Gregory L. Molden, M.D.; Decision and Order, 19027-19029 [2020-07018]
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specifically relates ‘‘to ‘registration’ and
‘control,’ and ‘for the efficient execution
of his functions’ under the statute.’’
Gonzales, 546 U.S. at 259. ‘‘Because
‘past performance is the best predictor
of future performance, ALRA Labs, Inc.
v. Drug Enf’t Admin., 54 F.3d 450, 452
(7th Cir. 1995), [the Agency] has
repeatedly held that where a registrant
has committed acts inconsistent with
the public interest, the registrant must
accept responsibility for [the
registrant’s] actions and demonstrate
that [registrant] will not engage in future
misconduct.’ ’’ Jayam Krishna-Iyer, 74
FR at 463 (quoting Medicine Shoppe, 73
FR 364, 387 (2008)); see also Jackson, 72
FR at 23853; John H. Kennnedy, M.D.,
71 FR 35705, 35709 (2006); Prince
George Daniels, D.D.S., 60 FR 62884,
62887 (1995). The issue of trust is
necessarily a fact-dependent
determination based on the
circumstances presented by the
individual registrant; therefore, the
Agency looks at factors, such as the
acceptance of responsibility, and the
credibility of that acceptance as it
relates to the probability of repeat
violations or behavior, and the nature of
the misconduct that forms the basis for
sanction, while also considering the
Agency’s interest in deterring similar
acts. See Arvinder Singh, M.D., 81 FR
8247, 8248 (2016).
Here the Registrant failed to respond
to the Government’s Order to Show
Cause and Immediate Suspension Order
and did not avail itself of the
opportunity to refute the Government’s
case. PIC Johnson did arguably accept
responsibility on two occasions, one by
admitting to the DI that he was diverting
controlled substances, and the other
when he admitted to the state
investigator that he ‘‘shouldn’t have
done that.’’ GX 3, at 3; GX 4, Appendix
5. However, he also told the DI that ‘‘it
would be more dangerous to have a new
pharmacist who does not know the
community operating [Registrant] tha[n]
it would be for [him] to continue
operating the Pharmacy
notwithstanding his regular diversion,
abuse, and impairment.’’ GX 3, at 3.
This statement undercuts any
acceptance of responsibility and also
highlights PIC Johnson’s lack of
judgment in believing that it would
benefit the community to have a
pharmacist under the influence of
controlled substances. Furthermore,
because neither PIC Johnson nor anyone
else testified nor presented any
evidence on behalf of the Registrant in
this proceeding, the Registrant has not
provided any assurances that it has
implemented remedial measures to
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ensure such conduct is not repeated.
Such silence weighs against the
Registrant’s continued registration. Zvi
H. Perper, M.D., 77 FR at 64142 (citing
Medicine Shoppe, 73 FR at 387); see
also Samuel S. Jackson, 72 FR at 23853.
Accordingly, I find that the factors
weigh in favor of sanction and I shall
order the sanctions the Government
requested, as contained in the Order
below.
Order
Pursuant to 28 CFR 0.100(b) and the
authority vested in me by 21 U.S.C.
824(a), I hereby revoke DEA Certificate
of Registration No. AB6785161 issued to
Brewster Drug, Inc. Further, pursuant to
28 CFR 0.100(b) and the authority
vested in me by 21 U.S.C. 823(f), I
hereby deny any pending application of
Brewster Drug, Inc. to renew or modify
this registration, as well as any other
pending application of Brewster Drug,
Inc. for additional registrations in
Washington. Pursuant to the authority
vested in me by 21 U.S.C. 824(f), as well
as 28 CFR 0.100(b), I further order that
all controlled substances seized
pursuant to the Order of Immediate
Suspension of Registration are forfeited
to the United States. This Order is
effective May 4, 2020.
Dated: March 13, 2020.
Uttam Dhillon,
Acting Administrator.
[FR Doc. 2020–07017 Filed 4–2–20; 8:45 am]
BILLING CODE 4410–09–P
DEPARTMENT OF JUSTICE
Drug Enforcement Administration
[Docket No. 19–35]
Gregory L. Molden, M.D.; Decision and
Order
On June 28, 2019, the Assistant
Administrator, Diversion Control
Division, Drug Enforcement
Administration (hereinafter, DEA or
Government), issued an Order to Show
Cause (hereinafter, OSC) to Gregory L.
Molden, M.D. (hereinafter, Respondent)
of New Orleans, Louisiana. OSC, at 1.
The OSC proposed the revocation of
Respondent’s Certificate of Registration
No. BM0671481. Id. It alleged that
Respondent is mandatorily excluded
from participation in Medicare,
Medicaid, and all Federal health care
programs for a minimum period of
fifteen years. Id. at 1–2 (citing 21 U.S.C.
824(a)(5)). The OSC further alleged that
Respondent is without ‘‘authority to
practice medicine or handle controlled
substances in the State of Louisiana, the
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state in which [Respondent is]
registered with DEA.’’ Id. at 2 (citing 21
U.S.C. 824(a)(3)).
Specifically, the OSC alleged that on
or about September 25, 2018,
Respondent was convicted in the United
States District Court for the Eastern
District of Louisiana on one count of
‘‘Conspiracy to Commit Health Care
Fraud,’’ in violation of 18 U.S.C. 1349,
one count of ‘‘Conspiracy to Pay and
Receive Illegal Health Care Kickbacks,’’
in violation of 18 U.S.C 371, and eleven
counts of ‘‘Health Care Fraud,’’ in
violation of 18 U.S.C 1347. Id.
According to the OSC, based on
Respondent’s conviction, the U.S.
Department of Health and Human
Services, Office of Inspector General, by
letter dated March 29, 2019,
mandatorily excluded Respondent from
participation in Medicare, Medicaid and
all Federal health care programs for a
minimum period of fifteen years
effective April 18, 2019, pursuant to 42
U.S.C 1320a–7(a). Id.
Additionally, the OSC alleged that the
Louisiana State Board of Medical
Examiners issued an Interim Consent
Order for Suspension of Medical
License on May 13, 2019. OSC, at 2.
This Order, according to the OSC,
indefinitely suspended Respondent’s
Louisiana medical license leaving
Respondent without authority to
practice medicine or handle controlled
substances in Louisiana—the state in
which Respondent is registered with
DEA. Id.
The OSC notified Respondent of the
right to either request a hearing on the
allegations or submit a written
statement in lieu of exercising the right
to a hearing, the procedures for electing
each option, and the consequences for
failing to elect either option. Id. at 2–3
(citing 21 CFR 1301.43). The OSC also
notified Respondent of the opportunity
to submit a corrective action plan. OSC,
at 3 (citing 21 U.S.C. 824(c)(2)(C)).
By letter dated August 7, 2019,
Respondent timely requested a hearing.1
Request for Hearing, at 1. According to
the Hearing Request, Respondent sought
to ‘‘reset/delay’’ any action on the OSC
for a period of six months to allow
Respondent time to appeal his criminal
conviction. Id. Respondent stated that
the criminal conviction, which he was
appealing, was the basis for revoking his
1 The Hearing Request was filed on August 7,
2019. Order Denying Continuance Request and
Directing the Filing of Government Evidence
Regarding its Lack of State Authority Allegation and
Briefing Schedule, at 1. I, thus, find that the
Government’s service of the OSC was adequate.
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Certificate of Registration (hereinafter,
DEA registration).2 Id.
The Office of Administrative Law
Judges put the matter on the docket and
assigned it to Chief Administrative Law
Judge John J. Mulrooney, II (hereinafter,
Chief ALJ). Order Denying Continuance
Request and Directing the Filing of
Government Evidence Regarding its
Lack of State Authority Allegation and
Briefing Schedule dated August 9, 2019
(hereinafter, Briefing Schedule), at 1. In
the Briefing Schedule, the Chief ALJ
denied the Respondent’s request for a
continuance 3 and directed the
Government to file evidence regarding
its lack of state authority allegation. Id.
The Government timely complied with
the Briefing Schedule by filing the
Government’s Motion for Summary
Disposition on August 16, 2019
(hereinafter, Government’s Motion or
GX). Order Granting the Government’s
Motion for Summary Disposition, and
Recommended Rulings, Findings of
Fact, Conclusions of Law, and Decision
of the Administrative Law Judge dated
August 30, 2019 (hereinafter,
Recommended Decision or RD), at 2.
In its motion, the Government argued
that there is ‘‘no dispute as to a material
fact’’ and that ‘‘it is appropriate for the
[Chief ALJ] to grant summary
disposition.’’ GX, at 1. The Government
stated that Respondent lacks authority
to handle controlled substances in
Louisiana, the state in which he is
registered with the DEA, because his
medical license is suspended. Id. at 3.
Therefore, the Government argued, DEA
does not have statutory authority to
maintain Respondent’s registration and
recommended that Respondent’s
registration be revoked. Id.
Respondent filed ‘‘Molden[’s]
Response to Government’s Motion for
Summary Disposition,’’ dated August
29, 2019 (hereinafter, Response).4
Notably, Respondent did not dispute the
fact that he lacks state authority to
handle controlled substances. Response,
at 1 (‘‘The underlying . . . state
regulatory decisions in this matter
which gives rise to the pending matter
2 The OSC provides that 21 U.S.C. 824(a)(3) and
(5) are the grounds for proposing to revoke
Respondent’s COR, not the criminal conviction.
OSC, at 1–2.
3 The Chief ALJ denied the request for a sixmonth continuance because ‘‘the Agency has made
it clear that a stay in administrative enforcement
proceedings is unlikely to ever be justified due to
ancillary proceedings involving the Respondent.’’
Briefing Schedule, at 2 (internal quotations
omitted).
4 While Respondent did not timely comply with
the Briefing Schedule, on August 27, 2019, the
Chief ALJ granted a two-day enlargement of time for
Respondent to respond. Order Granting
Enlargement of Time, at 1. Accordingly, I find that
the Response was timely.
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is not in dispute . . .’’). Instead,
Respondent argued that he is appealing
his criminal conviction, that therefore
his criminal conviction lacks finality,
and that without finality the Agency’s
action is premature. Id. at 1–3.
Respondent further argued that, as he is
detained in a federal prison in Florida,
he ‘‘presents no threat to the general
public concerning his DEA license.’’ Id.
at 3.
The Chief ALJ granted the
Government’s Motion finding that
‘‘summary disposition of an
administrative case is warranted where,
as here, there is no factual dispute of
substance.’’ RD, at 4 (citing Veg-Mix,
Inc. v. U.S. Dep’t of Agric., 832 F.2d
601, 607 (D.C. Cir. 1987). The Chief ALJ
also recommended, ‘‘based upon the
Respondent’s current lack of state
authority, that his DEA registration be
revoked, and any pending applications
for renewal be denied.’’ Id. at 5
(emphasis omitted).
The Chief ALJ made no findings on
the OSC’s mandatory federal program
exclusion allegation. Id. Instead the
Chief ALJ interpreted the Government’s
Motion as ‘‘convey[ing] [the
Government’s] preference to have this
case forwarded to the Acting
Administrator based exclusively on the
[loss of state authority allegation 5]
without expending the time and
resources required for a full merits
hearing.’’ Id. The Chief ALJ further
stated, ‘‘to remove any ambiguity in this
regard, to the extent the Government
seeks to go forward on its Mandatory
Federal Program Exclusion allegation, it
may file a request to do so . . . .’’ Id.
at n.5.
By letter dated October 15, 2019, the
Chief ALJ certified and transmitted the
record to me for final Agency action.
The certified record did not include a
request from the Government to proceed
on the mandatory federal program
exclusion allegation. Accordingly, I find
that the Government has abandoned the
mandatory federal program exclusion
allegation. In the October 15, 2019,
letter, the Chief ALJ advised that neither
party filed exceptions. I find that the
time period to file exceptions has
expired. See 21 CFR 1316.66.
I issue this Decision and Order based
on the entire record before me. 21 CFR
1301.46. I make the following findings
of fact.
5 In the RD, the Chief ALJ mistakenly typed
MFPE. But it is clear from the context that he meant
LSA or loss of state authority.
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Findings of Fact
Respondent’s DEA Registration
Respondent is the holder of DEA
Certificate of Registration No.
BM0671481 at the registered address of
2300 S Galvez St., New Orleans, LA
70125–3102. GX 1, at 1. Pursuant to this
registration, Respondent is authorized to
dispense controlled substances in
schedules II through V as a practitioner.
Id. Respondent’s registration expires on
January 31, 2021, and is ‘‘in an active
pending status.’’ Id.
The Status of Respondent’s State
License
On May 13, 2019, the Louisiana State
Board of Medical Examiners issued an
Interim Consent Order for Suspension of
Medical License (hereinafter,
Suspension of Medical License). GX 3,
at 1. According to the Suspension of
Medical License, Respondent ‘‘was
criminally convicted in the United
States District Court for the Eastern
District of Louisiana on twelve felony
counts related to the practice of
medicine.’’ Id. The Suspension of
Medical License also stated that
Respondent has reported to prison. Id.
According to the Suspension of Medical
License, Respondent waived his right to
notice and formal adjudication of the
Louisiana State Board of Medical
Examiner’s administrative proceedings
against him and consented to the
Suspension of Medical License. Id. at 2.
Therefore, the Louisiana State Board
of Medical Examiners ordered that
Respondent’s license to practice
medicine in Louisiana be placed on an
indefinite suspension effective on the
date of signature, May 13, 2019. Id. at
2–3. According to Louisiana’s online
records, of which I take official notice,
Respondent’s medical license is still
suspended.6 Louisiana State Board of
6 Under the Administrative Procedure Act, an
agency ‘‘may take official notice of facts at any stage
in a proceeding—even in the final decision.’’
United States Department of Justice, Attorney
General’s Manual on the Administrative Procedure
Act 80 (1947) (Wm. W. Gaunt & Sons, Inc., Reprint
1979). Pursuant to 5 U.S.C. 556(e), ‘‘[w]hen an
agency decision rests on official notice of a material
fact not appearing in the evidence in the record, a
party is entitled, on timely request, to an
opportunity to show the contrary.’’ Accordingly,
Respondent may dispute my finding by filing a
properly supported motion for reconsideration
within fifteen calendar days of the date of this
Order. Any such motion shall be filed with the
Office of the Administrator and a copy shall be
served on the Government. In the event Respondent
files a motion, the Government shall have fifteen
calendar days to file a response. Any such motion
and response may be filed and served by email
(dea.addo.attorneys@dea.usdoj.gov) or by mail to
Office of the Administrator, Attn: ADDO, Drug
Enforcement Administration, 8701 Morrissette
Drive, Springfield, VA 22152.
.
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Medical Examiners Online Verification,
https://online.lasbme.org/#/verifylicense
(last visited March 13, 2020).
Accordingly, I find that Respondent
currently is not licensed to engage in the
practice of medicine and, therefore,
cannot dispense controlled substances
in Louisiana, the state in which
Respondent is registered with the DEA
(as discussed more fully below).
Discussion
Pursuant to 21 U.S.C. 824(a)(3), the
Attorney General is authorized to
suspend or revoke a registration issued
under section 823 of the Controlled
Substances Act (hereinafter, CSA),
‘‘upon a finding that the registrant . . .
has had his State license or registration
suspended . . . [or] revoked . . . by
competent State authority and is no
longer authorized by State law to engage
in the . . . dispensing of controlled
substances.’’ With respect to a
practitioner, the DEA has also long held
that the possession of authority to
dispense controlled substances under
the laws of the state in which a
practitioner engages in professional
practice is a fundamental condition for
obtaining and maintaining a
practitioner’s registration. See, e.g.,
James L. Hooper, M.D., 76 FR 71,371
(2011), pet. for rev. denied, 481 Fed.
Appx. 826 (4th Cir. 2012); Frederick
Marsh Blanton, M.D., 43 FR 27,616,
27,617 (1978).
This rule derives from the text of two
provisions of the CSA. First, Congress
defined the term ‘‘practitioner’’ to mean
‘‘a physician . . . or other person
licensed, registered, or otherwise
permitted, by . . . the jurisdiction in
which he practices . . ., to distribute,
dispense, . . . [or] administer . . . a
controlled substance in the course of
professional practice.’’ 21 U.S.C.
802(21). Second, in setting the
requirements for obtaining a
practitioner’s registration, Congress
directed that ‘‘[t]he Attorney General
shall register practitioners . . . if the
applicant is authorized to dispense . . .
controlled substances under the laws of
the State in which he practices.’’ 21
U.S.C. 823(f). Because Congress has
clearly mandated that a practitioner
possess state authority in order to be
deemed a practitioner under the CSA,
the DEA has held repeatedly that
revocation of a practitioner’s registration
is the appropriate sanction whenever he
is no longer authorized to dispense
controlled substances under the laws of
the state in which he practices. See, e.g.,
James L. Hooper, 76 FR at 71,371–72;
Sheran Arden Yeates, M.D., 71 FR
39,130, 39,131 (2006); Dominick A.
Ricci, M.D., 58 FR 51,104, 51,105 (1993);
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Bobby Watts, M.D., 53 FR 11,919, 11,920
(1988); Frederick Marsh Blanton, 43 FR
at 27,617.
According to the Suspension of
Medical License, Respondent’s license
as a physician is suspended, and he can
no longer engage in the practice of
medicine in Louisiana. GX 3, at 2–3.
Because Respondent cannot engage in
the practice of medicine in Louisiana,
he cannot prescribe medicine in
Louisiana and therefore cannot
‘‘dispense’’ controlled substances under
the CSA. 21 U.S.C. 802(10).
Per the Louisiana Medical Practice
Act, the ‘‘practice of medicine’’ means
‘‘engagement in, the diagnosing,
treating, curing, or relieving of any
bodily or mental disease, condition,
infirmity, deformity, defect, ailment, or
injury in any human being, . . .
whether by the use of any drug,
instrument or force, . . . or any other
agency or means; or the examining, . . .
of any person or material from any
person for such purpose whether such
drug, instrument, force, or other agency
or means is applied to or used by the
patient . . . .’’ La. Stat. Ann.
§ 37:1262(3) (2019). Because
Respondent cannot engage in the
practice of medicine as defined above,
Respondent clearly cannot ‘‘dispense’’ 7
or ‘‘administer,’’ 8 as those terms are
defined by the CSA, any drugs in the
course of his professional practice. 21
U.S.C. 802(10) and (2).
Similarly, because Respondent is not
licensed to practice medicine in
Louisiana, he is not a ‘‘practitioner’’
authorized to write ‘‘prescriptions’’ as
defined by the Louisiana Pharmacy
Practice Act.9 LA Stat. Ann.
7 ‘‘Dispense’’ under the CSA, ‘‘means to deliver a
controlled substance to an ultimate user or research
subject by, or pursuant to the lawful order of, a
practitioner, including the prescribing and
administering of a controlled substance . . .’’ 21
U.S.C. 802(10). Louisiana’s use of the words
‘‘treating, curing . . . by drug’’ and ‘‘whether such
drug is . . . used by the patient’’ appears analogous
to the CSA’s use of ‘‘dispense.’’ La. Stat. Ann.
§ 37:1262(3) (2019).
8 ‘‘Administer’’ under the CSA, ‘‘refers to the
direct application of a controlled substance to the
body of a patient . . . by . . . a practitioner
. . . . .’’ 21 U.S.C. 802(2). Louisiana’s use of the
words ‘‘whether such drug . . . is applied to . . .
the patient’’ appears analogous to the CSA’s use of
‘‘administer.’’ La. Stat. Ann. § 37:1262(3) (2019).
9 According to Louisiana’s Board of Pharmacy
online records, of which I take official notice,
Respondent also does not currently hold a valid
controlled dangerous substance license as a
practitioner in Louisiana, which is required to
prescribe controlled dangerous substances pursuant
to La Stat. Ann. § 40:973(A)(1) (2019). Louisiana’s
Board of Pharmacy License Lookup, https://
secure.pharmacy.la.gov/Lookup/
LicenseLookup.aspx (last visited March 13, 2020).
Louisiana’s online records show that license
Number CDS.017534–MD (license type—CDS
License—Physician) assigned to Gregory Louis
PO 00000
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19029
§§ 37:1164(45) and (47) (2019). A
‘‘practitioner’’ means ‘‘an individual
currently licensed, registered, or
otherwise authorized by the appropriate
licensing board to prescribe and
administer drugs in the course of
professional practice.’’ La. Stat. Ann.
§ 37:1164(45) (2019). Furthermore, a
‘‘Prescription’’ or ‘‘prescription drug
order’’ means ‘‘an order from a
practitioner authorized by law to
prescribe for a drug or device that is
patient-specific and is communicated by
any means to a pharmacist in a
permitted pharmacy . . . .’’ La. Stat.
Ann. § 37:1164(47) (2019). As discussed
above, without a Louisiana medical
license, Respondent cannot prescribe or
dispense controlled substances.
Here, the undisputed evidence in the
record is that Respondent’s license to
practice medicine in Louisiana has been
suspended; and therefore, Respondent
currently lacks authority to
manufacture, distribute, prescribe, or
dispense controlled substances in
Louisiana. Therefore, Respondent is not
eligible to maintain a DEA registration.
Accordingly, I will order that
Respondent’s DEA registration be
revoked.
Order
Pursuant to 28 CFR 0.100(b) and the
authority vested in me by 21 U.S.C.
824(a), I hereby revoke DEA Certificate
of Registration No. BM0671481 issued
to Gregory L. Molden. Further, pursuant
to 28 CFR 0.100(b) and the authority
vested in me by 21 U.S.C. 823(f), I
hereby deny any pending application of
Gregory L. Molden to renew or modify
this registration, as well as any other
application of Gregory L. Molden, for
additional registration in Louisiana.
This Order is effective May 4, 2020.
Dated: March 13, 2020.
Uttam Dhillon,
Acting Administrator.
[FR Doc. 2020–07018 Filed 4–2–20; 8:45 am]
BILLING CODE 4410–09–P
DEPARTMENT OF JUSTICE
Foreign Claims Settlement
Commission
Completion of Claims Adjudication
Program
Foreign Claims Settlement
Commission of the United States, DOJ.
AGENCY:
Molden, M.D., expired on 11/03/2019, and that the
current status is ‘‘Lapsed; not valid for practice.’’ Id.
Similarly, license number PMP.006430–CDS
assigned to Gregory Louis Molden, M.D., has a
current status of ‘‘Lapsed; not valid for practice.’’
Id.
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[Federal Register Volume 85, Number 65 (Friday, April 3, 2020)]
[Notices]
[Pages 19027-19029]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-07018]
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DEPARTMENT OF JUSTICE
Drug Enforcement Administration
[Docket No. 19-35]
Gregory L. Molden, M.D.; Decision and Order
On June 28, 2019, the Assistant Administrator, Diversion Control
Division, Drug Enforcement Administration (hereinafter, DEA or
Government), issued an Order to Show Cause (hereinafter, OSC) to
Gregory L. Molden, M.D. (hereinafter, Respondent) of New Orleans,
Louisiana. OSC, at 1. The OSC proposed the revocation of Respondent's
Certificate of Registration No. BM0671481. Id. It alleged that
Respondent is mandatorily excluded from participation in Medicare,
Medicaid, and all Federal health care programs for a minimum period of
fifteen years. Id. at 1-2 (citing 21 U.S.C. 824(a)(5)). The OSC further
alleged that Respondent is without ``authority to practice medicine or
handle controlled substances in the State of Louisiana, the state in
which [Respondent is] registered with DEA.'' Id. at 2 (citing 21 U.S.C.
824(a)(3)).
Specifically, the OSC alleged that on or about September 25, 2018,
Respondent was convicted in the United States District Court for the
Eastern District of Louisiana on one count of ``Conspiracy to Commit
Health Care Fraud,'' in violation of 18 U.S.C. 1349, one count of
``Conspiracy to Pay and Receive Illegal Health Care Kickbacks,'' in
violation of 18 U.S.C 371, and eleven counts of ``Health Care Fraud,''
in violation of 18 U.S.C 1347. Id. According to the OSC, based on
Respondent's conviction, the U.S. Department of Health and Human
Services, Office of Inspector General, by letter dated March 29, 2019,
mandatorily excluded Respondent from participation in Medicare,
Medicaid and all Federal health care programs for a minimum period of
fifteen years effective April 18, 2019, pursuant to 42 U.S.C 1320a-
7(a). Id.
Additionally, the OSC alleged that the Louisiana State Board of
Medical Examiners issued an Interim Consent Order for Suspension of
Medical License on May 13, 2019. OSC, at 2. This Order, according to
the OSC, indefinitely suspended Respondent's Louisiana medical license
leaving Respondent without authority to practice medicine or handle
controlled substances in Louisiana--the state in which Respondent is
registered with DEA. Id.
The OSC notified Respondent of the right to either request a
hearing on the allegations or submit a written statement in lieu of
exercising the right to a hearing, the procedures for electing each
option, and the consequences for failing to elect either option. Id. at
2-3 (citing 21 CFR 1301.43). The OSC also notified Respondent of the
opportunity to submit a corrective action plan. OSC, at 3 (citing 21
U.S.C. 824(c)(2)(C)).
By letter dated August 7, 2019, Respondent timely requested a
hearing.\1\ Request for Hearing, at 1. According to the Hearing
Request, Respondent sought to ``reset/delay'' any action on the OSC for
a period of six months to allow Respondent time to appeal his criminal
conviction. Id. Respondent stated that the criminal conviction, which
he was appealing, was the basis for revoking his
[[Page 19028]]
Certificate of Registration (hereinafter, DEA registration).\2\ Id.
---------------------------------------------------------------------------
\1\ The Hearing Request was filed on August 7, 2019. Order
Denying Continuance Request and Directing the Filing of Government
Evidence Regarding its Lack of State Authority Allegation and
Briefing Schedule, at 1. I, thus, find that the Government's service
of the OSC was adequate.
\2\ The OSC provides that 21 U.S.C. 824(a)(3) and (5) are the
grounds for proposing to revoke Respondent's COR, not the criminal
conviction. OSC, at 1-2.
---------------------------------------------------------------------------
The Office of Administrative Law Judges put the matter on the
docket and assigned it to Chief Administrative Law Judge John J.
Mulrooney, II (hereinafter, Chief ALJ). Order Denying Continuance
Request and Directing the Filing of Government Evidence Regarding its
Lack of State Authority Allegation and Briefing Schedule dated August
9, 2019 (hereinafter, Briefing Schedule), at 1. In the Briefing
Schedule, the Chief ALJ denied the Respondent's request for a
continuance \3\ and directed the Government to file evidence regarding
its lack of state authority allegation. Id. The Government timely
complied with the Briefing Schedule by filing the Government's Motion
for Summary Disposition on August 16, 2019 (hereinafter, Government's
Motion or GX). Order Granting the Government's Motion for Summary
Disposition, and Recommended Rulings, Findings of Fact, Conclusions of
Law, and Decision of the Administrative Law Judge dated August 30, 2019
(hereinafter, Recommended Decision or RD), at 2.
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\3\ The Chief ALJ denied the request for a six-month continuance
because ``the Agency has made it clear that a stay in administrative
enforcement proceedings is unlikely to ever be justified due to
ancillary proceedings involving the Respondent.'' Briefing Schedule,
at 2 (internal quotations omitted).
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In its motion, the Government argued that there is ``no dispute as
to a material fact'' and that ``it is appropriate for the [Chief ALJ]
to grant summary disposition.'' GX, at 1. The Government stated that
Respondent lacks authority to handle controlled substances in
Louisiana, the state in which he is registered with the DEA, because
his medical license is suspended. Id. at 3. Therefore, the Government
argued, DEA does not have statutory authority to maintain Respondent's
registration and recommended that Respondent's registration be revoked.
Id.
Respondent filed ``Molden['s] Response to Government's Motion for
Summary Disposition,'' dated August 29, 2019 (hereinafter,
Response).\4\ Notably, Respondent did not dispute the fact that he
lacks state authority to handle controlled substances. Response, at 1
(``The underlying . . . state regulatory decisions in this matter which
gives rise to the pending matter is not in dispute . . .''). Instead,
Respondent argued that he is appealing his criminal conviction, that
therefore his criminal conviction lacks finality, and that without
finality the Agency's action is premature. Id. at 1-3. Respondent
further argued that, as he is detained in a federal prison in Florida,
he ``presents no threat to the general public concerning his DEA
license.'' Id. at 3.
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\4\ While Respondent did not timely comply with the Briefing
Schedule, on August 27, 2019, the Chief ALJ granted a two-day
enlargement of time for Respondent to respond. Order Granting
Enlargement of Time, at 1. Accordingly, I find that the Response was
timely.
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The Chief ALJ granted the Government's Motion finding that
``summary disposition of an administrative case is warranted where, as
here, there is no factual dispute of substance.'' RD, at 4 (citing Veg-
Mix, Inc. v. U.S. Dep't of Agric., 832 F.2d 601, 607 (D.C. Cir. 1987).
The Chief ALJ also recommended, ``based upon the Respondent's current
lack of state authority, that his DEA registration be revoked, and any
pending applications for renewal be denied.'' Id. at 5 (emphasis
omitted).
The Chief ALJ made no findings on the OSC's mandatory federal
program exclusion allegation. Id. Instead the Chief ALJ interpreted the
Government's Motion as ``convey[ing] [the Government's] preference to
have this case forwarded to the Acting Administrator based exclusively
on the [loss of state authority allegation \5\] without expending the
time and resources required for a full merits hearing.'' Id. The Chief
ALJ further stated, ``to remove any ambiguity in this regard, to the
extent the Government seeks to go forward on its Mandatory Federal
Program Exclusion allegation, it may file a request to do so . . . .''
Id. at n.5.
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\5\ In the RD, the Chief ALJ mistakenly typed MFPE. But it is
clear from the context that he meant LSA or loss of state authority.
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By letter dated October 15, 2019, the Chief ALJ certified and
transmitted the record to me for final Agency action. The certified
record did not include a request from the Government to proceed on the
mandatory federal program exclusion allegation. Accordingly, I find
that the Government has abandoned the mandatory federal program
exclusion allegation. In the October 15, 2019, letter, the Chief ALJ
advised that neither party filed exceptions. I find that the time
period to file exceptions has expired. See 21 CFR 1316.66.
I issue this Decision and Order based on the entire record before
me. 21 CFR 1301.46. I make the following findings of fact.
Findings of Fact
Respondent's DEA Registration
Respondent is the holder of DEA Certificate of Registration No.
BM0671481 at the registered address of 2300 S Galvez St., New Orleans,
LA 70125-3102. GX 1, at 1. Pursuant to this registration, Respondent is
authorized to dispense controlled substances in schedules II through V
as a practitioner. Id. Respondent's registration expires on January 31,
2021, and is ``in an active pending status.'' Id.
The Status of Respondent's State License
On May 13, 2019, the Louisiana State Board of Medical Examiners
issued an Interim Consent Order for Suspension of Medical License
(hereinafter, Suspension of Medical License). GX 3, at 1. According to
the Suspension of Medical License, Respondent ``was criminally
convicted in the United States District Court for the Eastern District
of Louisiana on twelve felony counts related to the practice of
medicine.'' Id. The Suspension of Medical License also stated that
Respondent has reported to prison. Id. According to the Suspension of
Medical License, Respondent waived his right to notice and formal
adjudication of the Louisiana State Board of Medical Examiner's
administrative proceedings against him and consented to the Suspension
of Medical License. Id. at 2.
Therefore, the Louisiana State Board of Medical Examiners ordered
that Respondent's license to practice medicine in Louisiana be placed
on an indefinite suspension effective on the date of signature, May 13,
2019. Id. at 2-3. According to Louisiana's online records, of which I
take official notice, Respondent's medical license is still
suspended.\6\ Louisiana State Board of
[[Page 19029]]
Medical Examiners Online Verification, https://online.lasbme.org/#/verifylicense (last visited March 13, 2020).
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\6\ Under the Administrative Procedure Act, an agency ``may take
official notice of facts at any stage in a proceeding--even in the
final decision.'' United States Department of Justice, Attorney
General's Manual on the Administrative Procedure Act 80 (1947) (Wm.
W. Gaunt & Sons, Inc., Reprint 1979). Pursuant to 5 U.S.C. 556(e),
``[w]hen an agency decision rests on official notice of a material
fact not appearing in the evidence in the record, a party is
entitled, on timely request, to an opportunity to show the
contrary.'' Accordingly, Respondent may dispute my finding by filing
a properly supported motion for reconsideration within fifteen
calendar days of the date of this Order. Any such motion shall be
filed with the Office of the Administrator and a copy shall be
served on the Government. In the event Respondent files a motion,
the Government shall have fifteen calendar days to file a response.
Any such motion and response may be filed and served by email
([email protected]) or by mail to Office of the
Administrator, Attn: ADDO, Drug Enforcement Administration, 8701
Morrissette Drive, Springfield, VA 22152.
.
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Accordingly, I find that Respondent currently is not licensed to
engage in the practice of medicine and, therefore, cannot dispense
controlled substances in Louisiana, the state in which Respondent is
registered with the DEA (as discussed more fully below).
Discussion
Pursuant to 21 U.S.C. 824(a)(3), the Attorney General is authorized
to suspend or revoke a registration issued under section 823 of the
Controlled Substances Act (hereinafter, CSA), ``upon a finding that the
registrant . . . has had his State license or registration suspended .
. . [or] revoked . . . by competent State authority and is no longer
authorized by State law to engage in the . . . dispensing of controlled
substances.'' With respect to a practitioner, the DEA has also long
held that the possession of authority to dispense controlled substances
under the laws of the state in which a practitioner engages in
professional practice is a fundamental condition for obtaining and
maintaining a practitioner's registration. See, e.g., James L. Hooper,
M.D., 76 FR 71,371 (2011), pet. for rev. denied, 481 Fed. Appx. 826
(4th Cir. 2012); Frederick Marsh Blanton, M.D., 43 FR 27,616, 27,617
(1978).
This rule derives from the text of two provisions of the CSA.
First, Congress defined the term ``practitioner'' to mean ``a physician
. . . or other person licensed, registered, or otherwise permitted, by
. . . the jurisdiction in which he practices . . ., to distribute,
dispense, . . . [or] administer . . . a controlled substance in the
course of professional practice.'' 21 U.S.C. 802(21). Second, in
setting the requirements for obtaining a practitioner's registration,
Congress directed that ``[t]he Attorney General shall register
practitioners . . . if the applicant is authorized to dispense . . .
controlled substances under the laws of the State in which he
practices.'' 21 U.S.C. 823(f). Because Congress has clearly mandated
that a practitioner possess state authority in order to be deemed a
practitioner under the CSA, the DEA has held repeatedly that revocation
of a practitioner's registration is the appropriate sanction whenever
he is no longer authorized to dispense controlled substances under the
laws of the state in which he practices. See, e.g., James L. Hooper, 76
FR at 71,371-72; Sheran Arden Yeates, M.D., 71 FR 39,130, 39,131
(2006); Dominick A. Ricci, M.D., 58 FR 51,104, 51,105 (1993); Bobby
Watts, M.D., 53 FR 11,919, 11,920 (1988); Frederick Marsh Blanton, 43
FR at 27,617.
According to the Suspension of Medical License, Respondent's
license as a physician is suspended, and he can no longer engage in the
practice of medicine in Louisiana. GX 3, at 2-3. Because Respondent
cannot engage in the practice of medicine in Louisiana, he cannot
prescribe medicine in Louisiana and therefore cannot ``dispense''
controlled substances under the CSA. 21 U.S.C. 802(10).
Per the Louisiana Medical Practice Act, the ``practice of
medicine'' means ``engagement in, the diagnosing, treating, curing, or
relieving of any bodily or mental disease, condition, infirmity,
deformity, defect, ailment, or injury in any human being, . . . whether
by the use of any drug, instrument or force, . . . or any other agency
or means; or the examining, . . . of any person or material from any
person for such purpose whether such drug, instrument, force, or other
agency or means is applied to or used by the patient . . . .'' La.
Stat. Ann. Sec. 37:1262(3) (2019). Because Respondent cannot engage in
the practice of medicine as defined above, Respondent clearly cannot
``dispense'' \7\ or ``administer,'' \8\ as those terms are defined by
the CSA, any drugs in the course of his professional practice. 21
U.S.C. 802(10) and (2).
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\7\ ``Dispense'' under the CSA, ``means to deliver a controlled
substance to an ultimate user or research subject by, or pursuant to
the lawful order of, a practitioner, including the prescribing and
administering of a controlled substance . . .'' 21 U.S.C. 802(10).
Louisiana's use of the words ``treating, curing . . . by drug'' and
``whether such drug is . . . used by the patient'' appears analogous
to the CSA's use of ``dispense.'' La. Stat. Ann. Sec. 37:1262(3)
(2019).
\8\ ``Administer'' under the CSA, ``refers to the direct
application of a controlled substance to the body of a patient . . .
by . . . a practitioner . . . . .'' 21 U.S.C. 802(2). Louisiana's
use of the words ``whether such drug . . . is applied to . . . the
patient'' appears analogous to the CSA's use of ``administer.'' La.
Stat. Ann. Sec. 37:1262(3) (2019).
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Similarly, because Respondent is not licensed to practice medicine
in Louisiana, he is not a ``practitioner'' authorized to write
``prescriptions'' as defined by the Louisiana Pharmacy Practice Act.\9\
LA Stat. Ann. Sec. Sec. 37:1164(45) and (47) (2019). A
``practitioner'' means ``an individual currently licensed, registered,
or otherwise authorized by the appropriate licensing board to prescribe
and administer drugs in the course of professional practice.'' La.
Stat. Ann. Sec. 37:1164(45) (2019). Furthermore, a ``Prescription'' or
``prescription drug order'' means ``an order from a practitioner
authorized by law to prescribe for a drug or device that is patient-
specific and is communicated by any means to a pharmacist in a
permitted pharmacy . . . .'' La. Stat. Ann. Sec. 37:1164(47) (2019).
As discussed above, without a Louisiana medical license, Respondent
cannot prescribe or dispense controlled substances.
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\9\ According to Louisiana's Board of Pharmacy online records,
of which I take official notice, Respondent also does not currently
hold a valid controlled dangerous substance license as a
practitioner in Louisiana, which is required to prescribe controlled
dangerous substances pursuant to La Stat. Ann. Sec. 40:973(A)(1)
(2019). Louisiana's Board of Pharmacy License Lookup, https://secure.pharmacy.la.gov/Lookup/LicenseLookup.aspx (last visited March
13, 2020). Louisiana's online records show that license Number
CDS.017534-MD (license type--CDS License--Physician) assigned to
Gregory Louis Molden, M.D., expired on 11/03/2019, and that the
current status is ``Lapsed; not valid for practice.'' Id. Similarly,
license number PMP.006430-CDS assigned to Gregory Louis Molden,
M.D., has a current status of ``Lapsed; not valid for practice.''
Id.
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Here, the undisputed evidence in the record is that Respondent's
license to practice medicine in Louisiana has been suspended; and
therefore, Respondent currently lacks authority to manufacture,
distribute, prescribe, or dispense controlled substances in Louisiana.
Therefore, Respondent is not eligible to maintain a DEA registration.
Accordingly, I will order that Respondent's DEA registration be
revoked.
Order
Pursuant to 28 CFR 0.100(b) and the authority vested in me by 21
U.S.C. 824(a), I hereby revoke DEA Certificate of Registration No.
BM0671481 issued to Gregory L. Molden. Further, pursuant to 28 CFR
0.100(b) and the authority vested in me by 21 U.S.C. 823(f), I hereby
deny any pending application of Gregory L. Molden to renew or modify
this registration, as well as any other application of Gregory L.
Molden, for additional registration in Louisiana. This Order is
effective May 4, 2020.
Dated: March 13, 2020.
Uttam Dhillon,
Acting Administrator.
[FR Doc. 2020-07018 Filed 4-2-20; 8:45 am]
BILLING CODE 4410-09-P