§ 6, 22; Ga. L. 2007, p. 173, § 2C/HB 429; Ga. L. 2008, p. 12, § 1-1/SB 433; Ga. L. 2009, p. 8, § 31/SB 46; Ga. L. 2009, p. 453, § 1-8/HB 228.)

Editor's notes.

- Ga. L. 2008, p. 12, § 3-1/SB 433, not codified by the General Assembly, provides that the amendment to this Code section shall only apply to applications submitted on or after July 1, 2008.

U.S. Code.

- Section 1122 of the federal Social Security Act of 1935, as amended, referred to in paragraph (11), is codified as 42 U.S.C. § 1320a-1.

JUDICIAL DECISIONS

Criteria used by Review Board.

- Review Board could use not only the considerations listed in O.C.G.A. § 31-6-42, but also Health Planning Agency standards and criteria interpreting those standards, to make a decision in the case before the board. North Fulton Community Hosp. v. State Health Planning & Dev. Agency, 168 Ga. App. 801, 310 S.E.2d 764 (1983).

Reversal of the agency and denial of a Certificate of Need (CON) was affirmed because the atypical barrier exception did not support the agency's grant of the CON as the agency's interpretation of the atypical barrier exception in the rule was inconsistent with the plain language of the rule, clearly erroneous, and prejudiced the substantial rights of the challenging hospitals who already provided the same services. ASMC, LLC v. Northside Hosp., Inc., 344 Ga. App. 576, 810 S.E.2d 663 (2018).

Rule 272-2-.09(13) construed.

- Cardiac Surgery Rule, Rule 272-2-.09(13), promulgated pursuant to O.C.G.A. § 31-6-21, does not place a two-year moratorium on applications for adult cardiac surgery services and pediatric cardiac catheterization and surgical services, but merely requires that the applicant show need. Chatham County Hosp. Auth. & Mem. Medical Center, Inc. v. St. Joseph's Hosp., 178 Ga. App. 628, 344 S.E.2d 463 (1986).

Cited in Ga. Dep't of Cmty. Health, Div. of Health Planning v. Gwinnett Hosp. Sys., 262 Ga. App. 879, 586 S.E.2d 762 (2003).

Cases Citing O.C.G.A. § 31-6-21

Total Results: 7  |  Sort by: Relevance  |  Newest First

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Premier Health Care Investments, LLC v. Uhs of Anchor, L.P, 849 S.E.2d 441 (Ga. 2020).

Cited 36 times | Published | Supreme Court of Georgia | Oct 5, 2020 | 310 Ga. 32

...The Court of Appeals acknowledged that “OCGA § 31-6-40 (a) does not specifically include the expansion of existing programs in its list of ‘new institutional health services’ that are required to obtain a CON,” but concluded that the “list is not exclusive.” Id. And it reasoned that based on OCGA § 31-6-21 (pertaining to Department’s rulemaking authority), “the Department saw fit to require by its Rules that the expansion of an existing psychiatric and/or substance abuse facility requires a CON,” and that “[t]his rul...
...certificate of need program[,]” to “establish, by rule, need methodologies for new institutional health services and health care facilities[,]” and to “establish service-specific need methodologies and criteria for . . . psychiatric and substance abuse inpatient programs[.]” OCGA § 31-6-21 (a), (b) (4) & (8). As noted above, the rule relevant to this case is the Psychiatric Rule, which provides that a “Certificate of Need shall be required prior to the establishment of a new or the expansion of an existing acute c...
...15 Citing dicta from Albany Surgical, P.C. v. Ga. Dept. of Community Health, 278 Ga. 366, 368 (602 SE2d 648) (2004), Southern Crescent argues that the General Assembly acquiesced to the Psychiatric Rule when the Rule was submitted to legislative counsel pursuant to OCGA § 31-6-21.1 (b) and the General Assembly did not object to it. See OCGA § 31-6-21.1 (b) (providing that “[t]he department shall transmit” copies of a rule notice “to the legislative counsel,” which “the legislative counsel shall furnish [to] the presiding officer of each house” of the General Assembly and ...
...And because one of the two potentially plausible interpretations here — that “include” is a limiting term that sets out an exhaustive list of statutorily defined new institutional health services requiring a CON — also avoids an interpretation of OCGA § 31-6-21 that could raise serious questions about the constitutionality of the General Assembly’s delegation of rulemaking authority to the Department, the canon of constitutional doubt tip...
...501 (458 SE2d 118) (1995), this Court examined an agency rule that authorized a health care facility’s relocation without any CON approval under OCGA § 31-6-40 (a)’s But the guidance the General Assembly provided the Department in OCGA § 31-6-21 (a) (8), which provides a number of factors the Department must consider in developing methodologies, does not provide the guidance necessary for the Psychiatric Rule to avoid non-delegation concerns....
...and in Stephenson, and the Department’s usurpation by effectively adding a service requiring CON approval here. 23 Indeed, the Department itself now disclaims such a reading of the Psychiatric Rule. See footnote 4, above. the Department under OCGA § 31-6-21 in this context that we should avoid such an interpretation....
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North Fulton Med. Ctr., Inc. v. Stephenson, 501 S.E.2d 798 (Ga. 1998).

Cited 25 times | Published | Supreme Court of Georgia | May 26, 1998 | 269 Ga. 540

...of Savannah, 267 Ga. 619, 621, 480 S.E.2d 595 (1997). [9] HCA Health Serv., 265 Ga. at 502, 458 S.E.2d 118. [10] Id.; See Department of Transp. v. Del-Cook Timber Co., 248 Ga. 734, 738, 285 S.E.2d 913 (1982). SHPA's legislative grant of authority is set forth in OCGA § 31-6-21(b)(4), which provides that it is authorized "to adopt, promulgate, and implement rules and regulations sufficient to administer the provisions of [the Act] including the [CON] program." [11] HCA Health Serv., 265 Ga....
...482, 483, 216 S.E.2d 332 (1975)). [13] 73 CJS, Public Administration Law & Procedure, § 32 (1983 & Supp.1997). [14] Id.; see Colgate-Palmolive-Peet Co. v. National Labor Relations Board, 338 U.S. 355, 70 S.Ct. 166, 94 L.Ed. 161 (1949). [15] See note 10, supra; OCGA § 31-6-21(b)(4)....
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HCA Health Servs., Inc. v. Roach, 439 S.E.2d 494 (Ga. 1994).

Cited 14 times | Published | Supreme Court of Georgia | Feb 7, 1994 | 263 Ga. 798, 94 Fulton County D. Rep. 479

...American Cyanamid Co., 239 Ga. 740, 743 (238 SE2d 886) (1977). Under the State Health Planning and Development Act (the Act), SHPA is authorized and required to administer the CON program, and is directed to make rules in order to administer that program. OCGA § 31-6-21 (a) and (b) (4). The detailed procedures for rulemaking by SHPA generally follow those of the Georgia Administrative Procedure Act and include notice and consideration by committees of both branches of a legislature. OCGA § 31-6-21.1....
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Georgia Dep't of Cmty. Health v. Northside Hosp., Inc., 295 Ga. 446 (Ga. 2014).

Cited 13 times | Published | Supreme Court of Georgia | Jun 30, 2014 | 761 S.E.2d 74

...Selective HR Solutions, Inc., 289 Ga. 753 , 756 (1) (“It is within the purview of this Court to consider the validity of an agency rule by determining whether it comports with the legislative enactment which authorizes the rule”) (citation omitted). See also OCGA § 31-6-21.1 (a) (“Rules of the [DCH] shall be 5 It is this final sentence of the Rule that the Court of Appeals determined to be unconstitutionally vague. 4 adopted, promulgated, and implemented as provided in this Code section and in ....
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Albany Surgical, P.C. v. Georgia Dep't of Cmty. Health, 278 Ga. 366 (Ga. 2004).

Cited 6 times | Published | Supreme Court of Georgia | Sep 13, 2004 | 602 S.E.2d 648, 2004 Fulton County D. Rep. 2937

...Accordingly, when Albany Surgical first appealed to this Court, we transferred the appeal to the Court of Appeals. See Senase v. State, 258 Ga. 592 (372 SE2d 813) (1988). The Court of Appeals affirmed the grant of summary judgment to defendants, ruling that the regulations were authorized by statute, OCGA § 31-6-21 (b) (4), and that they were reasonable....
...To promulgate a regulation, the Department of Community Health sends the proposed regulation to legislative counsel, who forwards it to the legislative health committees. If both committees object within 30 days, the proposed regulation cannot be adopted. OCGA § 31-6-21.1 (c). If, on the other hand, both committees do not object, the regulation may be adopted. OCGA § 31-6-21.1 (b)....
...If only one committee objects, the legislature may, by resolution, override the regulation by two-thirds of the votes of each house. If a majority, but less than two-thirds, approves the resolution, it is submitted to the governor for his approval or veto. If the governor approves the resolution, the rule is void. OCGA § 31-6-21.1 (d). Albany Surgical argues that this procedure is unconstitutional because it permits a proposed regulation to become effective by “legislative acquiescence.”2In this regard, Albany Surgical posits that the silence of the health co...
...and then delegate to administrative officers or agencies the authority to make rules and regulations necessary to effectuate such laws. [Cits.]” Dept. of Transp. v. Del-Cook Timber Co., 248 Ga. at 737 (3), supra. Thus, it cannot be said that OCGA § 31-6-21.1 violates the separation of powers doctrine simply because it enables the Department of Community Health to promulgate and adopt regulations pursuant to a delegated power....
...Daughdrill, for appellant. Thurbert E. Baker, Attorney General, Sidney R. Barrett, Jr., Assistant Attorney General, Parker, Hudson, Rainer & Dobbs, John H. Parker, Jr., Thomas D. Watry, Leo E. Reichert, Perry & Walters, James E. Reynolds, Jr., for appellees. OCGA § 31-6-21.1 is not unconstitutional for any of the reasons assigned. Judgment affirmed. All the Justices concur. This paragraph provides: “The legislative, judicial, and executive powers shall forever remain separate and distinct; and no person discharging the duties of one shall at the same time exercise the functions of either of the others except as herein provided.” In its opinion, the Court of Appeals described the procedure set forth in OCGA §31-6-21.1 and correctly found that it created a presumption that a proposed regulation correctly expresses the legislative intent....
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Kennestone Hosp., Inc. v. Emory Univ., 318 Ga. 169 (Ga. 2024).

Cited 3 times | Published | Supreme Court of Georgia | Feb 6, 2024

...OCGA § 31-6-44.1 (a). Finally, the CON Act also empowers the Department to “adopt, promulgate, and implement rules and regulations sufficient to ad- minister the provisions of this chapter including the certificate of need program.” OCGA § 31-6-21 (b) (4)....

Kennestone Hosp., Inc. v. Northside Hosp., Inc. (Ga. 2014).

Published | Supreme Court of Georgia | Jun 30, 2014

...753, 756 (1) (716 SE2d 150) (2011) (“It is within the purview of this Court to consider the validity of an agency rule by determining whether it comports with the legislative enactment which authorizes the rule”) (citation omitted). See also OCGA § 31-6-21.1 (a) (“Rules of the [DCH] shall be adopted, promulgated, and implemented as provided in this Code section and in ....