Justia Government & Administrative Law Opinion Summaries

Articles Posted in Professional Malpractice & Ethics
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Dr. Obteen Nassiri owned and operated a chiropractic practice and employed Dr. Edward Johnson as a chiropractic physician. Both Appellants were licensed chiropractic physicians in Nevada at the time. Responding to allegations of unprofessional conduct, the Chiropractic Physicians’ Board of Nevada filed complaints for disciplinary action against Appellants. After an adjudicative hearing, the Board found Appellants had committed professional misconduct, revoked Nassiri’s license and mandated that Nassiri could not own any interest in a chiropractic practice until his license was restored, and suspended Johnson’s license for one year with conditions. On review, the district court entered judgment against Appellants. On appeal, Appellants argued that the Board improperly used a substantial evidence standard of proof to determine that Appellants committed professional misconduct. The Supreme Court affirmed, holding (1) in the absence of a specific statutory mandate, agencies generally must utilize, at a minimum, the preponderance-of-the-evidence standard in adjudicative hearings as a standard of proof; and (2) because the Board applied at least the preponderance-of-the-evidence standard in this case, the Board did not err in finding that Appellants committed violations warranting professional discipline. View "Nassiri v. Chiropractic Physicians' Bd." on Justia Law

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Appellant was terminated from his employment as a registered nurse at a community hospital after a patient under Appellant’s care departed from the hospital, unescorted, into blizzard-like conditions and died less than 500 feet from the hospital’s entrance. After a two-day disciplinary hearing, the State Board of Nursing found Appellant violated several statutes and Board rules and revoked Appellant’s professional nursing license for two years. Appellant subsequently filed a petition for de novo judicial review in the district court. The district court concluded that it would not rehear the evidence presented to the Board and, after finding “competent evidence” on the record to support the Board’s findings, affirmed the Board’s decision to revoke Appellant’s license. The Supreme Court vacated the district court’s judgment, holding that the court erred in its interpretation and application of “de novo judicial review.” Remanded. View "Zablotny v. State Bd. of Nursing" on Justia Law

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Plaintiffs involved in, or wishing to be involved in the “death care industry” challenged Pennsylvania’s Funeral Director Law, 63 Pa. Stat. 479.1 provisions that: permit warrantless inspections of funeral establishments by the state Board of Funeral Directors; limit the number of establishments in which a funeral director may have an ownership interest or practice the provision; restrict the capacity of unlicensed individuals and certain entities to hold ownership interests in a funeral establishment; require every funeral establishment to have a licensed full-time supervisor; require funeral establishments to have a “preparation room”; prohibit service of food in a funeral establishment; prohibit use of trade names by funeral homes; govern the trusting of monies advanced under pre-need contracts for merchandise; and prohibit payment of commissions. The district court found several provisions unconstitutional. The Third Circuit reversed: invalidation of the warrantless inspection scheme; holdings on dormant Commerce Clause challenges to certain provisions; conclusions that disputed provisions violate substantive due process; a ruling that the Board’s actions unconstitutionally impair private contractual relations with third parties; and invalidation of the ban on payment of commissions to unlicensed salespeople. The court affirmed that the ban on the use of trade names in the funeral industry violates First Amendment protections. The court noted that antiquated provisions are not necessarily unconstitutional. View "Heffner v. Murphy" on Justia Law

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Starr, AIG's former principal shareholder, filed suit against the FRBNY for breach of fiduciary duty in its rescue of AIG during the fall 2008 financial crisis. The district court dismissed Starr's claims and Starr appealed. The suit challenged the extraordinary measures taken by FRBNY to rescue AIG from bankruptcy at the height of the direst financial crisis in modern times. In light of the direct conflict these measures created between the private duties imposed by Delaware fiduciary duty law and the public duties imposed by FRBNY's governing statutes and regulations, the court held that, in this suit, state fiduciary duty law was preempted by federal common law. Accordingly, the court affirmed the judgment of the district court. View "Starr Int'l Co. v. Federal Reserve Bank of New York" on Justia Law

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Petitioner was a licensed physical therapist and the owner of a therapy center that operated two facilities. The West Virginia Board of Physical Therapy revoked Petitioner's license for failure to properly supervise physical therapist assistants and physical therapy aides employed by him. The circuit court affirmed. The Supreme Court affirmed in part and reversed in part, holding (1) the circuit court properly found that Petitioner failed to directly supervise a physical therapy aide who was performing patient treatment; but (2) the circuit court erred in finding that Petitioner failed appropriately to supervise a physical therapist assistant who was performing patient treatment. Remanded. View "Sorongon v. W. Va. Bd. of Physical Therapy" on Justia Law

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Respondent Leslie Anne Whittington appealed an Office of Professional Regulation (OPR) order that concluded she committed several acts of unprofessional conduct and sanctioning her to a five-year license suspension. Respondent worked as a Nursing Home Administrator (NHA) from October 2006 until 2010. In its Amended Specification of Charges, the State alleged that respondent committed a host of specified acts that amounted to unprofessional conduct. In particular, the State alleged that respondent engaged in unprofessional conduct by failing to keep the home’s supplies adequately stocked; failing to keep the home adequately staffed; creating an erratic and hostile environment for staff and residents, possibly due to mental or psychological instability; allowing regulatory deficiencies to occur and responding poorly to two routine regulatory by the Vermont Division of Licensing and Protection; failing to ensure that residents’ records were properly kept; improperly interfering with nurses’ delivery of medication to residents and other nursing duties or medical decisions; falsely representing that she was a licensed nursing assistant and was close to earning a nursing degree; and improperly physically removing the ombudsman responsible for the home from the premises. Upon review of the OPR record, the Supreme Court reversed the Administrative Law Officer’s determinations that respondent engaged in unprofessional conduct by questioning a doctor’s withdrawal of life-sustaining treatment and on account of the Division of Licensing and Protection survey deficiencies, but affirmed the ALO’s other findings of unprofessional conduct. The case was remanded to the trial court for remand to the ALO for redetermination of the applicable sanction. View "Whittington v. Office of Professional Regulation" on Justia Law

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The Office of the Medicaid Inspector General (OMIG) terminated a physician's participation in the Medicaid program on the basis of a Bureau of Professional Medical Conduct (BPMC) consent order, in which the physician pleaded no contest to charges of professional misconduct and agreed to probation. Supreme Court annulled the OMIG's determination. The Appellate Division affirmed, concluding (1) the agency acted arbitrarily and capriciously in barring the physician from treating Medicaid patients when the BPMC permitted him to continue to practice; and (2) the OMIG was required to conduct an independent investigation before excluding a physician from Medicaid on the basis of a BPMC consent order. The Court of Appeals affirmed but for another reason, holding (1) the OMIG is authorized to remove a physician from Medicaid in reliance solely on a consent order between the physician and the BMPC, regardless of whether BPMC chooses to suspend the physician's license or OMIG conducts an independent investigation; but (2) because OMIG did not explain why the BPMC consent order caused it to exclude the physician from the Medicaid program, the agency's determination was arbitrary and capricious. View "Koch v. Sheehan" on Justia Law

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The Mississippi Commission on Judicial Performance filed a formal complaint against Municipal Court Judge Robert Fowlkes following a verbal altercation he had with a probation officer outside the courtroom. The Commission and Judge Fowlkes filed a joint motion asking the Court to approve agreed-upon sanctions of a public reprimand and costs of $200. The Supreme Court agreed that Judge Fowlkes should be publicly reprimanded and assessed $200 for the costs of proceedings, and the Court found he also should be fined $1,000. View "Mississippi Commission on Judicial Performance v. Fowlkes" on Justia Law

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Petitioner Dr. Kevin Boulard, D.M.D. appealed a New Hampshire Board of Dental Examiners (Board) finding that he committed professional misconduct and suspending indefinitely his “moderate sedation – unrestricted” permit. The Supreme Court concluded that because the Board was in the process of conducting other investigations of petitioner’s practice, without more, it was error for the Board to continue the suspension of petitioner's permit based on the other facts presented on the record. The Court vacated a portion of the Board's order and remanded the case for further proceedings. View "Appeal of Dr. Kevin D. Boulard, D.M.D." on Justia Law

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Plaintiff, a licensed physician and surgeon, was charged with violating the applicable standard of care in his treatment of two children. The Connecticut Medical Examining Board (board) found that Plaintiff had violated the standard of care with respect to his treatment of both children and ordered a reprimand, imposed fines, and placed Plaintiff on probation for two years. The trial court primarily affirmed, as did the appellate court. Plaintiff appealed, asserting that the appellate court incorrectly concluded that the preponderance of the evidence standard applied in his disciplinary hearing rather than the clear and convincing evidence standard. The Supreme Court affirmed, holding (1) the preponderance of the evidence standard applied at the proceeding because the board is an administrative agency subject to the Uniform Administrative Procedure Act, under which the preponderance of the evidence is the default standard of proof; and (2) the use of the preponderance of the evidence standard of proof at a physician disciplinary proceeding does not offend a physician's due process rights. View "Jones v. Conn. Med. Examining Bd." on Justia Law