Mississippi Code

Miss. Code Ann. § 41-7-201 (2026)

Appeal of final order pertaining to certificate of need for home health agency or health care facility

✓ current as of July 2026

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(1) The provisions of this subsection (1) shall apply to any party appealing any final order of the State Department of Health pertaining to a certificate of need for a home health agency, as defined in Section 41-7-173(h)(ix):
- (a) In addition to other remedies now available at law or in equity, any party aggrieved by any such final order of the State Department of Health shall have the right of appeal to the Chancery Court of the First Judicial District of Hinds County, Mississippi, which appeal must be filed within thirty (30) days after the date of the final order. Provided, however, that any appeal of an order disapproving an application for such a certificate of need may be made to the chancery court of the county where the proposed construction, expansion or alteration was to be located or the new service or purpose of the capital expenditure was to be located. Such appeal must be filed in accordance with the thirty (30) days for filing as heretofore provided. Any appeal shall state briefly the nature of the proceedings before the State Department of Health and shall specify the order complained of. Any appeal shall state briefly the nature of the proceedings before the State Department of Health and shall specify the order complained of. Any person whose rights may be materially affected by the action of the State Department of Health may appear and become a party or the court may, upon motion, order that any such person, organization or entity be joined as a necessary party.
- (b) Upon the filing of such an appeal, the clerk of the chancery court shall serve notice thereof upon the State Department of Health, whereupon the State Department of Health shall, within thirty (30) days or within such additional time as the court may by order for cause allow from the service of such notice, certify to the chancery court the record in the case, which records shall include a transcript of all testimony, together with all exhibits or copies thereof, all pleadings, proceedings, orders, findings and opinions entered in the case; provided, however, that the parties and the State Department of Health may stipulate that a specified portion only of the record shall be certified to the court as the record on appeal.
- (c) The court may dispose of the appeal in termtime or vacation and may sustain or dismiss the appeal, modify or vacate the order complained of, in whole or in part, as the case may be; but in case the order is wholly or partly vacated, the court may also, in its discretion, remand the matter to the State Department of Health for such further proceedings, not inconsistent with the court's order, as, in the opinion of the court, justice may require. The order shall not be vacated or set aside, either in whole or in part, except for errors of law, unless the court finds that the order of the State Department of Health is not supported by substantial evidence, is contrary to the manifest weight of the evidence, is in excess of the statutory authority or jurisdiction of the State Department of Health, or violates any vested constitutional rights of any party involved in the appeal. Provided, however, an order of the chancery court reversing the denial of a certificate of need by the State Department of Health shall not entitle the applicant to effectuate the certificate of need until either:
  - (i) Such order of the chancery court has become final and has not been appealed to the Supreme Court; or
  - (ii) The Supreme Court has entered a final order affirming the chancery court.
- (d) Appeals in accordance with law may be had to the Supreme Court of the State of Mississippi from any final judgment of the chancery court.

(2) The provisions of this subsection (2) shall apply to any party appealing any final order of the State Department of Health pertaining to a certificate of need for any health care facility as defined in Section 41-7-173(h), with the exception of any home health agency as defined in Section 41-7-173(h)(ix):
- (a) There shall be a "stay of proceedings" of any final order issued by the State Department of Health pertaining to the issuance of a certificate of need for the establishment, construction, expansion or replacement of a health care facility for a period of thirty (30) days from the date of the order, if an existing provider located in the same service area where the health care facility is or will be located has requested a hearing during the course of review in opposition to the issuance of the certificate of need. The stay of proceedings shall expire at the termination of thirty (30) days; however, no construction, renovation or other capital expenditure that is the subject of the order shall be undertaken, no license to operate any facility that is the subject of the order shall be issued by the licensing agency, and no certification to participate in the Title XVII or Title XIX programs of the Social Security Act shall be granted, until all statutory appeals have been exhausted or the time for such appeals has expired. Notwithstanding the foregoing, the filing of an appeal from a final order of the State Department of Health or the chancery court for the issuance of a certificate of need shall not prevent the purchase of medical equipment or development or offering of institutional health services granted in a certificate of need issued by the State Department of Health.
- (b) In addition to other remedies now available at law or in equity, any party aggrieved by such final order of the State Department of Health shall have the right of appeal to the Chancery Court of the First Judicial District of Hinds County, Mississippi, which appeal must be filed within twenty (20) days after the date of the final order. Provided, however, that any appeal of an order disapproving an application for such a certificate of need may be made to the chancery court of the county where the proposed construction, expansion or alteration was to be located or the new service or purpose of the capital expenditure was to be located. Such appeal must be filed in accordance with the twenty (20) days for filing as heretofore provided. Any appeal shall state briefly the nature of the proceedings before the State Department of Health and shall specify the order complained of.
- (c) Upon the filing of such an appeal, the clerk of the chancery court shall serve notice thereof upon the State Department of Health, whereupon the State Department of Health shall, within thirty (30) days of the date of the filing of the appeal, certify to the chancery court the record in the case, which records shall include a transcript of all testimony, together with all exhibits or copies thereof, all proceedings, orders, findings and opinions entered in the case; provided, however, that the parties and the State Department of Health may stipulate that a specified portion only of the record shall be certified to the court as the record on appeal. The chancery court shall give preference to any such appeal from a final order by the State Department of Health in a certificate of need proceeding, and shall render a final order regarding such appeal no later than one hundred twenty (120) days from the date of the final order by the State Department of Health. If the chancery court has not rendered a final order within this one-hundred-twenty-day period, then the final order of the State Department of Health shall be deemed to have been affirmed by the chancery court, and any party to the appeal shall have the right to appeal from the chancery court to the Supreme Court on the record certified by the State Department of Health as otherwise provided in paragraph (g) of this subsection. In the event the chancery court has not rendered a final order within the one-hundred-twenty-day period and an appeal is made to the Supreme Court as provided herein, the Supreme Court shall remand the case to the chancery court to make an award of costs, fees, reasonable expenses and attorney's fees incurred in favor of appellee payable by the appellant(s) should the Supreme Court affirm the order of the State Department of Health.
- (d) Any appeal of a final order by the State Department of Health in a certificate of need proceeding shall require the giving of a bond by the appellant(s) sufficient to secure the appellee against the loss of costs, fees, expenses and attorney's fees incurred in defense of the appeal, approved by the chancery court within five (5) days of the date of filing the appeal.
- (e) No new or additional evidence shall be introduced in the chancery court but the case shall be determined upon the record certified to the court.
- (f) The court may dispose of the appeal in termtime or vacation and may sustain or dismiss the appeal, modify or vacate the order complained of in whole or in part and may make an award of costs, fees, expenses and attorney's fees, as the case may be; but in case the order is wholly or partly vacated, the court may also, in its discretion, remand the matter to the State Department of Health for such further proceedings, not inconsistent with the court's order, as, in the opinion of the court, justice may require. The court, as part of the final order, shall make an award of costs, fees, reasonable expenses and attorney's fees incurred in favor of appellee payable by the appellant(s) should the court affirm the order of the State Department of Health. The order shall not be vacated or set aside, either in whole or in part, except for errors of law, unless the court finds that the order of the State Department of Health is not supported by substantial evidence, is contrary to the manifest weight of the evidence, is in excess of the statutory authority or jurisdiction of the State Department of Health, or violates any vested constitutional rights of any party involved in the appeal. Provided, however, an order of the chancery court reversing the denial of a certificate of need by the State Department of Health shall not entitle the applicant to effectuate the certificate of need until either:
  - (i) Such order of the chancery court has become final and has not been appealed to the Supreme Court; or
  - (ii) The Supreme Court has entered a final order affirming the chancery court.
- (g) Appeals in accordance with law may be had to the Supreme Court of the State of Mississippi from any final judgment of the chancery court. The Supreme Court must give preference and conduct an expedited judicial review of an appeal of a final order of the chancery court relating to a certificate of need proceeding and must render a final order regarding the appeal no later than one hundred twenty (120) days from the date the final order by the chancery court is certified to the Supreme Court. The Supreme Court shall consider such appeals in an expeditious manner without regard to position on the court docket.
- (h) Within thirty (30) days from the date of a final order by the Supreme Court or a final order of the chancery court not appealed to the Supreme Court that modifies or wholly or partly vacates the final order of the State Department of Health granting a certificate of need, the State Department of Health shall issue another order in conformity with the final order of the Supreme Court, or the final order of the chancery court not appealed to the Supreme Court.

Laws, 1979, ch. 451, § 16; Laws, 1983, ch. 484, § 8; Laws, 1985, ch. 534, § 11; Laws, 1986, ch. 437, § 44; Laws, 1992, ch. 512 § 1; Laws, 1999, ch. 583, § 3; Laws, 2011, ch. 540, § 1, eff. 7/1/2011.

Amended by Laws, 2019, ch. 367, HB 626,§ 1, eff. 7/1/2019.

Amended by Laws, 2016, ch. 412, SB 2661, 4, eff. 7/1/2016.

Notes of Decisions

Cited in 43 cases (1 in the last 5 years), 1988–2024 · leading case: Dialysis Solutions, LLC v. Mississippi State Dep't of Health, 96 So. 3d 713 (Miss. 2012).

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Dialysis Solutions, LLC v. Mississippi State Dep't of Health, 96 So. 3d 713 (Miss. 2012). · cites it 7× “See Miss.Code Ann. § 41-7-201 (Supp.2011). Thereafter, this Court entered an order on its own motion, seeking briefing from the parties and the Attorney General regarding whether Section 41-7-201, as amended, “is constitutional under Mississippi Constitution article 6, section…”

St. Dominic-Jackson Mem'l Hosp. v. HEALTH DEPT., 910 So. 2d 1077 (Miss. 2005). · cites it 5× “Pursuant to Miss.Code Ann. § 41-7-201, St. Dominic appealed both final orders to the Chancery Court of the First Judicial District of Hinds County, Mississippi.”

Attala Bd. of Sup'rs v. Ms Dept. of Health, 867 So. 2d 1019 (Miss. 2004). · cites it 5× “The Board was the only applicant to timely appeal the MSDH's decision to the Chancery Court of Attala County pursuant to Miss.Code Ann. § 41-7-201(2) (Rev. 2001).”

MS DEPT. OF HEALTH v. Natchez Cmty. Hosp., 743 So. 2d 973 (Miss. 1999). · cites it 2× “Miss.Code Ann. § 41-7-201(2)(f) (1993) sets forth the applicable standard of review here: .”

Oktibbeha Cnty. Hosp. v. MISSISSIPPI DOH, 956 So. 2d 207 (Miss. 2007). · cites it 3× “OCH timely filed a notice of appeal to the Hinds County Chancery Court pursuant to Miss.Code Ann. § 41-7-201(2)(Rev.2005). On January 27, 2006, that court issued its opinion affirming the final order of the Mississippi State Department of Health.”

St. Dominic-Jackson v. Miss. State Dept., 728 So. 2d 81 (Miss. 1998). · cites it 2× “Miss.Code Ann. § 41-7-201(4) (Supp.1990).”

Hti Health Servs. of Ms., Inc. v. State Dept. of Health, 603 So. 2d 848 (Miss. 1992). · cites it 2× “See Miss. Code Ann. § 41-7-201 (1) (Supp. 1991).”

Delta Reg. Med. Ctr. v. Dept. of Health, 759 So. 2d 1174 (Miss. 1999). · cites it 2× “Pursuant to Miss.Code Ann. § 41-7-201 (Supp.1999), Delta and Grenada Lake appealed the Department's decision to the Chancery Court of the First Judicial District of Hinds County.”

Grant Ctr. Hosp. of Mississippi, Inc. v. Health Grp. of Jackson, Mississippi, Inc., 528 So. 2d 804 (Miss. 1988). · cites it 2× “Miss.Code Ann. § 41-7-201(1) (Supp.1984).”

Dept. of Health v. SW Miss. Med. Ctr., 580 So. 2d 1238 (Miss. 1991). “is not supported by substantial evidence, is contrary to the manifest weight of the evidence, is in excess of the statutory authority or jurisdiction of the .”

St. Dominic-Jackson Mem'l Hosp. v. Mississippi State Dep't of Health, 87 So. 3d 1040 (Miss. 2012). · cites it 2× “Miss.Code Ann. § 41-7-201(2)® (Rev. 2009).”

Mississippi State Dep't of Health v. Mississippi Baptist Med. Ctr., 663 So. 2d 563 (Miss. 1995). “is not supported by substantial evidence, is contrary to the manifest weight of the evidence, is in excess of the statutory authority or jurisdiction of the .”

Show all 43 citing cases →

— Miss. Code Ann. § 41-7-201(1) — 1 case

Grant Ctr. Hosp. of Mississippi, Inc. v. Health Grp. of Jackson, Mississippi, Inc., 528 So. 2d 804 (Miss. 1988). “Miss.Code Ann. § 41-7-201(1) (Supp.1984).”

— Miss. Code Ann. § 41-7-201(2) — 6 cases

Dialysis Solutions, LLC v. Mississippi State Dep't of Health, 96 So. 3d 713 (Miss. 2012). “See Miss.Code Ann. § 41-7-201 (Supp.2011). Thereafter, this Court entered an order on its own motion, seeking briefing from the parties and the Attorney General regarding whether Section 41-7-201, as amended, “is constitutional under Mississippi Constitution article 6, section…”

Oktibbeha Cnty. Hosp. v. MISSISSIPPI DOH, 956 So. 2d 207 (Miss. 2007). “OCH timely filed a notice of appeal to the Hinds County Chancery Court pursuant to Miss.Code Ann. § 41-7-201(2)(Rev.2005). On January 27, 2006, that court issued its opinion affirming the final order of the Mississippi State Department of Health.”

Attala Bd. of Sup'rs v. Ms Dept. of Health, 867 So. 2d 1019 (Miss. 2004). “The Board was the only applicant to timely appeal the MSDH's decision to the Chancery Court of Attala County pursuant to Miss.Code Ann. § 41-7-201(2) (Rev. 2001).”

City of Cleveland v. Mid-South Assocs., LLC, 94 So. 3d 1049 (Miss. 2012).

St. Dominic-Jackson Mem'l Hosp. v. Mississippi State Dep't of Health, 87 So. 3d 1040 (Miss. 2012). “Miss.Code Ann. § 41-7-201(2)® (Rev. 2009).”

— Miss. Code Ann. § 41-7-201(2)(f) — 15 cases

St. Dominic-Jackson Mem'l Hosp. v. HEALTH DEPT., 910 So. 2d 1077 (Miss. 2005). “Pursuant to Miss.Code Ann. § 41-7-201, St. Dominic appealed both final orders to the Chancery Court of the First Judicial District of Hinds County, Mississippi.”

MS DEPT. OF HEALTH v. Natchez Cmty. Hosp., 743 So. 2d 973 (Miss. 1999). “Miss.Code Ann. § 41-7-201(2)(f) (1993) sets forth the applicable standard of review here: .”

Delta Reg. Med. Ctr. v. Dept. of Health, 759 So. 2d 1174 (Miss. 1999). “Pursuant to Miss.Code Ann. § 41-7-201 (Supp.1999), Delta and Grenada Lake appealed the Department's decision to the Chancery Court of the First Judicial District of Hinds County.”

— Miss. Code Ann. § 41-7-201(4) — 8 cases

St. Dominic-Jackson v. Miss. State Dept., 728 So. 2d 81 (Miss. 1998). “Miss.Code Ann. § 41-7-201(4) (Supp.1990).”

MS DEPT. OF HEALTH v. Natchez Cmty. Hosp., 743 So. 2d 973 (Miss. 1999). “Miss.Code Ann. § 41-7-201(2)(f) (1993) sets forth the applicable standard of review here: .”

Grant Ctr. Hosp. of Mississippi, Inc. v. Health Grp. of Jackson, Mississippi, Inc., 528 So. 2d 804 (Miss. 1988). “Miss.Code Ann. § 41-7-201(1) (Supp.1984).”

Mississippi State Dep't of Health v. Sw. Mississippi Reg'l Med. Ctr., 580 So. 2d 1238 (Miss. 1991).

— Miss. Code Ann. § 41-7-201(d) — 1 case

— Miss. Code Ann. § 41-7-201(f) — 2 cases

Singing River Health Sys. v. Mississippi State Dep't of Health, 172 So. 3d 1190 (Miss. Ct. App. 2014).

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