80_FR_50192 80 FR 50033 - Jeffrey S. Holverson, M.D.; Decision and Order

80 FR 50033 - Jeffrey S. Holverson, M.D.; Decision and Order

DEPARTMENT OF JUSTICE
Drug Enforcement Administration

Federal Register Volume 80, Issue 159 (August 18, 2015)

Page Range50033-50034
FR Document2015-20346

Federal Register, Volume 80 Issue 159 (Tuesday, August 18, 2015)
[Federal Register Volume 80, Number 159 (Tuesday, August 18, 2015)]
[Notices]
[Pages 50033-50034]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-20346]


-----------------------------------------------------------------------

DEPARTMENT OF JUSTICE

Drug Enforcement Administration

[Docket No. 15-19]


Jeffrey S. Holverson, M.D.; Decision and Order

    On March 27, 2015, the Deputy Assistant Administrator, Office of 
Diversion Control, Drug Enforcement Administration, issued an Order to 
Show Cause to Jeffrey S. Holverson, M.D. (Respondent), of Salt Lake 
City, Utah. The Show Cause Order proposed the revocation of 
Respondent's DEA Certificate of Registration, pursuant to which he is 
authorized to dispense controlled substances as a practitioner, solely 
on the ground that he does ``not have authority to handle controlled 
substances in . . . Utah, the [S]tate in which [he is] registered with 
the DEA.'' Show Cause Order, at 1.
    As the factual basis for the proposed action, the Show Cause Order 
alleged that on January 8, 2015, Respondent ``entered into a `Non-
Disciplinary Limitation Stipulation and Order' '' with the Utah 
Division of Occupational and Professional Licensing, pursuant to which 
he agreed to the suspension of his authority to dispense controlled 
substances. Id. The Order further alleged that ``[t]his suspension 
remains in effect'' and that ``[c]onsequently . . . DEA must revoke 
[his] registration.'' Id. (citing 21 U.S.C. 802(21), 823(f), and 
824(a)(3)).
    Following service of the Show Cause Order, Respondent requested a 
hearing on the allegations. Order Granting the Govt's Mot. for Summ. 
Disp. (hereinafter, ALJ Order), at 2. Thereafter, the Government moved 
for summary disposition on the ground that by virtue of the Non-
Disciplinary Limitation Stipulation and Order, which Respondent entered 
into on January 8, 2015, he ``does not have authority to . . . dispense 
controlled substances'' under Utah law, and that notwithstanding that 
the ``suspension may or may not continue'' past the 180-day period set 
forth in the State's Order, ``DEA final orders are clear and 
unequivocal that [Respondent's] registration should be revoked.'' Gov't 
Mot. for Summ. Disp., at 5. While in his hearing request, Respondent 
had objected to the proposed revocation of his registration, he did not 
respond to the Government's motion. ALJ Order, at 2-3. The ALJ, finding 
it undisputed that ``the limitation on [Respondent's] ability to 
prescribe controlled substances will remain in effect until at least 
July 7, 2015,'' and noting that ``there is no guarantee that his 
authority . . . will be restored after 180 days,'' granted the 
Government's motion and recommended that Respondent's registration be 
revoked and that any pending applications to renew or modify his 
registration be denied. Id. at 4-6.
    Neither party filed exceptions to the ALJ's Order. Thereafter, on 
June 9, 2015, the ALJ forwarded the record to my Office for Final 
Agency Action. However, upon review of the record, it was noted that 
the Non-Disciplinary Limitation Stipulation was due to expire on or 
about July 7, 2015. Accordingly, on July 27, 2015, I directed the 
parties to address whether the order remained in effect and if the 
order no longer was in effect, ``to address whether Respondent 
currently possesses authority to dispense controlled substances under 
the laws of the State of Utah.'' Order of the Administrator, at 1 (July 
27, 2015).
    On August 5, 2015, the Government filed its Response to my Order. 
Therein, the Government states that ``[t]he time of the Suspension 
Order has now expired, and DEA has been informed by [the Division of 
Professional Licensing] that at this time the Suspension order has not 
been extended.'' Gov't Response, at 2. The Government thus acknowledges 
that ``at this time Respondent is allowed to dispense controlled 
substances under the laws of the State of Utah.'' Id. The Government 
thus requests that the Show Cause Order be dismissed. Id.
    Because the Show Cause Order was based solely on Respondent's lack 
of authority under state law to dispense controlled substances and that 
factual predicate no longer exists, I grant the Government's request 
and will dismiss the Show Cause Order.

[[Page 50034]]

Order

    Pursuant to the authority vested in me by 21 U.S.C. 824(a), as well 
as 28 CFR 0.100(b), I order that the Order to Show Cause issued to 
Jeffrey S. Holverson, M.D., be, and it hereby is, dismissed. This Order 
is effective immediately.

    Dated: August 10, 2015.
Chuck Rosenberg,
Acting Administrator.
[FR Doc. 2015-20346 Filed 8-17-15; 8:45 am]
 BILLING CODE 4410-09-P



                                                                                 Federal Register / Vol. 80, No. 159 / Tuesday, August 18, 2015 / Notices                                            50033

                                                    to an Administrative Law Judge, who                      the State in which he is registered with              of the Non-Disciplinary Limitation
                                                    ordered the Government to respond to                     this Agency. Because Respondent’s loss                Stipulation and Order, which
                                                    Respondent’s statement that ‘‘he                         of state authority was the sole basis for             Respondent entered into on January 8,
                                                    currently has an active license.’’ GX 5,                 the Show Cause Order and this ground                  2015, he ‘‘does not have authority to
                                                    at 1.                                                    no longer exists, I conclude that this                . . . dispense controlled substances’’
                                                       In the meantime, on September 3,                      case is now moot and will order that the              under Utah law, and that
                                                    2014, the New Mexico Medical Board                       Show Cause Order be dismissed.                        notwithstanding that the ‘‘suspension
                                                    notified a DEA Diversion Investigator in                                                                       may or may not continue’’ past the 180-
                                                    the Albuquerque District Office that the                 Order                                                 day period set forth in the State’s Order,
                                                    Board’s August 12, 2014 Order did not                      Pursuant to the authority vested in me              ‘‘DEA final orders are clear and
                                                    place any formal restrictions on                         by 21 U.S.C. 824(a), as well as 28 CFR                unequivocal that [Respondent’s]
                                                    Respondent’s authority to prescribe                      0.100(b), I order that the Order to Show              registration should be revoked.’’ Gov’t
                                                    controlled substances, explaining that                   Cause issued to Nicholas J. Nardacci,                 Mot. for Summ. Disp., at 5. While in his
                                                    his prescribing was not at issue in the                  M.D., be, and it hereby is, dismissed.                hearing request, Respondent had
                                                    Board’s case. GX 3. Thereafter, on                       This Order is effective immediately.                  objected to the proposed revocation of
                                                    September 9, 2014, the Government                          Dated: August 10, 2015.                             his registration, he did not respond to
                                                    filed a motion for Termination of                                                                              the Government’s motion. ALJ Order, at
                                                                                                             Chuck Rosenberg,
                                                    Proceedings, stating that the allegations                                                                      2–3. The ALJ, finding it undisputed that
                                                                                                             Acting Administrator.
                                                    of the Show Cause Order were now                                                                               ‘‘the limitation on [Respondent’s] ability
                                                                                                             [FR Doc. 2015–20350 Filed 8–17–15; 8:45 am]           to prescribe controlled substances will
                                                    moot and that ‘‘these developments
                                                    apparently obviate the need for any                      BILLING CODE 4410–09–P                                remain in effect until at least July 7,
                                                    further proceedings.’’ GX 5, at 2.                                                                             2015,’’ and noting that ‘‘there is no
                                                       Noting that Respondent had not                                                                              guarantee that his authority . . . will be
                                                    requested a hearing, the ALJ concluded                   DEPARTMENT OF JUSTICE                                 restored after 180 days,’’ granted the
                                                    that ‘‘the only jurisdictional authority’’                                                                     Government’s motion and
                                                                                                             Drug Enforcement Administration
                                                    she possessed was to determine whether                                                                         recommended that Respondent’s
                                                    to grant Respondent’s request for ‘‘a                    [Docket No. 15–19]                                    registration be revoked and that any
                                                    reasonable extension of the time                                                                               pending applications to renew or
                                                    allowed for response to an Order to                      Jeffrey S. Holverson, M.D.; Decision                  modify his registration be denied. Id. at
                                                    Show Cause.’’ Order Denying                              and Order                                             4–6.
                                                    Respondent’s Motion For Extension of                                                                               Neither party filed exceptions to the
                                                                                                                On March 27, 2015, the Deputy                      ALJ’s Order. Thereafter, on June 9, 2015,
                                                    Time, at 2 (quoting 21 CFR 1316.47).                     Assistant Administrator, Office of
                                                    The ALJ thus concluded that she did not                                                                        the ALJ forwarded the record to my
                                                                                                             Diversion Control, Drug Enforcement                   Office for Final Agency Action.
                                                    have jurisdiction to rule on the                         Administration, issued an Order to
                                                    Government’s motion. Id. The ALJ then                                                                          However, upon review of the record, it
                                                                                                             Show Cause to Jeffrey S. Holverson,                   was noted that the Non-Disciplinary
                                                    denied Respondent’s motion, ‘‘with the                   M.D. (Respondent), of Salt Lake City,
                                                    understanding that the Government will                                                                         Limitation Stipulation was due to expire
                                                                                                             Utah. The Show Cause Order proposed                   on or about July 7, 2015. Accordingly,
                                                    take the necessary steps to properly                     the revocation of Respondent’s DEA
                                                    dismiss the’’ Show Cause Order. Id.                                                                            on July 27, 2015, I directed the parties
                                                                                                             Certificate of Registration, pursuant to              to address whether the order remained
                                                       On February 3, 2015, the Government
                                                                                                             which he is authorized to dispense                    in effect and if the order no longer was
                                                    submitted a ‘‘Request [f]or Dismissal [o]f
                                                                                                             controlled substances as a practitioner,              in effect, ‘‘to address whether
                                                    Order [t]o Show Cause.’’ Therein, the
                                                                                                             solely on the ground that he does ‘‘not               Respondent currently possesses
                                                    Government states that although
                                                                                                             have authority to handle controlled                   authority to dispense controlled
                                                    Respondent was without state authority
                                                                                                             substances in . . . Utah, the [S]tate in              substances under the laws of the State
                                                    to handle controlled substances on July
                                                                                                             which [he is] registered with the DEA.’’              of Utah.’’ Order of the Administrator, at
                                                    15, 2014, when the Show Cause Order
                                                                                                             Show Cause Order, at 1.                               1 (July 27, 2015).
                                                    was issued, the New Mexico Medical
                                                                                                                As the factual basis for the proposed                  On August 5, 2015, the Government
                                                    Board has since lifted the suspension of
                                                                                                             action, the Show Cause Order alleged                  filed its Response to my Order. Therein,
                                                    his medical license and Respondent
                                                                                                             that on January 8, 2015, Respondent                   the Government states that ‘‘[t]he time
                                                    currently has no restrictions on his state
                                                                                                             ‘‘entered into a ‘Non-Disciplinary                    of the Suspension Order has now
                                                    authority to handle controlled
                                                                                                             Limitation Stipulation and Order’ ’’ with             expired, and DEA has been informed by
                                                    substances.2 Id. at 2. Because the Show
                                                                                                             the Utah Division of Occupational and                 [the Division of Professional Licensing]
                                                    Cause Order sought revocation of
                                                                                                             Professional Licensing, pursuant to                   that at this time the Suspension order
                                                    Respondent’s registration solely on the
                                                                                                             which he agreed to the suspension of                  has not been extended.’’ Gov’t
                                                    basis of his lack of state authority to
                                                                                                             his authority to dispense controlled                  Response, at 2. The Government thus
                                                    handle controlled substances, and that
                                                                                                             substances. Id. The Order further                     acknowledges that ‘‘at this time
                                                    ground for revocation no longer exists,
                                                                                                             alleged that ‘‘[t]his suspension remains              Respondent is allowed to dispense
                                                    the Government requests that I dismiss
                                                                                                             in effect’’ and that ‘‘[c]onsequently . . .           controlled substances under the laws of
                                                    the Order. Id. at 2.
                                                                                                             DEA must revoke [his] registration.’’ Id.             the State of Utah.’’ Id. The Government
                                                       Based on my review of the Board’s
                                                                                                             (citing 21 U.S.C. 802(21), 823(f), and                thus requests that the Show Cause Order
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                    Order, as well as the Board’s September
                                                                                                             824(a)(3)).                                           be dismissed. Id.
                                                    3, 2014 letter to the Diversion
                                                                                                                Following service of the Show Cause                    Because the Show Cause Order was
                                                    Investigator, I find that Respondent is
                                                                                                             Order, Respondent requested a hearing                 based solely on Respondent’s lack of
                                                    currently authorized to dispense
                                                                                                             on the allegations. Order Granting the                authority under state law to dispense
                                                    controlled substances in New Mexico,
                                                                                                             Govt’s Mot. for Summ. Disp.                           controlled substances and that factual
                                                      2 The Government submitted a copy of the               (hereinafter, ALJ Order), at 2. Thereafter,           predicate no longer exists, I grant the
                                                    Board’s Order with its Request for Dismissal. See        the Government moved for summary                      Government’s request and will dismiss
                                                    GX 2.                                                    disposition on the ground that by virtue              the Show Cause Order.


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                                                    50034                         Federal Register / Vol. 80, No. 159 / Tuesday, August 18, 2015 / Notices

                                                    Order                                                       As evidenced by the signed return                    of unit doses of controlled substances
                                                                                                             receipt card, on December 1, 2014,                      between January 1, 2012 and December
                                                      Pursuant to the authority vested in me                 Respondent was served with the Show                     31, 2012, that she failed to adequately
                                                    by 21 U.S.C. 824(a), as well as 28 CFR                   Cause Order. GX 2. On January 6, 2015,                  assess patients prior to prescribing
                                                    0.100(b), I order that the Order to Show                 Respondent filed a letter (dated Jan. 2,                controlled substances, and that she
                                                    Cause issued to Jeffrey S. Holverson,                    2015) which presented her position on                   documented inaccurate and
                                                    M.D., be, and it hereby is, dismissed.                   the issues involved in the Nursing                      contradictory information in medical
                                                    This Order is effective immediately.                     Board’s proceeding. GX 3. Respondent                    records.’’ GX 4, at 1. Respondent further
                                                      Dated: August 10, 2015.                                did not, however, dispute that DEA                      agreed to the Board’s issuance of a
                                                    Chuck Rosenberg,                                         ‘‘must revoke’’ her registration. Id. Nor               decision and order which suspended
                                                    Acting Administrator.                                    did she request a hearing on the                        her Advanced Practitioner of Nursing
                                                    [FR Doc. 2015–20346 Filed 8–17–15; 8:45 am]              allegations of the Show Cause Order. Id.                Certificate ‘‘for a minimum of one year.’’
                                                                                                                As explained above, under 21 CFR                     Id. at 3. According to the online records
                                                    BILLING CODE 4410–09–P
                                                                                                             1301.43(c), ‘‘[a]ny person entitled to a                of the Board, Respondent’s Advanced
                                                                                                             hearing . . . may, within the period                    Practitioner of Nursing Certificate either
                                                    DEPARTMENT OF JUSTICE                                    permitted for filing a request for a                    expired on January 16, 2014 or remains
                                                                                                             hearing or a notice of appearance, file                 suspended as of this date. So too, her
                                                    Drug Enforcement Administration                          with the Administrator a waiver of an                   Board of Pharmacy license remains
                                                                                                             opportunity for a hearing . . . together                suspended as of this date.
                                                    Devra Hamilton, N.P.; Decision and                       with a written statement regarding such
                                                    Order                                                                                                            Discussion
                                                                                                             person’s position on the matters of fact
                                                                                                             and law involved in such hearing.’’                        The Controlled Substances Act (CSA)
                                                       On November 24, 2014, the Deputy                      However, DEA regulations require that                   grants the Attorney General authority to
                                                    Assistant Administrator, Office of                       the written statement be filed ‘‘within                 revoke a registration ‘‘upon a finding
                                                    Diversion Control, Drug Enforcement                      30 days after the date of receipt of the’’              that the registrant . . . has had [her]
                                                    Administration (DEA), issued an Order                    Show Cause Order, 21 CFR 1301.43(a),                    State license or registration suspended
                                                    to Show Cause to Devra Hamilton, N.P.                    and specify that documents ‘‘shall be                   [or] revoked . . . and is no longer
                                                    (hereinafter, Respondent), of Las Vegas,                 dated and deemed filed upon receipt by                  authorized by State law to engage in the
                                                    Nevada. GX 1. The Show Cause Order                       the Hearing Clerk.’’ Id. § 1316.45. Thus,               . . . distribution [or] dispensing of
                                                    proposed the revocation of                               I find that Respondent’s letter was                     controlled substances.’’ 21 U.S.C.
                                                    Respondent’s Certificate of Registration                 untimely and do not consider it. I                      824(a)(3). Moreover, DEA has long held
                                                    MH2194176, on the ground that she                        further find that Respondent has waived                 that a practitioner must be currently
                                                    does not currently possess authority to                  her right to a hearing.                                 authorized to handle controlled
                                                    handle controlled substances in Nevada,                     Thereafter, on January 28, 2015, the                 substances in the ‘‘jurisdiction in which
                                                    the State in which she is registered with                Government submitted a Request for                      [she] practices’’ in order to maintain a
                                                    the Agency. Id. at 1–2 (citing 21 U.S.C.                 Final Agency Action with                                DEA registration. See 21 U.S.C. 802(21)
                                                    824(a)(3)).                                              accompanying documentation,                             (‘‘the term ‘practitioner’ means a
                                                       The Show Cause Order specifically                     including the Nursing Board’s Order                     physician . . . or other person licensed,
                                                                                                             suspending her APN license and a                        registered or otherwise permitted, by
                                                    alleged that on January 16, 2014, the
                                                                                                             printout from the Nevada State Board of                 . . . the jurisdiction in which [she]
                                                    Nevada State Board of Nursing
                                                                                                             Pharmacy showing the status of her                      practices . . . to distribute, dispense,
                                                    suspended Respondent’s license as an
                                                                                                             state controlled substance license. I                   [or] administer . . . a controlled
                                                    Advance Practitioner of Nursing (APN),
                                                                                                             make the following findings of fact.                    substance in the course of professional
                                                    after she admitted that the Board had
                                                                                                                                                                     practice.’’); see also id. § 823(f) (‘‘The
                                                    ‘‘sufficient evidence to prove that [she]                Findings                                                Attorney General shall register
                                                    prescribed large amounts of unit doses
                                                                                                                Pursuant to 5 U.S.C. 556(e), I take                  practitioners . . . to dispense . . . if the
                                                    of controlled substances between
                                                                                                             official notice of Respondent’s                         applicant is authorized to dispense . . .
                                                    January 1, 2012 and December 31, 2012,
                                                                                                             registration record with the Agency.                    controlled substances under the laws of
                                                    that [she] failed to adequately assess                                                                           the State in which [she] practices.’’). As
                                                    patients prior to prescribing controlled                 According to that record, Respondent is
                                                                                                             currently registered as a mid-level                     these provisions make plain, possessing
                                                    substances, and that [she] documented                                                                            authority under state law to dispense
                                                    inaccurate and contradictory                             practitioner, with authority to dispense
                                                                                                             controlled substances in schedules II                   controlled substances is an essential
                                                    information in medical records.’’ Id. at                                                                         condition for holding a DEA
                                                    1 (citations omitted). The Show Cause                    through V, at the address of 9010 W.
                                                                                                             Cheyenne, Las Vegas, NV 89129.                          registration. See David W. Wang, 72 FR
                                                    Order further alleged that in March                                                                              54297, 54298 (2007); Sheran Arden
                                                    2014, the Nevada State Board of                          Respondent’s registration does not
                                                                                                             expire under October 31, 2016.                          Yeates, 71 FR 39130, 39131 (2006);
                                                    Pharmacy revoked her license to                                                                                  Dominick A. Ricci, 58 FR 51104, 51105
                                                                                                                On January 8, 2014, Respondent
                                                    prescribe controlled substances based                                                                            (1993); Bobby Watts, 53 FR 11919,
                                                                                                             entered into an ‘‘Agreement for
                                                    on the Nursing Board’s suspension of                                                                             11920 (1988).
                                                                                                             Probation and Suspension of [her]
                                                    her APN license. Id. The Order thus                                                                                 Here, the evidence shows that both
                                                                                                             Advanced Practitioner of Nursing
                                                    alleged that Respondent is ‘‘currently                                                                           Respondent’s Advance Practitioner of
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                                                                             Certificate’’; on January 16, 2014, the
                                                    without authority to handle controlled                                                                           Nursing Certificate and her state
                                                                                                             Board approved the agreement. Therein,
                                                    substances’’ in the State in which she is                                                                        Controlled Substance License have been
                                                                                                             Respondent denied the allegations
                                                    registered, and that her registration is                                                                         suspended by the Nevada State Board of
                                                                                                             raised by the Board, but admitted that
                                                    therefore subject to revocation.1 Id. at 2.                                                                      Nursing and the Nevada State Board of
                                                                                                             ‘‘the Board ha[d] sufficient evidence to
                                                      1 The Show Cause Order also notified Respondent        prove that she prescribed large amounts                 Pharmacy respectively. I therefore hold
                                                    of her right to request a hearing on the allegations
                                                                                                                                                                     that Respondent no longer possesses
                                                    or to submit a written statement in lieu of a hearing,   consequence of failing to elect either option. Id. at   authority under Nevada law to dispense
                                                    the procedure for electing either option, and the        2 (citing 21 CFR 1301.43).                              controlled substances and that she is


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Document Created: 2015-12-15 12:05:02
Document Modified: 2015-12-15 12:05:02
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
FR Citation80 FR 50033 

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