Opinion ID: 2177703
Heading Depth: 1
Heading Rank: 3

Heading: the certificate of need issue

Text: The Georgetown residents also maintain that in seeking to convert the Hurt Home to its proposed use without first applying for and receiving a certificate of need from the District of Columbia State Health Planning and Development Agency (SHPDA), the District violated the Certificate of Need Act. They claim that the trial judge was in error when he apparently concluded that the Mental Health Services Act implicitly repeals the CONA. The District acknowledges that, but for the SHPDA, a certificate of need would be required. It maintains, however, that the Georgetown residents lack standing to contest the District's failure to obtain such a certificate, and that even if they have standing, the trial judge correctly ruled that the MHSA rendered the CONA inapplicable. We agree with the Georgetown residents.
The Certificate of Need Act was enacted in 1980 in order to enable the District to qualify for federal financial assistance pursuant to Title 15 of the Public Health Service Act (PHSA), 42 U.S.C. §§ 300k-1 to 300n-6 (1982) (repealed 1986). The PHSA was itself enacted as part of the National Health Planning and Resources Development Act of 1974, Pub.L. No. 93-641, 88 Stat. 2225 (1975) (NHPRDA). The purposes of the NHPRDA were to facilitate the development of recommendations for a national health planning policy, to augment areawide and State planning for health services, manpower, and facilities, and to authorize financial assistance for the development of resources to further that policy. 42 U.S.C. § 300k(b) (1982). The NHPRDA authorized federal financial assistance to the states and to the District of Columbia in order to promote health planning and development. Id. §§ 300m-3, 300m-4. In order to become eligible to receive such federal financial assistance, a jurisdiction was required to establish a [s]tate health planning and development agency and an administrative program, both of which required approval by the Secretary of Health and Human Services. Id. §§ 300m, 300m-1, 300m-4. Among the functions of the agency would be to administer a State certificate of need program which applies to the obligation of capital expenditures within the State and the offering within the State of new institutional health services and the acquisition of major medical equipment and which is consistent with standards established by the Secretary by regulation. Id. § 300m-2(a)(4)(B). By requiring states to impose a need requirement before an applicant could offer a new institutional health service, Congress hoped to reduce maldistribution of health care facilities, a phenomenon which had led to the oversupply of medical services in some areas and a dearth of services in others. North Carolina ex rel. Morrow v. Califano, 445 F.Supp. 532, 534 (E.D.N.C.1977) (quoting 42 U.S.C. § 300k(a)(3)(B) (1982)), aff'd mem., 435 U.S. 962, 98 S.Ct. 1597, 56 L.Ed.2d 54 (1978); see also S. REP. No. 1285, 93d Cong., 2d Sess. 39, reprinted in 4 U.S. CODE CONG. & ADMIN. NEWS 7842, 7878-79 (1974). In 1986, Congress repealed Title 15, including the federal mandate for state certificate of need programs. See Act of November 14, 1986, Pub.L. No. 99-660, § 701, 100 Stat. 3743, 3799. Nevertheless, the District's program, originally enacted in 1980, continues to operate. It requires that [a]ll persons proposing to offer or develop a new institutional health service or to obligate a capital expenditure in the District shall, prior to proceeding with that offering, development or obligation, obtain from the SHPDA a certificate of need indicating that there exists a public need for such new service or expenditure. D.C.Code § 32-303(a)(1) (1988). In addition, [e]xpenditures in excess of $150,000 in preparation to develop or offer a new institutional health service for which a certificate of need is required or arrangements or commitments for financing an offer or development of a new institutional health service for which a certificate of need is required shall not be made by any person unless a certificate of need has been granted. Id. § 32-303(e). The Certificate of Need Act specifically includes the District government within the definition of the term person. Id. § 32-302(13). It requires the SHPDA, which the Mayor created in 1976, see Mayor's Order 76-59, 22 D.C. Reg. 4302 (1976), to review all applications for certificates of need. D.C.Code § 32-304(a) (1988). The statute and the regulations promulgated pursuant to the CONA set forth numerous criteria which an applicant must meet in order to secure a certificate. See id. § 32-305 (1988 & 1989 Supp.); 22 DCMR § 4050 (1986). The CONA further requires the agency to adopt and revise regulations, in accordance with the DCAPA, to govern application review procedures. D.C.Code § 32-304 (1988). Currently, these regulations require the SHPDA to give [t]imely written notification of the beginning of the review, either by publication or mail, to the general public, to all affected persons, and to any person who has asked to be placed on the SHPDA mailing list. 22 DCMR §§ 4201.1, 4201.3 (1986). Affected persons include the applicant, other health care facilities, certain health care agencies and their insurers, and members of the public who reside in or regularly use health services in the geographic area to be served by the applicant. Id. § 4201.2. Upon timely written request, the agency must afford any affected person an opportunity for a public hearing on the application. Id. § 4302.2. At the hearing any person shall have the right to be represented by counsel and to present oral or written argument and evidence relevant to the matter that is the subject of the hearing. Id. § 4302.3. In addition, [a]ny person affected by the matter that is the subject of the hearing may conduct reasonable questioning [of witnesses]. Id. § 4302.4. Upon a request from any person for reconsideration of a decision affecting an application, the SHPDA must, if good cause is shown, hold a public hearing. D.C.Code § 32-308 (1988). Any previously appearing person has the right to appeal the final decision to the Board of Appeals and Review. Id. § 32-309. Finally, any person adversely affected by the ruling of the Board may appeal to this court. Id. § 32-310.
In the trial court, the District unsuccessfully challenged the Georgetown residents' standing to allege that the District had violated the National Capital Planning Commission statute, [23] but made no attempt to contest their standing with regard to the Certificate of Need Act claims. At the appellate level, the District did not cross-appeal from Judge Weisberg's order with regard to appellants' standing to bring the NCPC Act claim, and raised no issue in its initial brief on appeal with respect to their standing with respect to the CONA claim. At oral argument, however, members of the court inquired, sua sponte, whether the Georgetown residents had alleged the kinds of injury which the CONA was designed to redress. Counsel were also questioned as to whether the District had waived any objection to appellants' standing by failing to raise it in the trial court. At the request of the court, the parties submitted supplemental post-argument briefs on these issues. Having considered these submissions, we now hold that, although their substantive claims of injury are of little if any relevance to the purposes of the CONA, the Georgetown residents have statutory standing to bring the underlying action. The District's failure to raise the issue of standing, either in the trial court or in its initial submission before this court, is not conclusive, [24] but the effective concession of the point reinforces the decision which we now reach. A brief discussion of the jurisdictional basis for this lawsuit will place the issue of standing in perspective. The Georgetown residents brought their action pursuant to D.C.Code § 11-921(a)(6) (1989), which vests the Superior Court with jurisdiction over any civil action or other matter, at law or in equity, brought in the District of Columbia. This court has held that § 11-921(a)(6) permits a party aggrieved by a decision of a District of Columbia agency to initiate an appropriate action in the Superior Court for equitable relief, unless this court has jurisdiction under the DCAPA to consider a direct appeal. See, e.g., Capitol Hill Restoration Soc'y, Inc. v. Moore, 410 A.2d 184, 188 (D.C.1979); Columbia Realty Venture v. District of Columbia Hous. Rent Comm'n, 350 A.2d 120, 124 (D.C.1975). Although we have direct appellate jurisdiction over decisions of the SHPDA (following an appeal to the Board of Appeals and Review), the Superior Court has original jurisdiction to entertain the present suit, in which the Georgetown residents seek to prevent the District from offering a new institutional health service without SHPDA approval. Indeed, the Superior Court's subject matter jurisdiction over this case has not been contested by the District. The question which has now been raised, however, is whether the plaintiffs who have here alleged a statutory violation have standing to do so. In order to reach the merits, the Georgetown residents must satisfy both the constitutional requirement of a case or controversy and the prudential prerequisites of standing. See Community Credit Union Servs., Inc. v. Federal Express Servs. Corp., 534 A.2d 331, 333 (D.C.1987) (District of Columbia courts look to federal standing jurisprudence, constitutional and prudential, even though these courts were not established pursuant to Article III of the Constitution). Generally, the standing requirement is an additional element of jurisdiction, see American Security Bank, N.A. v. American Motorists Ins. Co., 538 A.2d 736, 737 n. 1 (D.C.1988); Lee v. District of Columbia Bd. of Appeals & Review, 423 A.2d 210, 215 (D.C.1980), which helps to insure that the legal questions presented to the court will be resolved, not in the rarefied atmosphere of a debating society, but in a concrete factual context conducive to a realistic appreciation of the consequences of judicial action. Valley Forge Christian College v. Americans United for Separation of Church & State, Inc., 454 U.S. 464, 472, 102 S.Ct. 752, 758, 70 L.Ed.2d 700 (1982). In Community Credit Union, we summarized the constitutional requirements of standing as follows: a plaintiff must show that it has suffered some actual or threatened injury as a result of the putatively illegal conduct of the defendant, that the injury fairly can be traced to the challenged action, and that it is likely to be redressed by a favorable decision. 534 A.2d at 333 (citation and internal quotation marks omitted). With regard to prudential principles, we explained that a plaintiff may assert only its own legal rights, may not attempt to litigate generalized grievances, and may assert only interests that fall within the zone of interests to be protected or regulated by the statute or constitutional guarantee in question. Id. (citation and internal quotation marks omitted). We conclude that the individual Georgetown residents, as well as the citizens' organization, [25] meet both of these tests. The ultimate concerns which the Georgetown residents assert in their opposition to the proposed use of the Hurt Home relate to neighborhood tranquility, property values, public safety and traffic congestion. The District contends, not without reason, that these are not interests which the Certificate of Need Act was designed to protect. The CONA was initially established to enable the District to become eligible for federal financial assistance. It provides a means for the SHPDA to review changes in the District's health care system so as to promote effective and equitable health planning and regulation of new institutional health services and capital expenditures proposed for the District of Columbia. D.C.Code § 32-301 (1988). The word need as used in the Certificate of Need Act has reference to persons who are ill and ought to be healedin other words, to potential users of the servicesand not to the desires of neighborhood residents who might not want such persons there. The various criteria which are applied as part of the SHPDA review process do not include the types of neighborhood harms which the Georgetown residents claim to be seeking to avert. See generally 22 DCMR §§ 4050.2 through 4050.32 (1986). [26] The threatened future disruption of the tranquility of their neighborhood, however, is not the only injury which the Georgetown residents have asserted in their complaint. They also allege, for example, that the Hurt Home cannot be made fit to serve as a residence for emotionally disturbed children and constitutes an inappropriate use of tax revenues. [27] More significantly for present purposes, they claim to have been denied the right to be heard by the agency charged with determining whether the District's plans for the Hurt Home are consistent with the requirements of the CONA. They maintain that if the District were compelled to comply with the applicable laws, including the CONA, they would be able to present their case in opposition to the project at a public hearing before an impartial administrative body, and to obtain judicial review in the event of an administrative decision adverse to their interests. Arguably, as the District suggests, there is no persuasive reason to permit appellants or others similarly situated to appear before the SHPDA in a CONA proceeding, since that agency (unlike bodies such as the Zoning Commission, the Board of Zoning Adjustment, and the National Capital Planning Commission) is not likely to address issues pertinent to the kinds of concerns here being expressed by neighborhood residents. Assuming, arguendo, that the District's position on this point is logically sound, however, it cannot be reconciled with the pertinent statute and regulations. The CONA provides that any person adversely affected by a final decision of the SHPDA may obtain judicial review. D.C. Code § 32-310 (1988). The word person includes individuals, partnerships, and corporations (including associations), as well as the District Government. Id., § 32-302(13). Regulations designed to implement the statute pursuant to § 32-316 define persons adversely affected by a final decision of the SHPDA as including any person residing within the geographic area serviced or to be served by the applicant. 22 DCMR § 4313.4(c) (1986). Affected persons who are entitled to notice from the agency of a CONA review include not only the applicant and other potential providers of health care, but also members of the public who reside in or regularly use health services in the geographic area serviced or to be served by the applicant. 22 DCMR § 4201.2 (1987) (emphasis added); see also D.C.Code § 32-309(a) (1988), providing that a final decision of the SHPDA may be appealed by, among others, the applicant or any other previously appearing persons. That the appellants, residents of Georgetown, fall within these expansive definitions is not subject to serious dispute. We are therefore compelled to conclude that if the District had sought a certificate of need, the Georgetown residents would have had the right to participate in the proceedings before the agency and to seek judicial review of an adverse decision. That being so, we do not believe that the District may be permitted to circumvent these rights by the expedient of by-passing the CONA procedure altogether. The Georgetown residents suffered injury in fact if their procedural rights were denied, regardless of the court's ultimate assessment of the merits of their substantive contentions. Committee for Full Employment v. Blumenthal, 196 U.S.App.D.C. 155, 158, 606 F.2d 1062, 1065 (1979); see also McCartin v. Norton, 674 F.2d 1317, 1320 (9th Cir.1982). Such a denial of procedural rights is fairly alleged in their complaint. Accordingly, we hold that the Georgetown residents have sufficiently alleged injury in fact, which is indispensable to constitutional standing, and that they are within the zone of interests protected by the CONA. Assuming, arguendo, that the neighborhood tranquility interests which they assert are not within the ambit of the CONA, the denial of the right to attend and participate in the proceedings constitutes an independent and legally sufficient injury. Committee for Full Employment, supra . The court can redress that injury by directing the District to apply for a Certificate of Need and to provide the Georgetown residents with a hearing as required by the CONA. Once it has been determined that a case or controversy exists and constitutional standing is present, the question whether the litigant is a proper party to request adjudication of a particular issue ( i.e., prudential standing) is one within the authority of the legislative branch to determine. See, e.g., Sierra Club v. Morton, 405 U.S. 727, 732 n. 3, 92 S.Ct. 1361, 1365 n. 3, 31 L.Ed.2d 636 (1972); Roman Catholic Diocese v. New York State Dep't of Health, 109 A.D.2d 140, 144-46, 490 N.Y.S.2d 636, 639-40 (3d Dept.1985), rev'd on other grounds, 66 N.Y.2d 948, 489 N.E.2d 749, 498 N.Y.S.2d 780 (1985). The CONA and the regulations promulgated pursuant to it plainly provide for participation in agency proceedings, and in the judicial review of agency determinations, by persons in the Georgetown residents' position, and have thus resolved the prudential standing issue in the Georgetown residents' favor. The decision in Roman Catholic Diocese also supports our holding here. In that case, a New York statute similar to our CONA provided that persons adversely affected by a final decision regarding a certificate of need application had the right to seek judicial review. Id. 109 A.D.2d at 142, 490 N.Y.S.2d at 638. Relying on regulations which had defined this term for purposes of the federal NHPRDA, the court held that persons adversely affected included any person residing within the geographical area to be served under the application. The court concluded that any such resident opposed to the issuance of the certificate had standing to seek judicial review. Id. at 143, 490 N.Y.S.2d at 639. Loyd v. Georgia State Health Planning & Dev. Agency, 168 Ga.App. 850, 310 S.E.2d 738 (1983), upon which the District places its reliance, provides it with no solace. In that case, the court denied standing to area residents to petition for review of a certificate of need award on the basis of a statute which expressly limited standing to any applicant for a project, or any competing applicant, or any competing health care facility that has given prior notice to the planning agency, or any county or municipal government in whose boundary the proposed project will be located. Id. at 853, 310 S.E.2d at 741 (internal quotation marks omitted). If our statute were like Georgia's in this regard, the Georgetown residents would of course lack standing. The difference between the two statutes is, however, critical. Loyd is, if anything, helpful to the Georgetown residents, for it demonstrates that the CONA could have been (but was not) written in a manner which would have led to the result for which the District contends. There may be a measure of irony in our disposition of the issue of standing. It is entirely possible, if not inevitable, that when a hearing is held on the District's application for a certificate of need, the agency may treat the Georgetown residents' contentions as outside the scope of its inquiry. Until the District has secured a certificate of need, however, the Hurt Home cannot be put to its proposed use. Our decision may well defer, pending a protracted administrative process, the availability of services to District youths who need them, notwithstanding the fact that the Georgetown residents are likely to be able to contribute little of material substance regarding the subjects on which the agency's attention will be focused. Justice in a practical, non-legal sense may well be delayed, and we are not blind to the fact that, for those whose opportunity is deferred until they are no longer eligible, justice delayed is justice denied. Given the statute and the regulations, however, we are compelled to hold that, at least in the absence of any supervening change in the law, the Georgetown residents' claims regarding the CONA issues are not subject to dismissal for lack of standing to sue.
Having concluded that the Georgetown residents have standing to contest the District's failure to obtain a certificate of need, we must determine whether the CONA applies as a matter of substantive law to the proposed use of the Hurt Home. Judge Weisberg concluded that it does not. He reasoned, in pertinent part, as follows: In searching for legislative intent, it is axiomatic that a specific statute enacted later in time is given effect over an earlier law generally covering the same subject matter. Brown v. General Services Administration, 425 U.S. 820, 834-835 [96 S.Ct. 1961, 1968-69, 48 L.Ed.2d 402] (1976); 2A N. SINGER, SUTHERLAND STATUTORY CONSTRUCTION § 51.05 (4th ed. 1973). One would therefore ordinarily assume that, with respect to procedures for legislative or administrative review of the necessity for a particular mental health treatment facility, Congress intended the Mental Health Services Act to take precedence over the more general CON statute. More importantly, having provided one elaborate review process, it is highly unlikely that the legislature intended that the plan, or any particular facility designated pursuant to the Plan, would then be subjected to yet another elaborate and possibly duplicative review process, as required by the CON statute. The Mayor's final System Implementation Plan calls for the establishment of a residential facility for twenty-four children in fiscal year 1988, but makes no mention of the Hurt Home property. Nevertheless, this Plan was reviewed and accepted by both the District Council and by Congress pursuant to the Mental Health Services Act and, accordingly, it may now be implemented. Plaintiffs' argument reduces to a contention that the Mayor is proposing to implement a program at the Hurt Home that puts previously unidentified flesh on the program described only skeletally in the Plan. While there may be some merit to this contention, plaintiffs' remedy lies with the Council or with Congress, not with this court. Defendants are entitled to judgment as a matter of law. Memorandum Opinion at 4-5. We agree with the Georgetown residents that the judge misapplied the canon of construction which he sought to invoke and failed to give adequate consideration to the doctrine that repeals by implication are not favored. Professor Sutherland's treatise, on which the judge relied, does not support a thesis as broad as the one for which it was cited. According to Professor Sutherland, [w]here one statute deals with a subject in general terms, and another deals with a part of the same subject in a more detailed way, the two should be harmonized if possible; but if there is any conflict, the latter will prevail, regardless of whether it was passed prior to the general statute, unless it appears that the legislature intended to make the general act controlling. 2A SUTHERLAND, supra, § 51.05, at 499 (emphasis added and footnotes omitted). The italicized language is critical; courts choose the specific statute over the general one only if the two cannot be harmonized, and not otherwise. Our cases are to the same effect. See, e.g., In re O.M., 565 A.2d 573, 581 (D.C. 1989) ([W]hen a statute of broad general application ... is inconsistent with a more specific provision ..., the latter provision must govern or control ... (emphasis added and internal quotation marks omitted)), cert. denied, ___ U.S. ___, 110 S.Ct. 1824, 108 L.Ed.2d 953 (1990); Onabiyi v. District of Columbia Taxicab Comm'n, 557 A.2d 1317, 1318-19 (D.C.1989) (general statute provided that all violations of statutes, regulations, executive orders or rules relating to the operation of motor vehicles shall be adjudicated by the Bureau of Traffic Adjudication; specific statute provided that the District of Columbia Taxicab Commission shall have jurisdiction over all complaints lodged against taxicab operators; the two were thus irreconcilable and the specific one was held to be controlling); Graham v. Bernstein, 527 A.2d 736, 737-39 (D.C.1987) (general statute provided that any information or document required to be served may be served by mail; specific statute provided that [e]very notice to a tenant to quit shall be served on him personally, if he can be found; no harmonization was possible and the requirement of personal service prevailed); see also District of Columbia v. Linda Pollin Mem. Hous. Corp., 313 A.2d 579, 583-84 (D.C. 1973) (Where ... general provisions, terms, or expressions in one part of a statute are inconsistent with more specific or particular provisions in another part, the particular provisions must govern or control... (emphasis added)). On the other side of the coin, where a party has attempted to invoke the canon that a specific statute prevails over a general one, but we have found no conflict between the two, we have held that both apply. See, e.g., Gonzalez v. United States, 498 A.2d 1172, 1173-77 (D.C.1985) (although inmate's failure to return to halfway house was punishable as misdemeanor under statute specifically proscribing such conduct and applicable only to halfway house offenses, the inmate was properly convicted of violating broader felony prison breach statute not limited to halfway house violations; the court [could] not say that [the two statutes] are irreconcilable in any meaningful way, id. at 1176, and the prosecutor was authorized to proceed under the felony statute); Holt v. United States, 565 A.2d 970, 976 (D.C.1989) (en banc). [28] In the case before us, there is no conflict between the two statutes, and the condition indispensable for the application of the canon on which the District relies is therefore not present. The CONA applies by its terms to all persons, and the District government is a person. See D.C.Code § 32-302(13) (1988). The Mental Health Services Act requires the Mayor's final plan to be in full compliance with all applicable District of Columbia statutes. D.C.Code § 32-623(b)(4). On the face of the two enactments, both are applicable to the proposed use of the Hurt Home. Unless we are to conclude that the Mental Health Services Act effected a pro tanto repeal of the CONA by implication, the District must be required to comply with both statutes. It is, of course, a cardinal principle of statutory construction that repeals by implication are not favored, and whenever possible statutes should be read consistently. Parsons Steel, Inc. v. First Ala. Bank, 474 U.S. 518, 523-24, 106 S.Ct. 768, 771-72, 88 L.Ed.2d 877 (1986) (citations and internal quotation marks omitted); Simon v. Simon, 58 App.D.C. 158, 159-60, 26 F.2d 530, 531-32 (1928). As the Supreme Court explained in Kremer v. Chemical Constr. Corp., 456 U.S. 461, 468, 102 S.Ct. 1883, 1890, 72 L.Ed.2d 262 (1982), there are two well-settled categories of repeals by implication(1) where provisions in the two acts are in irreconcilable conflict, the later act to the extent of the conflict constitutes an implied repeal of the earlier one; and (2) if the later act covers the whole subject of the earlier one and is clearly intended as a substitute, it will operate similarly as a repeal of the earlier act. But, in either case, the intention of the legislature to repeal must be clear and manifest.... Radzanower v. Touche Ross & Co., [426 U.S. 148] at 154 [96 S.Ct. 1989, 1993, 48 L.Ed.2d 540 (1976)], quoting Posadas v. National City Bank, 296 U.S. 497, 503 [56 S.Ct. 349, 352, 80 L.Ed. 351] (1936). (Emphasis added). One who claims that a later statute has repealed an earlier one by implication must show that the two acts are irreconcilable, clearly repugnant as to vital matters to which they relate, and so inconsistent that the two cannot have concurrent operation. Cedarbrook Realty, Inc. v. Nahill, 484 Pa. 441, 459, 399 A.2d 374, 383 (1979) (italics omitted) (quoting 1A SANDS, SUTHERLAND ON STATUTORY CONSTRUCTION, § 23.10, at 231 (4th ed. 1972)). See also State v. Foley, 140 Vt. 643, 645, 443 A.2d 452, 453 (1982). Statutory interpretation is an imperfect science, and generalities about statutory construction help us little. They are not rules of law but merely axioms of experience. Gonzalez, supra, 498 A.2d at 1176 (citations and internal quotation marks omitted). Nevertheless, the canon disfavoring repeal by implication must be taken seriously. As Judge (now Justice) Scalia wrote for the court in United States v. Hansen, 249 U.S.App.D.C. 22, 26, 772 F.2d 940, 944 (1985), cert. denied, 475 U.S. 1045, 106 S.Ct. 1262, 89 L.Ed.2d 571 (1986), [i]t will not do to give this principle of statutory interpretation mere lip service and vacillating practical application. A steady adherence to it is important, primarily to facilitate not the task of judging but the task of legislating. It is one of the fundamental ground rules under which laws are framed. Without it, determining the effect of a bill upon the body of preexisting law would be inordinately difficult, and the legislative process would become distorted by a sort of blind gamesmanship, in which Members of Congress vote for or against a particular measure according to their varying estimations of whether its implications will be held to suspend the effects of an earlier law that they favor or oppose. We therefore disagree with the trial judge's conclusion that the Mental Health Services Act eliminated the District's obligation to comply with the CONA. As we have noted in another connection at page 1164, supra, we discern no conflict between the two statutes, irreconcilable or otherwise, and we certainly cannot conclude that the intention of the legislature to accomplish a pro tanto repeal of the CONA was clear and manifest. Kremer, supra, 456 U.S. at 468, 102 S.Ct. at 1890. To be sure, duplicate review of projects like the one here at issue, one such review being by several separate legislative bodies and committees and the other by an administrative agency, may be burdensome. That, however, is a contention more appropriately addressed to Congress and to the Council of the District of Columbia than to the courts. Both legislative and administrative review having been mandated by separate statutory enactments, we cannot reasonably conclude that they are so inconsistent that the two cannot have concurrent operation. Cedarbrook Realty, Inc., supra, 484 Pa. at 459, 399 A.2d at 383. As we have previously observed at pages 1157-1159, supra, the purpose of the Certificate of Need Act is to ensure an equitable distribution of health care facilities. Under the CONA, a specific new facility is permitted only if it is needed. D.C.Code § 32-305 (1988); 22 DCMR §§ 4050.6, 4050.7, 4050.15, 4050.34 (1986). The focus is on the particular facility and the participation in the decision-making process of members of the local community is contemplated. While the Mental Health Services Act requires the District to offer community-based mental health facilities and therefore constitutes an implicit determination that such facilities are indeed needed, the focus of that statute is more general and less site-specific. As the trial judge indicated, the program in the present case was described only skeletally in the District's submission to the Council and to Congress, and the Hurt Home was not mentioned at all. Review under the MHSA will not capture the precise character of a proposed facility (number of beds, staff-to-client ratio, etc.), its location within the District, or other matters peculiar to the particular project. These are the kinds of concerns, on the other hand, that the SHPDA is empowered and qualified to consider. For that agency to review, with these and similar issues in mind, the services which the District proposes to provide at the Hurt Home, would not interfere with the implementation of the Mental Health Services Act. Indeed, such review may arguably complement the work of the various legislative bodies and committees, and does not render the two statutory schemes repugnant to one another. Accordingly, we hold that the Certificate of Need Act applies to the proposed use of the Hurt Home.