81_FR_47551 81 FR 47411 - Turning Tide, Inc. Decision and Order; Procedural History

81 FR 47411 - Turning Tide, Inc. Decision and Order; Procedural History

DEPARTMENT OF JUSTICE
Drug Enforcement Administration

Federal Register Volume 81, Issue 140 (July 21, 2016)

Page Range47411-47416
FR Document2016-17245

Federal Register, Volume 81 Issue 140 (Thursday, July 21, 2016)
[Federal Register Volume 81, Number 140 (Thursday, July 21, 2016)]
[Notices]
[Pages 47411-47416]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-17245]


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

DEPARTMENT OF JUSTICE

Drug Enforcement Administration

[Docket No. 10-71]


Turning Tide, Inc. Decision and Order; Procedural History

    On August 17, 2010, the former Administrator of the Drug 
Enforcement Administration issued an Order to Show Cause and Immediate 
Suspension of Registration (hereinafter, Show Cause Order or Order) to 
Turning Tide, Inc. (Respondent), of Rockland, Maine. Show Cause Order, 
at 1. The Show Cause Order proposed the revocation of Respondent's DEA 
Certificate of Registration RT0370015,\1\ which authorized it to 
dispense controlled substances as a Narcotic Treatment Program pursuant 
to 21 U.S.C. 823(g)(1), and the denial of any pending applications to 
renew or modify its registration, on the ground that its ``continued 
registration is inconsistent with the public interest, as that term is 
defined in 21 U.S.C. 823(f).'' Id. at 1.
---------------------------------------------------------------------------

    \1\ The Order alleged that Respondent's registration was due to 
expire on November 30, 2010.
---------------------------------------------------------------------------

    The Show Cause Order specifically alleged that ``Respondent is 
owned by Angel Fuller-McMahan'' and that its ``registration is 
conditioned upon a Memorandum of Agreement (MOA) with DEA which 
prohibits Ms. Fuller-McMahan from (1) having physical access to 
Respondent's premises; (2) ordering controlled substances on behalf of 
Respondent; and (3) executing any renewal applications . . . on behalf 
of Respondent.'' Id. at 1-2. The Order then alleged that Ms. Fuller-
McMahan had been arrested on July 13, 2010 and charged with unlawful 
possession of cocaine, and that at the time of her arrest, she had in 
her possession approximately 25 grams of cocaine and two hypodermic 
needles.\2\ Id. at 2. The Order further alleged that Ms. Fuller-McMahan 
had ``arranged to purchase cocaine'' from both a patient and an 
employee of Respondent. Id. The Order also alleged that ``[w]hile 
serving as Respondent's Program Director, Ms. Fuller-McMahan approached 
another patient . . . and offered to trade methadone for cocaine'' by 
``creat[ing] a fraudulent order for methadone,'' even though she was 
then prohibited by the MOA from ordering controlled substances on 
behalf of Respondent. Id. The Order then alleged that Ms. Fuller-
McMahan had purchased cocaine in three separate ``illegal drug 
transactions with another of Respondent's patients.'' Id.
---------------------------------------------------------------------------

    \2\ The Order also alleged that on August 31, 2001, Ms. Fuller-
McMahan had been convicted in state court of unlawful possession of 
heroin. Show Cause Order, at 2.
---------------------------------------------------------------------------

    Next, the Show Cause Order alleged that notwithstanding the MOA's 
terms, ``Ms. Fuller-McMahan continues to retain control and have 
supervisory authority over key aspects of Respondent's operation,'' 
that she had represented to a patient ``that she has access to 
controlled substances which are ordered on behalf of Respondent,'' and 
that she has ``repeatedly violated the terms of the MOA by entering the 
physical premises of [Respondent] and executing a renewal application 
on [its] behalf.'' Id. Finally, the Order alleged that Respondent 
``continued to employ Ms. Fuller-McMahan's husband, Vance McMahan, 
despite the fact that Mr. McMahan has been convicted of illegal drug 
possession and has access to Respondent's controlled substances and 
confidential patient information.'' Id.
    Based on the above allegations, the former Administrator concluded 
that Respondent's continued registration during the pending of the 
proceeding would ``constitute an imminent danger to the public health 
and safety'' and therefore ordered that its registration be suspended 
immediately. Id. at 3 (citing 21 U.S.C. 824(d)). The former 
Administrator also authorized the Special Agents and Diversion 
Investigators who served the Order to either ``place under seal or to 
remove for safekeeping all controlled substances that [Respondent] 
possesses pursuant to the registration which [was] suspended.'' Id. 
(citing 21 U.S.C. 824(f) and 21 CFR 1301.36(f)).
    Thereafter, Respondent requested a hearing on the allegations and 
the matter was placed on the docket of the Agency's Administrative Law 
Judges (ALJ). Following the ALJ's issuance of an Order for Pre-Hearing 
Statements, the Government moved for summary disposition on the ground 
that on September 7, 2010, the Maine Department of Health and Human 
Services (MDHHS) had temporarily suspended Respondent's Substance Abuse 
Treatment license. ALJ Dec., at 3. As support for the motion, the 
Government attached a letter dated September 7, 2010 from the Director 
of the MDHHS's Division of Licenses & Regulatory Services to Ms. 
Fuller-McMahan. Mot. for Summ. Disp., at Ex. 2. Therein, the Director 
stated that MDHHS was ``revoking on an emergency basis for a period not 
to exceed thirty days the agency's licenses to operate an Opioid 
Treatment Program and . . . Outpatient Substances Abuse Services.'' Id. 
(citing 14-118 C.M.R. Ch. 5, Sec.  2.10.9). The letter further stated 
that ``[t]he Department reserves its right to petition the District 
Court to extend the period of license revocation in accordance with 4 
M.R.S.A. Sec.  184(6) and 5 M.R.S.A. Sec.  10003.'' Id. at 2.
    Upon reviewing the motion, the ALJ directed Respondent to file a 
response to the Government's motion, which Respondent did after 
obtaining an extension.\3\ ALJ Dec., at 3. Thereafter, the Government 
filed a further pleading in which it noted that MDHHS had filed a 
complaint in state court seeking the temporary suspension and permanent 
revocation of Respondent's Maine

[[Page 47412]]

Alcohol and Drug Treatment Certificate of Licensure. Reply to 
Opposition to Gov. Mot. for Summ. Disp., at 2. As support for its 
position, the Government attached a copy of the State's complaint with 
supporting exhibits, the summons and return of service, and a draft of 
an order entitled: Order Relating To Plaintiff's Application For 
Temporary Suspension Of License Pending Judicial Review. However, 
absent from the evidence was a court order extending the revocation of 
Respondent's state license.
---------------------------------------------------------------------------

    \3\ Respondent argued that the proposed revocation of its DEA 
registration would violate its right to due process because it was 
based on the MDHHS suspension, which in turn, was based on the DEA 
Order to Show Cause and Immediate Suspension of Registration. See 
Response In Opposition To The DEA Motion For Summary Disposition, at 
2-5.
---------------------------------------------------------------------------

    On October 6, 2010, the ALJ issued her recommended decision. 
Notwithstanding that the temporary suspension ordered by the Director 
of the MDHHS was due to expire on the following day and could not be 
extended without a court order, the ALJ granted the Government's motion 
for summary disposition on the ground that it was undisputed that 
Respondent ``lacks the authority to currently handle controlled 
substances under state law,'' and thus, it was not entitled to maintain 
its DEA registration. ALJ at 5-6. The ALJ therefore recommended that 
Respondent's registration be revoked. Id. at 10.
    On October 27, 2010, the ALJ forwarded the record to the 
Administrator's Office for final agency action. However, at no time did 
the Government move to supplement the record with evidence showing that 
the state court had extended the suspension of Respondent's state 
license.
    Upon review of the record, the former Administrator noted that 
Respondent's DEA registration had expired on November 30, 2010. A 
subsequent query of the Agency's registration records determined that 
Respondent had not filed a renewal application. Moreover, public 
records of the State indicated that Respondent was no longer in 
business. Accordingly, the former Administrator directed the parties to 
address why the case was not moot and to specifically identify what 
collateral consequence existed which precluded a finding of mootness. 
Order of the Administrator (Sept. 20, 2011), at 1-2 (citing RX Direct 
Pharmacy, Inc., 72 FR 54070 (2007)).
    Only the Government filed a response. Therein, the Government noted 
that upon service of the Immediate Suspension Order, it ``seized and 
placed under seal various controlled substances from Respondent's 
facility.'' Id. at 1 (citing Affidavit of DI). According to the DI, the 
Agency seized 121 unopened 500 ml bottles of methadone 10mg/ml; 18 
opened 500 ml bottles of methadone 10mg/ml ``containing various amounts 
of methadone''; and 23 individual ``take home'' doses of methadone. GX 
10, at 3.
    Noting that under the Controlled Substances Act, `` `[a]ll right, 
title and interest in' any controlled substances seized pursuant to a 
suspension order `vests in the United States upon a revocation order 
being[sic] final' and `shall be forfeited to the United States,' '' the 
Government argued that if the case ``is declared moot and dismissed, 
title to the controlled substances will be left undetermined.'' Id. 
(quoting 21 U.S.C. 824(f)). The Government further noted that `` `DEA 
has previously held that ``a litigant cannot defeat the effect of this 
provision by simply allowing its registration to expire.'' ' '' Id. 
(quoting East Main Street Pharmacy, 75 FR 66149 (2010) (other citation 
omitted)). Id. The Government thus maintained that the ``case 
remain[ed] a live controversy'' and requested the issuance of a final 
order. Id. at 2.
    Upon review of the matter, the former Administrator agreed with the 
Government that the case was not moot. Order Remanding for Proceedings, 
at 6 (May 20, 2013). She concluded, however, that a final order based 
on Respondent's lack of state authority could not resolve the issue of 
title to the drugs that were seized for two reasons. First, she 
explained that the Immediate Suspension Order, which provided authority 
for the seizure, was not based on Respondent's lack of state authority. 
Id. at 6. Second, she observed that ``even if a subsequent loss of 
state authority could be used to support the forfeiture of drugs which 
have been seized based on entirely different factual allegations and 
legal grounds, the Government [was] not entitled to prevail'' because 
the ``contention that Respondent lacked state authority was not 
supported by substantial evidence.'' Id. at 7. The former Administrator 
then observed that the MDHHS' suspension order was due to expire the 
day after the ALJ issued her recommended decision (and even before the 
record was forwarded to the Administrator's Office) and that while the 
Government had submitted a copy of the State's complaint which sought 
to extend the suspension, a summons, and an unsigned proposed order 
extending the suspension, the Government produced no evidence ``that 
the state court had continued the suspension past the initial thirty 
days imposed by the MDHHS.'' Id. Because the record did not support the 
finding required under 21 U.S.C. 824(a)(3), the former Administrator 
remanded the case for further proceedings consistent with her opinion. 
Id. at 8.
    On remand, the ALJ ordered the parties to file and serve their 
respective prehearing statements. Order for Prehearing Statements (GX 
11), at 1. The Government timely complied. Termination Order (GX 12), 
at 1. Thereafter, Respondent moved to enlarge the time for filing its 
prehearing statement. Id. While the ALJ granted the motion and extended 
the due date of Respondent's statement by three weeks, Respondent 
failed to comply. Id. Accordingly, twelve days later, the ALJ held, sua 
sponte, that ``Respondent ha[d] constructively waived its right to a 
hearing'' and ordered that the hearing be terminated. Id. at 2.
    Thereafter, the Government submitted a Request for Final Agency 
Action along with the investigative record to the Administrator's 
Office. Upon review of the record, the former Administrator adopted the 
ALJ's finding that Respondent had waived its right to a hearing as to 
the validity of the Immediate Suspension Order and the seizure of the 
controlled substances. However, the former Administrator denied the 
Government's Request for Final Agency Action, reasoning that the public 
interest provisions of 21 U.S.C. 823(f) and 824(a)(4), which the 
Government relied on as the source of its authority to immediately 
suspend Respondent's registration, do not apply to a Narcotic Treatment 
Program. Order Denying Government's Request for Final Agency Action, at 
9 (May 11, 2015).
    As the former Administrator explained, Respondent was registered 
under 21 U.S.C. 823(g)(1). Under this provision, ``[t]he Attorney 
General shall register an applicant to dispense narcotic drugs to 
individuals for maintenance [and/] or detoxification treatment'' if the 
following three conditions are met:

    (A) if the applicant is a practitioner who is determined by the 
Secretary to be qualified (under standards established by the 
Secretary) to engage in the treatment with respect to which 
registration is sought;
    (B) if the Attorney General determines that the applicant will 
comply with standards established by the Attorney General respecting 
(i) security of stocks of narcotic drugs for such treatment, and 
(ii) the maintenance of records (in accordance with section 827 of 
this title) on such drugs; and
    (C) if the Secretary determines that the applicant will comply 
with standards established by the Secretary (after consultation with 
the Attorney General) respecting the quantities of narcotic drugs 
which may be provided for unsupervised use by individuals in such 
treatment.

    21 U.S.C. 823(g)(1).
    The former Administrator explained that in contrast to every other 
category of registration set forth in section 823, this provision does 
not grant the Attorney General authority to deny an

[[Page 47413]]

application upon a determination ``that the issuance of such 
registration . . . would be inconsistent with the public interest.'' 
Order Denying Govt.'s Req., at 9 (comparing 21 U.S.C. 823(g)(1) with 
id. Sec.  823(f); see also id. Sec.  823(a), (b), (c), (d), (e), and 
(h). The former Administrator also observed that, in contrast to every 
other category of registration set forth in section 823, Congress did 
not characterize these three provisions as ``factors'' to be considered 
and given discretionary weight ``[i]n determining the public 
interest.'' Order Denying Govt.'s Req., at 9 (comparing Sec.  823(g) 
with id. Sec.  823(f); see also id. Sec.  823(a), (b), (c), (d), (e), 
and (h). Rather, the three subparagraphs of section 823(g)(1) are 
conditions for registration.
    With respect to the Agency's authority to revoke a registration, 
the former Administrator noted that while 21 U.S.C. 824(a) sets forth 
five different ground for revoking a registration, it also contains a 
specific provision which governs the Agency's authority to revoke a 
registration with respect to a Narcotic Treatment Program. This 
provision states that:

    A registration pursuant to section 823(g)(1) of this title to 
dispense a narcotic drug for maintenance treatment or detoxification 
treatment may be suspended or revoked by the Attorney General upon a 
finding that the registrant has failed to comply with any standard 
referred to in section 823(g)(1) of this title.

    Id. Sec.  824(a). So too, section 824(d) provides that ``[a] 
failure to comply with a standard referred to in section 823(g)(1) of 
this title may be treated under this subsection as grounds for 
immediate suspension of a registration granted under such section.'' 
Id. Sec.  824(d).
    The former Administrator noted that section 824(a)(4) authorizes 
the revocation of a registration upon a finding that a registrant ``has 
committed such acts as would render [its] registration under section 
823 of this title inconsistent with the public interest as determined 
under such section.'' Order Denying Govt.'s Req., at 7. However, based 
on the provisions of section 823(g)(1) and the specific provision 
governing the revocation of an NTP registration for non-compliance with 
any standard referred to in 823(g)(1), the former Administrator 
explained that even assuming that the public interest revocation 
authority of section 824(a)(4) could be invoked in this proceeding, 
this provision does not grant the Government any additional authority 
because the determination must be made by reference to the standards 
set forth in section 823(g)(1). Id. at 8-9.
    The former Administrator further noted that because Respondent's 
registration was issued pursuant to section 823(g)(1), it was clear 
that the public interest standard of section 823(f) has no application 
in this proceeding. Id. at 9. She then held that, consistent with 
section 824(a), the suspension order could only be sustained if the 
Government put forward sufficient evidence to support ``a finding that 
the registrant has failed to comply with any standard referred to in 
section 823(g)(1).'' Id.
    The former Administrator noted, however, that the allegations of 
the Order to Show Cause and Immediate Suspension Order may, if 
supported by substantial evidence, establish that Respondent failed to 
comply with the standards of section 823(g)(1). Id. However, because in 
its Request for Final Agency Action, the Government had not addressed 
which of the standards had been violated and how so, the former 
Administrator denied the Government's Request for Final Agency Action. 
Id. Analogizing the Government's Request to a motion for summary 
judgment, the former Administrator then explained that just as the 
denial of a motion for summary judgment is an interlocutory order and 
not a final decision, so too the denial of the Government's Request for 
Final Agency Action is an interlocutory order and not a final decision 
of the Agency. Id. (citing, inter alia, R.R. Donnelley & Sons Co. v. 
FTC, 931 F.2d 430, 431 (7th Cir. 1991) (holding that the denial of a 
motion for summary judgment is an interlocutory order and not a final 
judgment)). The former Administrator thus provided the Government with 
the opportunity to file a successive Request for Final Agency Action. 
Id.
    Thereafter, the Government attempted to establish that this matter 
had become moot because there was no need to determine title to the 
drugs that were seized pursuant to the ISO. The basis for the 
Government's contention was that: (1) The drugs had since passed their 
expiration date, (2) Respondent's successor-in-interest (Ms. Fuller-
McMahan) had not responded to a letter from the Special Agent in Charge 
of the local Field Division which offered her the opportunity to make 
arrangements for the disposal of the drugs, and (3) in a phone call 
with an Agency Investigator months later, Ms. Fuller-McMahan permitted 
the Agency to destroy the drugs. I found, however, that Ms. Fuller-
McMahan's actions did not relinquish Respondent's title to the 
property. Order, at 1-2 (Mar. 16, 2016).
    Subsequently, the Government again suggested that the case was moot 
because it had determined that a creditor (Coastal Enterprises, Inc.) 
had placed a lien against Respondent assets, and that Coastal had 
executed a release of its claims against the drugs the Agency had 
seized. I rejected this as sufficient to establish mootness because the 
Government continued to acknowledge that Ms. Fuller-McMahan is 
Respondent's successor-in-interest and because the Government produced 
no evidence that Coastal had foreclosed on its lien and/or obtained a 
judgment against Respondent. Order, at 1 (May 4, 2016).
    Thereafter, the Government resubmitted its Request for Final Agency 
Action. See Second Req. for Final Agency Action. Ms. Fuller-McMahan 
also submitted a letter to me stating that she has in her ``possession 
documents and recordings that refute these allegations.'' Letter from 
Angel Fuller-McMahan to the Acting Administrator (May 20, 2106). 
However, Ms. Fuller-McMahan did not provide either the documents or the 
recordings, and in any event, the former-Administrator remanded this 
matter to the Office of Administrative Law Judges for the express 
purpose of allowing Respondent to challenge the Suspension Order. While 
Respondent initially indicated its intent to participate in the 
hearing, it failed to comply with the ALJ's Order and file a Prehearing 
Statement. As a result, the ALJ found that Respondent had waived its 
right to a hearing and terminated the proceeding. Thereafter, the 
former Administrator adopted the ALJ's waiver finding. Order Denying 
Government's Request for Final Agency Action, at 6 (May 11, 2015). Ms. 
Fuller-McMahan has offered no reason to reconsider that finding. 
Accordingly, based on the Investigative File submitted by the 
Government, I make the following finding of fact.

Findings

    Respondent, an administratively-dissolved corporation, was formerly 
registered as a Narcotic Treatment Program under 21 U.S.C. 823(g)(1). 
Ms. Angel Fuller-McMahan was the owner of the corporation.
    On August 31, 2001, Ms. Fuller-McMahan, following her entry into a 
plea agreement, was convicted by the Maine Superior Court of the 
unlawful possession of heroin and given a suspended sentenced of two 
years imprisonment and one year of probation. GX 3, at 1. She also 
enrolled in a methadone maintenance program. Id.

[[Page 47414]]

    On October 18, 2007, Ms. Fuller-McMahan filed a new application on 
behalf of Respondent for registration as a Narcotic Treatment Program. 
Id. On June 13, 2008, Ms. Fuller-McMahan entered into Memorandum of 
Agreement (MOA) with DEA's New England Field Division, pursuant to 
which the Agency granted Respondent's application subject to certain 
conditions. Id. at 1-2. As relevant here, these included that: (1) Ms. 
Fuller-McMahan ``is prohibited from ordering any controlled substances 
and will execute a power of attorney authorizing one of her management 
staff to order the controlled substances''; (2) that ``the same 
management staff will'' execute Respondent's renewal applications; (3) 
Ms. Fuller-McMahan ``will not have physical access to the registered 
location'' or ``any keys or codes to the alarm system''; (4) Ms. 
Fuller-McMahan ``will not be enrolled as a client of'' Respondent and 
``will not guest dose at [it] under any circumstances.'' Id. at 1. The 
MOA further provided that ``[v]iolations of the terms . . . may result 
in an order to show cause to revoke, or revoke and immediately 
suspend'' its DEA registration, and that in any such proceeding, ``DEA 
reserves the right to introduce into evidence . . . this Agreement and 
violations of this Agreement.'' Id. at 1-2. On June 23, 2008, the then 
Special Agent in Charge of the Field Division approved the MOA, id. at 
2, and on July 1, 2008, Respondent's application was approved. GX 2, at 
2.
    On December 11, 2008, J.C., a pharmacist, executed a state board 
application to become Respondent's new Pharmacist-in-Charge. GX 16, at 
1. On the application, J.C. listed Ms. Fuller-McMahan as an 
``authorized person.'' Id. at 6. According to a regulation of the Maine 
Board of Pharmacy, ``[a]n `authorized person' is a person other than a 
pharmacy technician (e.g., computer technician, bookkeeper) who the 
pharmacist in charge has designated to be present in the prescription 
filling area in the absence of a pharmacist.'' GX 17, at 1 (copy of 02-
392 CMR Ch. 1, Sec.  1).
    According to the affidavit of a Supervisory Special Agent with the 
Maine Drug Enforcement Agency (MDEA), on November 3, 2009, he 
``interviewed M.K., a former patient'' of Respondent. GX 15, at 2. The 
Agent further explained that M.K. had called him ``and requested to 
speak to [him] in exchange for consideration with M.K.'s pending drug 
charges.'' Id. The Agent further explained that an interview was 
arranged and that ``no promises were made to M.K. in exchange for any 
information she might divulge.'' Id.
    According to the Agent, during her interview, M.K. stated that Ms. 
Fuller-McMahan had ``approached her and asked her to procure cocaine 
for which [Fuller-McMahan] would be willing to trade methadone 
purchased on behalf of'' Respondent. Id. M.K. further stated that Ms. 
Fuller-McMahan had said ``that she intended to create a falsified order 
for methadone to be purchased by'' Respondent for the purported use by 
prisoners at the county jail ``for drug treatment,'' and that she would 
trade this methadone for cocaine. Id.
    The Agent also averred that M.K. had named two other persons who 
were obtaining methadone at Respondent for drug treatment and selling 
it. Id. According to the Agent, ``M.K. stated she had purchased 
controlled substances from these'' two persons. Id. The Agent did not, 
however, clarify whether M.K. had purchased methadone from these 
persons. While according to the Agent, M.K. offered to perform 
undercover buys from these persons, the Agent offered no evidence that 
any such buys were performed. Moreover, no further evidence was 
provided establishing that Respondent was improperly dispensing 
methadone to these two persons. See 42 CFR 8.12(i) (regulations 
governing ``[u]nsupervised or `take home use' '').
    In his affidavit, the Agent testified that on July 13, 2010, Ms. 
Fuller-McMahan was arrested and charged with Possession of Cocaine, a 
felony offense under Maine Law. Id. at 1 (citing 17-A M.R.S.A. Sec.  
1107-A). The Agent further stated that Ms. Fuller-McMahan was in 
possession of ``approximately 25 grams of powdered cocaine'' and two 
syringes which she had obtained from J.R., a patient of Respondent, who 
performed an undercover sale for the MDEA. Id.
    After her arrest, Ms. Fuller-McMahan waived her Miranda rights and 
was interviewed by the Agent; a video recording of the interview was 
provided by the Government. During the interview, Ms. Fuller-McMahan 
stated that she intended to deliver the cocaine to C.G., a drug and 
alcohol counselor employed by Respondent. Id. She also ``admitted that 
she was using cocaine and had ingested cocaine in the last three 
weeks.'' Id. During the interview, Ms. Fuller-McMahan asked the Agent: 
``can you charge me with something else? Less? . . . If I agree to not 
go into Turning Tide . . . or to fight it, ever . . . back out 
completely?'' Id. at 2.
    Thereafter, the State charged Ms. Fuller-McMahan with two counts of 
unlawful possession of a scheduled drug. GX 4, at 1. Ms. Fuller-McMahan 
pled guilty to one of the counts, and on October 28, 2010, Ms. Fuller-
McMahan was convicted by the Superior Court of a single count of 
unlawful possession of a scheduled drug. Id. The court sentenced Ms. 
Fuller-McMahan to 364 days in the county jail, but suspended all but 30 
days of the sentence; the court also placed her on probation for a 
period of one year. Id.
    On some date which is not clear from the evidence, Respondent, 
through its attorney, surrendered its state licenses to operate an 
Opioid Treatment Program and Outpatient Substance Abuse Services; 
Respondent also surrendered its pharmacy license. GX 5. Respondent also 
allowed its registration to expire.\4\
---------------------------------------------------------------------------

    \4\ The Government put forward no evidence in support of the 
allegation that Respondent ``continues to employ Ms. Fuller-
McMahan's husband . . . despite the fact that [he] has been 
convicted of illegal drug possession and has access to Respondent's 
controlled substances and confidential patient information.'' GX 1, 
at 2. Nor did it put forward any evidence as to the allegations that 
she had engaged in three other illegal purchases of cocaine with 
another of Respondent's patients.
---------------------------------------------------------------------------

Discussion

    As previously held, because Respondent's registration has expired, 
and there is no application to act upon, the only issue remaining in 
the proceeding is whether the Government can claim title to the 
controlled substances it seized pursuant to the authority granted by 
the Immediate Suspension Order. See S & S Pharmacy, Inc., 78 FR 57656, 
57659 (2013); RX Direct Pharmacy, Inc., 72 FR 54070, 54072 (2007). 
Pursuant to 21 U.S.C. 824(f),

    In the event the Attorney General suspends or revokes a 
registration under section 823 of this title, all controlled 
substances . . . owned or possessed by the registrant pursuant to 
such registration at the time of suspension or the effective date of 
the revocation order, as the case may be, may, in the discretion of 
the Attorney General, be placed under seal. . . . Upon a revocation 
order becoming final, all such controlled substances . . . shall be 
forfeited to the United States; and the Attorney General shall 
dispose of such controlled substances . . . in accordance with 
section 881(e) of this title. All right, title, and interest in such 
controlled substances . . . shall vest in the United States upon a 
revocation order becoming final.

    DEA has previously held that a registrant, whose property has been 
seized pursuant to an Immediate Suspension Order, cannot defeat the 
effect of this provision by allowing its registration to expire. See, 
e.g., Meetinghouse Community Pharmacy, Inc., 74 FR 10073, 10076 n.5 
(2009).

[[Page 47415]]

    As explained above, section 824(a) sets forth a specific provision 
which grants the Agency authority to suspend or revoke the registration 
of a Narcotic Treatment Program. This provision states that:

    A registration pursuant to section 823(g)(1) of this title to 
dispense a narcotic drug for maintenance treatment or detoxification 
treatment may be suspended or revoked by the Attorney General upon a 
finding that the registrant has failed to comply with any standard 
referred to in section 823(g)(1) of this title.

    Id. Sec.  824(a). So too, section 824(d) provides that ``[a] 
failure to comply with a standard referred to in section 823(g)(1) of 
this title may be treated under this subsection as grounds for 
immediate suspension of a registration granted under such section.'' 
Id. Sec.  824(d). Thus, consistent with section 824(a), the former 
Administrator held that the suspension order can only be sustained if 
the Government puts forward sufficient evidence to support ``a finding 
that the registrant has failed to comply with any standard referred to 
in section 823(g)(1).''
    Of the three standards for registration as an NTP set forth in 21 
U.S.C. 823(g)(1), the Government invokes only subparagraph B. It 
authorizes ``the Attorney General [to] determine[] that the applicant 
will comply with standards established by the Attorney General 
respecting (i) security of stocks of narcotic drugs for such treatment, 
and (ii) the maintenance of records (in accordance with section 827 of 
this title) on such drugs.'' 21 U.S.C. 823(g)(1)(B) (emphasis added).
    The Government argues that ``Ms. Fuller-McMahan's conduct 
demonstrated that she was a security threat to [Respondent] and, 
accordingly, a security risk to its stocks of controlled substances.'' 
Second Request for Final Agency Action, at 10. It further argues that 
her ``continued ownership and control over Respondent's clinic 
constituted an imminent danger to the public health or safety.'' Id. 
(citing 21 U.S.C. 824(d)). And it argues that ``[b]y permitting Ms. 
Fuller-McMahan to act as Turning Tide's director and continue to have 
control over the drug treatment facility, Respondent failed to comply 
with standards respecting the `security of stocks of narcotic drugs for 
. . . treatment,' '' and thus violated section 823(g)(1)(B). Id. at 11.
    Invoking the terms of the MOA, the Government argues that ``the 
evidence paints a far different picture of Ms. Fuller-McMahan's 
involvement in [Respondent] than that contemplated by'' the MOA. Id. 
First, the Government argues that Ms. Fuller-McMahan admitted that she 
remained Turning Tide's director. Id. The Government does not, however, 
point to any provision of the MOA which prohibited Ms. Fuller-McMahan 
from acting as Turning Tide's director.
    Stronger is the Government's claim that Ms. Fuller-McMahan violated 
the MOA because she was entering its physical premises. The MOA 
specifically prohibited her from ``hav[ing] physical access to the 
registered location,'' GX 3, at 1; and as found above, during the 
interview which followed her arrest, Ms. Fuller-McMahan clearly tried 
to negotiate a lesser charge for agreeing not to go into the clinic. 
See id. Moreover, the Government produced the application filed by 
Respondent's PIC, in which he designated her as an ``authorized 
person,'' GX 16, at 4; which under Maine's regulation authorized her 
``to be present in the prescription filling area in the absence of a 
pharmacist.'' GX 17.
    Yet there is no evidence that Ms. Fuller-McMahan ever actually 
entered the pharmacy or that she possessed the keys or the alarm code 
for the pharmacy.\5\ See, e.g., 21 CFR 1301.72(d) (``The controlled 
substances storage areas shall be accessible only to an absolute 
minimum of specifically authorized employees.''). Thus, while the 
evidence supports a finding that Ms. Fuller-McMahan had access to the 
clinic and thus violated the MOA, by itself, this conclusion does not 
support a finding that Respondent posed ``an imminent danger to the 
public health or safety,'' 21 U.S.C. 824(d), as is required to support 
the Order of Immediate Suspension.
---------------------------------------------------------------------------

    \5\ The record contains no evidence of interviews of any 
employees who might have observed her entering the pharmacy.
---------------------------------------------------------------------------

    The Government further argues that ``[b]y executing a renewal 
application in direct violation of the MOA . . . Ms. Fuller-McMahan 
also provided herself with the legal means to order controlled 
substances . . . and therefore carry out the scheme she had proposed to 
M.K.'' Id. at 11 (citing 21 CFR 1305.11(c); other citations omitted). 
While the Government then acknowledges that ``there is no evidence that 
this particular transaction took place,'' id., it notes that Ms. 
Fuller-McMahan was arrested and convicted for possessing cocaine which 
she had obtained from a patient and intended to deliver to an employee. 
Id. at 11-12.
    The Government then argues that ``Ms. Fuller-McMahan was 
predisposed to continue to engage in drug trafficking which could have 
involved trading Respondent's stocks of narcotic substances for 
cocaine'' and that ``[h]er behavior in this regard independently 
confirms her intent to purchase illegal substances with narcotic drugs 
slated for legitimate drug treatment.'' Id. at 12 (emphasis added). And 
arguing that her ``past performance is the best predictor of future 
performance,'' the Government asserts that Ms. Fuller-McMahan's conduct 
``demonstrated a high likelihood that she would find a way to divert 
Respondent's supply of methadone in exchange for illegal drugs[,]'' and 
``[t]hus, her continued access, ownership, and control over 
Respondent's business constituted an imminent threat to the public 
health or safety.'' Id. (int. quotations and citation omitted).
    Under DEA's regulation which is applicable to ``all registrants,'' 
Respondent was required to ``provide effective controls and procedures 
to guard against theft and diversion of controlled substances.'' 21 CFR 
1301.71(a). See also 21 CFR 1301.72(d). Thus, substantial evidence that 
Ms. Fuller-McMahan was obtaining methadone from Respondent's stocks and 
trading it for other drugs would clearly establish Respondent's non-
compliance with a standard established under 21 U.S.C. 823(g)(1)(B) and 
would clearly support the requisite finding that its continued 
registration posed an imminent danger to public health or safety as 
required by 21 U.S.C. 824(d). The Government, however, has not produced 
such evidence.
    The Government points to Ms. Fuller-McMahan's execution of the 
renewal application. It argues that Ms. Fuller-McMahan did this to 
``provide[ ] herself with the legal means to order controlled 
substances.'' Second Request, at 11. Yet the Government has not 
produced a single order form (DEA-222) that Ms. Fuller-McMahan executed 
on behalf of Respondent or any other evidence that she was ordering 
methadone.
    The Government also points to Ms. Fuller-McMahan's alleged proposal 
to provide methadone to M.K. in exchange for cocaine as support for its 
assertion that she ``was predisposed to continue to engage in drug 
trafficking which could have involved trading Respondent's stocks of 
narcotic substances for cocaine.'' id. at 12. This fails too, as 
notwithstanding Respondent's waiver of its right to challenge the 
Immediate Suspension Order, the Agency's Order in this matter must be 
supported by ``reliable, probative, and substantial evidence.'' 5 
U.S.C. 556.
    Under the Agency's rules, Respondent's waiver of its right to a 
hearing does not constitute an

[[Page 47416]]

admission of the allegations. Thus, the Government had the burden of 
proving its claim that Ms. Fuller-McMahan was likely to trade 
Respondent's methadone for cocaine.
    However, the Government's evidence as to the alleged proposal of 
Ms. Fuller-McMahan to trade methadone to M.K. in exchange for cocaine 
is so lacking in indicia of reliability that it does not support the 
requisite finding under section 823(g)(1). Notably, M.K.'s statement is 
hearsay,\6\ and there is no evidence that M.K., who has not been 
identified, was under oath when she provided the statement. Also, the 
MDEA Agent acknowledged that M.K. had offered ``to speak to [him] in 
exchange for consideration with M.K.'s pending drug charges.'' GX 15, 
at 2. Notwithstanding that the MDEA Agent further explained that ``no 
promises were made to M.K. in exchange for any information she might 
divulge,'' informants typically do not provide information without some 
expectation of receiving favorable treatment and have ample motive to 
shade their statements. Nor did the MDEA Agent's affidavit provide any 
additional facts tending to establish that M.K. had provided reliable 
information in other matters, or that the information M.K. provided 
regarding Ms. Fuller-McMahan was otherwise corroborated.\7\
---------------------------------------------------------------------------

    \6\ While M.K.'s statement is actually hearsay within hearsay, I 
have no reason to question the MDEA Agent's recounting of the facts 
surrounding M.K.'s agreeing to provide the statement or that he has 
accurately testified as to the substance of M.K.'s statement.
    \7\ Likewise, the Government did not produce the entirety of 
M.K.'s statement and thus, there is no way to evaluate the internal 
consistency of the statement.
---------------------------------------------------------------------------

    In short, this type of statement has been traditionally viewed by 
the courts as inherently unreliable, and as such, M.K.'s statement 
cannot be given any weight in this decision. See, e.g., Carlos 
Gonzales, 76 FR 63118, 63119-20 (2011). And even if the Government had 
established that M.K.'s statement was reliable, this interview, which 
occurred more than nine months prior to the issuance of the Immediate 
Suspension Order, could not support a finding of imminent danger and 
the subsequent seizure of the drugs.\8\ See, e.g., Norman Bridge Drug 
Co. v. Banner, 529 F.2d 822, 829 (5th Cir. 1976).
---------------------------------------------------------------------------

    \8\ The record does not establish when the MDEA Agent first told 
DEA about M.K.'s allegations.
---------------------------------------------------------------------------

    Thus, the only evidence which arguably supports the Immediate 
Suspension Order and seizure of Respondent's methadone stock is the 
arrest of Ms. Fuller-McMahan for the possession of cocaine and the 
syringes, which she had received from J.R., a patient at Respondent, 
and which Ms. Fuller-McMahan admitted she intended to provide to C.G., 
a counselor at Respondent. Yet even here, there is no evidence that Ms. 
Fuller-McMahan either traded methadone for the cocaine she received 
from J.R. or that she intended to provide the cocaine to C.B. for 
methadone.
    Moreover, notwithstanding M.K.'s allegation, there is no evidence 
that the Government ever audited Respondent's recordkeeping to 
determine whether Respondent's methadone was missing or that it 
developed any reliable evidence that Ms. Fuller-McMahan was diverting 
methadone. See 21 U.S.C. 823(g)(1)(B). Nor did the Government produce 
any evidence that Respondent's recordkeeping was inadequate.\9\ Id. In 
short, while the Government has established that Ms. Fuller-McMahan 
violated the MOA and this would have supported the issuance of an Order 
to Show Cause, the Government's principal justification for immediately 
suspending Respondent's registration and seizing the drugs is not 
supported by substantial evidence but rests on a hunch. Accordingly, I 
hold that the Immediate Suspension Order is ultra vires and the 
resulting seizure of Respondent's methadone was unlawful. See Norman 
Bridge, 529 F.2d at 828 (``Such a suspension, or such a seizure, may be 
invoked only to avoid imminent danger to the public health and safety. 
In the absence of that factor there can be no suspension and no seizure 
without notice and an opportunity to be heard.'').\10\
---------------------------------------------------------------------------

    \9\ The Government also argues that ``there was no evidence that 
Respondent's employees . . . were taking any steps to minimize that 
risk,'' i.e., the risk that Ms. Fuller-McMahan was diverting 
Respondent's methadone. Second Req. for Final Agency Action, at 14. 
However, the Government has the burden of proving that Respondent's 
methadone was being diverted. Moreover, it bears noting that under 
the Maine Board of Pharmacy's rules, Respondent was required to have 
a licensed pharmacist overseeing its pharmacy, and ``[t]he 
pharmacist in charge is responsible legally and professionally for 
all activities related to the practice of pharmacy within the opioid 
treatment program for which the licensee is registered as pharmacist 
in charge, and for the opioid treatment program's compliance with . 
. . federal and state laws and rules,'' including the CSA and DEA 
regulations. 02-392 CMR 36 Sec.  4; see also 02-392 CMR 29 Sec.  1.
    \10\ In a June 29, 2015 letter, the Special Agent in Charge of 
the New England Field Division wrote to Ms. Fuller-McMahan that 
``[a]lthough the controlled substances were seized pursuant to an 
Immediate Suspension Order, they are also being held by virtue of 
the fact that your registration expired on November 30, 2010, 
resulting in your not having any authority to handle controlled 
substances.'' However, to the extent the Government retained 
possession of the controlled substances based on the expiration of 
Respondent's registration, 21 U.S.C. 824(g) provides that: [s]uch 
controlled substances . . . shall be held for the benefit of the 
registrant, or his successor in interest. The Attorney General shall 
notify a registrant, or his successor in interest, who has any 
controlled substance . . . seized or placed under seal of the 
procedures to be followed to secure the return of the controlled 
substance . . . and the conditions under which it will be returned. 
The Attorney General may not dispose of any controlled substance . . 
. seized or placed under seal under this subsection until the 
expiration of one hundred and eighty days from the date such 
substance . . . was seized or placed under seal.
    21 U.S.C. 824(g). The Government has provided no evidence that 
it complied with the procedures required by this subsection. 
Accordingly, the propriety of the seizure must be evaluated under 
the standards of subsection 824(d) and (f).
---------------------------------------------------------------------------

Order

    Pursuant to the authority vested in me by 21 U.S.C. 824(a) and (d), 
I hereby declare the Order of Immediate Suspension issued to Turning 
Tide, Inc., ultra vires. This Order is effective immediately.

    Dated: July 15, 2016.
Chuck Rosenberg,
Acting Administrator.
[FR Doc. 2016-17245 Filed 7-20-16; 8:45 am]
 BILLING CODE 4410-09-P



                                                                                   Federal Register / Vol. 81, No. 140 / Thursday, July 21, 2016 / Notices                                                     47411

                                                    which he practices . . . to distribute,                  substances as a Narcotic Treatment                    Respondent’s controlled substances and
                                                    dispense, [or] administer . . . a                        Program pursuant to 21 U.S.C. 823(g)(1),              confidential patient information.’’ Id.
                                                    controlled substance in the course of                    and the denial of any pending                            Based on the above allegations, the
                                                    professional practice.’’ Id. § 802(21). See              applications to renew or modify its                   former Administrator concluded that
                                                    also id. § 824(a)(3) (authorizing the                    registration, on the ground that its                  Respondent’s continued registration
                                                    revocation of a registration upon a                      ‘‘continued registration is inconsistent              during the pending of the proceeding
                                                    finding that the registrant ‘‘has had his                with the public interest, as that term is             would ‘‘constitute an imminent danger
                                                    State license or registration suspended,                 defined in 21 U.S.C. 823(f).’’ Id. at 1.              to the public health and safety’’ and
                                                    revoked, or denied by competent State                       The Show Cause Order specifically                  therefore ordered that its registration be
                                                    authority and is no longer authorized by                 alleged that ‘‘Respondent is owned by                 suspended immediately. Id. at 3 (citing
                                                    State law to engage in the . . .                         Angel Fuller-McMahan’’ and that its                   21 U.S.C. 824(d)). The former
                                                    dispensing of controlled substances’’).                  ‘‘registration is conditioned upon a                  Administrator also authorized the
                                                    Based on these provisions, the Agency                    Memorandum of Agreement (MOA)                         Special Agents and Diversion
                                                    has repeatedly held ‘‘that a practitioner                with DEA which prohibits Ms. Fuller-                  Investigators who served the Order to
                                                    can neither obtain nor maintain a DEA                    McMahan from (1) having physical                      either ‘‘place under seal or to remove for
                                                    registration unless the practitioner                     access to Respondent’s premises; (2)                  safekeeping all controlled substances
                                                    currently has authority under state law                  ordering controlled substances on behalf              that [Respondent] possesses pursuant to
                                                    to handle controlled substances.’’ James                 of Respondent; and (3) executing any                  the registration which [was]
                                                    L. Hooper, 76 FR 71371, 71372 (2011)                     renewal applications . . . on behalf of               suspended.’’ Id. (citing 21 U.S.C. 824(f)
                                                    (collecting cases), pet. for rev. denied,                Respondent.’’ Id. at 1–2. The Order then              and 21 CFR 1301.36(f)).
                                                    Hooper v. Holder, 481 F. App’x 826 (4th                  alleged that Ms. Fuller-McMahan had                      Thereafter, Respondent requested a
                                                    Cir. 2012).                                              been arrested on July 13, 2010 and                    hearing on the allegations and the
                                                       Here, there is no dispute as to the                   charged with unlawful possession of                   matter was placed on the docket of the
                                                    material fact that Respondent does not                   cocaine, and that at the time of her                  Agency’s Administrative Law Judges
                                                    hold authority under New Mexico law                      arrest, she had in her possession                     (ALJ). Following the ALJ’s issuance of
                                                    to dispense controlled substances and is                 approximately 25 grams of cocaine and                 an Order for Pre-Hearing Statements, the
                                                    thus not a practitioner within the                       two hypodermic needles.2 Id. at 2. The                Government moved for summary
                                                    meaning of the Act. See 21 U.S.C.                        Order further alleged that Ms. Fuller-                disposition on the ground that on
                                                    802(21). Accordingly, his application                    McMahan had ‘‘arranged to purchase                    September 7, 2010, the Maine
                                                    must be denied. 21 U.S.C. 823(f).                        cocaine’’ from both a patient and an                  Department of Health and Human
                                                                                                             employee of Respondent. Id. The Order                 Services (MDHHS) had temporarily
                                                    Order                                                                                                          suspended Respondent’s Substance
                                                                                                             also alleged that ‘‘[w]hile serving as
                                                       Pursuant to the authority vested in me                Respondent’s Program Director, Ms.                    Abuse Treatment license. ALJ Dec., at 3.
                                                    by 21 U.S.C. 823(f) and 28 CFR 0.100(b),                 Fuller-McMahan approached another                     As support for the motion, the
                                                    I order that the application of Nicholas                 patient . . . and offered to trade                    Government attached a letter dated
                                                    J. Nardacci, M.D., for a DEA Certificate                 methadone for cocaine’’ by ‘‘creat[ing] a             September 7, 2010 from the Director of
                                                    of Registration as a practitioner, be, and               fraudulent order for methadone,’’ even                the MDHHS’s Division of Licenses &
                                                    it hereby is, denied. This Order is                      though she was then prohibited by the                 Regulatory Services to Ms. Fuller-
                                                    effective immediately.                                   MOA from ordering controlled                          McMahan. Mot. for Summ. Disp., at Ex.
                                                      Dated: July 11, 2016.                                  substances on behalf of Respondent. Id.               2. Therein, the Director stated that
                                                    Chuck Rosenberg,                                         The Order then alleged that Ms. Fuller-               MDHHS was ‘‘revoking on an
                                                    Acting Administrator.                                    McMahan had purchased cocaine in                      emergency basis for a period not to
                                                                                                             three separate ‘‘illegal drug transactions            exceed thirty days the agency’s licenses
                                                    [FR Doc. 2016–17264 Filed 7–20–16; 8:45 am]
                                                                                                             with another of Respondent’s patients.’’              to operate an Opioid Treatment Program
                                                    BILLING CODE 4410–09–P
                                                                                                             Id.                                                   and . . . Outpatient Substances Abuse
                                                                                                                Next, the Show Cause Order alleged                 Services.’’ Id. (citing 14–118 C.M.R. Ch.
                                                    DEPARTMENT OF JUSTICE                                    that notwithstanding the MOA’s terms,                 5, § 2.10.9). The letter further stated that
                                                                                                             ‘‘Ms. Fuller-McMahan continues to                     ‘‘[t]he Department reserves its right to
                                                    Drug Enforcement Administration                          retain control and have supervisory                   petition the District Court to extend the
                                                                                                             authority over key aspects of                         period of license revocation in
                                                    [Docket No. 10–71]                                                                                             accordance with 4 M.R.S.A. § 184(6) and
                                                                                                             Respondent’s operation,’’ that she had
                                                    Turning Tide, Inc. Decision and Order;                   represented to a patient ‘‘that she has               5 M.R.S.A. § 10003.’’ Id. at 2.
                                                                                                             access to controlled substances which                    Upon reviewing the motion, the ALJ
                                                    Procedural History
                                                                                                             are ordered on behalf of Respondent,’’                directed Respondent to file a response
                                                      On August 17, 2010, the former                         and that she has ‘‘repeatedly violated                to the Government’s motion, which
                                                    Administrator of the Drug Enforcement                    the terms of the MOA by entering the                  Respondent did after obtaining an
                                                    Administration issued an Order to Show                   physical premises of [Respondent] and                 extension.3 ALJ Dec., at 3. Thereafter,
                                                    Cause and Immediate Suspension of                        executing a renewal application on [its]              the Government filed a further pleading
                                                    Registration (hereinafter, Show Cause                    behalf.’’ Id. Finally, the Order alleged              in which it noted that MDHHS had filed
                                                    Order or Order) to Turning Tide, Inc.                    that Respondent ‘‘continued to employ                 a complaint in state court seeking the
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    (Respondent), of Rockland, Maine.                        Ms. Fuller-McMahan’s husband, Vance                   temporary suspension and permanent
                                                    Show Cause Order, at 1. The Show                         McMahan, despite the fact that Mr.                    revocation of Respondent’s Maine
                                                    Cause Order proposed the revocation of                   McMahan has been convicted of illegal
                                                    Respondent’s DEA Certificate of                          drug possession and has access to
                                                                                                                                                                     3 Respondent argued that the proposed revocation

                                                    Registration RT0370015,1 which                                                                                 of its DEA registration would violate its right to due
                                                                                                                                                                   process because it was based on the MDHHS
                                                    authorized it to dispense controlled                       2 The Order also alleged that on August 31, 2001,   suspension, which in turn, was based on the DEA
                                                                                                             Ms. Fuller-McMahan had been convicted in state        Order to Show Cause and Immediate Suspension of
                                                     1 The Order alleged that Respondent’s registration      court of unlawful possession of heroin. Show Cause    Registration. See Response In Opposition To The
                                                    was due to expire on November 30, 2010.                  Order, at 2.                                          DEA Motion For Summary Disposition, at 2–5.



                                               VerDate Sep<11>2014   17:15 Jul 20, 2016   Jkt 238001   PO 00000   Frm 00068   Fmt 4703   Sfmt 4703   E:\FR\FM\21JYN1.SGM   21JYN1


                                                    47412                          Federal Register / Vol. 81, No. 140 / Thursday, July 21, 2016 / Notices

                                                    Alcohol and Drug Treatment Certificate                   of methadone’’; and 23 individual ‘‘take              prehearing statements. Order for
                                                    of Licensure. Reply to Opposition to                     home’’ doses of methadone. GX 10, at 3.               Prehearing Statements (GX 11), at 1. The
                                                    Gov. Mot. for Summ. Disp., at 2. As                         Noting that under the Controlled                   Government timely complied.
                                                    support for its position, the Government                 Substances Act, ‘‘ ‘[a]ll right, title and            Termination Order (GX 12), at 1.
                                                    attached a copy of the State’s complaint                 interest in’ any controlled substances                Thereafter, Respondent moved to
                                                    with supporting exhibits, the summons                    seized pursuant to a suspension order                 enlarge the time for filing its prehearing
                                                    and return of service, and a draft of an                 ‘vests in the United States upon a                    statement. Id. While the ALJ granted the
                                                    order entitled: Order Relating To                        revocation order being[sic] final’ and                motion and extended the due date of
                                                    Plaintiff’s Application For Temporary                    ‘shall be forfeited to the United States,’ ’’         Respondent’s statement by three weeks,
                                                    Suspension Of License Pending Judicial                   the Government argued that if the case                Respondent failed to comply. Id.
                                                    Review. However, absent from the                         ‘‘is declared moot and dismissed, title to            Accordingly, twelve days later, the ALJ
                                                    evidence was a court order extending                     the controlled substances will be left                held, sua sponte, that ‘‘Respondent
                                                    the revocation of Respondent’s state                     undetermined.’’ Id. (quoting 21 U.S.C.                ha[d] constructively waived its right to
                                                    license.                                                 824(f)). The Government further noted                 a hearing’’ and ordered that the hearing
                                                       On October 6, 2010, the ALJ issued                    that ‘‘ ‘DEA has previously held that ‘‘a             be terminated. Id. at 2.
                                                    her recommended decision.                                litigant cannot defeat the effect of this                Thereafter, the Government submitted
                                                    Notwithstanding that the temporary                       provision by simply allowing its                      a Request for Final Agency Action along
                                                    suspension ordered by the Director of                    registration to expire.’’ ’ ’’ Id. (quoting           with the investigative record to the
                                                    the MDHHS was due to expire on the                       East Main Street Pharmacy, 75 FR                      Administrator’s Office. Upon review of
                                                    following day and could not be                           66149 (2010) (other citation omitted)).               the record, the former Administrator
                                                    extended without a court order, the ALJ                  Id. The Government thus maintained                    adopted the ALJ’s finding that
                                                    granted the Government’s motion for                      that the ‘‘case remain[ed] a live                     Respondent had waived its right to a
                                                    summary disposition on the ground that                   controversy’’ and requested the issuance              hearing as to the validity of the
                                                    it was undisputed that Respondent                        of a final order. Id. at 2.                           Immediate Suspension Order and the
                                                    ‘‘lacks the authority to currently handle                   Upon review of the matter, the former              seizure of the controlled substances.
                                                    controlled substances under state law,’’                 Administrator agreed with the                         However, the former Administrator
                                                    and thus, it was not entitled to maintain                Government that the case was not moot.                denied the Government’s Request for
                                                    its DEA registration. ALJ at 5–6. The ALJ                Order Remanding for Proceedings, at 6                 Final Agency Action, reasoning that the
                                                    therefore recommended that                               (May 20, 2013). She concluded,                        public interest provisions of 21 U.S.C.
                                                    Respondent’s registration be revoked.                    however, that a final order based on                  823(f) and 824(a)(4), which the
                                                    Id. at 10.                                               Respondent’s lack of state authority                  Government relied on as the source of
                                                       On October 27, 2010, the ALJ                          could not resolve the issue of title to the           its authority to immediately suspend
                                                    forwarded the record to the                              drugs that were seized for two reasons.               Respondent’s registration, do not apply
                                                    Administrator’s Office for final agency                  First, she explained that the Immediate               to a Narcotic Treatment Program. Order
                                                    action. However, at no time did the                      Suspension Order, which provided                      Denying Government’s Request for Final
                                                    Government move to supplement the                        authority for the seizure, was not based              Agency Action, at 9 (May 11, 2015).
                                                    record with evidence showing that the                    on Respondent’s lack of state authority.                 As the former Administrator
                                                    state court had extended the suspension                  Id. at 6. Second, she observed that ‘‘even            explained, Respondent was registered
                                                    of Respondent’s state license.                           if a subsequent loss of state authority               under 21 U.S.C. 823(g)(1). Under this
                                                       Upon review of the record, the former                 could be used to support the forfeiture               provision, ‘‘[t]he Attorney General shall
                                                    Administrator noted that Respondent’s                    of drugs which have been seized based                 register an applicant to dispense
                                                    DEA registration had expired on                          on entirely different factual allegations             narcotic drugs to individuals for
                                                    November 30, 2010. A subsequent query                    and legal grounds, the Government                     maintenance [and/] or detoxification
                                                    of the Agency’s registration records                     [was] not entitled to prevail’’ because               treatment’’ if the following three
                                                    determined that Respondent had not                       the ‘‘contention that Respondent lacked               conditions are met:
                                                    filed a renewal application. Moreover,                   state authority was not supported by
                                                    public records of the State indicated                    substantial evidence.’’ Id. at 7. The                    (A) if the applicant is a practitioner who
                                                    that Respondent was no longer in                         former Administrator then observed that               is determined by the Secretary to be qualified
                                                                                                                                                                   (under standards established by the
                                                    business. Accordingly, the former                        the MDHHS’ suspension order was due                   Secretary) to engage in the treatment with
                                                    Administrator directed the parties to                    to expire the day after the ALJ issued                respect to which registration is sought;
                                                    address why the case was not moot and                    her recommended decision (and even                       (B) if the Attorney General determines that
                                                    to specifically identify what collateral                 before the record was forwarded to the                the applicant will comply with standards
                                                    consequence existed which precluded a                    Administrator’s Office) and that while                established by the Attorney General
                                                    finding of mootness. Order of the                        the Government had submitted a copy                   respecting (i) security of stocks of narcotic
                                                    Administrator (Sept. 20, 2011), at 1–2                   of the State’s complaint which sought to              drugs for such treatment, and (ii) the
                                                    (citing RX Direct Pharmacy, Inc., 72 FR                  extend the suspension, a summons, and                 maintenance of records (in accordance with
                                                                                                                                                                   section 827 of this title) on such drugs; and
                                                    54070 (2007)).                                           an unsigned proposed order extending                     (C) if the Secretary determines that the
                                                       Only the Government filed a                           the suspension, the Government                        applicant will comply with standards
                                                    response. Therein, the Government                        produced no evidence ‘‘that the state                 established by the Secretary (after
                                                    noted that upon service of the                           court had continued the suspension past               consultation with the Attorney General)
                                                    Immediate Suspension Order, it ‘‘seized                  the initial thirty days imposed by the                respecting the quantities of narcotic drugs
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    and placed under seal various                            MDHHS.’’ Id. Because the record did                   which may be provided for unsupervised use
                                                    controlled substances from                               not support the finding required under                by individuals in such treatment.
                                                    Respondent’s facility.’’ Id. at 1 (citing                21 U.S.C. 824(a)(3), the former                         21 U.S.C. 823(g)(1).
                                                    Affidavit of DI). According to the DI, the               Administrator remanded the case for                     The former Administrator explained
                                                    Agency seized 121 unopened 500 ml                        further proceedings consistent with her               that in contrast to every other category
                                                    bottles of methadone 10mg/ml; 18                         opinion. Id. at 8.                                    of registration set forth in section 823,
                                                    opened 500 ml bottles of methadone                          On remand, the ALJ ordered the                     this provision does not grant the
                                                    10mg/ml ‘‘containing various amounts                     parties to file and serve their respective            Attorney General authority to deny an


                                               VerDate Sep<11>2014   17:15 Jul 20, 2016   Jkt 238001   PO 00000   Frm 00069   Fmt 4703   Sfmt 4703   E:\FR\FM\21JYN1.SGM   21JYN1


                                                                                   Federal Register / Vol. 81, No. 140 / Thursday, July 21, 2016 / Notices                                           47413

                                                    application upon a determination ‘‘that                  standards set forth in section 823(g)(1).                Subsequently, the Government again
                                                    the issuance of such registration . . .                  Id. at 8–9.                                           suggested that the case was moot
                                                    would be inconsistent with the public                      The former Administrator further                    because it had determined that a
                                                    interest.’’ Order Denying Govt.’s Req., at               noted that because Respondent’s                       creditor (Coastal Enterprises, Inc.) had
                                                    9 (comparing 21 U.S.C. 823(g)(1) with                    registration was issued pursuant to                   placed a lien against Respondent assets,
                                                    id. § 823(f); see also id. § 823(a), (b), (c),           section 823(g)(1), it was clear that the              and that Coastal had executed a release
                                                    (d), (e), and (h). The former                            public interest standard of section 823(f)            of its claims against the drugs the
                                                    Administrator also observed that, in                     has no application in this proceeding.                Agency had seized. I rejected this as
                                                    contrast to every other category of                      Id. at 9. She then held that, consistent              sufficient to establish mootness because
                                                    registration set forth in section 823,                   with section 824(a), the suspension                   the Government continued to
                                                    Congress did not characterize these                      order could only be sustained if the                  acknowledge that Ms. Fuller-McMahan
                                                    three provisions as ‘‘factors’’ to be                    Government put forward sufficient                     is Respondent’s successor-in-interest
                                                    considered and given discretionary                       evidence to support ‘‘a finding that the              and because the Government produced
                                                    weight ‘‘[i]n determining the public                     registrant has failed to comply with any              no evidence that Coastal had foreclosed
                                                    interest.’’ Order Denying Govt.’s Req., at               standard referred to in section                       on its lien and/or obtained a judgment
                                                    9 (comparing § 823(g) with id. § 823(f);                 823(g)(1).’’ Id.                                      against Respondent. Order, at 1 (May 4,
                                                    see also id. § 823(a), (b), (c), (d), (e), and             The former Administrator noted,                     2016).
                                                    (h). Rather, the three subparagraphs of                  however, that the allegations of the                     Thereafter, the Government
                                                    section 823(g)(1) are conditions for                     Order to Show Cause and Immediate                     resubmitted its Request for Final
                                                    registration.                                            Suspension Order may, if supported by                 Agency Action. See Second Req. for
                                                       With respect to the Agency’s authority                substantial evidence, establish that                  Final Agency Action. Ms. Fuller-
                                                    to revoke a registration, the former                     Respondent failed to comply with the                  McMahan also submitted a letter to me
                                                    Administrator noted that while 21                        standards of section 823(g)(1). Id.                   stating that she has in her ‘‘possession
                                                    U.S.C. 824(a) sets forth five different                  However, because in its Request for                   documents and recordings that refute
                                                                                                             Final Agency Action, the Government                   these allegations.’’ Letter from Angel
                                                    ground for revoking a registration, it
                                                                                                             had not addressed which of the                        Fuller-McMahan to the Acting
                                                    also contains a specific provision which
                                                                                                             standards had been violated and how                   Administrator (May 20, 2106). However,
                                                    governs the Agency’s authority to
                                                                                                             so, the former Administrator denied the               Ms. Fuller-McMahan did not provide
                                                    revoke a registration with respect to a
                                                                                                             Government’s Request for Final Agency                 either the documents or the recordings,
                                                    Narcotic Treatment Program. This
                                                                                                             Action. Id. Analogizing the                           and in any event, the former-
                                                    provision states that:
                                                                                                             Government’s Request to a motion for                  Administrator remanded this matter to
                                                       A registration pursuant to section 823(g)(1)          summary judgment, the former                          the Office of Administrative Law Judges
                                                    of this title to dispense a narcotic drug for            Administrator then explained that just                for the express purpose of allowing
                                                    maintenance treatment or detoxification                  as the denial of a motion for summary                 Respondent to challenge the Suspension
                                                    treatment may be suspended or revoked by
                                                                                                             judgment is an interlocutory order and                Order. While Respondent initially
                                                    the Attorney General upon a finding that the
                                                    registrant has failed to comply with any                 not a final decision, so too the denial of            indicated its intent to participate in the
                                                    standard referred to in section 823(g)(1) of             the Government’s Request for Final                    hearing, it failed to comply with the
                                                    this title.                                              Agency Action is an interlocutory order               ALJ’s Order and file a Prehearing
                                                                                                             and not a final decision of the Agency.               Statement. As a result, the ALJ found
                                                       Id. § 824(a). So too, section 824(d)                  Id. (citing, inter alia, R.R. Donnelley &             that Respondent had waived its right to
                                                    provides that ‘‘[a] failure to comply with               Sons Co. v. FTC, 931 F.2d 430, 431 (7th               a hearing and terminated the
                                                    a standard referred to in section                        Cir. 1991) (holding that the denial of a              proceeding. Thereafter, the former
                                                    823(g)(1) of this title may be treated                   motion for summary judgment is an                     Administrator adopted the ALJ’s waiver
                                                    under this subsection as grounds for                     interlocutory order and not a final                   finding. Order Denying Government’s
                                                    immediate suspension of a registration                   judgment)). The former Administrator                  Request for Final Agency Action, at 6
                                                    granted under such section.’’ Id.                        thus provided the Government with the                 (May 11, 2015). Ms. Fuller-McMahan
                                                    § 824(d).                                                opportunity to file a successive Request              has offered no reason to reconsider that
                                                       The former Administrator noted that                   for Final Agency Action. Id.                          finding. Accordingly, based on the
                                                    section 824(a)(4) authorizes the                           Thereafter, the Government attempted                Investigative File submitted by the
                                                    revocation of a registration upon a                      to establish that this matter had become              Government, I make the following
                                                    finding that a registrant ‘‘has committed                moot because there was no need to                     finding of fact.
                                                    such acts as would render [its]                          determine title to the drugs that were
                                                    registration under section 823 of this                   seized pursuant to the ISO. The basis for             Findings
                                                    title inconsistent with the public                       the Government’s contention was that:                   Respondent, an administratively-
                                                    interest as determined under such                        (1) The drugs had since passed their                  dissolved corporation, was formerly
                                                    section.’’ Order Denying Govt.’s Req., at                expiration date, (2) Respondent’s                     registered as a Narcotic Treatment
                                                    7. However, based on the provisions of                   successor-in-interest (Ms. Fuller-                    Program under 21 U.S.C. 823(g)(1). Ms.
                                                    section 823(g)(1) and the specific                       McMahan) had not responded to a letter                Angel Fuller-McMahan was the owner
                                                    provision governing the revocation of an                 from the Special Agent in Charge of the               of the corporation.
                                                    NTP registration for non-compliance                      local Field Division which offered her                  On August 31, 2001, Ms. Fuller-
                                                    with any standard referred to in                         the opportunity to make arrangements                  McMahan, following her entry into a
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    823(g)(1), the former Administrator                      for the disposal of the drugs, and (3) in             plea agreement, was convicted by the
                                                    explained that even assuming that the                    a phone call with an Agency                           Maine Superior Court of the unlawful
                                                    public interest revocation authority of                  Investigator months later, Ms. Fuller-                possession of heroin and given a
                                                    section 824(a)(4) could be invoked in                    McMahan permitted the Agency to                       suspended sentenced of two years
                                                    this proceeding, this provision does not                 destroy the drugs. I found, however, that             imprisonment and one year of
                                                    grant the Government any additional                      Ms. Fuller-McMahan’s actions did not                  probation. GX 3, at 1. She also enrolled
                                                    authority because the determination                      relinquish Respondent’s title to the                  in a methadone maintenance program.
                                                    must be made by reference to the                         property. Order, at 1–2 (Mar. 16, 2016).              Id.


                                               VerDate Sep<11>2014   17:15 Jul 20, 2016   Jkt 238001   PO 00000   Frm 00070   Fmt 4703   Sfmt 4703   E:\FR\FM\21JYN1.SGM   21JYN1


                                                    47414                          Federal Register / Vol. 81, No. 140 / Thursday, July 21, 2016 / Notices

                                                       On October 18, 2007, Ms. Fuller-                      made to M.K. in exchange for any                      drug. GX 4, at 1. Ms. Fuller-McMahan
                                                    McMahan filed a new application on                       information she might divulge.’’ Id.                  pled guilty to one of the counts, and on
                                                    behalf of Respondent for registration as                    According to the Agent, during her                 October 28, 2010, Ms. Fuller-McMahan
                                                    a Narcotic Treatment Program. Id. On                     interview, M.K. stated that Ms. Fuller-               was convicted by the Superior Court of
                                                    June 13, 2008, Ms. Fuller-McMahan                        McMahan had ‘‘approached her and                      a single count of unlawful possession of
                                                    entered into Memorandum of                               asked her to procure cocaine for which                a scheduled drug. Id. The court
                                                    Agreement (MOA) with DEA’s New                           [Fuller-McMahan] would be willing to                  sentenced Ms. Fuller-McMahan to 364
                                                    England Field Division, pursuant to                      trade methadone purchased on behalf                   days in the county jail, but suspended
                                                    which the Agency granted Respondent’s                    of’’ Respondent. Id. M.K. further stated              all but 30 days of the sentence; the court
                                                    application subject to certain                           that Ms. Fuller-McMahan had said ‘‘that               also placed her on probation for a
                                                    conditions. Id. at 1–2. As relevant here,                she intended to create a falsified order              period of one year. Id.
                                                    these included that: (1) Ms. Fuller-                     for methadone to be purchased by’’                       On some date which is not clear from
                                                    McMahan ‘‘is prohibited from ordering                    Respondent for the purported use by                   the evidence, Respondent, through its
                                                    any controlled substances and will                       prisoners at the county jail ‘‘for drug               attorney, surrendered its state licenses
                                                    execute a power of attorney authorizing                  treatment,’’ and that she would trade                 to operate an Opioid Treatment Program
                                                    one of her management staff to order the                 this methadone for cocaine. Id.                       and Outpatient Substance Abuse
                                                    controlled substances’’; (2) that ‘‘the                     The Agent also averred that M.K. had               Services; Respondent also surrendered
                                                    same management staff will’’ execute                     named two other persons who were                      its pharmacy license. GX 5. Respondent
                                                    Respondent’s renewal applications; (3)                   obtaining methadone at Respondent for                 also allowed its registration to expire.4
                                                    Ms. Fuller-McMahan ‘‘will not have                       drug treatment and selling it. Id.
                                                                                                             According to the Agent, ‘‘M.K. stated                 Discussion
                                                    physical access to the registered
                                                    location’’ or ‘‘any keys or codes to the                 she had purchased controlled                            As previously held, because
                                                    alarm system’’; (4) Ms. Fuller-McMahan                   substances from these’’ two persons. Id.              Respondent’s registration has expired,
                                                    ‘‘will not be enrolled as a client of’’                  The Agent did not, however, clarify                   and there is no application to act upon,
                                                    Respondent and ‘‘will not guest dose at                  whether M.K. had purchased                            the only issue remaining in the
                                                    [it] under any circumstances.’’ Id. at 1.                methadone from these persons. While                   proceeding is whether the Government
                                                    The MOA further provided that                            according to the Agent, M.K. offered to               can claim title to the controlled
                                                    ‘‘[v]iolations of the terms . . . may                    perform undercover buys from these                    substances it seized pursuant to the
                                                    result in an order to show cause to                      persons, the Agent offered no evidence                authority granted by the Immediate
                                                    revoke, or revoke and immediately                        that any such buys were performed.                    Suspension Order. See S & S Pharmacy,
                                                    suspend’’ its DEA registration, and that                 Moreover, no further evidence was                     Inc., 78 FR 57656, 57659 (2013); RX
                                                                                                             provided establishing that Respondent                 Direct Pharmacy, Inc., 72 FR 54070,
                                                    in any such proceeding, ‘‘DEA reserves
                                                                                                             was improperly dispensing methadone                   54072 (2007). Pursuant to 21 U.S.C.
                                                    the right to introduce into evidence . . .
                                                                                                             to these two persons. See 42 CFR 8.12(i)              824(f),
                                                    this Agreement and violations of this
                                                                                                             (regulations governing ‘‘[u]nsupervised
                                                    Agreement.’’ Id. at 1–2. On June 23,                                                                             In the event the Attorney General suspends
                                                                                                             or ‘take home use’ ’’).
                                                    2008, the then Special Agent in Charge                      In his affidavit, the Agent testified              or revokes a registration under section 823 of
                                                    of the Field Division approved the                       that on July 13, 2010, Ms. Fuller-                    this title, all controlled substances . . . owned
                                                    MOA, id. at 2, and on July 1, 2008,                      McMahan was arrested and charged                      or possessed by the registrant pursuant to
                                                    Respondent’s application was approved.                                                                         such registration at the time of suspension or
                                                                                                             with Possession of Cocaine, a felony                  the effective date of the revocation order, as
                                                    GX 2, at 2.                                              offense under Maine Law. Id. at 1 (citing             the case may be, may, in the discretion of the
                                                       On December 11, 2008, J.C., a                         17–A M.R.S.A. § 1107–A). The Agent                    Attorney General, be placed under seal. . . .
                                                    pharmacist, executed a state board                       further stated that Ms. Fuller-McMahan                Upon a revocation order becoming final, all
                                                    application to become Respondent’s                       was in possession of ‘‘approximately 25               such controlled substances . . . shall be
                                                    new Pharmacist-in-Charge. GX 16, at 1.                   grams of powdered cocaine’’ and two                   forfeited to the United States; and the
                                                    On the application, J.C. listed Ms.                      syringes which she had obtained from                  Attorney General shall dispose of such
                                                    Fuller-McMahan as an ‘‘authorized                        J.R., a patient of Respondent, who                    controlled substances . . . in accordance with
                                                    person.’’ Id. at 6. According to a                       performed an undercover sale for the                  section 881(e) of this title. All right, title, and
                                                    regulation of the Maine Board of                                                                               interest in such controlled substances . . .
                                                                                                             MDEA. Id.                                             shall vest in the United States upon a
                                                    Pharmacy, ‘‘[a]n ‘authorized person’ is a                   After her arrest, Ms. Fuller-McMahan               revocation order becoming final.
                                                    person other than a pharmacy                             waived her Miranda rights and was
                                                    technician (e.g., computer technician,                   interviewed by the Agent; a video                        DEA has previously held that a
                                                    bookkeeper) who the pharmacist in                        recording of the interview was provided               registrant, whose property has been
                                                    charge has designated to be present in                   by the Government. During the                         seized pursuant to an Immediate
                                                    the prescription filling area in the                     interview, Ms. Fuller-McMahan stated                  Suspension Order, cannot defeat the
                                                    absence of a pharmacist.’’ GX 17, at 1                   that she intended to deliver the cocaine              effect of this provision by allowing its
                                                    (copy of 02–392 CMR Ch. 1, § 1).                         to C.G., a drug and alcohol counselor                 registration to expire. See, e.g.,
                                                       According to the affidavit of a                       employed by Respondent. Id. She also                  Meetinghouse Community Pharmacy,
                                                    Supervisory Special Agent with the                       ‘‘admitted that she was using cocaine                 Inc., 74 FR 10073, 10076 n.5 (2009).
                                                    Maine Drug Enforcement Agency                            and had ingested cocaine in the last
                                                    (MDEA), on November 3, 2009, he                          three weeks.’’ Id. During the interview,
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                                                                                                                                      4 The Government put forward no evidence in

                                                    ‘‘interviewed M.K., a former patient’’ of                Ms. Fuller-McMahan asked the Agent:                   support of the allegation that Respondent
                                                                                                                                                                   ‘‘continues to employ Ms. Fuller-McMahan’s
                                                    Respondent. GX 15, at 2. The Agent                       ‘‘can you charge me with something                    husband . . . despite the fact that [he] has been
                                                    further explained that M.K. had called                   else? Less? . . . If I agree to not go into           convicted of illegal drug possession and has access
                                                    him ‘‘and requested to speak to [him] in                 Turning Tide . . . or to fight it, ever               to Respondent’s controlled substances and
                                                    exchange for consideration with M.K.’s                   . . . back out completely?’’ Id. at 2.                confidential patient information.’’ GX 1, at 2. Nor
                                                                                                                                                                   did it put forward any evidence as to the allegations
                                                    pending drug charges.’’ Id. The Agent                       Thereafter, the State charged Ms.                  that she had engaged in three other illegal
                                                    further explained that an interview was                  Fuller-McMahan with two counts of                     purchases of cocaine with another of Respondent’s
                                                    arranged and that ‘‘no promises were                     unlawful possession of a scheduled                    patients.



                                               VerDate Sep<11>2014   17:15 Jul 20, 2016   Jkt 238001   PO 00000   Frm 00071   Fmt 4703   Sfmt 4703   E:\FR\FM\21JYN1.SGM   21JYN1


                                                                                   Federal Register / Vol. 81, No. 140 / Thursday, July 21, 2016 / Notices                                            47415

                                                      As explained above, section 824(a)                     admitted that she remained Turning                    substances for cocaine’’ and that ‘‘[h]er
                                                    sets forth a specific provision which                    Tide’s director. Id. The Government                   behavior in this regard independently
                                                    grants the Agency authority to suspend                   does not, however, point to any                       confirms her intent to purchase illegal
                                                    or revoke the registration of a Narcotic                 provision of the MOA which prohibited                 substances with narcotic drugs slated
                                                    Treatment Program. This provision                        Ms. Fuller-McMahan from acting as                     for legitimate drug treatment.’’ Id. at 12
                                                    states that:                                             Turning Tide’s director.                              (emphasis added). And arguing that her
                                                       A registration pursuant to section 823(g)(1)             Stronger is the Government’s claim                 ‘‘past performance is the best predictor
                                                    of this title to dispense a narcotic drug for            that Ms. Fuller-McMahan violated the                  of future performance,’’ the Government
                                                    maintenance treatment or detoxification                  MOA because she was entering its                      asserts that Ms. Fuller-McMahan’s
                                                    treatment may be suspended or revoked by                 physical premises. The MOA                            conduct ‘‘demonstrated a high
                                                    the Attorney General upon a finding that the             specifically prohibited her from                      likelihood that she would find a way to
                                                    registrant has failed to comply with any                 ‘‘hav[ing] physical access to the                     divert Respondent’s supply of
                                                    standard referred to in section 823(g)(1) of             registered location,’’ GX 3, at 1; and as             methadone in exchange for illegal
                                                    this title.
                                                                                                             found above, during the interview                     drugs[,]’’ and ‘‘[t]hus, her continued
                                                       Id. § 824(a). So too, section 824(d)                  which followed her arrest, Ms. Fuller-                access, ownership, and control over
                                                    provides that ‘‘[a] failure to comply with               McMahan clearly tried to negotiate a                  Respondent’s business constituted an
                                                    a standard referred to in section                        lesser charge for agreeing not to go into             imminent threat to the public health or
                                                    823(g)(1) of this title may be treated                   the clinic. See id. Moreover, the                     safety.’’ Id. (int. quotations and citation
                                                    under this subsection as grounds for                     Government produced the application                   omitted).
                                                    immediate suspension of a registration                   filed by Respondent’s PIC, in which he                   Under DEA’s regulation which is
                                                    granted under such section.’’ Id.                        designated her as an ‘‘authorized                     applicable to ‘‘all registrants,’’
                                                    § 824(d). Thus, consistent with section                  person,’’ GX 16, at 4; which under                    Respondent was required to ‘‘provide
                                                    824(a), the former Administrator held                    Maine’s regulation authorized her ‘‘to be             effective controls and procedures to
                                                    that the suspension order can only be                    present in the prescription filling area in           guard against theft and diversion of
                                                    sustained if the Government puts                         the absence of a pharmacist.’’ GX 17.                 controlled substances.’’ 21 CFR
                                                    forward sufficient evidence to support                      Yet there is no evidence that Ms.                  1301.71(a). See also 21 CFR 1301.72(d).
                                                    ‘‘a finding that the registrant has failed               Fuller-McMahan ever actually entered                  Thus, substantial evidence that Ms.
                                                    to comply with any standard referred to                  the pharmacy or that she possessed the                Fuller-McMahan was obtaining
                                                    in section 823(g)(1).’’                                  keys or the alarm code for the                        methadone from Respondent’s stocks
                                                       Of the three standards for registration               pharmacy.5 See, e.g., 21 CFR 1301.72(d)               and trading it for other drugs would
                                                    as an NTP set forth in 21 U.S.C.                         (‘‘The controlled substances storage                  clearly establish Respondent’s non-
                                                    823(g)(1), the Government invokes only                   areas shall be accessible only to an                  compliance with a standard established
                                                    subparagraph B. It authorizes ‘‘the                      absolute minimum of specifically                      under 21 U.S.C. 823(g)(1)(B) and would
                                                    Attorney General [to] determine[] that                   authorized employees.’’). Thus, while                 clearly support the requisite finding that
                                                    the applicant will comply with                           the evidence supports a finding that Ms.              its continued registration posed an
                                                    standards established by the Attorney                    Fuller-McMahan had access to the clinic               imminent danger to public health or
                                                    General respecting (i) security of stocks                and thus violated the MOA, by itself,                 safety as required by 21 U.S.C. 824(d).
                                                    of narcotic drugs for such treatment, and                this conclusion does not support a                    The Government, however, has not
                                                    (ii) the maintenance of records (in                      finding that Respondent posed ‘‘an                    produced such evidence.
                                                    accordance with section 827 of this title)               imminent danger to the public health or                  The Government points to Ms. Fuller-
                                                    on such drugs.’’ 21 U.S.C. 823(g)(1)(B)                  safety,’’ 21 U.S.C. 824(d), as is required            McMahan’s execution of the renewal
                                                    (emphasis added).                                        to support the Order of Immediate                     application. It argues that Ms. Fuller-
                                                       The Government argues that ‘‘Ms.                                                                            McMahan did this to ‘‘provide[ ] herself
                                                                                                             Suspension.
                                                    Fuller-McMahan’s conduct                                    The Government further argues that                 with the legal means to order controlled
                                                    demonstrated that she was a security                     ‘‘[b]y executing a renewal application in             substances.’’ Second Request, at 11. Yet
                                                    threat to [Respondent] and, accordingly,                 direct violation of the MOA . . . Ms.                 the Government has not produced a
                                                    a security risk to its stocks of controlled              Fuller-McMahan also provided herself                  single order form (DEA–222) that Ms.
                                                    substances.’’ Second Request for Final                   with the legal means to order controlled              Fuller-McMahan executed on behalf of
                                                    Agency Action, at 10. It further argues                  substances . . . and therefore carry out              Respondent or any other evidence that
                                                    that her ‘‘continued ownership and                       the scheme she had proposed to M.K.’’                 she was ordering methadone.
                                                    control over Respondent’s clinic                         Id. at 11 (citing 21 CFR 1305.11(c); other               The Government also points to Ms.
                                                    constituted an imminent danger to the                                                                          Fuller-McMahan’s alleged proposal to
                                                                                                             citations omitted). While the
                                                    public health or safety.’’ Id. (citing 21                                                                      provide methadone to M.K. in exchange
                                                                                                             Government then acknowledges that
                                                    U.S.C. 824(d)). And it argues that ‘‘[b]y                                                                      for cocaine as support for its assertion
                                                                                                             ‘‘there is no evidence that this particular
                                                    permitting Ms. Fuller-McMahan to act                                                                           that she ‘‘was predisposed to continue
                                                                                                             transaction took place,’’ id., it notes that
                                                    as Turning Tide’s director and continue                                                                        to engage in drug trafficking which
                                                                                                             Ms. Fuller-McMahan was arrested and
                                                    to have control over the drug treatment                                                                        could have involved trading
                                                                                                             convicted for possessing cocaine which
                                                    facility, Respondent failed to comply                                                                          Respondent’s stocks of narcotic
                                                                                                             she had obtained from a patient and
                                                    with standards respecting the ‘security                                                                        substances for cocaine.’’ id. at 12. This
                                                                                                             intended to deliver to an employee. Id.
                                                    of stocks of narcotic drugs for . . .                                                                          fails too, as notwithstanding
                                                                                                             at 11–12.
                                                    treatment,’ ’’ and thus violated section                                                                       Respondent’s waiver of its right to
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                                                                                The Government then argues that
                                                    823(g)(1)(B). Id. at 11.                                 ‘‘Ms. Fuller-McMahan was predisposed                  challenge the Immediate Suspension
                                                       Invoking the terms of the MOA, the                    to continue to engage in drug trafficking             Order, the Agency’s Order in this matter
                                                    Government argues that ‘‘the evidence                    which could have involved trading                     must be supported by ‘‘reliable,
                                                    paints a far different picture of Ms.                    Respondent’s stocks of narcotic                       probative, and substantial evidence.’’ 5
                                                    Fuller-McMahan’s involvement in                                                                                U.S.C. 556.
                                                    [Respondent] than that contemplated                        5 The record contains no evidence of interviews        Under the Agency’s rules,
                                                    by’’ the MOA. Id. First, the Government                  of any employees who might have observed her          Respondent’s waiver of its right to a
                                                    argues that Ms. Fuller-McMahan                           entering the pharmacy.                                hearing does not constitute an


                                               VerDate Sep<11>2014   17:15 Jul 20, 2016   Jkt 238001   PO 00000   Frm 00072   Fmt 4703   Sfmt 4703   E:\FR\FM\21JYN1.SGM   21JYN1


                                                    47416                          Federal Register / Vol. 81, No. 140 / Thursday, July 21, 2016 / Notices

                                                    admission of the allegations. Thus, the                  patient at Respondent, and which Ms.                       Order
                                                    Government had the burden of proving                     Fuller-McMahan admitted she intended                         Pursuant to the authority vested in me
                                                    its claim that Ms. Fuller-McMahan was                    to provide to C.G., a counselor at                         by 21 U.S.C. 824(a) and (d), I hereby
                                                    likely to trade Respondent’s methadone                   Respondent. Yet even here, there is no                     declare the Order of Immediate
                                                    for cocaine.                                             evidence that Ms. Fuller-McMahan                           Suspension issued to Turning Tide, Inc.,
                                                       However, the Government’s evidence                    either traded methadone for the cocaine
                                                                                                                                                                        ultra vires. This Order is effective
                                                    as to the alleged proposal of Ms. Fuller-                she received from J.R. or that she
                                                                                                                                                                        immediately.
                                                    McMahan to trade methadone to M.K. in                    intended to provide the cocaine to C.B.
                                                    exchange for cocaine is so lacking in                    for methadone.                                               Dated: July 15, 2016.
                                                    indicia of reliability that it does not                     Moreover, notwithstanding M.K.’s                        Chuck Rosenberg,
                                                    support the requisite finding under                      allegation, there is no evidence that the                  Acting Administrator.
                                                    section 823(g)(1). Notably, M.K.’s                       Government ever audited Respondent’s                       [FR Doc. 2016–17245 Filed 7–20–16; 8:45 am]
                                                    statement is hearsay,6 and there is no                   recordkeeping to determine whether                         BILLING CODE 4410–09–P
                                                    evidence that M.K., who has not been                     Respondent’s methadone was missing or
                                                    identified, was under oath when she                      that it developed any reliable evidence
                                                    provided the statement. Also, the MDEA                   that Ms. Fuller-McMahan was diverting                      DEPARTMENT OF JUSTICE
                                                    Agent acknowledged that M.K. had                         methadone. See 21 U.S.C. 823(g)(1)(B).
                                                    offered ‘‘to speak to [him] in exchange                  Nor did the Government produce any                         Drug Enforcement Administration
                                                    for consideration with M.K.’s pending                    evidence that Respondent’s
                                                    drug charges.’’ GX 15, at 2.                             recordkeeping was inadequate.9 Id. In                      [Docket No. 16–12]
                                                    Notwithstanding that the MDEA Agent                      short, while the Government has
                                                    further explained that ‘‘no promises                     established that Ms. Fuller-McMahan                        James Dustin Chaney, D.O.; Decision
                                                    were made to M.K. in exchange for any                    violated the MOA and this would have                       and Order
                                                    information she might divulge,’’                         supported the issuance of an Order to
                                                                                                                                                                          On November 13, 2015, the Deputy
                                                    informants typically do not provide                      Show Cause, the Government’s
                                                                                                                                                                        Assistant Administrator, Office of
                                                    information without some expectation                     principal justification for immediately
                                                                                                                                                                        Diversion Control, issued an Order to
                                                    of receiving favorable treatment and                     suspending Respondent’s registration
                                                                                                                                                                        Show Cause to James Dustin Chaney,
                                                    have ample motive to shade their                         and seizing the drugs is not supported
                                                                                                                                                                        D.O. (Respondent), of Hazard, Kentucky.
                                                    statements. Nor did the MDEA Agent’s                     by substantial evidence but rests on a
                                                    affidavit provide any additional facts                   hunch. Accordingly, I hold that the                        The Show Cause Order proposed the
                                                    tending to establish that M.K. had                       Immediate Suspension Order is ultra                        revocation of Respondent’s DEA
                                                    provided reliable information in other                   vires and the resulting seizure of                         Certificate of Registration BC8483430,
                                                    matters, or that the information M.K.                    Respondent’s methadone was unlawful.                       pursuant to which he is authorized to
                                                    provided regarding Ms. Fuller-                           See Norman Bridge, 529 F.2d at 828                         dispense controlled substances in
                                                    McMahan was otherwise corroborated.7                     (‘‘Such a suspension, or such a seizure,                   schedules II through V, and the denial
                                                       In short, this type of statement has                  may be invoked only to avoid imminent                      of any pending applications to renew or
                                                    been traditionally viewed by the courts                  danger to the public health and safety.                    modify his registration or for any other
                                                    as inherently unreliable, and as such,                   In the absence of that factor there can be                 registration, on the ground that he does
                                                    M.K.’s statement cannot be given any                     no suspension and no seizure without                       not have authority to handle controlled
                                                    weight in this decision. See, e.g., Carlos               notice and an opportunity to be                            substances in Kentucky, the State in
                                                    Gonzales, 76 FR 63118, 63119–20                          heard.’’).10                                               which he holds his DEA registration.
                                                    (2011). And even if the Government had                                                                              Show Cause Order, at 1 (citing 21 U.S.C.
                                                    established that M.K.’s statement was                       9 The Government also argues that ‘‘there was no        823(f); 824(a)(3)).
                                                    reliable, this interview, which occurred                 evidence that Respondent’s employees . . . were              The Show Cause Order alleged that
                                                    more than nine months prior to the                       taking any steps to minimize that risk,’’ i.e., the risk   Respondent is registered as a
                                                                                                             that Ms. Fuller-McMahan was diverting                      practitioner with authority to dispense
                                                    issuance of the Immediate Suspension                     Respondent’s methadone. Second Req. for Final
                                                    Order, could not support a finding of                    Agency Action, at 14. However, the Government              schedule II through V controlled
                                                    imminent danger and the subsequent                       has the burden of proving that Respondent’s                substances at the registered location of
                                                    seizure of the drugs.8 See, e.g., Norman                 methadone was being diverted. Moreover, it bears           1908 North Main Street, Hazard, KY. Id.
                                                                                                             noting that under the Maine Board of Pharmacy’s            The Order further alleged that while
                                                    Bridge Drug Co. v. Banner, 529 F.2d                      rules, Respondent was required to have a licensed
                                                    822, 829 (5th Cir. 1976).                                pharmacist overseeing its pharmacy, and ‘‘[t]he            Respondent’s registration was due to
                                                       Thus, the only evidence which                         pharmacist in charge is responsible legally and            expire on August 31, 2015, on August
                                                    arguably supports the Immediate                          professionally for all activities related to the           25, 2015, he filed a timely renewal
                                                                                                             practice of pharmacy within the opioid treatment           application and thus, his registration
                                                    Suspension Order and seizure of                          program for which the licensee is registered as
                                                    Respondent’s methadone stock is the                      pharmacist in charge, and for the opioid treatment
                                                    arrest of Ms. Fuller-McMahan for the                     program’s compliance with . . . federal and state          the benefit of the registrant, or his successor in
                                                    possession of cocaine and the syringes,                  laws and rules,’’ including the CSA and DEA                interest. The Attorney General shall notify a
                                                                                                             regulations. 02–392 CMR 36 § 4; see also 02–392            registrant, or his successor in interest, who has any
                                                    which she had received from J.R., a                      CMR 29 § 1.                                                controlled substance . . . seized or placed under seal
                                                                                                                10 In a June 29, 2015 letter, the Special Agent in      of the procedures to be followed to secure the
                                                      6 While M.K.’s statement is actually hearsay
                                                                                                             Charge of the New England Field Division wrote to          return of the controlled substance . . . and the
                                                    within hearsay, I have no reason to question the                                                                    conditions under which it will be returned. The
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                                                                             Ms. Fuller-McMahan that ‘‘[a]lthough the controlled
                                                    MDEA Agent’s recounting of the facts surrounding         substances were seized pursuant to an Immediate            Attorney General may not dispose of any controlled
                                                    M.K.’s agreeing to provide the statement or that he      Suspension Order, they are also being held by              substance . . . seized or placed under seal under this
                                                    has accurately testified as to the substance of M.K.’s   virtue of the fact that your registration expired on       subsection until the expiration of one hundred and
                                                    statement.                                               November 30, 2010, resulting in your not having            eighty days from the date such substance . . . was
                                                      7 Likewise, the Government did not produce the                                                                    seized or placed under seal.
                                                                                                             any authority to handle controlled substances.’’
                                                    entirety of M.K.’s statement and thus, there is no       However, to the extent the Government retained               21 U.S.C. 824(g). The Government has provided
                                                    way to evaluate the internal consistency of the          possession of the controlled substances based on           no evidence that it complied with the procedures
                                                    statement.                                               the expiration of Respondent’s registration, 21            required by this subsection. Accordingly, the
                                                      8 The record does not establish when the MDEA          U.S.C. 824(g) provides that:                               propriety of the seizure must be evaluated under
                                                    Agent first told DEA about M.K.’s allegations.           [s]uch controlled substances . . . shall be held for       the standards of subsection 824(d) and (f).



                                               VerDate Sep<11>2014   18:36 Jul 20, 2016   Jkt 238001   PO 00000   Frm 00073   Fmt 4703   Sfmt 4703    E:\FR\FM\21JYN1.SGM      21JYN1



Document Created: 2018-02-08 07:58:56
Document Modified: 2018-02-08 07:58:56
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 47411 

2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR