Division of Administrative Hearings, Florida
Filed: Oct. 25, 1991
The issue in these consolidated cases is whether proposed amendments to Rule 10-5.039, F.A.C., relating to certificates of need (CON) for hospital inpatient comprehensive medical rehabilitation (CMR) services, are invalid exercises of delegated legislative authority, as defined in Section 120.52(8), F.S. An ancillary issue raised by Intervenor, Healthsouth, is whether an intervenor may challenge portions of a proposed rule not specifically identified by an original petitioner. In a prehearing stipulation filed on December 6, 1991, the parties stipulated that the following subsections of the proposed amendments remained at issue: Subsection (2)(b): definition of charity care; Subsection (2)(k): definition of specialty bed; Subsection (5)(c): CMR bed need methodology; Subsection (5)(d): existing CMR bed occupancy threshold; Subsection (5)(e): existing provider expansion (at issue from perspective of whether proposed amendment unreasonably restricts expansion of existing CMR providers); Subsection (5)(f)2: conversion of acute care beds for CMR expansion; Subsection (5)(g): priority considerations for CON review; Subsection (10): required utilization reports; and Subsection (11): applicability of amendments. Also remaining at issue was the sufficiency of the economic impact statement. The validity of the following additional provisions were raised only by intervenors, Continental Medical Systems of Florida, Inc. or Healthsouth: Subsection (3)(c): 60-bed minimum unit size for freestanding facilities; Subsection (5)(e): existing provider expansion (from perspective of whether proposed amendment unreasonably allows expansion of existing providers); and Subsection (7)(b): CARF accreditation.Proposed Comprehensive Medical Rehabilitation Certificate Of Need rules valid and needed to meet current conditions in med rehab service delivery. Issues by Intervenor not timely raised.