To prevent unnecessary expansion of health care facilities in the Commonwealth and encourage appropriate allocation of resources for health care purposes, legislation was passed forbidding substantial new ' construction of such facilities except upon application to the Department of Public Health and administrative “determination” of “need.” The two hospitals involved in the present case each applied for a determination with respect to a desired construction project; the determination was unfavorable as to one hospital, and as to the other was favorable only in part. The Legislature then in each
The Bessie M. Burke Memorial Hospital (Burke Hospital), a municipal hospital of the city of Lawrence, has for some years been interested in renovating its facilities, and in October, 1970, the Department of Public Health indicated approval of the hospital’s plan of renovation as a step, apparently, toward securing funding for the construction. Statute 1971, c. 596, was approved on August 5,1971, authorizing the city to borrow up to $1,500,000 to finance the work, and the city thereupon approved the funding, called for bids, and on November 23, 1971, entered into a contract with a construction company. Evidently the city officials were not aware of the fact that St. 1971, c. 1080, had been enacted into law and become effective several days earlier, on November 15,-1971; when this came to their attention they suspended work under the contract.
Chapter 1080, entitled “An Act to prevent unnecessary expansion of health care facilities during the period ending [May 31, 1972],” required,- as a condition of commencing construction of a new health care facility, or commencing construction renovating an existing facility, which in either case would call for a capital expenditure of $100,000 or more, that the Department of Public Health make a “determination” that there was a “need” therefor. The statute made provision for application, hearing, and reference of the proposal to certain agencies for comment, as predicates for the departmental determination which was to set forth reasons. Acknowledging that its planned construction was within the statute, Burke Hospital applied on December 29, 1971, for the necessary determination. The application was denied on April 11, 1972, by the department’s public health council, which concurred in a negative recommendation of the Merrimack Valley Health Planning
The record, does not disclose whether Burke Hospital took any further steps to secure favorable determination within the department. It did not seek judicial review of the negative determination.
3
Resort was had to the Legislature, which on October 17, 1973, enacted St. 1973, c. 923, as an emergency law. This states that, “[notwithstanding the provisions of... [St. 1972, c. 776], or any other contrary provision of law, the commissioner of public health is hereby authorized and directed to issue a certificate of need and a temporary hospital license
4
to the city of Lawrence for the continued operation of the Bessie M. Burke Memorial Hospital.... Said city of Lawrence is hereby authorized and directed to expend such sums of money as were authorized by ... [St. 1971, c. 596] to remodel, reconstruct, enlarge, make extraordinary repairs to, re-equip and refurnish said Bessie M. Burke Memorial Hospital.”
The present case by the Commissioner of Public Health against Burke Hospital and the city of Lawrence seeks a declaration that the 1973 enactment, requiring the Commissioner to take the action therein specified, is unconstitutional as violating, besides art. 30, the “standing laws” provision of art. 10 of the Declaration of Rights, and the Fourteenth Amendment to the United States Constitution.
Upon consent of the parties, Winchendon Hospital, Inc., was permitted to intervene in the case to present a cognate controversy. This hospital, a charitable corporation under Massachusetts law, on August 13, 1973, filed its application pursuant to the permanent law, G. L. c. Ill, § 25C, for a determination of need to enable it to construct a new health facility in Winchendon to replace the existing hospital. The permanent legislation need not be described in full here, except to say that, in comparison with the temporary statute, it adds and refines definitions,
6
elaborates procedures, and has a calculated statement of the
The Commissioner of Public Health seeks as against the intervener a declaration of the unconstitutionality of St. 1973, c. 1053, paralleling that sought against Burke Hospital and the city of Lawrence with regard to St. 1973, c. 923. The case, lodged in the county court, is here on a reservation and report, without decision, by a single justice of this court, and the narrative given above sufficiently digests the pleadings, stipulation, and statement of agreed facts. In addition to briefs by the parties, the counsel to the House of Representatives has filed a brief as a friend of the court supporting the constitutionality of the two enactments.
By his reference to art. 10 of the Declaration of Rights the Commissioner argues that the statutes he attacks are objectionable because they create singular exceptions to or exemptions from general law. His argument from art. 30 changes the emphasis and says that the legislative command to him to make the determinations of need involves the Legislature in a trespass on functions forbidden to it in a tripartite system of government.
The Legislature has power, exemplified many times, to enact special or private laws, here meaning, very roughly, legislation addressed to a particular situation, that does not establish a rule of future conduct with any substantial degree of generality, and may provide ad hoc benefits of some kind for an individual or a number of them. Cf.
Forster
v.
Forster,
1. Before discussing art. 10, we encounter another constitutional provision, art. 20, which might be thought affirmatively to empower the Legislature to adopt just such special legislation. Article 20 states: “The power of suspending the laws, or the execution of the laws, ought never to be exercised but by the legislature, or by authority derived from it, to be exercised in such particular cases only as the legislature shall expressly provide for.” With stress on “particular cases,” this language might be read to authorize the Legislature to “suspend” a general law by exempting an individual from its operation, and thus the 1973 statutes at bar might be viewed as valid suspensions, with respect to the Burke and Winchendon hospitals, of the general law requiring determinations of need. The pros and cons of such an interpretation of art. 20 were discussed in the pages of the American Jurist long ago.
12
When one takes into account the historical basis of art. 20 in the attempts of the Crown to suspend the laws or operation of the laws without consent of Parliament,
13
one must agree with the occasional remarks in the decided cases that the core meaning of art. 20 is that only the Legislature, not the Executive or Judicial branches, may suspend an existing law. “Particular cases” means particular laws, and not particular individuals or matters within a class governed by a given law. See
Holden
v.
James,
2. We come now to art. 10, first sentence: “Each individual of the society has a right to be protected by it in the
The two statutes in question here, intended in practical effect to allow construction of facilities at Burke and Winchendon hospitals, seem to us to escape the strictures of art. 10 because they are not shown to do injury to the interest of any individual or entity; and by the same token they do not violate the Fourteenth Amendment. There is a sense in which excessive or misguided construction and subsequent inefficient utilization of health care facilities may cast needless expense on the members of the public who foot the bill in the long run, and other adverse consequences to the public can be imagined, but these
3. The Commissioner next relies on art. 30 with its famous threefold statement of the doctrine of the separation of powers.
20
A recent
Opinion of the Justices,
The argument for invalidity runs thus. Statutes excepting individuals from the operation of general laws, if otherwise constitutional, must, like other statutes, pass the test that they do not involve the Legislature in the exercise of nonlegislative powers. Here the Legislature enacted a general law confiding the problem of hospital construction to an administrative process under the aegis of one of the executive departments. While that delegation stands, it is argued, the Legislature may not command its delegate to act in a predetermined mechanical way in respect to a particular case, for this would involve the Legislature in an unconstitutional intrusion on the executive function.
The argument can be supported by reading blandly a statement such as that appearing in
Opinion of the Jus
The true gravamen of a supposed violation of art. 30, however, is not that the particular executive officer is being obliged to act mechanically in a particular case. That is a matter of form which, as we shall see, presents no serious obstacle. 21 The substantial question is whether the legislative enactment itself which dictates a given result involves an improper intrusion on the functions of another branch. This is a problem to be examined on the facts, and seems to us to turn at least in civil matters on whether that enactment infringes on proprietary rights or does other specific injury, so that the issue here is much like that under art. 10.
When the act conferring benefits on one also interferes with the existing rights of another, the act appears to be operating inter partes and to be doing administrative (or judicial) work, albeit in a possibly arbitrary way. Thus it offends art. 30. So in
Casieri’s Case,
Coming to the broad regulatory field, the same line holds: The Legislature does not overstep its bounds when by a particular enactment in furtherance of regulation it supersedes an administrative decision without thereby working injury upon a private right (as such rights may be conceived at the time); at most this raises a question of form. 24 Cases testing these propositions are rare, possibly because legislative power has been assumed, but the industry of counsel has turned up two situations that are suggestive.
In
Opinion of the Justices,
In the present case the Legislature has extensive substantive powers. It could deal with the hospital expansion problem in any of a number of ways. It could prohibit described hospital expansions except as authorized by later specific enactments in favor of particular applicants. In fact a blanket restrictive statute was adopted. As in the cases just cited, however, the Legislature, having contin
It is not for us to indicate a judgment as to whether a course such as that taken by the Legislature in the 1973 statutes is merely a conspicuous invitation to logrolling or, on the contrary, an understandable and even necessary means of introducing an occasional equity into a general statutory scheme. We deal with nothing unique, for the brief on behalf of the House of Representatives cites a scattering of legislative acts evidently directing administrative bodies to deviate for the benefit of individuals in particular cases from generally applicable rules. It is enough to say that the legislative choices that were made in the present case cannot be assumed by us on the preseht record to have been against “the good and welfare.”
The standing of the Commissioner to seek a declaratory judgment as to his rights and duties in this situation of doubt and controversy is not seriously challenged, and is supported by
Wachusett Regional Sch. Dist. Comm.
v.
Erickson,
Concluding, we hold that the 1973 statutes are in substance valid, and we remit the case to the single justice 25 for entry of an appropriate declaratory judgment consistent with this opinion.
So ordered.
Notes
The statement of “justification” criticized the types of services that would be provided at the renovated facility and stated that the design called for too many nurses’ stations and the project cost was excessive. According to the statefnent, the facility after renovation would still be antiquated and largely nonfunctional.
The temporary 1971 law had no express provision for such review. The permanent legislation provides in § 25E that a final decision of the health facilities appeals board shall be subject to judicial review under G. L. c. 30A, § 14 (State Administrative Procedure Act — appeals in adjudicatory proceedings), to the extent not inconsistent with other provisions of the same § 25E which deals with proceedings before the board.
The power to license hospitals is vested in the department by G. L. c. Ill, § 51, and issuance of an original license requires a determination of need.
The Attorney General also made minor criticisms of the bill: While the bill required the Commissioner to grant a certificate of need, determinations are in fact made by the department (Public Health Council and Commissioner); technically it is the facility, not the city, that receives the determination as to need; c. Ill, § 51, does not mention a “temporary” license (but a license may run only for two years). On the ground that issuance of a certificate of safety was for the Department of Public Safety and not the Department of Public Health, the bill was also criticized for stating that the certificate of need should not be withheld pending issuance of a certificate of safety, nor the latter await the former. Seefn. 25 below.
Note especially the definitions of “construction” and “substantial capital expenditure” in § 25B.
Section 25C states in part: “The department, in making any such determination, shall encourage appropriate allocation of private and public health care resources and the development of alternative or substitute methods of delivering health care services so that adequate health care services will be made reasonably available to every person within the commonwealth at the lowest reasonable aggregate cost.”
Twelve detailed reasons were assigned for the determination.
The parties including the intervener entered into a stipulation filed April 2, 1974, that it would not be a bar to the determination of the constitutionality of St. 1973, c. 1053, that the appeal to the health facilities appeals board was still pending, or that the appeal might thereafter be acted upon. Also stipulated was that the plaintiff Commissioner would be deemed to “personify” and bind the Department for purposes of the case. The effect of this stipulation need not be considered.
The Department was also directed to issue a renewal of the applicant’s hospital license. Winchendon Hospital filed an application for renewal which had not been acted on but which while pending continued its license in effect.
We put to one side the now separate or distinctive field of the Home Rule Amendment, art. 89 of the Amendments to the Constitution of the Commonwealth. See
Bloom
v.
Worcester,
13 Am. Jurist 72, 81; 14 id. 83,93 (1835).
See Holden v. James,
See 13 Am. Jurist 72, 79 (1835).
Followed in
Davison
v.
Johonnot,
The Paddock case also said that in the Rice case the Legislature was exercising its “parental power.” Paddock v. Brookline, supra, at 234.
The Paddock case had found no such “moral” ground so that the statute was not “for the good and welfare” (see text below). The bases on which greater leniency might have been shown are elaborated in the Sullivan, Danforth, and Dunbar cases cited in the text just below.
In the Wachusett case and the Opinion cited in the text, the special statutes were not phrased as exemptions from general law, but they so operated as a practical matter.
It would in fact be difficult to distinguish the art. 10 from the Fourteenth Amendment considerations in our decided cases. See, e.g., Forster v. Forster, supra.
The statement of agreed facts indeed says that after denial of Burke Hospital’s application the Department in taking action on other applications “relied in part” on the Burke Hospital denial. No such statement is made about Winchendon Hospital.
“In the government of this Commonwealth, the legislative department shall never exercise the executive and judicial powers, or either of them: the executive shall never exercise the legislative and judicial powers, or either of them: the judicial shall never exercise the legislative and executive powers, or either of them: to the end it may be a government of laws and not of men.”
This is brought out more fully in the discussion below of
Mayor & Aldermen of Springfield, petitioners,
But Cf.
Paramino Lumber Co.
v.
Marshall,
Of course a court will be unsympathetic to an interpretation of a statute, supposedly assigning judicial duties to it, that would limit its discretion to the point of making it an automaton, repeatedly rubber stamping action taken by others. Cf.
Opinion of the Justices,
In the case of the intervener Winchendon Hospital, technically no administrative act was “superseded” because the letter of January 8,1974, containing the notice of determination, said it was effective on receipt, by which time c. 1053 had already been enacted. But we do not think anything should turn on this detail. In neither the Burke nor Winchendon situation had there been any action by a court prior to the exemptive legislation.
Unless they are settled by agreement, the single justice may have to deal with problems arising from peculiarities of draftsmanship of the 1973 legislation. See 6i.5 above.
