81_FR_14943 81 FR 14890 - Kristen Lee Raines, A.P.R.N.; Decision and Order

81 FR 14890 - Kristen Lee Raines, A.P.R.N.; Decision and Order

DEPARTMENT OF JUSTICE
Drug Enforcement Administration

Federal Register Volume 81, Issue 53 (March 18, 2016)

Page Range14890-14892
FR Document2016-06103

Federal Register, Volume 81 Issue 53 (Friday, March 18, 2016)
[Federal Register Volume 81, Number 53 (Friday, March 18, 2016)]
[Notices]
[Pages 14890-14892]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-06103]


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 DEPARTMENT OF JUSTICE

Drug Enforcement Administration

[Docket No. 16-5]


Kristen Lee Raines, A.P.R.N.; Decision and Order

    On September 16, 2015, the Deputy Assistant Administrator, Office 
of Diversion Control, Drug Enforcement Administration, issued an Order 
to Show Cause to Kristen Lee Raines, A.P.R.N. (hereinafter, 
Respondent), of Little Rock, Arkansas. The Show Cause Order proposed 
the revocation of Respondent's DEA Certificate of Registration 
MR1972632, pursuant to which she is authorized to dispense controlled 
substances in schedules III through V, as a mid-level practitioner, as 
well as the denial of any pending applications to renew or modify her 
registration, on the ground that she does not have authority to 
dispense controlled substances in Arkansas, the State in which she 
holds her registration. Show Cause Order at 1.
    The Show Cause Order alleged that Respondent's registration will 
not expire until April 30, 2018. Id. The Show Cause Order then alleged 
that the Arkansas State Board of Nursing had issued an Order, which 
summarily suspended Respondent's nursing and advance practice nursing 
licenses effective on June 19, 2015. Id. The Show Cause Order thus 
alleged that Respondent is ``without authority to handle controlled 
substances in Arkansas,'' and as a consequence, her DEA registration is 
subject to revocation. Id. (citing 21 U.S.C. 802(21), 823(f), and 
824(a)(3)).
    Following service of the Show Cause Order, Respondent, through her 
counsel, requested a hearing on the allegations. In her hearing 
request, Respondent did not dispute that her registration does not 
expire until April 30, 2018. Resp. Hearing Req., at 1. Nor did she 
dispute that the Arkansas State Board of Nursing had summarily 
suspended her nursing and advance practice nursing licenses. Id. 
Instead, Respondent objected to the proposed action ``on the grounds 
that the Show Cause Order and suspension of her Arkansas nursing 
license and advance practice nursing license stem from unfounded and 
unsubstantiated allegations that she violated . . . 21 U.S.C. 841(a)(1) 
and (b)(1)(e) by the U.S. Attorney in'' a criminal case brought against 
her in the Eastern District of Arkansas. Id. Respondent further 
asserted that ``she did not knowingly or intentionally distribute 
[h]ydrocodone and [a]lprazolam . . . without an effective 
prescription.'' Id. Respondent further stated that she has pled not 
guilty to the charges and believes that she will be acquitted. Id.
    Thereafter, the matter was placed on the docket of the Office of 
Administrative Law Judges and assigned to Chief Administrative Law 
Judge John J. Mulrooney, II (hereinafter, CALJ). On October 20, 2015, 
the CALJ issued an order directing the Government to file evidence to 
support the allegation and any motion for summary disposition by 
October 30, 2015; the order also provided that Respondent should 
respond to the Government's expected motion no later than November 13, 
2015.
    On October 26, 2015, the Government filed its Motion for Summary 
Disposition. As support for the Motion, the Government attached a copy 
of the decision and order of the Arkansas State Board of Nursing, which 
summarily suspended Respondent's advance practice nursing license and 
nursing license effective June 19, 2015. Mot. for Summ. Disp., at 
Attachment 3, at 3 (Findings of Fact, Conclusions of Law, and Order, at 
3; In re Kristen Lee Raines Plant Raines (Ark. Bd. of Nursing, June 19, 
2015) (hereinafter, Nursing Board Order). The Government also provided 
a printout from the Nursing Board's Web site (dated September 4, 2015) 
showing that both Respondent's RN and Certified Nurse Practitioner 
licenses were suspended. Mot. for Summ. Disp., at Attachment 4.
    Respondent opposed the Government's Motion. In her opposition, 
Respondent asserted that she has been wrongly accused, and that the 
State Board's suspension of her licenses is the ``result of her 
wrongful indictment.'' Resp. Reply to Govt's Mot. for Summ. Disp., at 
3. She further argued that the DEA may exercise discretion in 
determining the appropriate sanction and that revocation of her 
registration ``is an unjust and overly severe punishment given the 
circumstances, particularly that the

[[Page 14891]]

Government [i.e., the U.S. Attorney] admits it lacks the evidence to 
substantiate the criminal indictment against'' her. Id. at 5. She then 
maintains that suspending her registration ``pending the outcome [of 
the criminal case] is more appropriate and fair in light of the facts 
and circumstances of this case,'' and that ``[i]t would be a further 
miscarriage of justice to revoke her [registration] on top of her 
criminal indictment absent any corroborating evidence thereof.'' Id. at 
5-6.\1\
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    \1\ In opposing the Government's motion, Respondent attached a 
copy of the indictment, as well as the Assistant United States 
Attorney's response and supplemental response to her motion to 
compel discovery. Respondent also submitted an affidavit in which 
she asserts that she is not guilty of the charges and that she is 
confident that the charges will either be dismissed or that she will 
be acquitted. Resp. Reply to Gov. Mot. for Summ. Disp., at Ex. C. 
Therein, she further asserts that she has requested a hearing on the 
Nursing Board's action, and that she ``expect[s] that [her] nursing 
licensed will be restored.'' Id. at 2. She also contends that due to 
the Board's actions against her licenses, ``the additional 
revocation of my [registration] would affect no change in my 
employment status and is unnecessary and would serve no public 
purpose.'' Id. She thus requested that the revocation of her 
registration be stayed pending the outcome of her criminal case and 
the Nursing Board's action. Id.
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    On November 16, 2015, the CALJ granted the Government's motion. The 
CALJ correctly rejected Respondent's request for a stay of the 
proceedings, noting that a stay can rarely be justified by the 
existence of collateral proceedings.\2\ Order Granting Govt's Mot. for 
Summ. Disp., at 4 (citing Grider Drug #1 & Grider Drug #2, 77 FR 44070, 
44104 n.97 (2012)). Finding it undisputed ``that the Respondent lacks 
state authority to handle controlled substances in the [S]tate of 
Arkansas,'' the CALJ concluded that ``[b]ecause the Respondent lacks 
such state authority, both the plain language of applicable federal 
statutory provisions and Agency interpretive precedent dictate that she 
is not entitled to maintain her DEA registration.'' Order Granting 
Govt's Mot. for Summ. Disp., at 6. The CALJ thus recommended that I 
revoke Respondent's registration.
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    \2\ In his Order, the CALJ noted that ``the Agency recently held 
revocation proceedings in abeyance at the post-hearing adjudication 
level for a lengthy period pending the resolution of criminal fraud 
charges.'' Order Granting Govt's Mot. for Summ. Disp., at 4-5 
(citing Odette L. Campbell, 80 FR 41062, 41064 (2015)). However, in 
Campbell, the respondent was indicted on 30 counts of health care 
fraud shortly before the hearing in the matter and also allowed her 
registration to expire; indeed, the respondent did not file a new 
application until three months after the hearing. See 80 FR at 
41063. Thus, at the time the Administrator's Office held the case in 
abeyance, Campbell no longer involved a revocation proceeding. 
Moreover, had the respondent been convicted on the health care fraud 
charges, she would have been subject to mandatory exclusion from 
federal health care programs and her application would have been 
subject to denial on this basis. See Arvinder Singh, 81 FR 8247 
(2016) (denying application based, in part, on physician's 
convictions for health care fraud and mandatory exclusion from 
federal health care programs pursuant to 42 U.S.C. 1320a-7(a)).
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    Neither party filed exceptions to the CALJ's Recommended Decision. 
Thereafter, the record was forwarded to me for Final Agency Action. 
Having reviewed the record in its entirety, I adopt the CALJ's factual 
finding, his legal conclusion and recommended disposition. I make the 
following findings:

Findings of Fact

    Respondent is the holder of DEA Certificate of Registration 
MR1972632, pursuant to which she is authorized to dispense controlled 
substances in schedules III through V, as a mid-level practitioner, at 
the address of 14312 Ridgewood Dr., Little Rock, Arkansas 72211. Gov. 
Mot. for Summ. Disp., Attachment 1, at 1. Respondent's registration 
does not expire until April 30, 2018. Id.
    Respondent is also the holder of Advanced Practice Registered Nurse 
License A003251 and Registered Nurse License R063743 issued by the 
Arkansas State Board of Nursing. Nursing Board Order, at 1. On June 19, 
2015, the Board ordered the summary suspension of both of these 
licenses. Id. at 3. According to the results of an online search using 
the Arkansas Board's license verification page, Respondent's licenses 
remain suspended.

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, ``upon a 
finding that the registrant . . . has had [her] State license . . . 
suspended [or] revoked . . . by competent State authority and is no 
longer authorized by State law to engage in the . . . dispensing of 
controlled substances.'' Moreover, DEA has 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 Alfred Tennyson Smurthwaite, 43 FR 
11873 (1978) (``State authorization to handle controlled substances is 
a prerequisite to the issuance and retention of a Federal controlled 
substances registration.'') (citations omitted).
    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 Act, DEA has held repeatedly that revocation of 
a practitioner's registration is the appropriate sanction whenever she 
is no longer authorized to dispense controlled substances under the 
laws of the State in which she practices medicine. See, e.g., Calvin 
Ramsey, 76 FR 20034, 20036 (2011); Sheran Arden Yeates, M.D., 71 FR 
39130, 39131 (2006); Dominick A. Ricci, 58 FR 51104, 51105 (1993); 
Bobby Watts, 53 FR 11919, 11920 (1988).
    Thus, the Agency has held that revocation is warranted even where, 
as here, the state board has suspended (as opposed to revoked) a 
practitioner's dispensing authority and that authority may be restored 
at some point in the future through further proceedings. See Ramsey 76 
FR at 20036 (citations omitted); see also Frederick Marsh Blanton, 43 
FR 27616 (1978) (revoking registration of physician whose medical 
license had been suspended for one year, but placed on probation for 
three years thereafter). As the Agency has held, the controlling 
question is not whether a practitioner's license to practice medicine 
in the state is suspended or revoked; rather, it is whether the 
Respondent is currently authorized to handle controlled substances in 
the state. James L. Hooper, 76 FR 71371 (2011) (collecting cases), pet. 
for rev. denied, Hooper v. Holder, 481 Fed. Appx. 826 (4th Cir. 2012); 
Blanton, 43 FR at 27616 (``As a result of the suspension of his medical 
license, the [r]espondent is no longer authorized to dispense or 
otherwise handle controlled substances under the laws of Florida. 
Accordingly . . . the [r]espondent's DEA registration must be 
revoked[.]'').
    Respondent further argues that I should consider that the Nursing 
Board's case ``is the ``result of her wrongful indictment'' by the 
United States Attorney and that the latter has admitted that he ``lacks 
the evidence to substantiate the criminal indictment against'' her. 
This argument is simply a

[[Page 14892]]

collateral attack on the State Board's proceeding, whose order 
suspending her state authority remains in effect as of this date. The 
Agency has held, however, ``that a registrant cannot collaterally 
attack the result of a state criminal or administrative proceeding in a 
proceeding under section 304, 21 U.S.C. 824, of the CSA.'' Muzaffer 
Aslan, 77 FR 37068, 37069 (2012) (other citations omitted). ``Rather, 
Respondent's challenge to the validity of the [Nursing Board's] Order 
must be litigated in the forums provided by the State of [Arkansas], 
and [her] contentions regarding the validity of the [Board's] order are 
not material to this Agency's resolution of whether [she] is entitled 
to maintain [her] DEA registration in'' Arkansas. Id.
    Because it is undisputed that Respondent's Arkansas Advanced 
Practice Nursing License remains suspended, I find that she no longer 
has authority under the laws of Arkansas, the State in which she is 
registered, to dispense controlled substances. See Ark. Code Ann. 
Section 17-87-310 (b)(1) (``An advanced practice registered nurse with 
a certificate of prescriptive authority may receive and prescribe 
drugs, medicines, or therapeutic devices appropriate to the advanced 
practice registered nurse's areas of practice in accordance with rules 
established by the Arkansas State Board of Nursing.''). Therefore, she 
is not entitled to maintain her DEA registration. See 21 U.S.C. 
802(21), 823(f), 824(a)(3). Accordingly, I will order that her 
registration be revoked and that any pending application to renew or 
modify her registration be denied.\3\
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    \3\ While Respondent also asked that I stay the revocation of 
her registration pending the resolution of the criminal case and 
nursing board proceeding, I decline to do so. As the Agency has 
previously explained, ``in circumstances similar to those raised by 
Respondent, DEA has repeatedly denied requests to stay the issuance 
of a final order of revocation, noting that [u]nder the Controlled 
Substances Act, a practitioner must be currently authorized to 
handle controlled substances in the jurisdiction in which [she] 
practices in order to maintain [her] DEA registration.'' Gregory F. 
Saric, 76 FR 16821, 16822 (2011) (internal quotations and citations 
omitted). Of further note, Respondent's advanced practice nursing 
license was suspended more than 8 months ago, and yet her license 
still remains suspended. And while Respondent asserts that the 
Nursing Board's suspension is the result of the wrongful indictment, 
she ignores that the Board's order also relied on her having 
``prescribed opioids from November 13, 2014 through January 7, 2015 
without prescriptive authority.'' Nursing Board Order, at 2.
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Order

    Pursuant to the authority vested in me by 21 U.S.C. 823(f) and 
824(a), as well as 28 CFR 0.100(b), I order that DEA Certificate of 
Registration MR1972632, issued to Kristen Lee Raines, A.P.R.N., be, and 
it hereby is, revoked. I further order that any application of Kristen 
Lee Raines, A.P.R.N., to renew or modify this registration be, and it 
hereby is, denied. This Order is effective immediately.\4\
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    \4\ For the same reasons which led the Nursing Board to conclude 
``that an emergency exists constituting a threat to the public 
health, safety and welfare'' and to order the summary suspension of 
Respondent's licenses, I conclude that the public interest 
necessitates that this Order be effective immediately. 21 CFR 
1316.67.

    Dated: March 11, 2016.
Chuck Rosenberg,
Acting Administrator.
[FR Doc. 2016-06103 Filed 3-17-16; 8:45 am]
BILLING CODE 4410-09-P



                                                    14890                           Federal Register / Vol. 81, No. 53 / Friday, March 18, 2016 / Notices

                                                    States exists as required by subsection                 and to enter an initial determination                 suspended her nursing and advance
                                                    (a)(2) of section 337;                                  and a final determination containing                  practice nursing licenses. Id. Instead,
                                                       (2) Pursuant to Commission Rule                      such findings, and may result in the                  Respondent objected to the proposed
                                                    210.50(b)(1), 19 CFR 210.50(b)(1), the                  issuance of an exclusion order or a cease             action ‘‘on the grounds that the Show
                                                    presiding administrative law judge shall                and desist order or both directed against             Cause Order and suspension of her
                                                    take evidence or other information and                  the respondent.                                       Arkansas nursing license and advance
                                                    hear arguments from the parties and                       By order of the Commission.                         practice nursing license stem from
                                                    other interested persons with respect to                                                                      unfounded and unsubstantiated
                                                                                                              Issued: March 14, 2016.
                                                    the public interest in this investigation,                                                                    allegations that she violated . . . 21
                                                                                                            William R. Bishop,
                                                    as appropriate, and provide the                                                                               U.S.C. 841(a)(1) and (b)(1)(e) by the U.S.
                                                    Commission with findings of fact and a                  Supervisory Hearings and Information                  Attorney in’’ a criminal case brought
                                                                                                            Officer.                                              against her in the Eastern District of
                                                    recommended determination on this
                                                    issue, which shall be limited to the                    [FR Doc. 2016–06112 Filed 3–17–16; 8:45 am]           Arkansas. Id. Respondent further
                                                    statutory public interest factors set forth             BILLING CODE 7020–02–P                                asserted that ‘‘she did not knowingly or
                                                    in 19 U.S.C. 1337(d)(1), (f)(1), (g)(1);                                                                      intentionally distribute [h]ydrocodone
                                                       (3) For the purpose of the                                                                                 and [a]lprazolam . . . without an
                                                    investigation so instituted, the following              DEPARTMENT OF JUSTICE                                 effective prescription.’’ Id. Respondent
                                                    are hereby named as parties upon which                                                                        further stated that she has pled not
                                                    this notice of investigation shall be                   Drug Enforcement Administration                       guilty to the charges and believes that
                                                    served:                                                 [Docket No. 16–5]                                     she will be acquitted. Id.
                                                       (a) The complainant is:                                                                                       Thereafter, the matter was placed on
                                                       Immersion Corporation, 50 Rio                        Kristen Lee Raines, A.P.R.N.; Decision                the docket of the Office of
                                                    Robles, San Jose, CA 95134.                             and Order                                             Administrative Law Judges and assigned
                                                       (b) The respondents are the following                                                                      to Chief Administrative Law Judge John
                                                    entities alleged to be in violation of                     On September 16, 2015, the Deputy                  J. Mulrooney, II (hereinafter, CALJ). On
                                                    section 337, and are the parties upon                   Assistant Administrator, Office of                    October 20, 2015, the CALJ issued an
                                                    which the complaint is to be served:                    Diversion Control, Drug Enforcement                   order directing the Government to file
                                                       Apple Inc., 1 Infinite Loop, Cupertino,              Administration, issued an Order to                    evidence to support the allegation and
                                                    CA 95014.                                               Show Cause to Kristen Lee Raines,                     any motion for summary disposition by
                                                       AT&T Inc., 208 South Akard Street,                   A.P.R.N. (hereinafter, Respondent), of                October 30, 2015; the order also
                                                    Dallas, TX 75202.                                       Little Rock, Arkansas. The Show Cause                 provided that Respondent should
                                                       AT&T Mobility LLC, 1025 Lenox Park                   Order proposed the revocation of                      respond to the Government’s expected
                                                    Boulevard NE., Atlanta, GA 30319.                       Respondent’s DEA Certificate of                       motion no later than November 13,
                                                       (c) The Office of Unfair Import                      Registration MR1972632, pursuant to                   2015.
                                                    Investigations, U.S. International Trade                which she is authorized to dispense                      On October 26, 2015, the Government
                                                    Commission, 500 E Street SW., Suite                     controlled substances in schedules III                filed its Motion for Summary
                                                    401, Washington, DC 20436; and                          through V, as a mid-level practitioner,               Disposition. As support for the Motion,
                                                       (4) For the investigation so instituted,             as well as the denial of any pending                  the Government attached a copy of the
                                                    the Chief Administrative Law Judge,                     applications to renew or modify her                   decision and order of the Arkansas State
                                                    U.S. International Trade Commission,                    registration, on the ground that she does             Board of Nursing, which summarily
                                                    shall designate the presiding                           not have authority to dispense                        suspended Respondent’s advance
                                                    Administrative Law Judge.                               controlled substances in Arkansas, the                practice nursing license and nursing
                                                       Responses to the complaint and the                   State in which she holds her                          license effective June 19, 2015. Mot. for
                                                    notice of investigation must be                         registration. Show Cause Order at 1.                  Summ. Disp., at Attachment 3, at 3
                                                    submitted by the named respondents in                      The Show Cause Order alleged that                  (Findings of Fact, Conclusions of Law,
                                                    accordance with section 210.13 of the                   Respondent’s registration will not                    and Order, at 3; In re Kristen Lee Raines
                                                    Commission’s Rules of Practice and                      expire until April 30, 2018. Id. The                  Plant Raines (Ark. Bd. of Nursing, June
                                                    Procedure, 19 CFR 210.13. Pursuant to                   Show Cause Order then alleged that the                19, 2015) (hereinafter, Nursing Board
                                                    19 CFR 201.16(e) and 210.13(a), such                    Arkansas State Board of Nursing had                   Order). The Government also provided
                                                    responses will be considered by the                     issued an Order, which summarily                      a printout from the Nursing Board’s
                                                    Commission if received not later than 20                suspended Respondent’s nursing and                    Web site (dated September 4, 2015)
                                                    days after the date of service by the                   advance practice nursing licenses                     showing that both Respondent’s RN and
                                                    Commission of the complaint and the                     effective on June 19, 2015. Id. The Show              Certified Nurse Practitioner licenses
                                                    notice of investigation. Extensions of                  Cause Order thus alleged that                         were suspended. Mot. for Summ. Disp.,
                                                    time for submitting responses to the                    Respondent is ‘‘without authority to                  at Attachment 4.
                                                    complaint and the notice of                             handle controlled substances in                          Respondent opposed the
                                                    investigation will not be granted unless                Arkansas,’’ and as a consequence, her                 Government’s Motion. In her
                                                    good cause therefor is shown.                           DEA registration is subject to                        opposition, Respondent asserted that
                                                       Failure of a respondent to file a timely             revocation. Id. (citing 21 U.S.C. 802(21),            she has been wrongly accused, and that
                                                    response to each allegation in the                      823(f), and 824(a)(3)).                               the State Board’s suspension of her
                                                    complaint and in this notice may be                        Following service of the Show Cause                licenses is the ‘‘result of her wrongful
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    deemed to constitute a waiver of the                    Order, Respondent, through her                        indictment.’’ Resp. Reply to Govt’s Mot.
                                                    right to appear and contest the                         counsel, requested a hearing on the                   for Summ. Disp., at 3. She further
                                                    allegations of the complaint and this                   allegations. In her hearing request,                  argued that the DEA may exercise
                                                    notice, and to authorize the                            Respondent did not dispute that her                   discretion in determining the
                                                    administrative law judge and the                        registration does not expire until April              appropriate sanction and that revocation
                                                    Commission, without further notice to                   30, 2018. Resp. Hearing Req., at 1. Nor               of her registration ‘‘is an unjust and
                                                    the respondent, to find the facts to be as              did she dispute that the Arkansas State               overly severe punishment given the
                                                    alleged in the complaint and this notice                Board of Nursing had summarily                        circumstances, particularly that the


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                                                                                     Federal Register / Vol. 81, No. 53 / Friday, March 18, 2016 / Notices                                         14891

                                                    Government [i.e., the U.S. Attorney]                     interpretive precedent dictate that she is           person licensed, registered or otherwise
                                                    admits it lacks the evidence to                          not entitled to maintain her DEA                     permitted, by . . . the jurisdiction in
                                                    substantiate the criminal indictment                     registration.’’ Order Granting Govt’s                which he practices . . . to distribute,
                                                    against’’ her. Id. at 5. She then                        Mot. for Summ. Disp., at 6. The CALJ                 dispense, [or] administer . . . a
                                                    maintains that suspending her                            thus recommended that I revoke                       controlled substance in the course of
                                                    registration ‘‘pending the outcome [of                   Respondent’s registration.                           professional practice.’’ 21 U.S.C.
                                                    the criminal case] is more appropriate                      Neither party filed exceptions to the             802(21). Second, in setting the
                                                    and fair in light of the facts and                       CALJ’s Recommended Decision.                         requirements for obtaining a
                                                    circumstances of this case,’’ and that                   Thereafter, the record was forwarded to              practitioner’s registration, Congress
                                                    ‘‘[i]t would be a further miscarriage of                 me for Final Agency Action. Having                   directed that ‘‘[t]he Attorney General
                                                    justice to revoke her [registration] on top              reviewed the record in its entirety, I               shall register practitioners . . . if the
                                                    of her criminal indictment absent any                    adopt the CALJ’s factual finding, his                applicant is authorized to dispense . . .
                                                    corroborating evidence thereof.’’ Id. at                 legal conclusion and recommended                     controlled substances under the laws of
                                                    5–6.1                                                    disposition. I make the following                    the State in which he practices.’’ 21
                                                       On November 16, 2015, the CALJ                        findings:                                            U.S.C. 823(f). Because Congress has
                                                    granted the Government’s motion. The                     Findings of Fact                                     clearly mandated that a practitioner
                                                    CALJ correctly rejected Respondent’s                                                                          possess state authority in order to be
                                                    request for a stay of the proceedings,                      Respondent is the holder of DEA                   deemed a practitioner under the Act,
                                                    noting that a stay can rarely be justified               Certificate of Registration MR1972632,               DEA has held repeatedly that revocation
                                                    by the existence of collateral                           pursuant to which she is authorized to               of a practitioner’s registration is the
                                                    proceedings.2 Order Granting Govt’s                      dispense controlled substances in                    appropriate sanction whenever she is no
                                                    Mot. for Summ. Disp., at 4 (citing Grider                schedules III through V, as a mid-level              longer authorized to dispense controlled
                                                    Drug #1 & Grider Drug #2, 77 FR 44070,                   practitioner, at the address of 14312                substances under the laws of the State
                                                    44104 n.97 (2012)). Finding it                           Ridgewood Dr., Little Rock, Arkansas                 in which she practices medicine. See,
                                                    undisputed ‘‘that the Respondent lacks                   72211. Gov. Mot. for Summ. Disp.,                    e.g., Calvin Ramsey, 76 FR 20034, 20036
                                                    state authority to handle controlled                     Attachment 1, at 1. Respondent’s                     (2011); Sheran Arden Yeates, M.D., 71
                                                    substances in the [S]tate of Arkansas,’’                 registration does not expire until April             FR 39130, 39131 (2006); Dominick A.
                                                    the CALJ concluded that ‘‘[b]ecause the                  30, 2018. Id.                                        Ricci, 58 FR 51104, 51105 (1993); Bobby
                                                                                                                Respondent is also the holder of                  Watts, 53 FR 11919, 11920 (1988).
                                                    Respondent lacks such state authority,
                                                                                                             Advanced Practice Registered Nurse                      Thus, the Agency has held that
                                                    both the plain language of applicable
                                                                                                             License A003251 and Registered Nurse                 revocation is warranted even where, as
                                                    federal statutory provisions and Agency
                                                                                                             License R063743 issued by the Arkansas               here, the state board has suspended (as
                                                       1 In opposing the Government’s motion,
                                                                                                             State Board of Nursing. Nursing Board                opposed to revoked) a practitioner’s
                                                    Respondent attached a copy of the indictment, as         Order, at 1. On June 19, 2015, the Board             dispensing authority and that authority
                                                    well as the Assistant United States Attorney’s           ordered the summary suspension of                    may be restored at some point in the
                                                    response and supplemental response to her motion         both of these licenses. Id. at 3.                    future through further proceedings. See
                                                    to compel discovery. Respondent also submitted an
                                                    affidavit in which she asserts that she is not guilty
                                                                                                             According to the results of an online                Ramsey 76 FR at 20036 (citations
                                                    of the charges and that she is confident that the        search using the Arkansas Board’s                    omitted); see also Frederick Marsh
                                                    charges will either be dismissed or that she will be     license verification page, Respondent’s              Blanton, 43 FR 27616 (1978) (revoking
                                                    acquitted. Resp. Reply to Gov. Mot. for Summ.            licenses remain suspended.                           registration of physician whose medical
                                                    Disp., at Ex. C. Therein, she further asserts that she
                                                    has requested a hearing on the Nursing Board’s           Discussion                                           license had been suspended for one
                                                    action, and that she ‘‘expect[s] that [her] nursing                                                           year, but placed on probation for three
                                                    licensed will be restored.’’ Id. at 2. She also             Pursuant to 21 U.S.C. 824(a)(3), the              years thereafter). As the Agency has
                                                    contends that due to the Board’s actions against her     Attorney General is authorized to                    held, the controlling question is not
                                                    licenses, ‘‘the additional revocation of my              suspend or revoke a registration issued
                                                    [registration] would affect no change in my
                                                                                                                                                                  whether a practitioner’s license to
                                                    employment status and is unnecessary and would
                                                                                                             under section 823, ‘‘upon a finding that             practice medicine in the state is
                                                    serve no public purpose.’’ Id. She thus requested        the registrant . . . has had [her] State             suspended or revoked; rather, it is
                                                    that the revocation of her registration be stayed        license . . . suspended [or] revoked                 whether the Respondent is currently
                                                    pending the outcome of her criminal case and the         . . . by competent State authority and is
                                                    Nursing Board’s action. Id.
                                                                                                                                                                  authorized to handle controlled
                                                       2 In his Order, the CALJ noted that ‘‘the Agency
                                                                                                             no longer authorized by State law to                 substances in the state. James L. Hooper,
                                                    recently held revocation proceedings in abeyance at      engage in the . . . dispensing of                    76 FR 71371 (2011) (collecting cases),
                                                    the post-hearing adjudication level for a lengthy        controlled substances.’’ Moreover, DEA               pet. for rev. denied, Hooper v. Holder,
                                                    period pending the resolution of criminal fraud          has long held that the possession of                 481 Fed. Appx. 826 (4th Cir. 2012);
                                                    charges.’’ Order Granting Govt’s Mot. for Summ.          authority to dispense controlled
                                                    Disp., at 4–5 (citing Odette L. Campbell, 80 FR
                                                                                                                                                                  Blanton, 43 FR at 27616 (‘‘As a result of
                                                    41062, 41064 (2015)). However, in Campbell, the          substances under the laws of the State               the suspension of his medical license,
                                                    respondent was indicted on 30 counts of health care      in which a practitioner engages in                   the [r]espondent is no longer authorized
                                                    fraud shortly before the hearing in the matter and       professional practice is a fundamental               to dispense or otherwise handle
                                                    also allowed her registration to expire; indeed, the     condition for obtaining and maintaining
                                                    respondent did not file a new application until
                                                                                                                                                                  controlled substances under the laws of
                                                    three months after the hearing. See 80 FR at 41063.      a practitioner’s registration. See Alfred            Florida. Accordingly . . . the
                                                    Thus, at the time the Administrator’s Office held        Tennyson Smurthwaite, 43 FR 11873                    [r]espondent’s DEA registration must be
                                                                                                             (1978) (‘‘State authorization to handle
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    the case in abeyance, Campbell no longer involved                                                             revoked[.]’’).
                                                    a revocation proceeding. Moreover, had the               controlled substances is a prerequisite                 Respondent further argues that I
                                                    respondent been convicted on the health care fraud
                                                    charges, she would have been subject to mandatory        to the issuance and retention of a                   should consider that the Nursing
                                                    exclusion from federal health care programs and her      Federal controlled substances                        Board’s case ‘‘is the ‘‘result of her
                                                    application would have been subject to denial on         registration.’’) (citations omitted).                wrongful indictment’’ by the United
                                                    this basis. See Arvinder Singh, 81 FR 8247 (2016)           This rule derives from the text of two            States Attorney and that the latter has
                                                    (denying application based, in part, on physician’s
                                                    convictions for health care fraud and mandatory
                                                                                                             provisions of the CSA. First, Congress               admitted that he ‘‘lacks the evidence to
                                                    exclusion from federal health care programs              defined ‘‘the term ‘practitioner’ [to]               substantiate the criminal indictment
                                                    pursuant to 42 U.S.C. 1320a–7(a)).                       mean[ ] a . . . physician . . . or other             against’’ her. This argument is simply a


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                                                    14892                           Federal Register / Vol. 81, No. 53 / Friday, March 18, 2016 / Notices

                                                    collateral attack on the State Board’s                  issued to Kristen Lee Raines, A.P.R.N.,                  connection with suspension, denial, or
                                                    proceeding, whose order suspending her                  be, and it hereby is, revoked. I further                 revocation of registration) has been
                                                    state authority remains in effect as of                 order that any application of Kristen Lee                redelegated to the Deputy Assistant
                                                    this date. The Agency has held,                         Raines, A.P.R.N., to renew or modify                     Administrator of the DEA Office of
                                                    however, ‘‘that a registrant cannot                     this registration be, and it hereby is,                  Diversion Control (‘‘Deputy Assistant
                                                    collaterally attack the result of a state               denied. This Order is effective                          Administrator’’) pursuant to section 7 of
                                                    criminal or administrative proceeding in                immediately.4                                            28 CFR part 0, appendix to subpart R.
                                                    a proceeding under section 304, 21                        Dated: March 11, 2016.                                    In accordance with 21 CFR
                                                    U.S.C. 824, of the CSA.’’ Muzaffer                      Chuck Rosenberg,                                         1301.34(a), this is notice that on July 31,
                                                    Aslan, 77 FR 37068, 37069 (2012) (other                                                                          2015, Cambrex Charles City, 1205 11th
                                                                                                            Acting Administrator.
                                                    citations omitted). ‘‘Rather,                                                                                    Street, Charles City, Iowa 50616–3466
                                                                                                            [FR Doc. 2016–06103 Filed 3–17–16; 8:45 am]
                                                    Respondent’s challenge to the validity                                                                           applied to be registered as an importer
                                                                                                            BILLING CODE 4410–09–P
                                                    of the [Nursing Board’s] Order must be                                                                           of coca leaves (9040), a basic class of
                                                    litigated in the forums provided by the                                                                          controlled substance.
                                                    State of [Arkansas], and [her]                                                                                      The company plans to import the
                                                                                                            DEPARTMENT OF JUSTICE
                                                    contentions regarding the validity of the                                                                        listed controlled substance for internal
                                                    [Board’s] order are not material to this                Drug Enforcement Administration                          use, and to manufacture bulk
                                                    Agency’s resolution of whether [she] is                                                                          intermediates for sale to its customers.
                                                    entitled to maintain [her] DEA                          [Docket No. DEA–392]
                                                                                                                                                                       Dated: March 8, 2016.
                                                    registration in’’ Arkansas. Id.                                                                                  Louis J. Milione,
                                                       Because it is undisputed that                        Importer of Controlled Substances
                                                    Respondent’s Arkansas Advanced                          Application: Cambrex Charles City                        Deputy Assistant Administrator.
                                                    Practice Nursing License remains                                                                                 [FR Doc. 2016–06102 Filed 3–17–16; 8:45 am]
                                                                                                            ACTION:   Notice of application.
                                                    suspended, I find that she no longer has                                                                         BILLING CODE 4410–09–P
                                                    authority under the laws of Arkansas,                   DATES:  Registered bulk manufacturers of
                                                    the State in which she is registered, to                the affected basic class, and applicants
                                                    dispense controlled substances. See                     therefore, may file written comments on                  DEPARTMENT OF LABOR
                                                    Ark. Code Ann. Section 17–87–310                        or objections to the issuance of the
                                                    (b)(1) (‘‘An advanced practice registered                                                                        Employment and Training
                                                                                                            proposed registration in accordance
                                                    nurse with a certificate of prescriptive                                                                         Administration
                                                                                                            with 21 CFR 1301.34(a) on or before
                                                    authority may receive and prescribe                     April 18, 2016. Such persons may also                    Agency Information Collection
                                                    drugs, medicines, or therapeutic devices                file a written request for a hearing on                  Activities; Comment Request for State
                                                    appropriate to the advanced practice                    the application pursuant to 21 CFR                       Retention of Applications and Job
                                                    registered nurse’s areas of practice in                 1301.43 on or before April 18, 2016.                     Orders
                                                    accordance with rules established by the                ADDRESSES: Written comments should
                                                    Arkansas State Board of Nursing.’’).                    be sent to: Drug Enforcement                             ACTION:   Notice.
                                                    Therefore, she is not entitled to                       Administration, Attention: DEA Federal
                                                    maintain her DEA registration. See 21                   Register Representative/ODW, 8701                        SUMMARY:   The Department of Labor
                                                    U.S.C. 802(21), 823(f), 824(a)(3).                      Morrissette Drive, Springfield, Virginia                 (DOL) is soliciting comments
                                                    Accordingly, I will order that her                      22152. Request for hearings should be                    concerning a proposed extension
                                                    registration be revoked and that any                    sent to: Drug Enforcement                                without changes of the data retention
                                                    pending application to renew or modify                  Administration, Attention: Hearing                       required by CFR 652.8(d)(5) of the
                                                    her registration be denied.3                            Clerk/LJ, 8701 Morrissette Drive,                        Wagner-Peyser Act. This comment
                                                                                                            Springfield, Virginia 22152. Comments                    request is part of continuing
                                                    Order
                                                                                                            and request for hearings on application                  Departmental efforts to reduce
                                                      Pursuant to the authority vested in me                                                                         paperwork and respondent burden in
                                                                                                            to import narcotic raw material are not
                                                    by 21 U.S.C. 823(f) and 824(a), as well                                                                          accordance with the Paperwork
                                                                                                            appropriate. 72 FR 3417 (January 25,
                                                    as 28 CFR 0.100(b), I order that DEA                                                                             Reduction Act of 1995 (PRA), 44 U.S.C.
                                                                                                            2007).
                                                    Certificate of Registration MR1972632,                                                                           3501 et seq.
                                                                                                            SUPPLEMENTARY INFORMATION: The
                                                                                                                                                                     DATES: Consideration will be given to all
                                                       3 While Respondent also asked that I stay the        Attorney General has delegated her
                                                    revocation of her registration pending the resolution   authority under the Controlled                           written comments received by May 17,
                                                    of the criminal case and nursing board proceeding,      Substances Act to the Administrator of                   2016.
                                                    I decline to do so. As the Agency has previously                                                                 ADDRESSES: A copy of this ICR with
                                                    explained, ‘‘in circumstances similar to those raised   the Drug Enforcement Administration
                                                    by Respondent, DEA has repeatedly denied requests       (DEA), 28 CFR 0.100(b). Authority to                     applicable supporting documentation;
                                                    to stay the issuance of a final order of revocation,    exercise all necessary functions with                    including a description of the likely
                                                    noting that [u]nder the Controlled Substances Act,      respect to the promulgation and                          respondents, proposed frequency of
                                                    a practitioner must be currently authorized to                                                                   response, and estimated total burden
                                                    handle controlled substances in the jurisdiction in     implementation of 21 CFR part 1301,
                                                    which [she] practices in order to maintain [her]        incident to the registration of                          may be obtained free by contacting the
                                                    DEA registration.’’ Gregory F. Saric, 76 FR 16821,      manufacturers, distributors, dispensers,                 U.S. Department of Labor, Employment
                                                                                                                                                                     and Training Administration, Attention:
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                                                    16822 (2011) (internal quotations and citations         importers, and exporters of controlled
                                                    omitted). Of further note, Respondent’s advanced                                                                 Adriana Kaplan, by telephone at (202)
                                                    practice nursing license was suspended more than        substances (other than final orders in
                                                    8 months ago, and yet her license still remains
                                                                                                                                                                     693–3740 (this is not a toll free number),
                                                    suspended. And while Respondent asserts that the          4 For the same reasons which led the Nursing           by email, at kaplan.adriana@dol.gov,
                                                    Nursing Board’s suspension is the result of the         Board to conclude ‘‘that an emergency exists             TTY/TDD, 1–877–889–5627, (this is a
                                                    wrongful indictment, she ignores that the Board’s       constituting a threat to the public health, safety and   toll-free number), by fax at (202) 693–
                                                    order also relied on her having ‘‘prescribed opioids    welfare’’ and to order the summary suspension of
                                                    from November 13, 2014 through January 7, 2015          Respondent’s licenses, I conclude that the public
                                                                                                                                                                     3587, or by email at 200 Constitution
                                                    without prescriptive authority.’’ Nursing Board         interest necessitates that this Order be effective       Avenue NW., Room S–4209,
                                                    Order, at 2.                                            immediately. 21 CFR 1316.67.                             Washington, DC 20210.


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Document Created: 2018-02-02 15:14:07
Document Modified: 2018-02-02 15:14:07
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 Citation81 FR 14890 

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