This research is based on the fact that in the community shows that there are still many hospitals that haven't provided health services to society without the element of discrimination, many mass media are preaching rejection of the patient until so that causes death. Rejection of patients in government hospitals in the form of direct action falls into the category of state administrative disputes if it is article 87 of Law number 30 of 2014 concerning government administration point, which is a written determination that is also a factual action of a government hospital. The methodology in this study uses normative juridical types as well as using statute, conceptual, and case approach. On this research, using primary legal materials in the form of the Constitution, AP Law and PTUN Law.This research relates to the involvement of state administration officials if there is any refusal of patients at government hospitals and authority and the act of granting decisions without authority (Factual Actions) reviewed from the AP Law that causes material and immaterial losses towards the community. Administrative sanctions on government officials who perform factual acts that article 81 of the AP Law, namely light, moderate, and severe administrative sanctions.