The Supreme Court of Guam has rejected an effort by the Office of the Attorney General of Guam to move a high-profile hospital authority case to federal court, ruling the matter will remain locally and proceed on an expedited schedule.

The case, filed by Gov. Lou Leon Guerrero, seeks clarification under the Organic Act of Guam regarding the governor’s authority to establish and operate public health facilities, including hospitals.

In its order, the court found the Attorney General’s attempt to remove the case to the District Court of Guam was “legally improper and facially defective,” affirming that jurisdiction remains with Guam’s highest court.

At the center of the dispute is a key question: Who has the authority to build and operate hospitals on Guam?

The court emphasized the urgency of resolving the issue, noting potential impacts to healthcare infrastructure timelines and federal funding if delays continue.

Governor Leon Guerrero welcomed the ruling, saying it keeps the case focused on timely resolution.

“This ruling keeps the focus where it belongs—on delivering for the people of Guam,” she said. “The Court rejected an unnecessary detour and made clear that this issue will be resolved promptly and on the merits.”

With an expedited briefing schedule already set, oral arguments are expected in May, putting the case on a fast track toward a decision.

The outcome could have significant implications for how Guam develops and manages future healthcare facilities.