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1. Appeal and Error--preservation of issues--failure to assign error
Although plaintiff contends the trial court erred by dismissing its claims under the doctrine
of sovereign immunity, the issue of sovereign immunity was not properly before the Court of
Appeals because: (1) an appeal of a motion to dismiss based on sovereign immunity presents a
question of personal jurisdiction rather than subject mater jurisdiction; and (2) there was no ruling
by the trial court on the issue of personal jurisdiction, and there was no assigned error.
2. Immunity--sovereign--summary judgment
Sovereign immunity may properly be addressed under a grant of summary judgment,
because: (1) defendant may show that summary judgment is proper by proving that an essential
element of plaintiff's case is nonexistent, showing through discovery that plaintiff cannot produce
evidence to support an essential element of his claim, or showing that plaintiff cannot surmount
an affirmative defense which would bar the claim; and (2) sovereign immunity is an affirmative
defense.
3. Hospitals and Other Medical Facilities; Immunity_amendment of dialysis
report_sovereign immunity
Sovereign immunity precluded claims by plaintiff, the sole provider of in-center kidney
dialysis services in Wake County, seeking to compel the Medical Facilities Planning Section of
the Division of Facilities Services of the Department of Health and Human Services to amend the
July 2004 Semiannual Dialysis Report (SDR) which concluded that ten additional dialysis stations
were needed in the county, to correct erroneous patient census data so as to support a conclusion
that no additional dialysis stations were needed, and to prevent the acceptance of any Certificate
of Need (CON) applications based upon the unamended July 2004 SDR, because: (1) sovereign
immunity for plaintiff's claims was not waived by N.C.G.S. § 150B-43 of the Administrative
Procedure Act since plaintiff was not a person aggrieved by a final administrative decision in a
contested case, and plaintiff failed to exhaust its administrative remedies by requesting that the
SDR be amended by the Governor, who has the authority to amend the State Medical Facilities
Plan and thus to amend the SDR; (2) sovereign immunity was not waived by the Certificate of
Need (CON) statute, N.C.G.S. § 131E-188. since there has been no decision by the Department of
Health and Human Services regarding the inssuance, denial or withdrawal of a CON, even if the
SDR would set in motion the process that would ultimately result in the granting or denial of a
CON; and (3) plaintiff cannot overcome defendant's sovereign immunity on constitutional
grounds since it has no constitutional right to be protected from lawful competition and may apply
for a CON for the additional ten dialysis stations.
Judge TYSON dissenting.
Kennedy Covington Lobdell & Hickman, LLP, by Gary S. Qualls,
plaintiff-appellant.
Attorney General Roy A. Cooper, III, by Assistant Attorney
General Thomas M. Woodward, for NCDHHS Division of Facility
Services and NCDHHS Division of Facility Services Medical
Facilities Planning Section, defendants-appellees.
Poyner & Spruill LLP, by Thomas R. West and Pamela A. Scott,
for Total Renal Care of North Carolina. LLC, defendant-
intervenor-appellee; and Bode, Call & Stroupe, L.L.P., by S.
Todd Hemphill, for Health Systems Management, Inc., defendant-
intervenor-appellee.
JACKSON, Judge.
Plaintiff, Bio-Medical Applications of North Carolina, Inc.
(BMA), appeals from an order issued 16 November 2004 in Wake
County Superior Court dismissing BMA's claims pursuant to North
Carolina Rules of Civil Procedure, Rule 12(b)(1), and alternatively,
granting summary judgment in favor of defendants, North Carolina
Department of Health and Human Services, Division of Facility
Services (DFS) and North Carolina Department of Health and Human
Services, Division of Facility Services, Medical Facilities Planning
Section (the Planning Section), and defendant-intervenors, Total
Renal Care of North Carolina, Inc. (TRC) and Health Systems
Management, Inc. (HSM).
On 1 July 2004, BMA, the sole provider of in-center kidney
dialysis services in Wake County, received the July 2004 SemiannualDialysis Report (SDR) prepared by the Planning Section. This
report is released twice each year as part of the State Medical
Facilities Plan (SMFP). The SMFP defines and governs how the need
for additional dialysis stations is to be determined. The Planning
Section applies the formula established in the SMFP to the data
reported to it from the Southeastern Kidney Council (Kidney
Council) to determine whether the various counties are in need of
additional dialysis stations. The July 2004 SDR reported that there
was a need in Wake County for an additional ten dialysis stations,
and gave a deadline for applications to fill that need. Any
dialysis provider, including BMA, could apply for a Certificate of
Need (CON) which is what is required to fill a reported need.
After reviewing the SDR, BMA contacted the Planning Section and
was provided with the data upon which the report was based. BMA
compared the data it was given to its own numbers and determined
that an error had been made in the data reported to the Planning
Section by the Kidney Council. The data reported by the Kidney
Council showed fifty-two patients at BMA's Fuquay-Varina facility
when there actually were fifty-one. This error resulted in a
calculation that the Fuquay-Varina facility was operating at over
eighty percent capacity, when use of the correct patient count would
have shown the facility was operating at less than eighty percent
capacity. Due to the formula used to calculate need, had the
correct data been used, the need determination for new dialysis
stations in Wake County would have been zero, rather than ten as
reported in the July 2004 SDR. BMA contacted the Planning Sectionto report this error and was informed that no changes to the SDR
could be made based on BMA's data unless the error was confirmed by
the Kidney Council.
On 2 July 2004, BMA contacted the Kidney Council regarding the
possible data error. The Kidney Council confirmed the error to BMA
on 13 July 2004. The Kidney Council informed the Planning Section
of the error on 16 July 2004. On 19 July 2004, BMA requested that
the Planning Section amend the July 2004 SDR to correct the error
in the data reported by the Kidney Council. The Planning Section
advised BMA on 20 July 2004 that, after reviewing the request to
amend the July 2004 SDR, DFS management had declined to amend the
SDR.
BMA filed a verified Complaint for a Declaratory Judgment, a
Permanent and Preliminary Injunction, and Writ of Mandamus on 11
August 2004 where BMA sought to compel the Planning Section to amend
the July 2004 SDR to reflect results based on corrected data. BMA
further sought to prevent the acceptance of any CON applications
based upon the unamended July 2004 SDR. TRC and HSM, providers of
in-center kidney dialysis services in counties other than Wake, were
allowed to intervene by consent on 25 August 2004.
Defendants DFS and the Planning Section filed an Answer and
Motions to Dismiss and Defendant-Intervenors TRC and HMS filed a
Motion to Dismiss on 20 September 2004. A hearing on the motions
was held at the 12 November 2004 session of Wake County Superior
Court. The trial court dismissed BMA's claims pursuant to North
Carolina Rules of Civil Procedure, Rule 12(b)(1), and alternatively,granted summary judgment in favor of defendants DFS and the Planning
Section and defendant-intervenors TRC and HMS by order issued 16
November 2004. BMA gave notice of appeal on 15 December 2004.
BMA argues the following issues on appeal: (1) the trial court
erred in dismissing its claims based on the doctrine of sovereign
immunity; (2) the Planning Section abused its discretion in failing
to amend the SDR; (3) the Governor was not the person or entity with
the authority to amend the SDR; (4) the trial court erred in
converting defendants' motions to dismiss to motions for summary
judgment; (5) BMA's claims are not moot; and (6) if not properly
before the trial court, BMA's action may be brought before the
Office of Administrative Hearings (OAH). For the reasons stated
below, we affirm Judge Hight's order.
[1] BMA's first assignment of error contends the trial court
erred in dismissing its claims pursuant to the doctrine of sovereign
immunity. As a preliminary matter, we address whether the issue of
sovereign immunity is properly before this Court.
In their Motion to Dismiss, defendants DFS and the Planning
Section alleged, inter alia, a lack of subject matter jurisdiction
pursuant to North Carolina Rules of Civil Procedure, Rule 12(b)(1),
a lack of personal jurisdiction under Rule 12(b)(2) pursuant to the
doctrine of sovereign immunity, and failure to state a claim
pursuant to Rule 12(b)(6). Defendants TRC and HSM also filed a
Motion to Dismiss, in which they alleged, inter alia, a lack of
subject matter jurisdiction in part due to sovereign immunity, a
lack of personal jurisdiction, and failure to state a claim. The trial court dismissed the action pursuant to Rule 12(b)(1)
and alternatively granted summary judgment in favor of defendants
and defendant-intervenors, having considered matters outside the
verified pleadings. The trial court did not rule on the other
grounds for dismissal, such as a lack of personal jurisdiction
pursuant to Rule 12(b)(2). The reasons stated for granting
dismissal included, inter alia, that the claims were barred by the
doctrine of sovereign immunity.
'[A]n appeal of a motion to dismiss based on sovereign
immunity presents a question of personal jurisdiction rather than
subject matter jurisdiction.' Davis v. Dibartolo, 176 N.C. App.
142, 144-45, 625 S.E.2d 877, 880 (2006) (quoting Data Gen. Corp. v.
Cty. of Durham, 143 N.C. App. 97, 100, 545 S.E.2d 243, 245-46
(2001)). Although the trial court gave several reasons why BMA's
claims were barred by the doctrine of sovereign immunity, it did not
rule on the Rule 12(b)(2) motions. Neither defendants nor
defendant-intervenors brought cross assignments of error to the
trial court's failure to make a 12(b)(2) ruling. The scope of
review on appeal is limited to those assignments of error properly
set forth in the record on appeal. N.C. R. App. P. 10(a) (2006).
To properly preserve a question for appellate review a party must
request, and receive, a ruling on the question from the trial court.
N.C. R. App. P. 10(b)(1) (2006). As there was no ruling by the
trial court on the issue of personal jurisdiction, and there was no
error assigned, the matter is not properly before this Court. [2] We next consider whether sovereign immunity may properly
be addressed under a grant of summary judgment.
A defendant may show that summary judgment is proper by (1)
proving that an essential element of the plaintiff's case is
nonexistent, or (2) showing through discovery that the plaintiff
cannot produce evidence to support an essential element of his or
her claim, or (3) showing that the plaintiff cannot surmount an
affirmative defense which would bar the claim. James v. Clark, 118
N.C. App. 178, 181, 454 S.E.2d 826, 828, disc. review denied, 340
N.C. 359, 458 S.E.2d 187 (1995). As sovereign immunity is an
affirmative defense, the issue may properly be addressed pursuant
to the grant of summary judgment.
A trial court's ruling on a motion for summary judgment is
reviewed de novo as the trial court rules only on questions of law.
Coastal Plains Utils., Inc. v. New Hanover County, 166 N.C. App.
333, 340-41, 601 S.E.2d 915, 920 (2004) (citing Va. Electric and
Power Co. v. Tillett, 80 N.C. App. 383, 384-85, 343 S.E.2d 188, 190,
cert. denied, 317 N.C. 715, 347 S.E.2d 457 (1986)). Summary
judgment is proper where 'the pleadings, depositions, answers to
interrogatories, and admissions on file, together with the
affidavits, if any, show that there is no genuine issue as to any
material fact and that any party is entitled to a judgment as a
matter of law.' Dept. of Transportation v. Idol, 114 N.C. App. 98,
100, 440 S.E.2d 863, 864 (1994) (quoting N.C. Gen. Stat. § 1A-1,
Rule 56(c)). The questions for determination on appeal when a
motion for summary judgment is granted are, whether on the basisof the materials presented to the trial court, there is a genuine
issue as to any material fact and whether the movant is entitled to
judgment as a matter of law. Id. (citing Smith v. Smith, 65 N.C.
App. 139, 308 S.E.2d 504 (1983)).
Under the doctrine of sovereign immunity, the State can only
be sued with its consent or upon its waiver of immunity.
Whitfield v. Gilchrist, 348 N.C. 39, 42, 497 S.E.2d 412, 414 (1998).
When sovereign immunity is waived by statute, the State may 'be
sued only in the manner and upon the terms and conditions
prescribed.' Kawai Am. Corp. v. University of N.C. at Chapel Hill,
152 N.C. App. 163, 165, 567 S.E.2d 215, 217 (2002) (quoting Alliance
Co. v. State Hospital, 241 N.C. 329, 332, 85 S.E.2d 386, 389
(1955)). There is no right of appeal from a decision of a State
administrative agency unless such right is granted by statute. In
re Assessment of Sales Tax, 259 N.C. 589, 592, 131 S.E.2d 441, 444
(1963) (citing In re Employment Security Com., 234 N.C. 651, 68
S.E.2d 311 (1951)).
[3] BMA argues that under the circumstances of this case this
action is expressly permitted by two separate statutes and,
accordingly, the doctrine of sovereign immunity is inapplicable.
First, BMA contends that the Administrative Procedure Act (APA)
allows suit against State agencies when appropriate relief is not
available through the administrative and judicial review process.
In support of this position, BMA specifically relies upon the
following language contained in the APA:
Nothing in this Chapter shall prevent any
person from invoking any judicial remedyavailable to him under the law to test the
validity of any administrative action not made
reviewable under this Article.
N.C. Gen. Stat. . 150B-43 (2003). BMA ignores, however, the
preceding language of that statute. In its entirety the statute
provides:
Any person who is aggrieved by the final
decision in a contested case, and who has
exhausted all administrative remedies made
available to him by statute or agency rule, is
entitled to judicial review of the decision
under this Article, unless adequate procedure
for judicial review is provided by another
statute, in which case the review shall be
under such other statute. Nothing in this
Chapter shall prevent any person from invoking
any judicial remedy available to him under the
law to test the validity of any administrative
action not made reviewable under this Article.
Id. At no time does BMA assert that it is - and clearly it is not -
a person aggrieved by a final decision in a contested case, which
is a prerequisite for this statute to apply.
Further, the trial court made the following findings of fact,
which we hold are supported by sufficient evidence:
4. . . . . The State Medical Facilities Plan
is specifically excluded from the
definition of a rule. N.C. Gen. Stat. §
150B-2(8a)(k). As acknowledged by
Plaintiff in its Complaint, the SDR is
part of the State Medical Facilities Plan.
. . . . Therefore, the SDR is not a rule.
. . . .
11. It is clear, as a matter of law, neither
Defendants nor any of their individual
employees or agents named by Plaintiff
have authority to amend the July 2004 SDR
as requested by Plaintiff, as that
authority lies with the Governor of North
Carolina. Frye Regional Medical Center,
Inc. v. Hunt, 350 N.C. 39, [46-47,] 510S.E.2d 159, 164 (1999). There is no
allegation or evidence tending to show
that Plaintiff ever made a proper request
for the Governor to amend the July 2004
SDR.
Pursuant to Frye, the Governor has the authority to amend the SMFP,
and in the instant case, there is no evidence indicating that such
a request was made to or denied by the Governor. As the SDR is a
part of the SMFP, it is only logical that the Governor is the proper
party with the authority to amend the SDR. BMA sought to have the
Planning Section amend the report, when in actuality, the Governor
was the proper party to whom the proposed amendment should have been
addressed.
The dissent suggests that the majority's allowing the use of
the defense of sovereign immunity abrogates any remedy for a party
aggrieved by the State. This is not the case. We merely are
presented by a set of facts in this case in which sovereign immunity
is appropriate and, accordingly, have permitted application of the
defense.
There is nothing in this opinion which abrogates or seeks to
abrogate the proper application of the APA - which provides a more
than adequate remedy to a party aggrieved by the State in many
instances. Moreover, there is nothing in this opinion that
abrogates or seeks to abrogate the proper application of the
Declaratory Judgment Act - another remedy available to parties
aggrieved by the State in certain instances. In this case, however,
neither remedy is available as plaintiff did not seek an amendmentto the SMFP as prescribed by Frye - by seeking an amendment through
the Governor.
The dissent seems to suggest that the plan is a fluid document,
subject to constant updating via the agency's ministerial duties.
We cannot agree. Instead, the enabling statute seems to suggest
that the plan is a snapshot in time intended to enable the
Department to [d]evelop policy, criteria, and standards for health
service facilities planning[,] among other things. N.C. Gen. Stat.
§ 131E-177(4) (2003). Frye was clear on this point. It is the role
of the Department of Health and Human Services and the State Health
Coordinating Council to
prepare or develop the SMFP. N.C. [Gen.
Stat.] §§ 131E-176(25), 131E-177(4). The
Governor's role is to approve the SMFP. N.C.
[Gen. Stat.] § 131E-176(25). Read in context,
these statutes suggest that the Governor's role
is to make the final decision concerning the
SMFP's contents after it has been developed and
prepared by the Department and the Council.
Frye, 350 N.C. at 44, 510 S.E.2d at 163. This Court recently has
reiterated that authority in Good Hope Health Sys., L.L.C. v. N.C.
Dep't of Health and Human Serv., 175 N.C. App. 296, 298-99, 623
S.E.2d 307, 309 (2006) (The Governor has final authority to approve
or amend the SMFP, which becomes the binding criteria for review of
CON applications.).
BMA further contends that this action is authorized statutorily
pursuant to the CON statute, North Carolina General Statutes,
section 131E-188 (2003). BMA cites specifically to subsections (a)
and (b) which authorize suit against the Department of Health and
Human Services in an administrative proceeding or in court regardingdecisions to issue, deny, or withdraw a certificate of need[.]
This statute clearly is inapplicable as there has been no decision
by the Department of Health and Human Services regarding the
issuance, denial or withdrawal of a CON. BMA argues that this
statute should be applied nonetheless in this case as the refusal
to amend the SDR set the process in motion that ultimately would
result in the granting or denial of a CON. This is beyond the terms
and conditions for the waiver of immunity prescribed by the statute
and therefore does not support a waiver of immunity under the
circumstances of this case.
As the State has not consented to suit in this case and there
is no statutory waiver of sovereign immunity under this set of
circumstances, we hold that the doctrine of sovereign immunity
applies in this case. BMA further argues that its rights under both
the State and federal constitutions have been violated and,
therefore, its claims should not be precluded on the basis of
sovereign immunity. However, BMA did not allege violation of its
constitutional rights in either its Complaint or proposed Amended
Complaint. Although BMA did allege in its Response to Defendant and
Defendant-Intervenors' Motion to Dismiss that its constitutional
rights had been violated, this allegation was insufficient to
overcome the defense of sovereign immunity because the right
allegedly violated is not constitutionally protected. See Coleman
v. Whisnant, 225 N.C. 494, 506, 35 S.E.2d 647, 655-56 (1945).
BMA alleged in its Response to the Motion to Dismiss that its
constitutional rights were violated in that it will lose bothpatients and the income they provide[.] 'Every one has [the]
right to enjoy the fruits and advantages of his own enterprise,
industry, skill and credit. He has no right to be protected against
competition; but he has a right to be free from malicious and wanton
interference, disturbance or annoyance.' Id. (quoting Walker v.
Cronin, 107 Mass. 555 (1871)).
In the case sub judice, there is no indication in the record,
nor argument from BMA, that BMA is precluded from applying for a CON
for the additional ten dialysis stations identified by the SDR. In
fact, BMA made such an application for the additional stations.
Accordingly, BMA is not being prevented from benefitting from the
fruits and advantages of [its] own enterprise, industry, skill and
credit, but is merely being required to compete for such benefit.
As BMA has no constitutional right to be protected from lawful
competition, it is unable to overcome defendant's sovereign immunity
on constitutional grounds. Accordingly, the trial court properly
granted summary judgment in favor of defendants DFS and Planning
Section and defendant-intervenors TRC and HSM.
BMA argues in the alternative that this Court should hold that
its action may properly be heard before the OAH. The parties have
stipulated, however, that BMA has exhausted all of its
administrative remedies. 'Stipulations are judicial admissions and
are therefore binding in every sense, preventing the party who
agreed to the stipulation from introducing evidence to dispute it
and relieving the other party of the necessity of producing evidence
to establish an admitted fact.' In re I.S., 170 N.C. App. 78, 86,611 S.E.2d 467, 472 (2005) (quoting Thomas v. Poole, 54 N.C. App.
239, 241, 282 S.E.2d 515, 517 (1981), disc. review denied, 304 N.C.
733, 287 S.E.2d 902 (1982)). However, parties to an action may not
stipulate to give a court subject matter jurisdiction, where no such
jurisdiction exists. Pineville Forest Homeowners Ass'n v. Portrait
Homes Co., 175 N.C. App. 320, 321-22, 623 S.E.2d 620, 623 (2006);
see also Northfield Dev. Co. v. City of Burlington, 165 N.C. App.
885, 887, 599 S.E.2d 921, 924, disc. review denied, 359 N.C. 191,
607 S.E.2d 278 (2004). Thus, the parties could not simply stipulate
that they had exhausted all administrative remedies in order for the
trial court to have jurisdiction over the matter.
As it was stipulated that BMA already had exhausted its
administrative remedies, the issue of whether BMA's action could
properly be heard before OAH was not before the trial court and no
evidence on that issue was presented. Accordingly, no assignment
of error could be, or was, made pertaining to the trial court's
failure to make a ruling on the issue. As previously stated, the
scope of review on appeal is limited to those assignments of error
set forth in the record on appeal. N.C. R. App. P. 10(a) (2006).
To properly preserve a question for appellate review a party must
request, and receive, a ruling on the question from the trial court.
N.C. R. App. P. 10(b)(1) (2006). As this issue was not before the
trial court, the trial court could not have made a ruling on it.
Accordingly, this matter is not properly before this Court.
It is not the role of the appellate courts to render advisory
opinions in matters that are not properly before them. CarolinasMed. Ctr. v. Employers & Carriers Listed in Exhibit A, 172 N.C. App.
549, 554, 616 S.E.2d 588, 591 (2005) (citing Wiggins v. Pyramid Life
Ins. Co., 3 N.C. App. 476, 478, 165 S.E.2d 54, 56 (1969)). The
question of whether BMA's action could properly be brought before
the OAH is not properly before this Court and to address that issue
would result in the rendering of an advisory opinion. Accordingly,
the merits of this argument are not considered.
Because we have determined that the trial court did not err in
granting summary judgment in favor of defendants DFS and Planning
Section and defendant-intervenors TRC and HSM on sovereign immunity
grounds, it is unnecessary to reach BMA's remaining assignments of
error.
Affirmed.
Judge SMITH concurs.
Judge TYSON dissents in a separate opinion.
TYSON, Judge dissenting.
The majority's opinion affirms the trial court's grant of
summary judgment in favor of defendants and defendant-intervenors
and holds that Bio-medical Applications of North Carolina, Inc.'s
(BMA) claims, and judicial review thereof, are barred by sovereign
immunity. Because sovereign immunity does not bar judicial review
of BMA's claims, I vote to reverse the trial court's order. I
respectfully dissent.
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