Jonathan Rosenfield, M.D.; Decision and Order, 73806-73808 [2020-25524]
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73806
Federal Register / Vol. 85, No. 224 / Thursday, November 19, 2020 / Notices
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.
Pennsylvania law defines a
‘‘practitioner’’ as ‘‘(i) a physician . . .
licensed, registered or otherwise
permitted to distribute, dispense . . . or
to administer a controlled substance
. . . in the course of professional
practice or research in the
Commonwealth of Pennsylvania.’’ 35
Pa. Stat. and Cons. Stat. Ann. § 780–102
(West 2020). Pennsylvania law further
defines a ‘‘physician,’’ as a ‘‘medical
doctor,’’ and a ‘‘medical doctor,’’ as an
‘‘individual who has acquired’’ a license
‘‘to practice medicine and surgery
issued by the board.’’ Pa. Stat. and Cons.
Stat. Ann. § 422.2 (West 2019).
Pennsylvania law prohibits ‘‘[t]he
administration, dispensing, delivery,
gift or prescription of any controlled
substance by any practitioner . . .
unless done (i) in good faith in the
course of his professional practice; (ii)
within the scope of the patient
relationship; (iii) in accordance with
treatment principles accepted by a
responsible segment of the medical
profession.’’ 35 Pa. Stat. and Cons. Stat.
Ann. § 780–113(14) (West 2019).
Additionally, the statute prohibits
‘‘knowingly or intentionally possessing
a controlled . . . substance by a . . .
practitioner not registered or licensed by
the appropriate state board.’’ Id. at
§ 780–113(15).
Here, the undisputed evidence in the
record is that Registrant currently lacks
authority to practice medicine and
surgery in Pennsylvania. A practitioner,
who is a physician and a medical
doctor, must be licensed and cannot
prescribe or possess controlled
substances in his professional practice
without a license. Id. § 780–113(14),
(15). Because Registrant lacks authority
to practice medicine in Pennsylvania
and, therefore, is not authorized to
possess or prescribe controlled
substances in Pennsylvania, Registrant
is not eligible to maintain a DEA
registration. Accordingly, I will order
that Registrant’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. BR4988599 issued to
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Hil Rizvi, M.D. This Order is effective
December 21, 2020.
Timothy J. Shea,
Acting Administrator.
[FR Doc. 2020–25527 Filed 11–18–20; 8:45 am]
BILLING CODE 4410–09–P
DEPARTMENT OF JUSTICE
Drug Enforcement Administration
[Docket No. 20–24]
Jonathan Rosenfield, M.D.; Decision
and Order
On June 18, 2020, the Assistant
Administrator, Diversion Control
Division, Drug Enforcement
Administration (hereinafter, DEA or
Government), issued an Order to Show
Cause (hereinafter, OSC) to Jonathan
Rosenfield, M.D. (hereinafter,
Respondent) of Houston, Texas, and
Grand Forks, North Dakota. OSC, at 1.
The OSC proposed the revocation of
Respondent’s Certificates of Registration
Nos. FR7251642 and FR5327285. Id. It
alleged that Respondent is without
‘‘authority to handle controlled
substances.’’ Id. (citing 21 U.S.C.
824(a)(3)).
Specifically, the OSC alleged that on
‘‘October 10, 2019, the Texas Medical
Board issued an Order of Temporary
Suspension, suspending [Respondent’s]
Texas medical license. That order
remains in effect.’’ Id. at 2. The OSC
further stated that ‘‘[s]ubsequently, on
December 30, 2019, [Respondent]
entered into a Stipulation and NonPractice Agreement with the North
Dakota Board of Medicine in which
[Respondent] agreed not to practice
medicine in the State of North Dakota
and in which [Respondent] agreed that
[his] North Dakota medical license will
be inactive for all purposes.’’ Id. The
OSC concluded that ‘‘DEA must revoke
[Respondent’s] DEA registrations based
on [his] lack of authority to handle
controlled substances in the State of
Texas and the State of North Dakota.’’
Id. (citing 21 U.S.C. 824(a)(3); 21 CFR
1301.37(b)).
The OSC notified Respondent of the
right to request a hearing on the
allegations or to submit a written
statement, while waiving 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. Id. at 3
(citing 21 U.S.C. 824(c)(2)(C)).
On July 30, 2020, Respondent,
through counsel, requested a hearing,
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stating that his ‘‘medical license in
Texas is only temporarily suspended’’
and he ‘‘maintains an active medical
license in Ohio and Georgia.’’ Request
for a Hearing, at 1.
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), who issued an Order
Directing the Filing of Government
Evidence Regarding its Lack of State
Authority Allegation and Briefing
Schedule on July 30, 2020, with which
the Government complied by filing a
Motion for Summary Disposition
(hereinafter, Govt Motion) on August 10,
2020.
In its Motion, the Government
submitted evidence that the ‘‘Texas
Medical Board issued an Order of
Temporary Suspension, suspending
Respondent’s Texas Medical License,’’
and ‘‘Respondent entered into a
Stipulation and Non-practice agreement
with the North Dakota Board of
Medicine in which Respondent agreed
not to practice medicine in the State of
North Dakota.’’ Govt Motion, at 3–4. In
light of these facts, the Government
argued that DEA must revoke
Respondent’s registration. Id. at 5.
On August 20, 2020, Respondent filed
a ‘‘Memorandum Contra to the
Government’s Motion for Summary
Disposition’’ (hereinafter, Resp
Opposition), in which he argued that
‘‘[t]he matter in Texas is temporary in
nature, as it is a Temporary
Suspension.’’ Resp Opposition, at 1. He
also argued that he has active medical
licenses in Georgia and Ohio and that
Respondent ‘‘contends that he does’’
have state authority in Texas. Id. at 2.
On August 25, 2020, the Chief ALJ
issued an Order Granting the
Government’s Motion for Summary
Disposition, and Recommended
Rulings, Findings of Fact, Conclusions
of Law, and Recommended Decision of
the Administrative Law Judge
(hereinafter, Summary Disposition or
SD). The Chief ALJ noted that,
‘‘Respondent has made the confusing
assertion that he ‘has the authority to
handle controlled substances’ because
the suspension imposed by Texas is
temporary and ‘can be lifted at any time’
. . . .’’ SD, at 4 (quoting Resp
Opposition, at 1). However, he also
noted that ‘‘[t]he Respondent has
represented that no superseding order
from the Texas Board has been issued.’’
Id. at 3 (citing Resp Opposition, at 1).
Therefore, the ALJ determined that ‘‘in
view of the Respondent’s current lack of
state authority, revocation of the
Respondent’s [registrations] stands as
the only legally available resolution.’’
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SD, at 5. The Chief ALJ further
concluded that ‘‘[s]ummary disposition
is proper in an administrative
enforcement proceeding where no
genuine factual dispute exists.’’ Id. at 6
(citing Veg-Mix, Inc. v. U.S. Dept. of
Agriculture, 832 F.3d 601, 607 (D.C. Cir.
1987) (comparing the standard for
summary disposition in an
administrative proceeding to summary
judgment in a civil proceeding); Citizens
for Allegan County, Inc. v. Federal
Power Commission, 414 F.2d 1125, 1128
(D.C. Cir. 1969) (affirming that ‘‘the right
of opportunity for hearing does not
require a procedure that will be empty
sound and show, signifying nothing’’)).
By letter dated September 22, 2020,
the ALJ certified and transmitted the
record to me for final Agency action. In
that letter, the 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
1301.43(e). I make the following
findings of fact.
Findings of Fact
Respondent’s DEA Registration
Respondent is the holder of DEA
Certificate of Registration No.
FR7251642 at the registered address of
4561 Edfield Street, Houston, Texas
77051. Govt Motion Exhibit (hereinafter,
GX) 1 (Certification of Registration
History Texas),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 expired on April 20, 2020,
and is in ‘‘a renewal pending status
until the resolution of administrative
proceedings.’’ Id. Respondent is also the
holder of DEA Certificate of Registration
No. FR5327285 at the registered address
of 1451 44th Avenue South, Unit E,
Grand Forks, North Dakota 58201. GX 2
(Certification of Registration History
North Dakota), 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 April 30, 2021,
and is in ‘‘an active pending status until
the resolution of administrative
proceedings.’’ Id.
1 It is noted that the Government’s Exhibits 1 and
2 list several other registrations held by Respondent
that are not subject to these proceedings.
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Jkt 253001
The Status of Respondent’s State
Licenses
Texas
On October 10, 2019, the Texas
Medical Board (hereinafter, Texas
Board) entered an Order of Temporary
Suspension (hereinafter, Suspension
Order) ‘‘effective on the date rendered.’’
GX 4 (Suspension Order), at 4.
According to the Suspension Order,
Respondent engaged in ‘‘unprofessional
or dishonorable conduct’’ and the Texas
Board had authority to discipline
Respondent for ‘‘prescribing,
administering, or dispensing in a
manner inconsistent with public health
and welfare dangerous drugs . . . .’’ Id.
at 3. The Texas Board found that
Respondent’s ‘‘continued practice of
medicine would constitute a continuing
threat to the public welfare.’’ Id. at 3.
The Order further stated that it ‘‘shall
remain in effect until it is superseded by
an Order of the Board.’’ Id. at 4.
According to Texas’s online records,
of which I take official notice,
Respondent’s registration status is
‘‘suspended, active as of 10/10/2019’’
and his disciplinary restrictions are
‘‘suspended by board as of 10/10/
2019.’’ 2 Texas Medical Board
Healthcare Provider Search, https://
public.tmb.state.tx.us/HCP_Search/
SearchNotice.aspx (last visited October
27, 2020).
Based on the entire record before me,
I find that Respondent currently is not
licensed to engage in the practice of
medicine in Texas, one of the two states
where Respondent maintains a
registration subject to this action.
North Dakota
On January 14, 2020, the North
Dakota Board of Medicine (hereinafter,
North Dakota Board) entered into a
Stipulation and Nonpractice Agreement
(hereinafter, Nonpractice Agreement)
effective ‘‘upon execution of [the]
2 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 of
findings of fact 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
motion and response shall be filed and served by
email to the other party and to the Office of the
Administrator at dea.addo.attorneys@dea.usdoj.gov.
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73807
agreement.’’ GX 5 (Nonpractice
Agreement), at 1. According to the
Nonpractice Agreement, Respondent
agreed that ‘‘he will immediately cease
the practice of medicine in North
Dakota’’ and ‘‘he will not practice
medicine in the State of North Dakota
until such time as the Board finalizes
any disciplinary action that may be
brought against him based on the
information obtained by the Board from
the Federation of State Medical Boards
Physician Data Center, the Texas
Medical Board and the United States
District Court for the Southern District
of Texas.’’ Id.
According to North Dakota’s online
records, of which I take official notice,
Respondent’s registration status is
‘‘inactive-other’’ and his disciplinary
history is ‘‘Entered into a stipulated
non-practice agreement.’’ 3 North Dakota
Board of Medicine Find a Practitioner/
Verify License Status, https://
www.ndbom.org/public/find_verify/
verify.asp (last visited October 27,
2020).
Based on the entire record before me,
I find that Respondent currently is not
licensed to engage in the practice of
medicine in North Dakota, one of the
two states where Respondent maintains
a registration subject to this action
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 CSA ‘‘upon a
finding that the registrant . . . has had
[her]State license or registration
suspended . . . [or] revoked . . . by
competent State authority and is no
longer authorized by State law to engage
in the . . . dispensing[4] 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 F. App’x
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
3I
take official notice of this fact. See n.1
means to deliver a controlled
substance to an ultimate user . . . by, or pursuant
to the lawful order of, a practitioner, including the
prescribing and administering of a controlled
substance . . . .’’ 21 CFR 802(10).
4 ‘‘[D]ispense[]
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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.
Respondent argued that ‘‘[t]he matter
in Texas is temporary in nature, as it is
a Temporary Suspension.’’ 5 Resp
Opposition, at 1. He also argued that he
has active medical licenses in Georgia
and Ohio and that he does have state
authority in Texas. Id. at 2. However,
the Suspension Order issued by the
Texas Board clearly states that the
suspension is in effect until the Board
issues a superseding Order. GX 4, at 4.
Further, I agree with the Chief ALJ that
‘‘[a]s has been long established by
Agency [decisions], state licensure in a
state other than a respondent’s []
registration state is irrelevant to a DEA
enforcement proceeding. SD, at 4–5
(citing Craig K. Alhanati, D.D.S., 62 FR
32,658, 32,658 (1997)).
Because ‘‘the controlling question’’ in
a proceeding brought under 21 U.S.C.
824(a)(3) is whether the holder of a
practitioner’s registration ‘‘is currently
authorized to handle controlled
substances in the state,’’ James L.
Hooper, 76 FR at 71,371 (quoting Anne
Lazar Thorn, 62 FR 12,847, 12,848
(1997)), the Agency has also long held
that revocation is warranted even where
a practitioner is still challenging the
underlying action or where the state
action is temporary. Kambiz Haghighi,
M.D., 85 FR 5989 (2020); Bourne
Pharmacy, 72 FR 18,273, 18,274 (2007);
5 It is noted that Respondent presented no
arguments about the status of his medical license
in North Dakota.
VerDate Sep<11>2014
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Jkt 253001
Wingfield Drugs, 52 FR 27,070, 27,071
(1987). Thus, it is of no consequence
that the action is a suspension. What is
consequential is my finding that
Respondent is no longer currently
authorized to dispense controlled
substances in Texas and North Dakota,
the two states where Respondent
maintains the registrations subject to
this action.
Under the Texas Controlled
Substances Act, a practitioner in Texas
‘‘may not prescribe, dispense, deliver, or
administer a controlled substance or
cause a controlled substance to be
administered under the practitioner’s
direction and supervision except for a
valid medical purpose and in the course
of medical practice.’’ Tex. Health and
Safety Code Ann. § 481.071 (West 2019).
The Texas Controlled Substances Act
defines ‘‘practitioner,’’ in relevant part,
as ‘‘a physician . . . licensed,
registered, or otherwise permitted to
distribute, dispense, analyze, conduct
research with respect to, or administer
a controlled substance in the course of
professional practice or research in this
state.’’ Id. at § 481.002 (39)(A). Further,
under the Texas Medical Practice Act, a
person must hold a license to practice
medicine in Texas. Tex. Occupations
Code Ann. § 155.001 (West 2019) (‘‘A
person may not practice medicine in
this state unless the person holds a
license issued under [the Medical
Practice Act].’’); see also id. at § 151.002
(‘‘‘Physician’ means a person licensed to
practice medicine in this state.’’).
Additionally, ‘‘[a] person commits an
offense if the person practices medicine
in [Texas] in violation of’’ the Act. Id.
at § 165.152(a).
Under North Dakota law, ‘‘‘[d]ispense’
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,
administering, packaging, labeling, or
compounding necessary to prepare the
substance for that delivery.’’ N.D. Cent.
Code § 19–03.1–01(10) (West 2019).
Further, a ‘‘practitioner’’ is defined as,
‘‘A physician, dentist, veterinarian,
pharmacist, scientific investigator, or
other person licensed, registered, or
otherwise permitted by the jurisdiction
in which the individual is practicing to
distribute, dispense, conduct research
with respect to, or to administer a
controlled substance in the course of
professional practice or research.’’ Id. at
§ 19–03.1–01(25)(a). Therefore, because
Registrant currently is not licensed by
the jurisdiction in which he is
practicing, he is not authorized to
dispense controlled substances in North
Dakota.
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Fmt 4703
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Here, the undisputed evidence in the
record is that Respondent currently
lacks authority to practice medicine in
Texas and North Dakota. I, therefore,
find that Respondent is currently
without authority to dispense controlled
substance in Texas and North Dakota,
two states in which he is registered with
DEA, and I will order that Respondent’s
DEA registrations in these states 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 Certificates
of Registration Nos. FR7251642 and
FR5327285 issued to Jonathan
Rosenfield, M.D. 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 Jonathan
Rosenfield, M.D. to renew or modify
these registrations, as well as any other
application of Jonathan Rosenfield, M.D.
for additional registrations in Texas and
North Dakota. This Order is applicable
December 21, 2020.
Timothy J. Shea,
Acting Administrator.
[FR Doc. 2020–25524 Filed 11–18–20; 8:45 am]
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Agencies
[Federal Register Volume 85, Number 224 (Thursday, November 19, 2020)]
[Notices]
[Pages 73806-73808]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-25524]
-----------------------------------------------------------------------
DEPARTMENT OF JUSTICE
Drug Enforcement Administration
[Docket No. 20-24]
Jonathan Rosenfield, M.D.; Decision and Order
On June 18, 2020, the Assistant Administrator, Diversion Control
Division, Drug Enforcement Administration (hereinafter, DEA or
Government), issued an Order to Show Cause (hereinafter, OSC) to
Jonathan Rosenfield, M.D. (hereinafter, Respondent) of Houston, Texas,
and Grand Forks, North Dakota. OSC, at 1. The OSC proposed the
revocation of Respondent's Certificates of Registration Nos. FR7251642
and FR5327285. Id. It alleged that Respondent is without ``authority to
handle controlled substances.'' Id. (citing 21 U.S.C. 824(a)(3)).
Specifically, the OSC alleged that on ``October 10, 2019, the Texas
Medical Board issued an Order of Temporary Suspension, suspending
[Respondent's] Texas medical license. That order remains in effect.''
Id. at 2. The OSC further stated that ``[s]ubsequently, on December 30,
2019, [Respondent] entered into a Stipulation and Non-Practice
Agreement with the North Dakota Board of Medicine in which [Respondent]
agreed not to practice medicine in the State of North Dakota and in
which [Respondent] agreed that [his] North Dakota medical license will
be inactive for all purposes.'' Id. The OSC concluded that ``DEA must
revoke [Respondent's] DEA registrations based on [his] lack of
authority to handle controlled substances in the State of Texas and the
State of North Dakota.'' Id. (citing 21 U.S.C. 824(a)(3); 21 CFR
1301.37(b)).
The OSC notified Respondent of the right to request a hearing on
the allegations or to submit a written statement, while waiving 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. Id. at 3 (citing 21 U.S.C.
824(c)(2)(C)).
On July 30, 2020, Respondent, through counsel, requested a hearing,
stating that his ``medical license in Texas is only temporarily
suspended'' and he ``maintains an active medical license in Ohio and
Georgia.'' Request for a Hearing, at 1.
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), who issued an Order Directing
the Filing of Government Evidence Regarding its Lack of State Authority
Allegation and Briefing Schedule on July 30, 2020, with which the
Government complied by filing a Motion for Summary Disposition
(hereinafter, Govt Motion) on August 10, 2020.
In its Motion, the Government submitted evidence that the ``Texas
Medical Board issued an Order of Temporary Suspension, suspending
Respondent's Texas Medical License,'' and ``Respondent entered into a
Stipulation and Non-practice agreement with the North Dakota Board of
Medicine in which Respondent agreed not to practice medicine in the
State of North Dakota.'' Govt Motion, at 3-4. In light of these facts,
the Government argued that DEA must revoke Respondent's registration.
Id. at 5.
On August 20, 2020, Respondent filed a ``Memorandum Contra to the
Government's Motion for Summary Disposition'' (hereinafter, Resp
Opposition), in which he argued that ``[t]he matter in Texas is
temporary in nature, as it is a Temporary Suspension.'' Resp
Opposition, at 1. He also argued that he has active medical licenses in
Georgia and Ohio and that Respondent ``contends that he does'' have
state authority in Texas. Id. at 2.
On August 25, 2020, the Chief ALJ issued an Order Granting the
Government's Motion for Summary Disposition, and Recommended Rulings,
Findings of Fact, Conclusions of Law, and Recommended Decision of the
Administrative Law Judge (hereinafter, Summary Disposition or SD). The
Chief ALJ noted that, ``Respondent has made the confusing assertion
that he `has the authority to handle controlled substances' because the
suspension imposed by Texas is temporary and `can be lifted at any
time' . . . .'' SD, at 4 (quoting Resp Opposition, at 1). However, he
also noted that ``[t]he Respondent has represented that no superseding
order from the Texas Board has been issued.'' Id. at 3 (citing Resp
Opposition, at 1). Therefore, the ALJ determined that ``in view of the
Respondent's current lack of state authority, revocation of the
Respondent's [registrations] stands as the only legally available
resolution.''
[[Page 73807]]
SD, at 5. The Chief ALJ further concluded that ``[s]ummary disposition
is proper in an administrative enforcement proceeding where no genuine
factual dispute exists.'' Id. at 6 (citing Veg-Mix, Inc. v. U.S. Dept.
of Agriculture, 832 F.3d 601, 607 (D.C. Cir. 1987) (comparing the
standard for summary disposition in an administrative proceeding to
summary judgment in a civil proceeding); Citizens for Allegan County,
Inc. v. Federal Power Commission, 414 F.2d 1125, 1128 (D.C. Cir. 1969)
(affirming that ``the right of opportunity for hearing does not require
a procedure that will be empty sound and show, signifying nothing'')).
By letter dated September 22, 2020, the ALJ certified and
transmitted the record to me for final Agency action. In that letter,
the 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 1301.43(e). I make the following findings of fact.
Findings of Fact
Respondent's DEA Registration
Respondent is the holder of DEA Certificate of Registration No.
FR7251642 at the registered address of 4561 Edfield Street, Houston,
Texas 77051. Govt Motion Exhibit (hereinafter, GX) 1 (Certification of
Registration History Texas),\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
expired on April 20, 2020, and is in ``a renewal pending status until
the resolution of administrative proceedings.'' Id. Respondent is also
the holder of DEA Certificate of Registration No. FR5327285 at the
registered address of 1451 44th Avenue South, Unit E, Grand Forks,
North Dakota 58201. GX 2 (Certification of Registration History North
Dakota), 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 April 30,
2021, and is in ``an active pending status until the resolution of
administrative proceedings.'' Id.
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\1\ It is noted that the Government's Exhibits 1 and 2 list
several other registrations held by Respondent that are not subject
to these proceedings.
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The Status of Respondent's State Licenses
Texas
On October 10, 2019, the Texas Medical Board (hereinafter, Texas
Board) entered an Order of Temporary Suspension (hereinafter,
Suspension Order) ``effective on the date rendered.'' GX 4 (Suspension
Order), at 4. According to the Suspension Order, Respondent engaged in
``unprofessional or dishonorable conduct'' and the Texas Board had
authority to discipline Respondent for ``prescribing, administering, or
dispensing in a manner inconsistent with public health and welfare
dangerous drugs . . . .'' Id. at 3. The Texas Board found that
Respondent's ``continued practice of medicine would constitute a
continuing threat to the public welfare.'' Id. at 3. The Order further
stated that it ``shall remain in effect until it is superseded by an
Order of the Board.'' Id. at 4.
According to Texas's online records, of which I take official
notice, Respondent's registration status is ``suspended, active as of
10/10/2019'' and his disciplinary restrictions are ``suspended by board
as of 10/10/2019.'' \2\ Texas Medical Board Healthcare Provider Search,
https://public.tmb.state.tx.us/HCP_Search/SearchNotice.aspx (last
visited October 27, 2020).
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\2\ 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 of findings of fact
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 motion and response shall be filed and served
by email to the other party and to the Office of the Administrator
at [email protected].
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Based on the entire record before me, I find that Respondent
currently is not licensed to engage in the practice of medicine in
Texas, one of the two states where Respondent maintains a registration
subject to this action.
North Dakota
On January 14, 2020, the North Dakota Board of Medicine
(hereinafter, North Dakota Board) entered into a Stipulation and
Nonpractice Agreement (hereinafter, Nonpractice Agreement) effective
``upon execution of [the] agreement.'' GX 5 (Nonpractice Agreement), at
1. According to the Nonpractice Agreement, Respondent agreed that ``he
will immediately cease the practice of medicine in North Dakota'' and
``he will not practice medicine in the State of North Dakota until such
time as the Board finalizes any disciplinary action that may be brought
against him based on the information obtained by the Board from the
Federation of State Medical Boards Physician Data Center, the Texas
Medical Board and the United States District Court for the Southern
District of Texas.'' Id.
According to North Dakota's online records, of which I take
official notice, Respondent's registration status is ``inactive-other''
and his disciplinary history is ``Entered into a stipulated non-
practice agreement.'' \3\ North Dakota Board of Medicine Find a
Practitioner/Verify License Status, https://www.ndbom.org/public/find_verify/verify.asp (last visited October 27, 2020).
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\3\ I take official notice of this fact. See n.1
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Based on the entire record before me, I find that Respondent
currently is not licensed to engage in the practice of medicine in
North Dakota, one of the two states where Respondent maintains a
registration subject to this action
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 CSA
``upon a finding that the registrant . . . has had [her]State license
or registration suspended . . . [or] revoked . . . by competent State
authority and is no longer authorized by State law to engage in the . .
. dispensing[\4\] 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 F. App'x 826 (4th Cir. 2012); Frederick Marsh
Blanton, M.D., 43 FR 27,616, 27,617 (1978).
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\4\ ``[D]ispense[] means to deliver a controlled substance to an
ultimate user . . . by, or pursuant to the lawful order of, a
practitioner, including the prescribing and administering of a
controlled substance . . . .'' 21 CFR 802(10).
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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
[[Page 73808]]
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.
Respondent argued that ``[t]he matter in Texas is temporary in
nature, as it is a Temporary Suspension.'' \5\ Resp Opposition, at 1.
He also argued that he has active medical licenses in Georgia and Ohio
and that he does have state authority in Texas. Id. at 2. However, the
Suspension Order issued by the Texas Board clearly states that the
suspension is in effect until the Board issues a superseding Order. GX
4, at 4. Further, I agree with the Chief ALJ that ``[a]s has been long
established by Agency [decisions], state licensure in a state other
than a respondent's [] registration state is irrelevant to a DEA
enforcement proceeding. SD, at 4-5 (citing Craig K. Alhanati, D.D.S.,
62 FR 32,658, 32,658 (1997)).
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\5\ It is noted that Respondent presented no arguments about the
status of his medical license in North Dakota.
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Because ``the controlling question'' in a proceeding brought under
21 U.S.C. 824(a)(3) is whether the holder of a practitioner's
registration ``is currently authorized to handle controlled substances
in the state,'' James L. Hooper, 76 FR at 71,371 (quoting Anne Lazar
Thorn, 62 FR 12,847, 12,848 (1997)), the Agency has also long held that
revocation is warranted even where a practitioner is still challenging
the underlying action or where the state action is temporary. Kambiz
Haghighi, M.D., 85 FR 5989 (2020); Bourne Pharmacy, 72 FR 18,273,
18,274 (2007); Wingfield Drugs, 52 FR 27,070, 27,071 (1987). Thus, it
is of no consequence that the action is a suspension. What is
consequential is my finding that Respondent is no longer currently
authorized to dispense controlled substances in Texas and North Dakota,
the two states where Respondent maintains the registrations subject to
this action.
Under the Texas Controlled Substances Act, a practitioner in Texas
``may not prescribe, dispense, deliver, or administer a controlled
substance or cause a controlled substance to be administered under the
practitioner's direction and supervision except for a valid medical
purpose and in the course of medical practice.'' Tex. Health and Safety
Code Ann. Sec. 481.071 (West 2019). The Texas Controlled Substances
Act defines ``practitioner,'' in relevant part, as ``a physician . . .
licensed, registered, or otherwise permitted to distribute, dispense,
analyze, conduct research with respect to, or administer a controlled
substance in the course of professional practice or research in this
state.'' Id. at Sec. 481.002 (39)(A). Further, under the Texas Medical
Practice Act, a person must hold a license to practice medicine in
Texas. Tex. Occupations Code Ann. Sec. 155.001 (West 2019) (``A person
may not practice medicine in this state unless the person holds a
license issued under [the Medical Practice Act].''); see also id. at
Sec. 151.002 (```Physician' means a person licensed to practice
medicine in this state.''). Additionally, ``[a] person commits an
offense if the person practices medicine in [Texas] in violation of''
the Act. Id. at Sec. 165.152(a).
Under North Dakota law, ```[d]ispense' 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, administering, packaging, labeling, or compounding
necessary to prepare the substance for that delivery.'' N.D. Cent. Code
Sec. 19-03.1-01(10) (West 2019). Further, a ``practitioner'' is
defined as, ``A physician, dentist, veterinarian, pharmacist,
scientific investigator, or other person licensed, registered, or
otherwise permitted by the jurisdiction in which the individual is
practicing to distribute, dispense, conduct research with respect to,
or to administer a controlled substance in the course of professional
practice or research.'' Id. at Sec. 19-03.1-01(25)(a). Therefore,
because Registrant currently is not licensed by the jurisdiction in
which he is practicing, he is not authorized to dispense controlled
substances in North Dakota.
Here, the undisputed evidence in the record is that Respondent
currently lacks authority to practice medicine in Texas and North
Dakota. I, therefore, find that Respondent is currently without
authority to dispense controlled substance in Texas and North Dakota,
two states in which he is registered with DEA, and I will order that
Respondent's DEA registrations in these states 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 Certificates of Registration Nos.
FR7251642 and FR5327285 issued to Jonathan Rosenfield, M.D. 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 Jonathan Rosenfield,
M.D. to renew or modify these registrations, as well as any other
application of Jonathan Rosenfield, M.D. for additional registrations
in Texas and North Dakota. This Order is applicable December 21, 2020.
Timothy J. Shea,
Acting Administrator.
[FR Doc. 2020-25524 Filed 11-18-20; 8:45 am]
BILLING CODE 4410-09-P