IN RE: REQUEST OF LOURDES A. LEON GUERRERO, I MAGA' HÅGAN GUÅHAN, RELATIVE TO THE POWER OF THE EXECUTIVE BRANCH TO ESTABLISH, MAINTAIN, AND OPERATE QUARANTINE FACILITIES IN GUAM AND TO PROMULGATE QUARANTINE AND SANITATION REGULATIONS FOR THE PROTECTION OF GUAM AGAINST THE IMPORTATION AND SPREAD OF DISEASE. ( 2021 )


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  •           IN THE SUPREME COURT OF GUAM
    IN RE: REQUEST OF LOURDES A. LEON GUERRERO,
    I MAGA’HÅGAN GUÅHAN, RELATIVE TO THE POWER OF
    THE EXECUTIVE BRANCH TO ESTABLISH, MAINTAIN, AND
    OPERATE QUARANTINE FACILITIES IN GUAM AND TO
    PROMULGATE QUARANTINE AND SANITATION REGULATIONS
    FOR THE PROTECTION OF GUAM AGAINST THE
    IMPORTATION AND SPREAD OF DISEASE
    Supreme Court Case No.: CRQ20-002
    OPINION
    Cite as: 
    2021 Guam 6
    Request for Declaratory Judgment Pursuant to
    Section 4104 of Title 7 of the Guam Code Annotated
    Argued and submitted on May 7, 2021
    Via Zoom video conference
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                         Page 2 of 36
    Appearing for Petitioner                                 Appearing for Party in Interest
    I Maga’hågan Guåhan:                                     Public Defender Service Corporation:
    Sophia Santos Diaz, Esq.                                 Brian Eggleston, Esq.
    Leslie A. Travis, Esq.                                   Assistant Public Defender
    Office of the Governor of Guam                           Public Defender Service Corporation
    Ricardo J. Bordallo Governor’s Complex                   779 Rte. 4
    Adelup, GU 96910                                         Sinajana, GU 96910
    Appearing for Party in Interest                          Appearing for Party in Interest
    Department of Public Health and                          I Mina’trentai Sais Na Liheslaturan Guåhan:
    Social Services:                                         Ana Won Pat-Borja, Esq.
    Shannon J. Taitano, Esq.                                 Legislative Counsel
    Chief Deputy Attorney General                            Guam Legislature Legal Bureau
    163 W. Santo Papa
    Joseph A. Perez, Esq.
    Hagåtña, GU 96910
    Janice M. Camacho, Esq.
    Assistant Attorneys General
    Appearing for Amicus Curiae
    Office of the Attorney General                           Attorney General of Guam:
    590 S. Marine Corps Dr.                                  James L. Canto II, Esq.
    Tamuning, GU 96913                                       Deputy Attorney General
    Jordan Lawrence Pauluhn, Esq.
    Assistant Attorney General
    Office of the Attorney General
    590 S. Marine Corps Dr.
    Tamuning, GU 96913
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                    Page 3 of 36
    BEFORE: F. PHILIP CARBULLIDO, Chief Justice; ROBERT J. TORRES, Associate Justice;
    KATHERINE A. MARAMAN, Associate Justice.
    PER CURIAM:
    [1]     Petitioner Lourdes A. Leon Guerrero, I Maga’hågan Guåhan (“the Governor”), filed a
    Request for Declaratory Judgment under 7 GCA § 4104 requesting this court interpret portions
    of the Islan Guåhan Emergency Health Powers Act (“EHPA”) (10 GCA § 19101 et seq. (2005))
    relative to the Governor’s power over public health and quarantine in the Organic Act of Guam
    (codified at 48 U.S.C.A. § 1421g(a) (Westlaw through Pub. L. 117-20 (2021)). The Governor
    also requested we declare sections 19604 and 19605 of the EHPA inorganic and void for
    violating separation of powers principles.
    [2]     The Organic Act of Guam bestows specific quarantine powers to the Governor, and we
    hold that the legislative enactment of section 19605 impermissibly encroaches upon that power.
    Section 19605 is inorganic and void. We also hold that section 19604 does not violate separation
    of powers and does not permit a statutory challenge to a quarantine order issued by the
    Department of Public Health and Social Services (“DPHSS”). Even with no statutory challenge
    in the EHPA to a quarantine order, we hold that constitutional challenges are permitted and
    subject to the principles set forth by the United States Supreme Court in Jacobson v.
    Massachusetts, 
    197 U.S. 11
     (1905). Finally, we hold that the courts of Guam have the inherent
    power to review agency action for arbitrariness, capriciousness, and abuse of discretion.
    I. FACTUAL AND PROCEDURAL BACKGROUND
    [3]     On March 14, 2020, the Governor issued an executive order declaring a state of
    emergency to respond to the novel coronavirus (“COVID-19”). See Exec. Order No. 2020-03 at
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                       Page 4 of 36
    1. Following the first three confirmed cases of COVID-19, the Governor implemented several
    emergency measures by executive order to contain the spread of COVID-19, including the
    quarantine of incoming travelers in government facilities. See Exec. Order No. 2020-04 at 1-2.
    The Governor also evoked her power under the EHPA and designated DPHSS as the Public
    Health Authority. See Exec. Order No. 2020-03 at 1. DPHSS has issued and continues to issue
    directives and quarantine guidance memoranda as an evolving response to COVID-19. Compare
    DPHSS Guidance Mem. 2020-11 Rev4 (July 24, 2020) (no quarantine or negative test required
    for incoming travelers from low risk areas staying less than five nights), with DPHSS Guidance
    Mem. 2020-11 Rev12 (June 18, 2021) (all incoming travelers subject to a ten-day quarantine
    period with exemption for fully vaccinated individuals and home quarantine for those arriving
    with negative COVID-19 test).1
    [4]     As in other jurisdictions across the nation, lawsuits were filed challenging executive and
    agency actions in response to measures implemented to slow the transmission of COVID-19.
    The Superior Court of Guam heard individual challenges to quarantine orders issued by DPHSS.
    See, e.g., Ikei v. Dep’t of Pub. Health & Soc. Servs., SP0138-20/SP0141-20 (Finds. Fact &
    Concl. L. at 2 (Oct. 27, 2020)). The Public Defender Service Corporation (“PDSC”) was
    appointed to represent individuals or groups of individuals subject to quarantine who were not
    otherwise represented by counsel. See Igros v. Dep’t of Pub. Health & Soc. Servs., SP0127-20
    (Gen. Order Appointing Pub. Def. Serv. Corp. Represent Persons in Quarantine & Entering
    Quarantine (Sept. 25, 2020)).           Some challenges succeeded in releasing individuals from
    government facilities to home quarantine or without requiring home or self-quarantine. See
    1
    DPHSS Guidance Memoranda are posted online at http://dphss.guam.gov/covid-19-jic-releases-
    executive-orders/.
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                     Page 5 of 36
    Bellis v. Dep’t of Pub. Health & Soc. Servs., SP0207-20 (Dec. & Order at 5 (Dec. 3, 2020));
    Ikei, SP0138-20/SP0141-20 (Finds. Fact & Concl. L. at 26-27).
    [5]     Against this backdrop, the Governor requested declaratory judgment over five questions
    of law. Req. Declaratory J. at 6 (Dec. 24, 2020). First, whether “CDC guidelines are mandatory
    in Guam.” 
    Id. at 11
    . Second, whether CDC guidelines about quarantine for travelers are
    “binding on DPHSS such that DPHSS may not implement a quarantine policy that is more
    restrictive than CDC guidelines.” 
    Id.
     Third, whether quarantine orders may “be challenged on
    constitutional grounds even where they reasonably bear a relationship to the public health
    emergency and do not result in a plain and clear invasion of fundamental rights.” 
    Id.
     And if yes,
    “what level of scrutiny should be applied to the court’s review, whether rational, intermediate, or
    strict?” 
    Id.
     Fourth, whether a court may “grant a request for release from quarantine on the basis
    of amenities provided in quarantine facilities.” 
    Id.
     Last, whether a court may “modify a lawful
    quarantine order issued by DPHSS or does such modification impinge on the Governor’s power
    and duties to quarantine and protect against the spread of disease and interfere with the
    operations of the Executive Branch,” and if so, “[u]nder what circumstances may a court modify
    a lawful quarantine order issued by DPHSS?” 
    Id.
    [6]     PDSC filed an Interested Parties’ Motion to Deny Request for Declaratory Judgment or,
    in the Alternative, Permit Public Defender Service Corporation to Intervene as Respondent on
    Behalf of Incoming Travelers Subject to Quarantine. This court granted in part and denied in
    part PDSC’s motion and certified two of the Governor’s questions for declaratory judgment.
    The court also granted PDSC’s request to represent the interests of incoming travelers subject to
    quarantine. The parties were invited to brief these two certified questions. First, may quarantine
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                   Page 6 of 36
    orders be challenged on constitutional grounds? Order & Scheduling Order at 5 (Dec. 31, 2020).
    If yes, what level of scrutiny should be applied to a court’s review, whether rational,
    intermediate, or strict? 
    Id.
     And second, may a court modify a quarantine order issued by
    DPHSS? 
    Id.
     If yes, under what circumstances, and does such modification impinge on the
    Governor’s power and duties to quarantine and protect against the spread of disease and interfere
    with the operations of the Executive Branch? 
    Id. at 6
    .
    [7]     In her reply brief, the Governor asserted a new issue arguing 10 GCA §§ 19604 and
    19605 of the EHPA were inorganic and void for violating separation of powers principles. We
    exercised our discretion to review the newly raised separation of powers issue. See Second
    Order & Scheduling Order at 2 (Mar. 9, 2021). The court also invited interested parties to brief
    whether statutory challenges to quarantine orders are permitted under 10 GCA §§ 19604 and
    19605, and, if so, how are sections 19604 and 19605 reconciled with the quarantine powers
    granted to the Governor in the Organic Act? See id. at 3-4. The Governor moved to strike pages
    5-13 of PDSC’s brief responding to the newly raised separation of powers issue. The Governor
    argued that PDSC went beyond the separation of powers question. Given the complexity of the
    questions before the court and the shifting nature of the litigation, we denied the motion and
    invited the Governor to respond to PDSC in her supplemental reply brief. The court received
    interested party briefs from PDSC, DPHSS, I Mina’trentai Sais Na Liheslaturan Guåhan (“the
    Legislature”), and the Office of the Attorney General as amicus curiae.
    II. JURISDICTION
    [8]     The Supreme Court has original jurisdiction over declaratory judgment actions. 7 GCA §
    4104 (2005).       The governor of Guam may request a declaratory judgment “as to the
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                         Page 7 of 36
    interpretation of any law, federal or local” and “upon any question affecting the powers and
    duties of I Maga’[håga] and the operation of the Executive Branch.”                  
    Id.
       In addition,
    “declaratory judgments may be issued only where it is a matter of great public interest and the
    normal process of law would cause undue delay.” 
    Id.
    [9]     By Order dated December 31, 2020, the court certified two questions for declaratory
    judgment after scrutinizing the questions under a 7 GCA § 4104 subject matter jurisdiction
    analysis.    See Order & Scheduling Order at 5-6.                  The Governor’s questions requested
    interpretation of local laws; therefore, the court could address the questions by declaratory
    judgment. See id.
    [10]    In her Reply Brief, the Governor raised a new argument as a reply to PDSC’s statutory
    interpretation of whether a court may modify a DPHSS quarantine order. The Governor asserted
    for the first time that the Legislature exceeded its power by passing sections 19604 and 19605 of
    the EHPA because those sections usurp the Governor’s quarantine powers in the Organic Act.
    Reply Br. at 2 (Mar. 2, 2021). We exercised our discretion to review the new argument. Second
    Order & Scheduling Order at 2 (“Issues raised for the first time in a reply brief are deemed
    waived unless we decide to review them in the exercise of our discretion.” (quoting People v.
    Borja, 
    2017 Guam 20
     ¶ 28)).
    [11]    In its Supplemental Brief, PDSC argues jurisdiction is not proper because the questions
    certified in the December 31, 2020 Order were certified under the first subject matter prong—
    interpretation of the law. PDSC’s Suppl. Br. at 1 (Apr. 6, 2021). The Governor, however, raised
    a new separation of powers issue, and separation of powers questions have only ever been
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                    Page 8 of 36
    certified by the court under the second subject matter prong—questions affecting the powers and
    duties of the Governor and Executive Branch. See 
    id. at 1-2
    .
    [12]    Separation of powers questions are proper subject matter for declaratory judgment
    actions. See, e.g., In re Request of Governor Carl T.C. Gutierrez, Relative to the Organicity &
    Constitutionality of Pub. Law 26-35 (“In re Request of Governor Gutierrez II”), 
    2002 Guam 1
     ¶
    18 (“[T]he Governor may obtain review of an issue under section 4104 if his request affects his
    powers and duties as Governor and the operation of the Executive Branch.”). In In re Request of
    Governor Gutierrez II, we elaborated on the separation of powers questions permitted under
    section 4104. 
    Id. ¶ 25
    . “[S]ection 4104 contains limiting language, and the court is only
    permitted to address questions that involve allegations that one branch’s actions ‘impinge’ on the
    other branch’s operations.” 
    Id.
     For instance, a declaratory judgment may not issue without an
    action of the requesting party dependent on it. See 
    id. ¶ 19
     (collecting cases). Another instance
    where a separation of powers question does not meet the jurisdictional requirements is when the
    governor’s question “only concerns another branch of the government or . . . solely impacts
    subordinate executive officers and agencies.” 
    Id. ¶ 20
    .
    [13]    Here, the Governor asks whether the enacted legislation impinges on her Organic Act
    powers and duties over quarantine. The Governor has issued executive orders for the quarantine
    of incoming passengers and enabled DPHSS to issue quarantine rules and regulations. The
    Governor’s question centers on her and the Executive Branch’s existing duties and exercise of
    their power to fight the spread of COVID-19. This is not an instance when the question only
    concerns another branch of government or solely impacts subordinate executive officers and
    agencies. While we invited interested parties to brief the separation of powers issue because it
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                      Page 9 of 36
    was raised within the context of a different certified question, this issue itself is proper subject
    matter for declaratory judgment.
    [14]    Our declaratory judgment statute has two other requirements.             “The declaratory
    judgments may be issued only where it is a matter of great public interest and the normal process
    of law would cause undue delay.” 7 GCA § 4104. These requirements are also met.
    [15]    Whether sections 19604 and 19605 infringe on the Governor’s Organic Act powers to
    promulgate quarantine regulations is a matter of great public interest. “[P]ublic interest . . .
    signifies an importance of the issue to the body politic, the community, in the sense that the
    operations of the government may be substantially affected one way or the other by the issue’s
    resolution.” In re Request of Governor Gutierrez II, 
    2002 Guam 1
     ¶ 26 (quoting In re Request of
    Governor Carl T.C. Gutierrez for a Declaratory Judgment as to Organicity of Guam Pub. L. 22-
    42 (“In re Request of Governor Gutierrez I”), 
    1996 Guam 4
     ¶ 4).
    [16]    This question has broad ranging impacts for all branches of government, the community,
    and anyone traveling to Guam during a public health emergency. The Governor has a duty to
    establish, maintain, and operate quarantine stations and promulgate quarantine regulations when
    necessary. 48 U.S.C.A. § 1421g(a). Quarantine measures have been a part of the government’s
    response to the COVID-19 public health emergency since the first cases were confirmed on the
    island. Exec. Order No. 2020-04 at 1-2. Individuals subject to quarantine have challenged
    quarantine orders issued by DPHSS in the Superior Court citing sections 19604 and 19605. See,
    e.g., Ikei, SP0138-20/SP0141-20 (Finds. Fact & Concl. L. at 2).          PDSC was appointed to
    represent quarantined individuals. See Igros, SP0127-20 (Gen. Order Appointing Pub. Def.
    Serv. Corp. Represent Persons in Quarantine & Entering Quarantine). DPHSS has an existing
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                   Page 10 of 36
    governmental duty as the agency delegated by the Governor to develop and implement
    quarantine policy.      Exec. Order No. 2020-03 at 1; Exec. Order No. 2020-04 at 3.         Three
    interested parties and the Attorney General as amicus curiae submitted briefs to this court on the
    powers of the Governor and the Executive Branch over quarantine and interpretations of sections
    19604 and 19605.         Resolving this separation of powers question significantly affects the
    community and the operations of government. As this is a matter of great public interest, the
    second jurisdictional requirement is met.
    [17]    The final jurisdictional requirement is that the normal processes of law would cause
    undue delay. See 7 GCA § 4104. We analyze undue delay using a two-element test: “we must
    (1) measure the delay relative to the time that would be consumed by litigating the issue through
    the ‘normal process of law’ and (2) determine whether this delay is ‘excessive or inappropriate.’”
    In re Request of I Maga’låhen Guåhan Eddie Baza Calvo Relative to the Interpretation &
    Application of Organic Act Section 1423B & What Constitutes the Affirmative Vote of the
    Members of I Liheslaturan Guåhan, 
    2017 Guam 14
     ¶ 11 (citing In re Request of Governor
    Gutierrez I, 
    1996 Guam 4
     ¶ 7).
    [18]    In In re Request of Governor Gutierrez I, delay was not undue because a direct appeal
    was pending from the Superior Court judgment in the request for declaratory judgment. 
    1996 Guam 4
     ¶ 8. In In re Request of Governor Felix P. Camacho Relative to the Interpretation of
    Section 11 of the Organic Act of Guam & the Education Facilities Construction Initiatives Act of
    2001 (“In re Request of Governor Camacho III”), the anticipated comparative delay through the
    normal processes of law was excessive or inappropriate given the needs and interest of the island
    to expedite the resolution of questions over financing public schools. 
    2006 Guam 5
     ¶ 10. We
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                   Page 11 of 36
    find the unique circumstances here to constitute undue delay. Unlike In re Request of Governor
    Gutierrez I, there is no pending direct appeal by DPHSS or by a quarantined individual of an
    order issued by the Superior Court. Even an expedited appeal of such an order may be moot and
    never reach substantive appellate review. The estimated difference in speed between reaching
    these issues through the normal processes of law would be excessive or inappropriate relative to
    an action under 7 GCA § 4104. Like in In re Request of Governor Camacho III, expedited
    resolution of the issues here are in the interest of the island and travelers seeking entry into
    Guam. Because litigating the issues through the normal processes of law would cause delay that
    is excessive or inappropriate, the third requirement is met.
    [19]    Therefore, we clarify, the court has jurisdiction to issue a declaratory judgment on
    whether statutory challenges to quarantine orders are permitted under 10 GCA §§ 19604 and
    19605, and if so, how these sections are reconciled with the quarantine powers granted to the
    Governor in the Organic Act.
    III. STANDARD OF REVIEW
    [20]    “For cases brought before this court pursuant to our original jurisdiction, all issues are
    determined in the first instance.” In re Request of Governor Camacho III, 
    2006 Guam 5
     ¶ 12
    (citing In re Request of Governor Gutierrez II, 
    2002 Guam 1
     ¶ 8; In re Request of Governor
    Felix P. Camacho Relative to the Interpretation & Application of Section 11 of the Organic Act
    of Guam (“In re Request of Governor Camacho I”), 
    2003 Guam 16
     ¶ 8, rev’d on other grounds,
    Limtiaco v. Camacho, 
    549 U.S. 483
     (2007)).
    //
    //
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                 Page 12 of 36
    IV. ANALYSIS
    [21]    Although this litigation expanded after the Governor submitted her Reply Brief, that
    expansion revealed a question central to the disposition of this matter. Before turning to the
    questions certified in the December 31, 2020 Order and Scheduling Order, we must first
    determine whether statutory challenges to quarantine orders are permitted under 10 GCA §§
    19604 and 19605, and if so, how these sections are reconciled with the quarantine powers
    granted to the Governor in the Organic Act. At the heart, this is a separation of powers issue.
    See supra Part II. We address first whether the legislative enactment of sections 19604 and
    19605 of the EHPA violate separation of powers principles by impinging on the Governor’s
    Organic Act powers and duties over quarantine under 48 U.S.C.A. § 1421g(a).
    A. Section 19604 Can Be Reconciled with the Quarantine Powers Granted to the Governor
    in the Organic Act, But Section 19605 Cannot
    1. Separation of Powers Principles
    [22]    Under the Organic Act, the government consists of three separate but co-equal branches
    of government. See 48 U.S.C.A. § 1421a (“The government of Guam shall consist of three
    branches, executive, legislative, and judicial . . . .”). The applicability of the separation of
    powers doctrine in Guam is evident in the language of the Organic Act and has long been
    recognized by this court. See Villagomez-Palisson v. Superior Court (Laguana), 
    2004 Guam 13
    ¶ 14 (“This court has consistently held that the concept of separation of powers exists in
    Guam.”); Hamlet v. Charfauros, 
    1999 Guam 18
     ¶ 9 (“By its very language, therefore, the
    Organic Act requires application of the constitutional doctrine of separation of powers to
    government of Guam functions.” (quoting Taisipic v. Marion, 
    1996 Guam 9
     ¶ 26)).
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                        Page 13 of 36
    [23]    As between the legislature and the executive, the separation of powers doctrine is
    violated when “the Legislature has acted beyond its authority.” In re Request of I Mina’ Trentai
    Dos Na Liheslaturan Guåhan Relative to the Use of Funds from the Tax Refund Efficient
    Payment Trust Fund, 
    2014 Guam 15
     ¶ 18.                   Invalid legislative actions “impinge upon the
    Governor’s authority.” 
    Id.
     This court adopted the U.S. Supreme Court’s framework in Nixon v.
    Administrator of General Services, 
    433 U.S. 425
    , 443 (1977), for evaluating separation of
    powers challenges. See People v. Perez, 
    1999 Guam 2
     ¶ 17, overruled on other grounds by
    People v. Shimizu, 
    2017 Guam 11
    . “[T]wo separate elements must be evaluated: (1) whether the
    statutory provision prevents the accomplishment of constitutional functions and (2) if so,
    whether the disruptive impact is justified by any overriding constitutional need.” 
    Id.
    [24]    Separation of powers issues are addressed on a case-by-case basis and “must begin with
    the general rule that legislative enactments are presumed to be constitutional.” In re Request of
    Governor Gutierrez II, 
    2002 Guam 1
     ¶ 41. The party alleging that a statute is unconstitutional
    bears the burden of proof. 
    Id.
    [25]    The Governor argues 48 U.S.C.A. § 1421g(a) grants her “ultimate authority” over
    quarantine. Reply Br. at 4. The Legislature argues against an interpretation of § 1421g(a) that
    suggests the Governor has an enhanced quarantine power. Rather, the Legislature contends the
    Governor’s power in § 1421g(a) is subject to the laws of Guam and the Organic Act grants
    legislative power and authority to the Legislature of Guam. Legislature’s Br. at 6 (Apr. 6, 2021).
    Therefore, the Legislature argues it has concurrent police and lawmaking power to legislate
    quarantine. Id.
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                  Page 14 of 36
    [26]    The Governor counters that the Legislature’s Organic Act powers must be exercised
    consistently with other provisions of the Organic Act, and the Legislature cannot enact laws in
    derogation of § 1421g(a). Suppl. Consol. Reply Br. at 2 (Apr. 26, 2021). The Governor offers
    the 1986 Amendment to § 1421g(b) in support of her interpretation of § 1421g(a) that ultimate
    quarantine authority vests in her. Id. at 22-26. Specifically, the Governor cites the legislative
    history of the amendment to § 1421g(b), which changed “governor” to “government.” Id. at 22-
    23. This change provided the government of Guam authority to organize its education system as
    opposed to that authority residing singularly with the governor. See S. Rep. No. 99-236, at 4
    (1986) as reprinted in 1986 U.S.C.C.A.N. 1843, 1845. Unlike § 1421g(b), the subsection at issue
    here—§ 1421g(a)—has never been amended. Thus, the Governor argues § 1421g(a) grants her
    ultimate authority over public health services and quarantine. Suppl. Consol. Reply Br. at 18,
    26.
    [27]    We agree with the Governor’s interpretation of “subject to the laws of Guam” in §
    1421g(a)—the phrase does not describe ordinary separation of powers doctrine. Under § 1423a,
    the Legislature has a general grant of authority to legislate quarantine absent a more specific
    grant elsewhere in the Organic Act. See 48 U.S.C.A. § 1423a (“The legislative power of Guam
    shall extend to all rightful subjects of legislation not inconsistent with the provisions of this
    chapter and the laws of the United States applicable to Guam.”). Contrastingly, the Governor
    has enumerated powers to establish, maintain, and operate quarantine stations and promulgate
    quarantine regulations. 48 U.S.C.A. § 1421g(a). And as we stated, “a narrower, more specific
    provision of a statute takes precedence over a more general provision of the same statute.”
    Camacho v. Estate of Gumataotao, 
    2010 Guam 1
     ¶ 19 (citing Rose v. State, 
    123 P.2d 505
    , 512
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                Page 15 of 36
    (Cal. 1942)). The specific enumerated quarantine powers granted to the Governor in § 1421g(a)
    control over a general grant of power to the Legislature in § 1423a. Thus, we are persuaded by
    the Governor’s argument that “subject to the laws of Guam” in § 1421g(a) cannot be read as
    ordinary separation of powers principles because doing so renders the phrase surplusage.
    Accordingly, the Legislature may not enact laws in derogation of the Governor’s quarantine
    authority in § 1421g(a). See In re Request of Governor Camacho I, 
    2003 Guam 16
     ¶ 15 n.5.
    2. History of the Organic Act
    [28]    To interpret § 1421g(a) and the grant of executive power it contains, we must look back
    further than the 1986 amendments to the Organic Act to the evolution of self-governance in
    Guam since becoming an unincorporated territory of the United States, which it remains to this
    day. See 48 U.S.C.A. § 1421a.
    [29]    The United States gained possession of Guam in 1898 from Spain by the Treaty of Peace
    Between the United States of America and the Kingdom of Spain (“Treaty of Paris”). Treaty of
    Paris, Dec. 10, 1898, U.S.-Spain, 30 Stat. 1754 (1899). The United States then installed a
    government controlled by the Navy and appointed a Naval governor as the head of government.
    See In re Request of Governor Felix P. Camacho Relative to the Interpretation & Application of
    Sections 6 & 9 of the Organic Act of Guam (“In re Request of Governor Camacho II”), 
    2004 Guam 10
     ¶¶ 19, 21 (citing Arnold H. Leibowitz, Defining Status: A Comprehensive Analysis of
    United States Territorial Relations 316-18 (1989); Paul Carano & Pedro C. Sanchez, A Complete
    History of Guam 347 (1964)).
    [30]    In 1917, the Guam Congress was created to make recommendations to the Naval
    governor. See 
    id. ¶ 20
    . In reality, however, the Naval governor “retained virtually all power
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                    Page 16 of 36
    regarding the administration of Guam.” 
    Id. ¶ 21
     (citing Stanley K. Laughlin, Jr., The Law of
    United States Territories and Affiliated Jurisdictions 403 (1995); Carano & Sanchez, supra, at
    229). In 1947, after the United States recaptured Guam following Japanese occupation in World
    War II, Acting Secretary of the Navy John L. Sullivan issued a proclamation directing that only
    the Guam Congress could change existing law, implicitly rejecting unilateral amendment through
    executive order by the Naval governor. Id. ¶¶ 19, 22 (citing Carano & Sanchez, supra, at 347).
    This proclamation “was the first substantive grant of power to non-appointed, non-naval
    officials.” Id. ¶ 22.
    [31]    The shift away from Naval governance toward civil governance continued when
    President Harry S. Truman transferred administration of Guam to the Department of the Interior
    and appointed the first civilian governor in 1949. Id. ¶ 23 (citing Carano & Sanchez, supra, at
    353, 355). A year later, “a civil government in Guam became a reality, when the passage of the
    Organic Act of Guam created three branches of government.” Id. ¶ 24. From the time when the
    United States gained possession of Guam in 1898 and until passage of the Organic Act in 1950,
    the political status of Guam was atypical “with a military governor holding all legislative,
    executive, and judicial authority.” Jon M. Van Dyke, The Evolving Legal Relationships Between
    the United States and Its Affiliated U.S.-Flag Islands, 14 U. Haw. L. Rev. 445, 488 (1992).
    [32]    “Under the Organic Act, the position of the civilian Governor mirrored its predecessor
    under the United States Navy and was given broad powers.”               In re Request of Governor
    Camacho II, 
    2004 Guam 10
     ¶ 25. Despite the passage of the Organic Act, the governor of Guam
    continued to be appointed by the President of the United States. 
    Id. ¶ 27
    . “Not until 1968 did
    the people of Guam exercise their voices in choosing the executive leaders of their island.” 
    Id.
     ¶
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                  Page 17 of 36
    28 (citing Guam Elective Governor Act, Pub. L. 90-497 (1968)).            The elected governor
    continued to enjoy broad executive powers. See 
    id. ¶ 29
    . In 1998, the Organic Act was amended
    to clarify legislative power. See Pub. L. 105-291, 105th Cong., § 4 (1998) (enacted and codified
    at 48 U.S.C.A. §§ 1421g, 1423a).
    [33]    It is against this historical backdrop we recognize the governor’s executive power in 48
    U.S.C.A. § 1421g(a).         This section of the Organic Act—which specifically mandates the
    governor establish, maintain, and operate quarantine stations and promulgate quarantine
    regulations, when necessary—has never been amended. Section 1421g(a) was enacted when the
    power of the legislature and judiciary were not as robust as the present day, and the appointed
    governor enjoyed more power than at present. The parties do not dispute this is a unique grant of
    power specifically bestowed on the governor of Guam. But it is more than unique; it is a
    “command of the Organic Act” of “ultimate responsibility” to the governor.           Bordallo v.
    Baldwin, 
    624 F.2d 932
    , 934 (9th Cir. 1980).
    3. Ninth Circuit Jurisprudence
    [34]    “The Organic Act serves the function of a constitution for Guam.” Haeuser v. Dep’t of
    L., Gov’t of Guam, 
    97 F.3d 1152
    , 1156 (9th Cir. 1996). “In general, it provides for the three
    branches of government consistent with the constitutional structure of the United States and the
    powers of each branch flow from, and are limited by the Organic Act.” Baldwin, 
    624 F.2d at 934
    . The Organic Act not only serves as the constitution of Guam, it is also a federal statute.
    “Ninth Circuit cases that address Organic Act issues will be followed by this court, insofar as
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                                  Page 18 of 36
    such cases are reasonably supported by law.”2 Underwood v. Guam Election Comm’n, 
    2006 Guam 17
     ¶ 35. As the Ninth Circuit’s decision in Bordallo v. Baldwin, 
    624 F.2d 932
     (9th Cir.
    1980)—interpreting the governor’s power under § 1421g(a)—is reasonably supported by law,
    and no party has argued why it should not be followed, we will follow Baldwin’s interpretation
    of that section.
    [35]    The Governor’s power under § 1421g(a) is:
    Subject to the laws of Guam, the Governor shall establish, maintain, and operate
    public-health services in Guam, including hospitals, dispensaries, and quarantine
    stations, at such places in Guam as may be necessary, and [s]he shall promulgate
    quarantine and sanitary regulations for the protection of Guam against the
    importation and spread of disease.
    48 U.S.C.A. § 1421g(a).
    [36]    In Baldwin, the legislative enactment challenged as violating separation of powers
    principles effectively eliminated all discretion over appointments to the Guam Memorial
    Hospital’s Board of Trustees by the governor and required the governor to appoint persons
    designated by private organizations. 
    624 F.2d at 933
    . There, the legislature argued the law was
    organic because the governor’s “general appointive powers as set forth in Section 1422c(a)”
    were subject to legislative action and the governor’s “specific responsibility with respect to
    hospitals is restricted by the inclusion in Section 1421g(a) of the phrase ‘subject to the laws of
    Guam.’” 
    Id. at 934
    . But the legislature “failed to recognize that legislative power is limited by
    2
    As we explained in Underwood:
    [B]ecause the Supreme Court of Guam is now the final arbiter of questions arising through the
    jurisdiction of the courts of Guam (short of final certiorari review by the United States Supreme
    Court), we recognize our authority to depart from Ninth Circuit cases interpreting the Organic Act
    of Guam only in the rare instance where we believe that such cases are unsupported by law.
    
    2006 Guam 17
     ¶ 35.
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                         Page 19 of 36
    Section 1423a to subjects ‘not inconsistent with the provisions of this chapter.’” 
    Id.
     The Ninth
    Circuit held the law violated separation of powers principles by “tak[ing] over the entire power
    to establish, maintain and operate the Hospital by dictating who the governing trustees shall be.”
    
    Id.
     The legislature “negate[d] the command of the Organic Act that the ultimate responsibility
    for the governance of the Hospital be in the Governor.” 
    Id.
    [37]    Here, the Governor argues she has more power over quarantine than over hospitals
    because § 1421g(a) mandates she promulgate quarantine regulations together with her duties to
    establish, maintain, and operate quarantine stations and hospitals. We agree. The Governor’s
    power over quarantine is broader than her power over hospitals. See Baldwin, 
    624 F.2d at 933
    -
    34.
    [38]    Aside from Baldwin, the Ninth Circuit has interpreted § 1421g(b) and the governor’s
    Organic Act powers over public education. In Brown v. Civil Service Commission, the Ninth
    Circuit interpreted the savings clause “subject to the laws of Guam” in § 1421g(a) to apply to §
    1421g(b), dismissing the argument that the governor had “exclusive” power over the school
    system. 
    818 F.2d 706
    , 709 (9th Cir. 1987). Here, the Legislature argues the determination in
    Brown applies to the Governor’s quarantine power in § 1421g(a) and urges us to find that the
    Governor’s quarantine power is subject to concurrent legislative authority. Legislature’s Br. at
    13-14. But even without determining that the governor’s power over public education was
    nonexclusive, the Ninth Circuit could have reached the same result—that the disputed executive
    action in Brown infringed on the legislature’s Organic Act power because § 1421g(b) grants the
    governor general authority over public education.                       See Brown, 
    818 F.2d at 709-10
    .
    Contrastingly, the legislature has a specific grant of authority to establish a merit system for
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                             Page 20 of 36
    government service, and in Brown, the governor negated the Organic Act’s specific grant of
    authority to the legislature by establishing a merit system for Department of Education
    employees. 
    Id.
    [39]    The Ninth Circuit concluded the same in Nelson v. Ada, 
    878 F.2d 277
    , 280 (9th Cir.
    1989) (“In Brown, . . . the Organic Act of Guam itself authorized the Guam legislation in
    question.”). There, the Ninth Circuit stated, “48 U.S.C. § 1422c(a) provided expressly for
    legislative establishment of a merit system under which, ‘as far as practicable,’ appointments and
    promotions were to be made.” Id. (citing Brown, 
    818 F.2d at 709-10
    ). These three Ninth Circuit
    cases stand for the proposition that in separation of powers conflicts, the government actor with
    the more specific grant of power in the Organic Act prevails over the actor with a general grant
    of power. Here, as between the Legislature and the Governor, the Governor has the more
    specific grant of power over quarantine in the Organic Act. Thus, Ninth Circuit precedent
    supports interpreting the separation of powers dynamic over quarantine as weighted toward the
    Governor. Besides Ninth Circuit precedent, the plain language of § 1421g(a) and the history of
    the Organic Act also support the determination that the Governor’s quarantine policies, rules,
    and regulations take precedence over legislative enactments of quarantine law.3
    4. The Perez Test
    [40]    Because of her authority under 48 U.S.C.A. § 1421g(a), the Governor argues that sections
    19604 and 19605 of the EHPA are inorganic and void for violating separation of powers. The
    Governor contends these sections encroach on her Organic Act power over quarantine by
    3
    The Governor’s executive orders, policies, rules, and regulations on quarantine are subject to the
    Constitution and Jacobson limitations. See infra Part IV.B (discussing standard of review for constitutional
    challenges).
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                    Page 21 of 36
    dictating quarantine rules and policy. To resolve this issue, we analyze sections 19604 and
    19605 in turn under the two-part test adopted in People v. Perez, 
    1999 Guam 2
    . First, “whether
    the statutory provision prevents the accomplishment of constitutional functions,” and second, “if
    so, whether the disruptive impact is justified by any overriding constitutional need.” Perez, 
    1999 Guam 2
     ¶ 17.
    a. Section 19604 does not prevent the Governor from accomplishing her
    constitutional functions
    [41]    Section 19604 is titled “Isolation and Quarantine.” 10 GCA § 19604. This section
    authorizes DPHSS to isolate or quarantine an individual or groups of individuals, set rules, and
    issue orders. Id. § 19604(a). This section also sets out eight conditions and principles the public
    health authority must follow when isolating or quarantining individuals or groups.           Id. §
    19604(b).
    [42]    When viewed as general principles for DPHSS to follow when isolating or quarantining
    individuals, section 19604 does not impinge on the Governor’s quarantine duties in § 1421g(a).
    Section 19604 describes quarantine and quarantine-related principles but does not establish or
    define procedures or methods to accomplish those goals. Put differently, section 19604 does not
    generate the quarantine policy itself. The Legislature is not mandating or issuing directives to
    DPHSS or the Governor to implement. Rather, the Legislature presents a guide for DPHSS to
    use when creating specific quarantine policies. Unlike in Baldwin, the Legislature has not “taken
    over the entire power” to establish, maintain, and operate quarantine stations and promulgate
    quarantine regulations. See 
    624 F.2d at 934-35
    .
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                  Page 22 of 36
    [43]    The Attorney General as amicus curiae suggests that section 19604 is organic when read
    as intelligible principles—as standards that guide DPHSS rather than quarantine regulations
    themselves. And the Governor conceded during oral argument that section 19604 would be
    organic when read as broad standards. See Oral Argument at 10:25:21–10:25:39, 12:05:08–
    12:06:28 (May 7, 2021). As the U.S. Supreme Court recognized, there is a long standing
    principle of statutory construction that “an Act of Congress ought not to be construed to violate
    the Constitution if any other possible construction remains available.” NLRB v. Cath. Bishop of
    Chi., 
    440 U.S. 490
    , 500 (1979); see also Gilmore v. California, 
    220 F.3d 987
    , 997-98 (9th Cir.
    2000). When read as broad, general principles, section 19604 does not prevent the Governor
    from accomplishing her quarantine duties mandated by the Organic Act. Because we answer the
    first step of the Perez test in the negative, we need not continue to the second step of the
    analysis. We now turn to the certified question asking how section 19604 is reconciled with the
    quarantine powers granted to the Governor in the Organic Act.           Our answer is that by
    interpreting section 19604 as broad standards and general principles, the law does not
    impermissibly encroach on the Governor’s quarantine authority. The Legislature, therefore, has
    not exceeded its power, and section 19604 does not violate separation of powers.
    [44]    Because we interpret section 19604 as broad standards and general principles, section
    19604 does not permit statutory challenges to quarantine orders because it contains no
    substantive regulations, nor does it confer legal rights to individuals subject to quarantine.
    Section 19604 is not intended to be used by courts as DPHSS criteria for quarantine when
    reviewing challenges to individual quarantine orders.
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                     Page 23 of 36
    b. Section 19605 prevents               the    Governor   from accomplishing   her
    constitutional functions
    [45]    Section 19605 is titled “Procedures for Isolation and Quarantine.” 10 GCA § 19605.
    This section sets out procedures the public health authority must follow when isolating or
    quarantining individuals or groups. Id. The interested parties and amicus curiae extensively
    briefed the following subsections for organicity: (1) section 19605(a)(4) (requiring that the
    public health authority obtain a court order for isolation or quarantine beyond ten days for those
    quarantined without notice); (2) section 19605(b)(5) (setting standards for a court to apply when
    considering a petition for isolation or quarantine); (3) section 19605(b)(5)(ii) (setting
    requirements for the court order authorizing isolation or quarantine); and (4) section 19605(c)(1)-
    (2) (authorizing procedures for release or remedies for breaches under the EHPA).
    [46]    Unlike the general language used in section 19604 to ascribe broad principles for
    quarantine and isolation, section 19605 directs DPHSS to follow specific procedures to lawfully
    isolate or quarantine individuals.
    [47]    For example, after ten days of isolation or quarantine, DPHSS can continue to isolate or
    quarantine an individual without notice only by petition to the Superior Court. 10 GCA §
    19605(a)(4). In enacting this requirement, the Legislature has predetermined the length of an
    initial quarantine. This legislative determination infringes on the power of the executive to
    execute quarantine regulations by mandating that DPHSS obtain a court order to keep an
    individual in quarantine past the ten-day period. The EHPA is a general statute and not specific
    to COVID-19, but the ongoing endorsement of the Centers for Disease Control and Prevention
    for a fourteen-day quarantine period highlights the legislative interference created by the ten-day
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                      Page 24 of 36
    limit. See Req. Declaratory J. at Ex. 5 (When to Quarantine, Centers for Disease Control and
    Prevention, Dec. 10, 2020); see also When to Quarantine, Centers for Disease Control and
    Prevention      (Mar.      12,     2021),      https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-
    sick/quarantine.html (last visited June 29, 2021). To comply with the EHPA, DPHSS must
    petition a court for an order to quarantine every incoming traveler beyond ten days. This
    provision removes essential decision-making power from DPHSS, and thereby the Governor,
    over the length of quarantine during the COVID-19 pandemic.
    [48]    Another example of infringement is that the court order for quarantine must “include any
    conditions necessary to ensure that isolation or quarantine is carried out within the stated
    purposes and restrictions of this Chapter.” 10 GCA § 19605(b)(5)(ii)(cc). The Legislature
    mandates the Superior Court to enact the Legislature’s quarantine policies contained within the
    statute and ensure DPHSS’s petition complies should the two conflict. Put differently, the
    Superior Court must enforce the Legislature’s quarantine determinations over those of DPHSS.
    This is legislative overreach into policy decisions over quarantine regulation that the Organic Act
    specifically grants to the Governor and thereby DPHSS.
    [49]    The Attorney General as amicus curiae suggests section 19605 creates procedures for
    judicial review but is not a substantive regulatory provision. Att’y Gen.’s Br. at 21 (Apr. 6,
    2021). We are not persuaded that section 19605 is limited to mere procedure. Section 19605
    creates three substantive rights. First, the right of quarantined individuals to petition the Superior
    Court for release. 10 GCA § 19605(c)(1). Second, remedies for quarantined individuals for
    breach of quarantine conditions. 10 GCA § 19605(c)(2). And third, it provides unrepresented
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                       Page 25 of 36
    individuals with legal counsel. 10 GCA § 19605(e)(1). This is not to say that these subsections
    are unimportant to protect civil liberties—only that they are more substantive than procedural.
    [50]    As in Baldwin, the Governor has a specific Organic Act responsibility to establish,
    maintain, and operate quarantine stations and the added responsibility to promulgate quarantine
    regulations. See 48 U.S.C.A. § 1421g(a). The Legislature does not have a specific grant of
    authority over quarantine law but has a general police power limited to “subjects of legislation
    not inconsistent with the provisions of [the Organic Act].”             Id. § 1423a.   While Baldwin
    recognizes that the legislature can, within the scope of its own Organic Act authority, enact
    quarantine law, those enactments cannot overrule the governor’s regulations. See 
    624 F.2d at 934
    . Section 19605, like the challenged law in Baldwin, negates the command of the Organic
    Act that quarantine authority ultimately vests in the Governor. Section 19605 intrudes too far
    into the Governor’s power to operate quarantine stations and regulate quarantine by dictating
    substantive quarantine decisions. Section 19605 effectively substitutes the Legislature’s policies
    for the Governor’s and empowers the courts to do the same. This is impermissible infringement
    because the plain language of the Organic Act, the history of the Organic Act and the powers of
    the Governor, and Ninth Circuit precedent all support the Governor’s position that her quarantine
    policies must take precedence over the Legislature’s. Section 19605 therefore prevents the
    Governor from accomplishing her Organic Act responsibilities over quarantine.
    c. The disruptive impact of section 19605 is not justified by any overriding
    constitutional need
    [51]    Because section 19605 prevents the Governor from accomplishing her constitutional
    functions, we now turn to the second step of the Perez test to determine whether the disruptive
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                   Page 26 of 36
    impact of the law is justified by any overriding constitutional need. See Perez, 
    1999 Guam 2
     ¶
    17.    We have performed the “overriding constitutional need” analysis twice before.            In
    Villagomez-Palisson v. Superior Court (Laguana), 
    2004 Guam 13
    , this court held the Mandatory
    Medical Malpractice Arbitration Act does not violate the separation of powers doctrine because
    the overriding constitutional need for affordable health care justified “minimal infringement on
    the power of the judiciary to review the arbitrator’s award.” 
    2004 Guam 13
     ¶¶ 31, 34. By
    contrast, we determined that Appendix C of the government of Guam’s budget for fiscal year
    2002 contained in Guam Public Law 26-35 violated the separation of powers doctrine because it
    prevented the governor from accomplishing his Organic Act appropriation duties, and the
    legislature did not articulate an “overriding constitutional need” to usurp that power. In re
    Request of Governor Gutierrez II, 
    2002 Guam 1
     ¶¶ 2, 50.
    [52]    The circumstances here are not analogous to those in Villagomez-Palisson because the
    disruptive impact created by section 19605 is not minimal. See supra Part IV.A.4.ii. And here,
    like in In re Request of Governor Gutierrez II, the legislature does not articulate any overriding
    constitutional need to justify the infringement created by section 19605.
    [53]    The primary goal of the EPHA is to protect the health and safety of Guam during a public
    health emergency. See 10 GCA § 19102. The EPHA lists ten legislative findings; eight of those
    findings focus on the government’s response to public health threats and exercising emergency
    health powers. See id. Of the EHPA’s seven listed purposes, six describe government actions to
    control serious health threats. See id. § 19103. While the EHPA also attempts to balance
    individual liberties with the “ability to respond, rapidly and effectively, to potential or actual
    public health emergencies,” the EHPA is primarily a tool to combat dangers to public health. Id.
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                      Page 27 of 36
    § 19102(e); see also id. § 19103(f) (stating a purpose of EHPA is “to ensure the needs of infected
    or exposed persons are properly addressed to the fullest extent possible, given the primary goal
    of controlling serious health threats” (emphasis added)).
    [54]    The legislative history of the EHPA also supports this interpretation. The EHPA was
    passed into law in 2003. Guam Pub. L. 26-173 (Jan. 5, 2003) (codified at 10 GCA § 19101 et
    seq.). The act was passed to empower the government to respond to the spread of communicable
    diseases by conferring specific emergency powers to the governor and the public health
    authority. Id. § 1. The legislative intent of the EHPA states that if emergency powers are
    exercised, “the civil rights, liberties and needs of infected or exposed persons will be protected to
    the fullest extent possible, consistent with the primary goal of controlling serious health threats.”
    Id. (emphasis added). The legislative history reiterates the primary goal of the EPHA is to
    protect Guam against public health threats, while a lesser goal is to protect individual rights and
    liberties. Furthermore, voiding section 19605 does not shut the doors of the courthouse to
    aggrieved quarantined individuals. Quarantined individuals can challenge a quarantine order
    under constitutional claims, by writ of habeas corpus, or under the theory that agency regulations
    or decisions are arbitrary, capricious, or an abuse of discretion. See infra Part IV.B (discussing
    constitutional challenges); infra Part IV.C (discussing court’s inherent power of review). Thus,
    the Legislature has not articulated an overriding constitutional need to usurp and infringe on the
    Governor’s quarantine authority under § 1421g(a).
    [55]    Because the Legislature has not articulated an overriding constitutional need, we answer
    the certified question of whether section 19605 can be reconciled with the quarantine powers
    granted to the Governor in the Organic Act in the negative—it cannot be reconciled. The
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                     Page 28 of 36
    Legislature has exceeded its power, and section 19605 is inorganic and void. Accordingly, the
    second part of the certified question is answered in the negative—individuals cannot challenge
    their quarantine orders under section 19605.
    [56]    In summary, we hold section 19604 does not violate separation of powers doctrine.
    Because section 19604 contains only broad principles, it is not a basis for a statutory challenge to
    a quarantine order. Section 19605 is not a basis for statutory challenges to a quarantine order
    because it is inorganic and void for violating separation of powers doctrine.
    B. Quarantine Orders May Be Challenged on Constitutional Grounds
    [57]    We now turn to the first of two questions we initially certified: May quarantine orders be
    challenged on constitutional grounds? If yes, what level of scrutiny should be applied to the
    court’s review, whether rational, intermediate, or strict?
    [58]    The majority of the courts, when faced with challenges to executive emergency health
    measures implemented in response to the COVID-19 pandemic, apply the framework established
    by the United States Supreme Court in Jacobson v. Massachusetts, 
    197 U.S. 11
    , 25-27, 31
    (1905). See Carmichael v. Ige, 
    470 F. Supp. 3d 1133
    , 1142 (D. Haw. 2020) (collecting cases);
    Page v. Cuomo, 
    478 F. Supp. 3d 355
    , 366 (N.D.N.Y. 2020) (“As relevant here, courts across the
    country have nearly uniformly relied on Jacobson’s framework to analyze emergency public
    health measures put in place to curb the spread of coronavirus.”); Prof’l Beauty Fed’n of Cal. v.
    Newsom, Case No. 2:20-cv-04275-RGK-AS, 
    2020 WL 3056126
    , at *5 (C.D. Cal. June 8, 2020)
    (collecting cases). The standard in Jacobson is that challenges to public health policy statutes
    and regulations fail unless the policy can be shown to have no real or substantial relation to
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                     Page 29 of 36
    public health or constitutes a plain, palpable invasion of plaintiff’s rights. Jacobson, 
    197 U.S. at 31
    .
    [59]    But when “the challenged restrictions are not ‘neutral’ and of ‘general applicability,’ they
    must satisfy ‘strict scrutiny,’ and this means they must be ‘narrowly tailored’ to serve a
    ‘compelling’ state interest.” Roman Cath. Diocese of Brooklyn v. Cuomo, 
    141 S. Ct. 63
    , 67
    (2020) (quoting Church of the Lukumi Babalu Aye, Inc. v. Hialeah, 
    508 U.S. 520
    , 546 (1993)).
    “In cases implicating this form of ‘strict scrutiny,’ courts nearly always face an individual’s
    claim of constitutional right pitted against the government’s claim of special expertise in a matter
    of high importance involving public health or safety.” S. Bay United Pentecostal Church v.
    Newsom, 
    141 S. Ct. 716
    , 718 (Mem.) (2021).                    “Stemming the spread of COVID–19 is
    unquestionably a compelling interest,” but to pass constitutional strict scrutiny, the challenged
    regulation must also be “narrowly tailored.” Roman Cath. Diocese of Brooklyn, 141 S. Ct. at 67.
    [60]    As the global COVID-19 pandemic stretches well beyond the one-year mark, the
    Supreme Court has recognized that the degree of deference to the executive branch’s regulations
    aimed at slowing the transmission of the novel coronavirus may shift as time passes and more is
    known about the disease. See id. at 70 (Gorsuch, J., concurring); Calvary Chapel Dayton Valley
    v. Sisolak, 
    140 S. Ct. 2603
    , 2605 (2020) (Mem.) (Alito, J., dissenting). In his concurrence in
    Roman Catholic Diocese of Brooklyn, Justice Gorsuch takes aim at Chief Justice Robert’s oft-
    cited concurrence in South Bay United Pentecostal Church v. Newsom, 
    141 S. Ct. 716
     (Mem.)
    (2021), where the Chief Justice quoted Jacobson to justify broad deference to the decisions of
    elected public health officials. See Roman Cath. Diocese of Brooklyn, 141 S. Ct. at 70 (Gorsuch,
    J., concurring).     Justice Gorsuch uses the passage of time, in part, to distinguish between
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                                 Page 30 of 36
    upholding the challenged regulation in South Bay United Pentecostal Church in March 2020 and
    enjoining the challenged regulation in Roman Catholic Diocese of Brooklyn in November 2020:
    At that time, [when the concurrence in South Bay United Pentecostal Church was
    issued,] COVID had been with us, in earnest, for just three months. Now, as we
    round out 2020 and face the prospect of entering a second calendar year living in
    the pandemic’s shadow, that rationale has expired according to its own terms.
    Even if the Constitution has taken a holiday during this pandemic, it cannot
    become a sabbatical.
    Id.4
    [61]    Four months earlier, Justice Alito had the same concern, stating: “[A]t the outset of an
    emergency, it may be appropriate for courts to tolerate very blunt rules. . . . [But] [a]s more
    medical and scientific evidence becomes available, and as States have time to craft policies in
    light of that evidence, courts should expect policies that more carefully account for constitutional
    rights.” Calvary Chapel Dayton Valley, 140 S. Ct. at 2605 (Mem.) (Alito, J., dissenting).
    [62]    This is the status of Supreme Court jurisprudence about Jacobson deference and its
    continued application.       As these rules apply to constitutional challenges to the Governor’s
    executive orders and regulations over quarantine including quarantine orders issued by DPHSS,
    we answer the certified question in the affirmative—quarantine orders may be challenged on
    constitutional grounds. Constitutional challenges to neutral and generally applicable laws and
    regulations to protect public health are analyzed under the Jacobson standard. If the challenged
    law or regulation is not neutral or generally applicable, it is subject to strict scrutiny.
    4
    The Superior Court’s analysis of Jacobson deference recognized this shift toward more probing inquiry of
    executive regulations as time and knowledge increase. See Ikei, SP0138-20/SP0141-20 (Finds. Fact & Concl. L. at
    13-15).
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                      Page 31 of 36
    C. The Court Has Inherent Power to Review Agency Action
    [63]    We now turn to the final certified question: May a court modify a quarantine order issued
    by DPHSS? If yes, under what circumstances? If yes, does such modification impinge on the
    Governor’s powers and duties to quarantine and protect against the spread of disease and
    interfere with operations of the Executive Branch?
    [64]    The Organic Act delineates the jurisdiction and powers of the Judiciary of Guam under
    48 U.S.C.A. § 1424-1. The Superior Court of Guam “shall have such original and appellate
    jurisdiction over all causes in Guam as the laws of Guam provide” except jurisdiction conferred
    to the District Court of Guam. 48 U.S.C.A. § 1424-1(d). The Supreme Court of Guam is the
    highest court and has general appellate jurisdiction, specific original jurisdiction, and supervisory
    jurisdiction. Id. § 1424-1(a)(1)-(7). The Supreme Court also has “jurisdiction to issue all orders
    and writs in aid of its appellate, supervisory, and original jurisdiction.” Id. § 1424-1(a)(3).
    Because the Organic Act entrusts the protection of people’s rights to the judiciary, it has the
    distinct role of interpreting the law. See Marbury v. Madison, 
    5 U.S. 137
    , 177 (1803).
    [65]    The courts of Guam also have the common law power to review agency actions.
    Gutierrez v. Guam Election Comm’n, 
    2011 Guam 3
     ¶ 18 (“[W]e are able to review the action in
    the instant case under our common law authority to review agency actions.”). This court adopted
    “the common law position exemplified by Bodinson Manufacturing, that all of Guam’s courts
    retain the general ability to review agency actions taken by agencies and to ‘annul or restrain
    administrative action already taken which is in violation of law’ when such is appropriate.” 
    Id. ¶ 19
     (quoting Bodinson Mfg. Co. v. Cal. Emp. Comm’n, 
    109 P.2d 935
    , 941 (Cal. 1941)). The
    power is rooted in the court’s jurisdiction and authority to issue writs, see Bodinson Mfg., 109
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                     Page 32 of 36
    P.2d at 941, which are granted to both the Superior Court and the Supreme Court of Guam, see
    48 U.S.C.A. § 1424-1(a)(3), (d); see also 7 GCA § 31401 (2005). Thus, the Superior Court and
    the Supreme Court have the common law power to review agency actions and annul or restrain
    any agency action in violation of the law.
    [66]    Other jurisdictions refer to the court’s “inherent” power or authority to review
    administrative decisions for arbitrariness or capriciousness. See Truitt v. Bd. of Pub. Works, 
    221 A.2d 370
    , 380 (Md. 1966) (“This Court has consistently exercised its inherent power to review
    actions of administrative agencies alleged to be arbitrary or capricious even if there is no express
    statutory authority for such review.”); Residents Opposed to Kittitas Turbines v. State Energy
    Facility Site Evaluation Council (EFSEC), 
    197 P.3d 1153
    , 1163 (Wash. 2008) (en banc) (“While
    the constitution does not expressly provide for appellate jurisdiction of agency action in superior
    court, this court has recognized that the superior courts have inherent authority to review
    administrative decisions for arbitrary and capricious action under the discretionary writ of
    certiorari.”); In re Wright, 
    46 S.E.2d 696
    , 698 (N.C. 1948) (“The court has inherent authority to
    review the discretionary action of any administrative agency, whenever such action affects
    personal or property rights, upon a prima facie showing, by petition for a writ of certiorari, that
    such agency has acted arbitrarily, capriciously, or in disregard of law.”).
    [67]    Given the specific grant of power and authority to the Governor in the Organic Act, her
    quarantine policies and those implemented by DPHSS, as the Public Health Authority through
    the EHPA, are afforded deference. Most courts across the county recognize that in times of
    public health emergencies, the judgments of politically accountable officials are granted
    deference. See Marshall v. United States, 
    414 U.S. 417
    , 427 (1974) (stating that when those
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                     Page 33 of 36
    officials “undertake[] to act in areas fraught with medical and scientific uncertainties,” their
    latitude “must be especially broad”); see also Bayley’s Campground Inc. v. Mills, 
    463 F. Supp. 3d 22
    , 32 (D. Me. 2020), recons. denied, No. 2:20-cv-00176-LEW, 
    2020 WL 3037252
     (D. Me.
    June 5, 2020), and aff’d, 
    985 F.3d 153
     (1st Cir. 2021) (“[W]hen one weighs competing interests
    in the balance, the presence of a major public health crises is a very heavy weight indeed and
    scientific uncertainties about the best response will afford the state some additional leeway to err
    on the side of caution . . . .”); Carmichael, 470 F. Supp. 3d at 1143 (“[T]he judiciary may not
    ‘second-guess the state’s policy choices in crafting emergency public health measures.’”
    (quoting In re Rutledge, 
    956 F.3d 1018
    , 1029 (8th Cir. 2020))); Chambless Enters., LLC v.
    Redfield, --- F. Supp. 3d ---, Civil Action No. 3:20-cv-01455, 
    2020 WL 7588849
    , at *15 (W.D.
    La. Dec. 22, 2020) (collecting cases).
    [68]    The courts have their role to play in our system of checks and balances even during a
    public health crisis. “As the Supreme Court also stated in Jacobson, courts have the authority to
    intervene when political leaders attempting to protect the public against an epidemic act in ‘an
    arbitrary, unreasonable manner’ or in a way that goes ‘far beyond what [is] reasonably
    necessary.’” Elkhorn Baptist Church v. Brown, 
    466 P.3d 30
    , 35 (Or. 2020) (quoting Jacobson,
    
    197 U.S. at 28
    ). The Constitution “entrusts the protection of the people’s rights to the Judiciary .
    . . . Deference, though broad, has its limits.” S. Bay United Pentecostal Church, 141 S. Ct. at
    717 (Roberts, C.J., concurring).
    [69]    Based on these principles, the jurisdiction and authority to issue writs provide the courts
    with inherent power to review agency regulations and agency decisions for arbitrariness,
    capriciousness, or abuse of discretion. We hold that even without a statutory cause of action
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                       Page 34 of 36
    within the EHPA, the courts of Guam have the inherent common law power to review the agency
    actions of DPHSS acting as the Public Health Authority.
    [70]    The Governor’s Organic Act power and authority over quarantine are broad, but not
    absolute. The Governor conceded in oral argument that her interpretation of her Organic Act
    powers over quarantine does not place her actions above the law or beyond the reach of the
    courts. See Oral Argument at 10:41:08–10:41:20, 12:07:01–12:07:20 (May 7, 2021). Her
    concession is apt. Section 1421g(a) begins with the phrase “subject to the laws of Guam.” 48
    U.S.C.A. § 1421g(a). And because “[a] statute should be construed to give effect to all of its
    provisions so that no part would be superfluous or insignificant,” Macris v. Richardson, 
    2010 Guam 6
     ¶ 15, the judicial branch must ensure other branches of government do not act beyond
    the law. See also Washington Mkt. Co. v. Hoffman, 
    101 U.S. 112
    , 115-16 (1879) (“We are not at
    liberty to construe any statute so as to deny effect to any part of its language. It is a cardinal rule
    of statutory construction that significance and effect shall, if possible, be accorded to every
    word.”).
    [71]    The courts have inherent power to review quarantine regulations and orders issued by
    DPHSS for arbitrariness, capriciousness, or abuse of discretion. This standard of review reflects
    the deference to elected officials and the specific grant in the Organic Act to promulgate
    quarantine regulations in times of public health crises and does not encroach on the Governor’s
    Organic Act duties.
    [72]    The court’s power to review and order compliance with the law is not a “modification” of
    a DPHSS order because the court is not revising or editing a DPHSS order or substituting its
    policy decisions into a DPHSS order. The exercise of the court’s inherent power of review over
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                     Page 35 of 36
    agency actions is a judicial function and does not itself generate policy or regulations. Judicial
    review over the actions of DPHSS therefore does not impinge on the Governor’s powers and
    duties under 48 U.S.C.A. § 1421g(a). See Marbury, 
    5 U.S. at 177
    .
    V. CONCLUSION
    [73]    In the midst of the global COVID-19 pandemic, the Governor filed a Request for
    Declaratory Judgment to interpret her quarantine powers in the Organic Act relative to the scope
    of judicial review over statutory challenges to quarantine arguably contained within the EHPA.
    After diligent and extensive briefing and vigorous advocacy on behalf of the Governor, PDSC,
    DPHSS, the Legislature, and the Attorney General of Guam, we answer the certified questions as
    follows:
    [74]    Section 19604 does not violate separation of powers doctrine and is a valid exercise of
    legislative power. Section 19605 is inorganic and void because it violates separation of powers
    doctrine by encroaching on the Governor’s Organic Act authority over quarantine under 48
    U.S.C.A. § 1421g(a). There are no explicit statutory challenges to quarantine orders in the
    EHPA because section 19604 does not create a substantive right. Rather, section 19604 is a set
    of broad principles enacted to guide the Governor and DPHSS in promulgating quarantine policy
    and regulation.
    [75]    Quarantine orders may be challenged on constitutional grounds. Neutral and generally
    applicable laws and regulations to protect public health are analyzed under the Jacobson
    standard. If a challenged law or regulation is not neutral or generally applicable, it is subject to
    strict scrutiny.
    In re: Request of Lourdes A. Leon Guerrero, I Maga’hågan Guåhan,
    Relative to the Power of the Executive Branch to Establish, Maintain,
    and Operate Quarantine Facilities in Guam and to Promulgate
    Quarantine and Sanitation Regulations for the Protection of Guam
    Against the Importation and Spread of Disease, 
    2021 Guam 6
    , Opinion                  Page 36 of 36
    [76]    Our courts have the inherent power to review agency actions and order compliance with
    the law. Exercising this power does not “modify” a DPHSS quarantine order and does not
    encroach on the Governor’s powers and duties under 48 U.S.C.A. § 1421g(a).
    /s/                                                       /s/
    ROBERT J. TORRES                                       KATHERINE A. MARAMAN
    Associate Justice                                         Associate Justice
    /s/
    F. PHILIP CARBULLIDO
    Chief Justice