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306 P.3d 140
Haw.
2013
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Background

  • SHPDA granted Rainbow Dialysis a conditional CON to operate two Maui outpatient dialysis facilities; Liberty opposed.
  • Liberty sought reconsideration; a five-member Reconsideration Committee (including SHPDA Administrator Terry) unanimously approved Rainbow’s CON after hearings.
  • Liberty challenged Terry’s participation and Trygstad’s disqualification, arguing HAR rules required recusal; circuit court found Terry should have been disqualified but harmless error.
  • This appeal presents whether HAR § 11-1-25(a)(4) or SHPDA-specific HAR § 11-185-32 governs disqualification of Reconsideration Committee members, and whether any error was harmless.
  • Majority holds Terry and Trygstad were not disqualified; HAR § 11-1-25(a)(4) conflicts with the CON statute; SHPDA-specific HAR § 11-185-32 applies to hearings officers, not to Trygstad’s role as a committee member.
  • Court affirms the circuit court’s final judgment, addressing only the disqualification issues and declining to reach other asserted errors.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether HAR § 11-1-25(a)(4) applies to SHPDA reconsideration Liberty: HAR § 11-1-25(a)(4) disqualifies Terry for substantial participation. Rainbow: statute HRS § 323D-47 requires administrator to participate in initial and reconsideration decisions; HAR § 11-1-25(a)(4) conflicts with 323D-47. HAR § 11-1-25(a)(4) conflicts with 323D-47; inapplicable.
Whether Trygstad should be disqualified under HAR § 11-1-25(a)(2) or HAR § 11-185-32 Liberty: Trygstad related within third degree to Kaiser/Rainbow; should be disqualified under HAR § 11-1-25(a)(2) and/or bias grounds. Rainbow: SHPDA rules apply; HAR § 11-185-32 governs hearings officers, not Trygstad; 11-1-25 does apply to members via HAR § 11-1-3 and 11-1-1. HAR § 11-185-32 applies to hearings officers; Trygstad’s status as a committee member falls under SHPDA rules and she was not disqualified.
Whether the disqualification error was harmless Liberty contends failure to disqualify Terry (and Trygstad) may have affected the outcome. Rainbow argues Waikiki Resort Hotel supports harmless error given majority still approved Rainbow. Error deemed harmless under Waikiki Resort Hotel.

Key Cases Cited

  • Waikiki Resort Hotel, Inc. v. City and County of Honolulu, 63 Haw. 222, 624 P.2d 1353 (Haw. 1981) (harmless-error framework for disqualification affecting majority voting)
  • State v. Ross, 89 Haw. 371, 974 P.2d 11 (Haw. 1998) (due process requires disqualification when appearance of impropriety exists)
  • Griswold v. City of Homer, 925 P.2d 1015 (Alaska 1996) (three Griswold factors for substantial impact of a conflicted member)
  • Kaleikini v. Yoshioka, 283 P.3d 60 (Haw. 2012) (statutory interpretation; deference to agency interpretations only when not plainly erroneous)
Read the full case

Case Details

Case Name: Liberty Dialysis-Hawaii, LLC v. Rainbow Dialysis, LLC.
Court Name: Hawaii Supreme Court
Date Published: Jun 27, 2013
Citations: 306 P.3d 140; 2013 WL 3364102; 2013 Haw. LEXIS 236; 130 Haw. 95; SCAP-12-0000018
Docket Number: SCAP-12-0000018
Court Abbreviation: Haw.
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