Municipality v. Cantonal Authority on Outpatient Care Costs

A municipal administration challenged a higher cantonal authority's decision that mandated the municipality to cover the costs of a resident's outpatient care, which the municipality had previously refused to cover, arguing the care was not medically necessary or that the cantonal authority exceeded its mandate. The court reasoned that the initial administrative decision to deny coverage was procedurally flawed because it lacked the required formal reasoning to be considered a proper administrative act subject to appeal, thus rendering the subsequent appeal to the cantonal executive moot, and ultimately confirmed the higher cantonal authority's order compelling the municipality to cover the costs based on the underlying substantive assessment of medical necessity.