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North Carolina Justices to Set Standard for Challenging Hospital Permits

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North Carolina Justices to Set Standard for Challenging Hospital Permits

5 sourcesUpdated Oct 27, 20261 min read

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North Carolina Justices to Set Standard for Challenging Hospital Permits — Photo: Indy beetle / Wikimedia Commons (CC0)

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The North Carolina Supreme Court will hear two AdventHealth challenges to certificates of need awarded to Mission Health, including approval for a freestanding emergency department in Candler. A state appeals court found regulators failed to hold a required public hearing on the Candler project but concluded the procedural error did not, by itself, establish substantial prejudice to AdventHealth; lower courts subsequently ruled against the health system. AdventHealth is asking the justices to clarify what challengers must prove in disputes over noncompetitive certificate-of-need reviews and whether affected providers can meaningfully contest such awards. The court’s review follows a 2025 ruling that set a substantial-prejudice standard for challenges to decisions made through competitive reviews.

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Arizona Democrats Win Legislative Trifecta After 60 Years

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Arizona Democrats secured a legislative trifecta for the first time in 60 years, while Legislative District 9 results showed Kiana Sears leading the Senate race and Democrats Lorena Austin and Jacob Martinez ahead in both House-seat contests. Democratic leaders celebrated the gains, while a Republican leader warned voters could regret the party’s policy changes.

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