F.C.S.C. Meeting Notice No. 2-09, 10095-10096 [E9-4956]
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Federal Register / Vol. 74, No. 44 / Monday, March 9, 2009 / Notices
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misconduct for a year, during which
time he likely issued between 800 to
1,200 prescriptions. Yet the record does
not establish the extent to which these
prescriptions were for controlled
substances.43
I acknowledge that proceedings under
Section 304 are non-punitive. But even
were I to ignore that Respondent has not
accepted responsibility for his
misconduct, and credit his testimony
that he did not intend to resume his
internet practice, I would still conclude
that a lengthy suspension of his
registration is warranted.
As found above, the diversion and
abuse of prescription drugs has
increased dramatically, with the number
of people admitting to such abuse
(approximately 15.1 million) exceeding
by twenty-three percent, the number
who abuse cocaine, hallucinogens,
inhalants and heroin combined.
Moreover, the growth rate of
prescription drug abuse is twice the
growth rate of marijuana abuse and five
times the growth rate of cocaine abuse;
between 1992 and 2002, the growth in
prescription opioid abuse among
teenagers grew by 542 percent.
The use of the internet and telephone
to prescribe to individuals with whom
a physician has not established a bona
fide doctor-patient relationship is one of
the primary means by which controlled
substances are being diverted and
obtained for recreational abuse. The
growth of this means of diversion
represents a grave threat to public
health and safety. Accordingly, this
Agency has repeatedly revoked the
registrations of numerous practitioners
who have committed similar acts by
prescribing over the internet without
establishing legitimate doctor-patient
relationships. See, e.g., Kamir GarcesMejias, 72 FR 54931 (2007); William
Lockridge, 71 FR 77791 (2006); Mario
Diaz, 71 FR 70788 (2006). The ALJ did
not, however, even acknowledge any of
the numerous Agency decisions to this
effect.
Respondent maintains that his case is
distinguishable from these and other
reported decisions involving internet
43 It is also noted that Respondent continued his
internet prescribing for three months after he
received the Show Cause Order, even though the
Order put him on notice as to the requirements for
a lawful prescription under both the CSA and state
law. While Respondent did not dispute that he
prescribed controlled substances during this period,
I do not rely on this conduct in setting the sanction
because the Government did not identify a single
controlled substance prescription that he issued
following the service of the Show Cause Order. If
the Government had shown specific instances of
Respondent’s prescribing of controlled substances
following service of the Order, I would have found
that he knowingly diverted controlled substances
and revoked his registration.
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prescribers because he ‘‘genuinely
believed * * * that he was practicing
medicine properly and effectively[,]’’
and ‘‘genuinely made a good faith effort
to do so.’’ Response to Gov.’s Exceptions
at 10. He also contends that he ‘‘is an
extraordinarily dedicated and tireless
physician who saw the internet as a way
to care for more patients,’’ and that
while he ‘‘can be faulted’’ for ‘‘having
trusted colleagues and new business
associates when he should have been
more skeptical,’’ ‘‘the price should not
be his career.’’ Id. at 14.
It is true that in other Agency
decisions revoking the registrations of
internet prescribers, the evidence
strongly supported the conclusion that
the physicians were engaged in
intentional acts of diversion. Here, by
contrast, the evidence does not establish
that he knowingly distributed controlled
substances to those who were seeking
the drugs to abuse them or to sell them
to abusers. His conduct—which is
extraordinary for its recklessness—
nonetheless violated the CSA.
Continuing Respondent’s registration,
subject only to the condition that he
refrain from prescribing over the
Internet, is no sanction at all given the
numerous state laws and new Federal
law which prohibit this practice in the
manner Respondent engaged in it.
Adopting the ALJ’s recommendation
would not only ‘‘ignore how
irresponsibly [Respondent] acted,’’
Southwood, 71 FR at 36503; it would
also signal to others that one can ignore
the law (and his obligation to determine
what the law is) and yet incur no
consequence for having done so. Given
the extraordinary harm to public health
and safety caused by internet
prescribing, this is not the message that
should be sent to those who
contemplate prescribing controlled
substances in this manner. Rather, such
persons should understand that they are
responsible for knowing the law and
acting in conformity therewith, and that
there will be serious consequences for
those who fail to do so.
Accordingly, I conclude that
Respondent’s registration should be
suspended for a period of one year.
Moreover, Respondent’s pending
application for renewal of his
registration will be held in abeyance
during the course of the suspension.
Upon completion of the suspension, his
application will be approved provided
that he fulfills the following condition.
Because Respondent has not
acknowledged that his internet
prescribing practices violated the CSA,
he must provide a sworn statement to
this effect. If Respondent complies with
this condition (and he commits no other
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10095
acts which would warrant the denial of
his application), the Agency will
expeditiously grant his renewal
application. If, however, if he fails to do
so, his application will be denied.
Order
Pursuant to the authority vested in me
by 21 U.S.C. 823(f) & 824(a), as well as
28 CFR 0.100(b) & 0.104, I hereby order
that the DEA Certificate of Registration
issued to Joseph Gaudio, M.D., be, and
it hereby is, suspended for a period of
one year. I further order that
Respondent’s pending application to
renew his registration be, and it hereby
will be, held in abeyance pending the
completion of the period of suspension
and Respondent’s providing to this
Agency a sworn statement
acknowledging that his internet
prescribing activities violated the
Controlled Substances Act and DEA
regulations. This Order is effective April
8, 2009.44
Dated: February 26, 2009.
Michele M. Leonhart,
Deputy Administrator.
[FR Doc. E9–4903 Filed 3–6–09; 8:45 am]
BILLING CODE 4410–09–P
DEPARTMENT OF JUSTICE
Foreign Claims Settlement
Commission
F.C.S.C. Meeting Notice No. 2–09
The Foreign Claims Settlement
Commission, pursuant to its regulations
(45 CFR Part 504) and the Government
in the Sunshine Act (5 U.S.C. 552b),
hereby gives notice in regard to the
scheduling of meetings for the
transaction of Commission business and
other matters specified, as follows:
Date and Time: Wednesday, March
18, 2009, at 10:30 a.m.
Subject Matter: Issuance of Proposed
Decisions, Amended Proposed
Decisions, Final Decisions and Orders
in claims against Albania.
Status: Open.
All meetings are held at the Foreign
Claims Settlement Commission, 600 E
Street, NW., Washington, DC. Requests
for information, or advance notices of
intention to observe an open meeting,
may be directed to: Administrative
Officer, Foreign Claims Settlement
Commission, 600 E Street, NW., Room
44 Respondent can choose to commence serving
his suspension earlier by tendering his Certificate
of Registration and any order forms he has been
issued to the nearest DEA office.
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10096
Federal Register / Vol. 74, No. 44 / Monday, March 9, 2009 / Notices
of the accomplishments from the
previous meetings during the last
charter; and goals for the next two years,
including establishment of the
MACOSH workgroups.
Public Participation: Written data,
views, or comments for consideration by
MACOSH on the various agenda items
listed above should be submitted to
Danielle Watson at the address listed
above. Submissions received by March
17, 2009, will be provided to Committee
members and will be included in the
record of the meeting. Requests to make
oral presentations to the Committee may
be granted as time permits.
6002, Washington, DC 20579.
Telephone: (202) 616–6975.
Mauricio J. Tamargo,
Chairman.
[FR Doc. E9–4956 Filed 3–5–09; 11:15 am]
BILLING CODE 4410–01–P
DEPARTMENT OF LABOR
Occupational Safety and Health
Administration
Maritime Advisory Committee for
Occupational Safety and Health
(MACOSH)
Occupational Safety and Health
Administration (OSHA), Labor.
ACTION: MACOSH meeting, notice of.
dwashington3 on PROD1PC60 with NOTICES
AGENCY:
SUMMARY: The Maritime Advisory
Committee for Occupational Safety and
Health (MACOSH) was established to
advise the Assistant Secretary of Labor
for OSHA on issues relating to
occupational safety and health in the
maritime industries. The purpose of this
Federal Register notice is to announce
the MACOSH meeting scheduled for
March 2009.
DATES: The Committee will meet on
March 24, 2009, from 8:30 a.m. to 5 p.m.
ADDRESSES: The Committee will meet at
the U.S. Department of Labor, 200
Constitution Avenue, NW., Washington,
DC 20210. On Tuesday, March 24, 2009,
the committee will meet in conference
room N–3437. Mail comments, views, or
statements in response to this notice to
Danielle Watson, Office of Maritime,
OSHA, U.S. Department of Labor, Room
N–3609, 200 Constitution Avenue, NW.,
Washington, DC 20210; phone (202)
693–1870; fax: (202) 693–1663.
FOR FURTHER INFORMATION CONTACT: For
general information about MACOSH
and this meeting, contact: Joseph V.
Daddura, Director, Office of Maritime,
OSHA, U.S. Department of Labor, Room
N–3609, 200 Constitution Avenue, NW.,
Washington, DC 20210; phone: (202)
693–2067. Individuals with disabilities
wishing to attend the meeting should
contact Danielle Watson at (202) 693–
1870 no later than March 17, 2009, to
obtain appropriate accommodations.
SUPPLEMENTARY INFORMATION: All
MACOSH meetings are open to the
public. All interested persons are
invited to attend the MACOSH meeting
at the time and location listed above.
The MACOSH agenda will include: A
presentation on the Federal Advisory
Committee Act, and committee ethics
training; an OSHA activities update;
introduction of the new and returning
MACOSH committee members; a review
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15:28 Mar 06, 2009
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Authority: This notice was prepared under
the direction of Donald G. Shalhoub, Deputy
Assistant Secretary of Labor for Occupational
Safety and Health, U.S. Department of Labor,
200 Constitution Avenue, NW., Washington,
DC 20210, pursuant to Sections 6(b)(1) and
7(b) of the Occupational Safety and Health
Act of 1970 (29 U.S.C. 655, 656), the Federal
Advisory Committee Act (5 U.S.C. App. 2),
Secretary of Labor’s Order 5–2007 (72 FR
31159), and 29 CFR part 1912.
Signed at Washington, DC, this 4th day of
March, 2009.
Donald G. Shalhoub,
Deputy Assistant Secretary of Labor for
Occupational Safety and Health.
[FR Doc. E9–4882 Filed 3–6–09; 8:45 am]
BILLING CODE 4510–26–P
LIBRARY OF CONGRESS
Copyright Office
37 CFR Part 201
[Docket No. RM 2008–8]
Notice of Public Hearings: Exemption
to Prohibition on Circumvention of
Copyright Protection Systems for
Access Control Technologies
AGENCY: Copyright Office, Library of
Congress.
ACTION: Notice of Public Hearings.
SUMMARY: The Copyright Office of the
Library of Congress will be holding
public hearings on the possible
exemptions to the prohibition against
circumvention of technological
measures that control access to
copyrighted works. In accordance with
the Copyright Act, as amended by the
Digital Millennium Copyright Act, the
Office is conducting its triennial
rulemaking proceeding to determine
whether there are particular ‘‘classes of
works‘‘ as to which users are, or are
likely to be, adversely affected in their
ability to make noninfringing uses if
they are prohibited from circumventing
such technological measures.
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DATES: The first public hearing will be
held in Palo Alto, California on Friday,
May 1, 2009, at 9:00 a.m. Public
hearings will also be held in
Washington, DC on Wednesday, May 6,
2009, Thursday, May 7, 2009, and
Friday, May 8, 2009, at 10:00 a.m.
Requests to testify must be received by
5:00 p.m. E.D.T. on Friday, April 3,
2009. See SUPPLEMENTARY
INFORMATION for additional
information on other requirements.
ADDRESSES: The Palo Alto hearings will
be held in the Moot Court Room of the
Stanford Law School, Crown
Quadrangle, Palo Alto, CA.
The Washington, DC round of public
hearings will be held in the Copyright
Hearing Room, LM–408 of the James
Madison Building of the Library of
Congress, 101 Independence Ave, SE.,
Washington, DC. See
SUPPLEMENTARY INFORMATION for
additional address information and
other requirements.
FOR FURTHER INFORMATION CONTACT:
Robert Kasunic, Principal Legal
Advisor, Office of the General Counsel,
Copyright GC/I&R, PO Box 70400,
Washington, DC 20024–0400.
Telephone (202) 707–8380; fax (202)
707–8366. Requests to testify may be
submitted through the request form
available at https://www.copyright.gov/
1201/.
SUPPLEMENTARY INFORMATION: On
October 6, 2008, the Copyright Office
published a Notice of Inquiry seeking
comments in connection with a
rulemaking pursuant to section
1201(a)(1) of the Copyright Act, 17
U.S.C. 1201(a)(1), which provides that
the Librarian of Congress may exempt
certain classes of works from the
prohibition against circumventing a
technological measure that controls
access to a copyrighted work. 73 FR
58073 (October 6, 2008). On December
29, 2008, the Copyright Office published
a Notice of Proposed Rulemaking listing
the proposed exemptions and requesting
responsive comments. 73 FR 79425
(December 29, 2008). For all of the
documents submitted and published
within the current rulemaking
proceeding, and for a more complete
statement of the background and
purpose of the rulemaking, please see
the Copyright Office’s website at: https://
www.copyright.gov/1201/. The 19
initial written comments proposing
classes of works to be exempted and the
56 responsive comments also have been
posted on the Office’s website; see
https://www.copyright.gov/1201/.
The Office will be conducting public
hearings in Palo Alto, California and
Washington, DC to hear testimony
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Agencies
[Federal Register Volume 74, Number 44 (Monday, March 9, 2009)]
[Notices]
[Pages 10095-10096]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-4956]
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DEPARTMENT OF JUSTICE
Foreign Claims Settlement Commission
F.C.S.C. Meeting Notice No. 2-09
The Foreign Claims Settlement Commission, pursuant to its
regulations (45 CFR Part 504) and the Government in the Sunshine Act (5
U.S.C. 552b), hereby gives notice in regard to the scheduling of
meetings for the transaction of Commission business and other matters
specified, as follows:
Date and Time: Wednesday, March 18, 2009, at 10:30 a.m.
Subject Matter: Issuance of Proposed Decisions, Amended Proposed
Decisions, Final Decisions and Orders in claims against Albania.
Status: Open.
All meetings are held at the Foreign Claims Settlement Commission,
600 E Street, NW., Washington, DC. Requests for information, or advance
notices of intention to observe an open meeting, may be directed to:
Administrative Officer, Foreign Claims Settlement Commission, 600 E
Street, NW., Room
[[Page 10096]]
6002, Washington, DC 20579. Telephone: (202) 616-6975.
Mauricio J. Tamargo,
Chairman.
[FR Doc. E9-4956 Filed 3-5-09; 11:15 am]
BILLING CODE 4410-01-P