81_FR_79270 81 FR 79052 - Waleed Khan, M.D.; Decision and Order

81 FR 79052 - Waleed Khan, M.D.; Decision and Order

DEPARTMENT OF JUSTICE
Drug Enforcement Administration

Federal Register Volume 81, Issue 218 (November 10, 2016)

Page Range79052-79054
FR Document2016-27117

Federal Register, Volume 81 Issue 218 (Thursday, November 10, 2016)
[Federal Register Volume 81, Number 218 (Thursday, November 10, 2016)]
[Notices]
[Pages 79052-79054]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-27117]


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DEPARTMENT OF JUSTICE

Drug Enforcement Administration

[Docket No. 16-23]


Waleed Khan, M.D.; Decision and Order

    On April 12, 2016, the Deputy Assistant Administrator, of the then 
Office of Diversion Control, Drug Enforcement Administration, issued an 
Order to Show Cause to Waleed Khan, M.D. (hereinafter, Respondent). The 
Show Cause Order proposed the revocation of Respondent's DEA 
Certificate of Registration FK3499058, pursuant to which he is 
authorized to dispense controlled substances in schedules II through V 
as a practitioner, on the ground that he does not have authority to 
dispense controlled substances in Texas, the State in which he is 
registered with the Agency. Show Cause Order, at 1. See also 21 U.S.C. 
824(a)(3).
    The Show Cause Order specifically alleged that Respondent is 
registered as a practitioner, with authority to dispense schedule II 
through V controlled substances, at the registered address of 5101 
Avenue H, Suite 23, Rosenberg, Texas, and that his registration does 
not expire until December 31, 2018. Show Cause Order, at 1. The Show 
Cause Order then

[[Page 79053]]

alleged that ``[t]he Texas Medical Board issued an order, effective 
March 11, 2016, which suspended [Respondent's] authority to practice 
Medicine'' and that he is ``without authority to handle controlled 
substances in Texas, the [S]tate in which [he is] registered with the'' 
Agency. Id. Based on Respondent's lack of state authority, the Order 
asserted that Respondent's registration is subject to revocation. Id. 
The Order further advised Respondent of his right to request a hearing 
on the allegations or to submit a written statement of position on the 
matters of fact and law at issue, the procedure for electing either 
option, and the consequence of failing to elect either option. Id. at 
2.
    On May 12, 2016, Respondent, through his counsel, timely requested 
a hearing. The matter was placed on the docket of the Office of 
Administrative Law Judges and assigned to Administrative Law Judge 
Charles Wm. Dorman (hereinafter, ALJ). Thereafter, the ALJ ordered the 
Government to submit evidence to support the allegation as well as an 
accompanying motion for summary disposition by May 20, 2016; in the 
event the Government filed such a motion, the ALJ ordered Respondent to 
file his reply no later than May 27, 2016. Briefing Schedule for Lack 
of State Authority Allegations, at 1.
    On May 17, 2016, the Government filed its motion; as support for 
the motion, the Government attached a copy of the Texas Medical Board's 
(hereinafter, Board or TMB) Order of Temporary Suspension (Without 
Notice of Hearing), pursuant to which the Board's Disciplinary Panel 
found that ``Respondent's continued practice of medicine would 
constitute a continuing threat to the public welfare.'' Appendix B to 
Mot. for Summ. Disp., Order of Temporary Suspension, at 6 (Tex. Med. 
Bd. Mar. 11, 2016). The Board thus ordered the temporary suspension of 
Respondent's medical license, effective on the date of the Order. Id. 
at 6-7. Based on the Agency's longstanding interpretation that under 
the Controlled Substances Act, the possession of authority to dispense 
controlled substances under the laws of the State in which a 
practitioner engages in professional practice is a fundamental 
condition for both obtaining and maintaining a practitioner's 
registration, the Government argued that revocation of Respondent's 
registration is warranted. Mot. for Summ. Disp., at 3-4. The Government 
also argued that under Agency precedent, revocation is warranted even 
where a State Board has summarily suspended a practitioner's state 
authority and the State has yet to provide the practitioner with a 
hearing to challenge the State's action. Id. at 4.
    Respondent opposed the Government's motion. While Respondent did 
not dispute that the Board has temporarily suspended his medical 
license, he argues that ``it is clear that the action of the Texas 
Medical Board . . . was based on an investigation conducted by DEA'' 
and that his ``registration should not be revoked by summary 
disposition where the underlying state action was triggered solely by 
the DEA, and [he] has been afforded no opportunity to be heard `at a 
meaningful time and in a meaningful manner.' '' Resp. Opp., at 5 
(quoting Mathews v. Eldridge, 424 U.S. 319, 333 (1976)).\1\ Respondent 
also noted that the Texas Department of Public Safety had not revoked 
his state controlled substance registration. Id. at 2.
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    \1\ As support for his contention that the Medical Board's 
action was based on the DEA's investigation, Respondent cites to the 
transcript of the proceeding conducted by the Disciplinary Panel 
when it issued the Temporary Suspension Order. Specifically, 
Respondent asserts that the transcript shows that ``TMB employees 
first met with Houston DEA before entering the premises,'' that 
``the DEA secured the premises,'' and ``the affidavits for the 
Search . . . and Arrest Warrant[s] were made out by . . . a police 
officer assigned to the DEA Houston . . . Tactical Diversion 
Squad.'' Resp. Opp. at 5-6.
     In his Opposition, Respondent also argued that his registration 
is consistent with the public interest. Id. at 7-9. However, the 
sole ground on which the Government seeks revocation is Respondent's 
lack of state authority. Because the loss of state authority 
provides an independent and adequate ground for revoking 
Respondent's registration, I do not address whether Respondent's 
registration is consistent with the public interest.
     Respondent also challenges the Government's motion arguing that 
the latter is attempting to moot his case. Respondent bases his 
argument on the Government's purported statement that ```when no 
question of fact is involved, or when the material facts are agreed 
upon, an adversarial proceeding is not required.''' Opp. at 6 
(citing Mot. for Summ. Disp., at 2). The actual rule is that a 
plenary hearing (i.e., a trial type hearing) is not required when 
the material facts are not in dispute. See NLRB v. International 
Ass'n of Bridge Structural and Ornamental Ironworkers, 549 F.2d 634, 
639 (9th Cir. 1977); see also Rezik A. Saqer, 81 FR 22122, 22124 
(citing cases). Putting aside that Respondent was allowed to file an 
opposition to the Government's motion (thus rendering this an 
adversarial proceeding), the proposition recited by the Government 
is not an argument for mootness, but rather, for the resolvability 
of this matter on summary disposition.
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    The ALJ granted the Government's motion. Order Granting Summary 
Judgment and Recommended Rulings, Findings of Fact, Conclusions of Law, 
and Decision, at 4 (hereinafter, R.D.). The ALJ noted that ``[t]o 
maintain a DEA registration, a practitioner must be currently 
authorized to handle controlled substances in the jurisdiction in which 
[he] is registered.'' Id. at 3 (citing 21 U.S.C. 802(21) and 823(f)). 
Reasoning that ``the disposition of the Government's Motion depends 
only on whether the Respondent possesses state authority to handle 
controlled substances'' and finding it ``undisputed that [he] lacks 
state authorization to handle controlled substances in Texas,'' the 
State in which he holds his registration, the ALJ held that Respondent 
was not entitled to maintain his registration. Id. at 3-4. The ALJ thus 
recommended that Respondent's registration be revoked. Id. at 4.
    I adopt the ALJ's recommended order. While in his Opposition, 
Respondent asserted that the Texas Department of Public Safety had not 
revoked his state controlled substances registration, Opp. at 2, and 
the Government presented no evidence as to the status of his state 
registration, Respondent subsequently acknowledged that he ``does not 
possess valid authority to handle controlled substances in the 
jurisdiction in which he is registered.'' Id. at 7-8. However, based on 
the Board's resort to post-deprivation process in suspending his 
registration, Respondent raises two challenges to the revocation of his 
registration.
    First, Respondent argues that because the Board's suspension of his 
license was based on the DEA investigation and he has not had has ``an 
opportunity to be heard `at a meaningful time and in a meaningful 
manner' under the Texas statutory scheme,'' the Agency's use of 
``summary disposition in this instance would be a mistake.'' Id. at 6-
7. Second, in discussing factor one of the public interest standard, 
Respondent offers an argument which is, in essence, a fleshing-out of 
his due process claim. Specifically, he argues that because the ``TMB 
relied almost exclusively on the DEA to suspend his state authority,'' 
and the TMB's Order ``offers little insight with regard to its own 
factual findings'' and he ``was given no notice of the proceeding out 
of which the Order issued[] and . . . has not . . . had an opportunity 
to address findings or their underlying allegations in a contest case 
hearing,'' the Board's findings and actions ``do not significantly 
weigh for or against [him] with regard to the temporary suspension.'' 
Id. at 8.
    While it is true that Respondent's state license was suspended 
prior to the TMB's providing him with a hearing, as the ALJ explained, 
the Controlled Substances Act requires that a practitioner possess 
state authority to dispense controlled substances in order to maintain 
his registration. R.D. at 3; see also 21 U.S.C. 802(21) (defining ``the 
term `practitioner' [to] mean[] a . . . physician . . . or other person 
licensed, registered or otherwise permitted, by . . . the jurisdiction 
in which he

[[Page 79054]]

practices . . . to distribute, dispense, [or] administer . . . a 
controlled substance in the course of professional practice''); id. 
Sec.  823(f) (``The Attorney General shall register practitioners . . . 
if the applicant is authorized to dispense . . . controlled substances 
under the laws of the State in which he practices.''). Because Congress 
has clearly mandated that a physician possess state authority in order 
to be deemed a practitioner under the Act, DEA has long held that 
revocation of a practitioner's registration is the appropriate sanction 
whenever he is no longer authorized to dispense controlled substances 
under the laws of the State in which he practices medicine. See 
Frederick Marsh Blanton, M.D., 43 FR 27616, 27617 (1978); see also 
Hooper v. Holder, 481 Fed. Appx. 826, 828 (4th Cir. 2012); Calvin 
Ramsey, 76 FR 20034, 20036 (2011); Sheran Arden Yeates, M.D., 71 FR 
39130, 39131 (2006); Dominick A. Ricci, 58 FR 51104, 51105 (1993); 
Bobby Watts, 53 FR 11919, 11920 (1988). And because the CSA makes clear 
that a practitioner must possess state authority to maintain his 
registration, ``revocation is warranted even where a practitioner's 
state authority has been summarily suspended and the State has yet to 
provide the practitioner with a hearing to challenge the State's action 
at which he may ultimately prevail.'' Kamal Tiwari, 76 FR 71604, 71606 
(2011); see also Bourne Pharmacy, Inc., 72 FR 18273, 18274 (2007); Anne 
Lazar Thorn, 62 FR 12847 (1997).
    As for Respondent's due process challenge based on the Board's use 
of an ex parte procedure in issuing the Order of Temporary Suspension, 
the Order specifically provided that ``[a] hearing on the Application 
for Temporary suspension (WITH NOTICE) will hereby be scheduled before 
a Disciplinary Panel of the Board at a date to be determined as soon as 
practicable . . . unless such hearing is specifically waived by 
Respondent.'' Order of Temporary Suspension, at 7. Whether Respondent 
availed himself of his right to a hearing to challenge the Suspension 
Order is not disclosed by the record. DEA, however, presumes that the 
Board's procedures provide Respondent with a constitutionally adequate 
means of challenging the Suspension Order. Cf. Gonzales v. Oregon, 546 
U.S. 243, 270 (2006) (``The structure and operation of the CSA presume 
and rely upon a functioning medical profession regulated under the 
States' police powers.''); see also Gary Alfred Shearer, 78 FR 19009 
(2013). Because in this proceeding, Respondent was provided with the 
opportunity to challenge the only fact which is material for the 
disposition of this proceeding--whether he currently holds authority 
under Texas law to dispense controlled substances \2\--the Agency's 
procedures provided him with due process.\3\
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    \2\ Since the ALJ's ruling, Respondent has not submitted any 
evidence to the Agency showing that the Board's suspension is no 
longer in effect.
    \3\ As for Respondent's contention that his lack of state 
authority should not be given weight under the public interest 
standard, the Government did not seek revocation based upon a 
finding that he committed acts which render his registration 
inconsistent with the public interest. Show Cause Order, at 1. 
Rather, the Government sought revocation solely based upon a finding 
that Respondent's state license had been suspended and he is no 
longer authorized to dispense controlled substances. Id. (citing 21 
U.S.C. 824(a)(3)). The latter is an independent and adequate ground 
for revocation. See 21 U.S.C. 824(a).
---------------------------------------------------------------------------

    Accordingly, because Respondent is without authority under Texas 
law to dispense controlled substances, I will adopt the ALJ's 
recommendation that I revoke his registration.\4\ See 21 U.S.C. 
824(a)(3).
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    \4\ Respondent's registration does not expire until December 31, 
2018. Mot. for Summ. Disp., at Appendix A.
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Order

    Pursuant to the authority vested in me by 21 U.S.C. 824(a)(3) and 
28 CFR 0.100(b), I order that DEA Certificate of Registration No. 
FK3499058 issued to Waleed Khan, M.D., be, and it hereby is, revoked. I 
further order that any application of Waleed Khan, M.D., to renew or 
modify said registration be, and it hereby is, denied. This Order is 
effective immediately.\5\
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    \5\ For the same reasons that led the Medical Board to order the 
emergency suspension of Respondent's medical license, I concluded 
that the public interest necessitates that this Order be effective 
immediately. 21 CFR 1316.67.

    Dated: October 28, 2016.
Chuck Rosenberg,
Acting Administrator.
[FR Doc. 2016-27117 Filed 11-9-16; 8:45 am]
 BILLING CODE 4410-09-P



                                                    79052                     Federal Register / Vol. 81, No. 218 / Thursday, November 10, 2016 / Notices

                                                    found that ‘‘it is undisputed that the                  therefore not entitled to maintain his                  eligibility to hold’’ his registration, the
                                                    Respondent lacks state authorization to                 registration.4 I also adopt the ALJ’s                   online records of the Wyoming Board
                                                    handle controlled substances in                         ruling that Respondent was not entitled                 (of which I take official notice) show
                                                    Colorado,’’ where he is registered. Id. at              to appointed counsel, his ruling                        that this license has been suspended.5
                                                    3.                                                      rejecting Respondent’s claim that this                  Accordingly, Respondent is not eligible
                                                       The ALJ further rejected Respondent’s                proceeding is not ripe for adjudication                 to be registered in Wyoming and I
                                                    contention that the case is not ripe                    and his ruling rejecting Respondent’s                   therefore reject his CAP. 21 U.S.C.
                                                    because he is the subject of two pending                challenge to the lawfulness of the State                802(21), 823(f).
                                                    criminal cases in Colorado. Id. As the                  Board proceedings.
                                                    ALJ explained, because Respondent’s                        As the ALJ explained, the Controlled                 Order
                                                    medical license has been revoked, the                   Substances Act requires that a                            Pursuant to the authority vested in me
                                                    case was not dependent ‘‘on future                      practitioner possess state authority to                 by 21 U.S.C. 824(a)(3) and 28 CFR
                                                    events that may not occur’’ and                         dispense controlled substances in order                 0.100(b), I order that DEA Certificate of
                                                    ‘‘present[s] a concrete case or                         to maintain his registration. R.D. at 3;                Registration No. BH2378025 issued to
                                                    controversy.’’ Id. at 3–4 (citing Thomas                see also 21 U.S.C. 802(21) (defining ‘‘the              Thomas Horiagon, M.D., be, and it
                                                    v. Union Carbide Agric. Prod. Co., 473                  term ‘practitioner’ [to] mean[ ] a . . .                hereby is, revoked. I further order that
                                                    U.S. 568, 579 (1985); Texas v. United                   physician . . . or other person licensed,               any pending application of Thomas
                                                    States, 523 U.S. 296, 300 (1998)). The                  registered or otherwise permitted, by                   Horiagon, M.D., to renew or modify this
                                                    ALJ further noted that ‘‘these                          . . . the jurisdiction in which he                      registration, be, and it hereby is, denied.
                                                    proceedings are independent from                        practices . . . to distribute, dispense,                This Order is effective December 12,
                                                    Colorado’s criminal proceedings and                     [or] administer . . . a controlled                      2016.
                                                    any factual findings made therein’’ and                 substance in the course of professional                   Dated: November 2, 2016.
                                                    that ‘‘ ‘[i]t is not DEA’s policy to stay               practice’’); id. § 823(f) (‘‘The Attorney               Chuck Rosenberg,
                                                    proceedings . . . while registrants                     General shall register practitioners . . .
                                                    litigate in other forums.’ ’’ Id. at 4                                                                          Acting Administrator.
                                                                                                            if the applicant is authorized to
                                                    (quoting Newcare Home Health Servs.,                                                                            [FR Doc. 2016–27116 Filed 11–9–16; 8:45 am]
                                                                                                            dispense . . . controlled substances
                                                    72 FR 42126, 42127 n.2 (2007)) (other                   under the laws of the State in which he                 BILLING CODE 4410–09–P
                                                    citations omitted). Finally, the ALJ                    practices.’’).
                                                    rejected Respondent’s argument that the                    Because Congress has clearly
                                                    Board’s action in revoking his license                  mandated that a physician possess state                 DEPARTMENT OF JUSTICE
                                                    ‘‘was arbitrary [and] capricious, an                    authority in order to be deemed a                       Drug Enforcement Administration
                                                    abuse of discretion and contrary to                     practitioner under the Act, DEA has
                                                    law,’’ as being a collateral attack on the              long held that revocation of a                          [Docket No. 16–23]
                                                    state proceedings. Id. As the ALJ                       practitioner’s registration is the
                                                    explained, ‘‘a registrant’s challenges to               appropriate sanction whenever he is no                  Waleed Khan, M.D.; Decision and
                                                    the validity of a state action must be                  longer authorized to dispense controlled                Order
                                                    litigated in the forums provided by the                 substances under the laws of the State                     On April 12, 2016, the Deputy
                                                    state.’’ Id. (citing Zhiwei Lin, 77 FR                  in which he practices medicine. See                     Assistant Administrator, of the then
                                                    18862, 18864 (2012); also citing Kristen                Frederick Marsh Blanton, M.D., 43 FR                    Office of Diversion Control, Drug
                                                    Lee Raines, 81 FR 14890, 14891–92                       27616, 27617 (1978); see also Hooper v.                 Enforcement Administration, issued an
                                                    (2016)).                                                Holder, 481 Fed. Appx. 826, 828 (4th                    Order to Show Cause to Waleed Khan,
                                                       The ALJ also declined to consider                    Cir. 2012); Calvin Ramsey, 76 FR 20034,                 M.D. (hereinafter, Respondent). The
                                                    Respondent’s CAP, reasoning that he                     20036 (2011); Sheran Arden Yeates,                      Show Cause Order proposed the
                                                    ‘‘does not have the statutory authority to              M.D., 71 FR 39130, 39131 (2006);                        revocation of Respondent’s DEA
                                                    evaluate it.’’ Id. The ALJ further                      Dominick A. Ricci, 58 FR 51104, 51105                   Certificate of Registration FK3499058,
                                                    explained that ‘‘[t]he Administrator will               (1993); Bobby Watts, 53 FR 11919,                       pursuant to which he is authorized to
                                                    consider the Respondent’s corrective                    11920 (1988); see also 21 U.S.C.                        dispense controlled substances in
                                                    action plan.’’ Id. (citing 21 U.S.C.                    824(a)(3). Thus, it is of no consequence                schedules II through V as a practitioner,
                                                    824(a)(3)).                                             that Respondent has sought judicial
                                                       On August 3, 2016, the Deputy                                                                                on the ground that he does not have
                                                                                                            review of the Board’s action. See Fiaz                  authority to dispense controlled
                                                    Assistant Administrator rejected                        Afsal, 79 FR 61651, 61655 (2014) (citing
                                                    Respondent’s CAP. Letter from Deputy                                                                            substances in Texas, the State in which
                                                                                                            Calvin Ramsey, 76 FR 20034, 20036                       he is registered with the Agency. Show
                                                    Assistant Administrator Louis J. Milione                (2011) (citing Michael G. Dolin, 65 FR
                                                    to Respondent. The Deputy Assistant                                                                             Cause Order, at 1. See also 21 U.S.C.
                                                                                                            5661, 5662 (2000))). Rather, ‘‘[u]nder the              824(a)(3).
                                                    Administrator further explained that he                 CSA, all that matters is that Respondent                   The Show Cause Order specifically
                                                    had ‘‘determined [that] there is no                     is no longer currently authorized to                    alleged that Respondent is registered as
                                                    potential modification of [it] that could               dispense controlled substances in’’                     a practitioner, with authority to
                                                    or would alter [his] decision.’’ Id.                    Colorado, the State in which he is
                                                       Neither party filed exceptions to the                                                                        dispense schedule II through V
                                                                                                            registered. Afsal, 79 FR at 61655.                      controlled substances, at the registered
                                                    ALJ’s decision. Thereafter, on August                      As for Respondent’s CAP, I conclude
                                                    23, 2016, the ALJ forwarded the                                                                                 address of 5101 Avenue H, Suite 23,
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                                                                            that there are adequate grounds for                     Rosenberg, Texas, and that his
                                                    recorded to me for Final Agency Action.                 denying it. Specifically, while
                                                       Having considered the record in its                                                                          registration does not expire until
                                                                                                            Respondent maintains that he holds a                    December 31, 2018. Show Cause Order,
                                                    entirety, I adopt the ALJ’s factual                     Wyoming medical license and this
                                                    finding that Respondent’s medical                                                                               at 1. The Show Cause Order then
                                                                                                            ‘‘license establishes [his] continued
                                                    license has been revoked and his legal                                                                            5 Respondent may refute this finding by filing a
                                                    conclusion that he does not hold                          4I further find that Respondent’s registration does   properly supported motion with my Office no later
                                                    authority under Colorado law to                         not expire until October 31, 2017. See Mot. for         than fifteen (15) calendar days from the date of this
                                                    dispense controlled substances and is                   Summ. Disp., at Appendix A.                             Order. See 5 U.S.C. 556(e).



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                                                                              Federal Register / Vol. 81, No. 218 / Thursday, November 10, 2016 / Notices                                               79053

                                                    alleged that ‘‘[t]he Texas Medical Board                provide the practitioner with a hearing                   Government’s Motion depends only on
                                                    issued an order, effective March 11,                    to challenge the State’s action. Id. at 4.                whether the Respondent possesses state
                                                    2016, which suspended [Respondent’s]                       Respondent opposed the                                 authority to handle controlled
                                                    authority to practice Medicine’’ and that               Government’s motion. While                                substances’’ and finding it ‘‘undisputed
                                                    he is ‘‘without authority to handle                     Respondent did not dispute that the                       that [he] lacks state authorization to
                                                    controlled substances in Texas, the                     Board has temporarily suspended his                       handle controlled substances in Texas,’’
                                                    [S]tate in which [he is] registered with                medical license, he argues that ‘‘it is                   the State in which he holds his
                                                    the’’ Agency. Id. Based on Respondent’s                 clear that the action of the Texas                        registration, the ALJ held that
                                                    lack of state authority, the Order                      Medical Board . . . was based on an                       Respondent was not entitled to maintain
                                                    asserted that Respondent’s registration                 investigation conducted by DEA’’ and                      his registration. Id. at 3–4. The ALJ thus
                                                    is subject to revocation. Id. The Order                 that his ‘‘registration should not be                     recommended that Respondent’s
                                                    further advised Respondent of his right                 revoked by summary disposition where                      registration be revoked. Id. at 4.
                                                    to request a hearing on the allegations                 the underlying state action was triggered                    I adopt the ALJ’s recommended order.
                                                    or to submit a written statement of                     solely by the DEA, and [he] has been                      While in his Opposition, Respondent
                                                    position on the matters of fact and law                 afforded no opportunity to be heard ‘at                   asserted that the Texas Department of
                                                    at issue, the procedure for electing                    a meaningful time and in a meaningful                     Public Safety had not revoked his state
                                                    either option, and the consequence of                   manner.’ ’’ Resp. Opp., at 5 (quoting                     controlled substances registration, Opp.
                                                    failing to elect either option. Id. at 2.               Mathews v. Eldridge, 424 U.S. 319, 333                    at 2, and the Government presented no
                                                       On May 12, 2016, Respondent,                         (1976)).1 Respondent also noted that the                  evidence as to the status of his state
                                                    through his counsel, timely requested a                 Texas Department of Public Safety had                     registration, Respondent subsequently
                                                    hearing. The matter was placed on the                   not revoked his state controlled                          acknowledged that he ‘‘does not possess
                                                    docket of the Office of Administrative                  substance registration. Id. at 2.                         valid authority to handle controlled
                                                    Law Judges and assigned to                                 The ALJ granted the Government’s                       substances in the jurisdiction in which
                                                    Administrative Law Judge Charles Wm.                    motion. Order Granting Summary                            he is registered.’’ Id. at 7–8. However,
                                                    Dorman (hereinafter, ALJ). Thereafter,                  Judgment and Recommended Rulings,                         based on the Board’s resort to post-
                                                    the ALJ ordered the Government to                       Findings of Fact, Conclusions of Law,                     deprivation process in suspending his
                                                    submit evidence to support the                          and Decision, at 4 (hereinafter, R.D.).                   registration, Respondent raises two
                                                    allegation as well as an accompanying                   The ALJ noted that ‘‘[t]o maintain a DEA                  challenges to the revocation of his
                                                    motion for summary disposition by May                   registration, a practitioner must be                      registration.
                                                    20, 2016; in the event the Government                   currently authorized to handle                               First, Respondent argues that because
                                                    filed such a motion, the ALJ ordered                    controlled substances in the jurisdiction                 the Board’s suspension of his license
                                                    Respondent to file his reply no later                   in which [he] is registered.’’ Id. at 3                   was based on the DEA investigation and
                                                    than May 27, 2016. Briefing Schedule                    (citing 21 U.S.C. 802(21) and 823(f)).                    he has not had has ‘‘an opportunity to
                                                    for Lack of State Authority Allegations,                Reasoning that ‘‘the disposition of the                   be heard ‘at a meaningful time and in a
                                                    at 1.                                                                                                             meaningful manner’ under the Texas
                                                       On May 17, 2016, the Government                         1 As support for his contention that the Medical       statutory scheme,’’ the Agency’s use of
                                                    filed its motion; as support for the                    Board’s action was based on the DEA’s                     ‘‘summary disposition in this instance
                                                                                                            investigation, Respondent cites to the transcript of
                                                    motion, the Government attached a copy                  the proceeding conducted by the Disciplinary Panel
                                                                                                                                                                      would be a mistake.’’ Id. at 6–7. Second,
                                                    of the Texas Medical Board’s                            when it issued the Temporary Suspension Order.            in discussing factor one of the public
                                                    (hereinafter, Board or TMB) Order of                    Specifically, Respondent asserts that the transcript      interest standard, Respondent offers an
                                                    Temporary Suspension (Without Notice                    shows that ‘‘TMB employees first met with Houston         argument which is, in essence, a
                                                                                                            DEA before entering the premises,’’ that ‘‘the DEA
                                                    of Hearing), pursuant to which the                      secured the premises,’’ and ‘‘the affidavits for the      fleshing-out of his due process claim.
                                                    Board’s Disciplinary Panel found that                   Search . . . and Arrest Warrant[s] were made out          Specifically, he argues that because the
                                                    ‘‘Respondent’s continued practice of                    by . . . a police officer assigned to the DEA             ‘‘TMB relied almost exclusively on the
                                                    medicine would constitute a continuing                  Houston . . . Tactical Diversion Squad.’’ Resp.           DEA to suspend his state authority,’’
                                                                                                            Opp. at 5–6.
                                                    threat to the public welfare.’’ Appendix                   In his Opposition, Respondent also argued that
                                                                                                                                                                      and the TMB’s Order ‘‘offers little
                                                    B to Mot. for Summ. Disp., Order of                     his registration is consistent with the public            insight with regard to its own factual
                                                    Temporary Suspension, at 6 (Tex. Med.                   interest. Id. at 7–9. However, the sole ground on         findings’’ and he ‘‘was given no notice
                                                    Bd. Mar. 11, 2016). The Board thus                      which the Government seeks revocation is                  of the proceeding out of which the
                                                                                                            Respondent’s lack of state authority. Because the
                                                    ordered the temporary suspension of                     loss of state authority provides an independent and
                                                                                                                                                                      Order issued[] and . . . has not . . . had
                                                    Respondent’s medical license, effective                 adequate ground for revoking Respondent’s                 an opportunity to address findings or
                                                    on the date of the Order. Id. at 6–7.                   registration, I do not address whether Respondent’s       their underlying allegations in a contest
                                                    Based on the Agency’s longstanding                      registration is consistent with the public interest.      case hearing,’’ the Board’s findings and
                                                    interpretation that under the Controlled                   Respondent also challenges the Government’s            actions ‘‘do not significantly weigh for
                                                                                                            motion arguing that the latter is attempting to moot
                                                    Substances Act, the possession of                       his case. Respondent bases his argument on the            or against [him] with regard to the
                                                    authority to dispense controlled                        Government’s purported statement that ‘‘‘when no          temporary suspension.’’ Id. at 8.
                                                    substances under the laws of the State                  question of fact is involved, or when the material           While it is true that Respondent’s
                                                    in which a practitioner engages in                      facts are agreed upon, an adversarial proceeding is       state license was suspended prior to the
                                                                                                            not required.’’’ Opp. at 6 (citing Mot. for Summ.
                                                    professional practice is a fundamental                  Disp., at 2). The actual rule is that a plenary hearing
                                                                                                                                                                      TMB’s providing him with a hearing, as
                                                    condition for both obtaining and                        (i.e., a trial type hearing) is not required when the     the ALJ explained, the Controlled
                                                    maintaining a practitioner’s registration,                                                                        Substances Act requires that a
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                                                                                                            material facts are not in dispute. See NLRB v.
                                                    the Government argued that revocation                   International Ass’n of Bridge Structural and              practitioner possess state authority to
                                                                                                            Ornamental Ironworkers, 549 F.2d 634, 639 (9th
                                                    of Respondent’s registration is                         Cir. 1977); see also Rezik A. Saqer, 81 FR 22122,
                                                                                                                                                                      dispense controlled substances in order
                                                    warranted. Mot. for Summ. Disp., at                     22124 (citing cases). Putting aside that Respondent       to maintain his registration. R.D. at 3;
                                                    3–4. The Government also argued that                    was allowed to file an opposition to the                  see also 21 U.S.C. 802(21) (defining ‘‘the
                                                    under Agency precedent, revocation is                   Government’s motion (thus rendering this an               term ‘practitioner’ [to] mean[] a . . .
                                                                                                            adversarial proceeding), the proposition recited by
                                                    warranted even where a State Board has                  the Government is not an argument for mootness,
                                                                                                                                                                      physician . . . or other person licensed,
                                                    summarily suspended a practitioner’s                    but rather, for the resolvability of this matter on       registered or otherwise permitted, by
                                                    state authority and the State has yet to                summary disposition.                                      . . . the jurisdiction in which he


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                                                    79054                     Federal Register / Vol. 81, No. 218 / Thursday, November 10, 2016 / Notices

                                                    practices . . . to distribute, dispense,                with the opportunity to challenge the                   National Council on the Arts will be
                                                    [or] administer . . . a controlled                      only fact which is material for the                     held by teleconference.
                                                    substance in the course of professional                 disposition of this proceeding—whether                  DATES: All meetings are Eastern time
                                                    practice’’); id. § 823(f) (‘‘The Attorney               he currently holds authority under                      and ending times are approximate:
                                                    General shall register practitioners . . .              Texas law to dispense controlled                          Arts Education (review of
                                                    if the applicant is authorized to                       substances 2—the Agency’s procedures                    applications): This meeting will be
                                                    dispense . . . controlled substances                    provided him with due process.3                         closed.
                                                    under the laws of the State in which he                   Accordingly, because Respondent is                      Date and time: December 1, 2016;
                                                    practices.’’). Because Congress has                     without authority under Texas law to                    1:30 p.m. to 3:30 p.m.
                                                    clearly mandated that a physician                       dispense controlled substances, I will                    Arts Education (review of
                                                    possess state authority in order to be                  adopt the ALJ’s recommendation that I                   applications): This meeting will be
                                                    deemed a practitioner under the Act,                    revoke his registration.4 See 21 U.S.C.                 closed.
                                                    DEA has long held that revocation of a                  824(a)(3).                                                Date and time: December 6, 2016;
                                                    practitioner’s registration is the                      Order                                                   1:30 p.m. to 3:30 p.m.
                                                    appropriate sanction whenever he is no                                                                            Dance (review of applications): This
                                                    longer authorized to dispense controlled                   Pursuant to the authority vested in me               meeting will be closed.
                                                    substances under the laws of the State                  by 21 U.S.C. 824(a)(3) and 28 CFR                         Date and time: December 6, 2016;
                                                    in which he practices medicine. See                     0.100(b), I order that DEA Certificate of               12:00 p.m. to 2:00 p.m.
                                                    Frederick Marsh Blanton, M.D., 43 FR                    Registration No. FK3499058 issued to                      Dance (review of applications): This
                                                    27616, 27617 (1978); see also Hooper v.                 Waleed Khan, M.D., be, and it hereby is,                meeting will be closed.
                                                    Holder, 481 Fed. Appx. 826, 828 (4th                    revoked. I further order that any                         Date and time: December 6, 2016;
                                                    Cir. 2012); Calvin Ramsey, 76 FR 20034,                 application of Waleed Khan, M.D., to                    3:00 p.m. to 5:00 p.m.
                                                    20036 (2011); Sheran Arden Yeates,                      renew or modify said registration be,                     Museums (review of applications):
                                                    M.D., 71 FR 39130, 39131 (2006);                        and it hereby is, denied. This Order is                 This meeting will be closed.
                                                    Dominick A. Ricci, 58 FR 51104, 51105                   effective immediately.5                                   Date and time: December 6, 2016;
                                                    (1993); Bobby Watts, 53 FR 11919,                         Dated: October 28, 2016.                              11:30 a.m. to 1:30 p.m.
                                                    11920 (1988). And because the CSA                       Chuck Rosenberg,
                                                                                                                                                                      Museums (review of applications):
                                                    makes clear that a practitioner must                                                                            This meeting will be closed.
                                                                                                            Acting Administrator.
                                                    possess state authority to maintain his                                                                           Date and time: December 6, 2016;
                                                                                                            [FR Doc. 2016–27117 Filed 11–9–16; 8:45 am]
                                                    registration, ‘‘revocation is warranted                                                                         2:30 p.m. to 4:30 p.m.
                                                    even where a practitioner’s state
                                                                                                            BILLING CODE 4410–09–P                                    Presenting and Multidisciplinary
                                                    authority has been summarily                                                                                    Works (review of applications): This
                                                    suspended and the State has yet to                                                                              meeting will be closed.
                                                    provide the practitioner with a hearing                 NATIONAL FOUNDATION ON THE                                Date and time: December 6, 2016;
                                                    to challenge the State’s action at which                ARTS AND THE HUMANITIES                                 2:00 p.m. to 4:00 p.m.
                                                    he may ultimately prevail.’’ Kamal                                                                                Dance (review of applications): This
                                                                                                            National Endowment for the Arts                         meeting will be closed.
                                                    Tiwari, 76 FR 71604, 71606 (2011); see
                                                    also Bourne Pharmacy, Inc., 72 FR                                                                                 Date and time: December 7, 2016;
                                                                                                            Arts Advisory Panel Meetings
                                                    18273, 18274 (2007); Anne Lazar Thorn,                                                                          12:00 p.m. to 2:00 p.m.
                                                    62 FR 12847 (1997).                                     AGENCY:  National Endowment for the                       Literature (review of applications):
                                                                                                            Arts, National Foundation on the Arts                   This meeting will be closed.
                                                       As for Respondent’s due process                                                                                Date and time: December 7, 2016;
                                                                                                            and Humanities.
                                                    challenge based on the Board’s use of an                                                                        3:00 p.m. to 5:00 p.m.
                                                    ex parte procedure in issuing the Order                 ACTION: Notice of meetings.
                                                                                                                                                                      Museums (review of applications):
                                                    of Temporary Suspension, the Order                      SUMMARY:   Pursuant to the Federal                      This meeting will be closed.
                                                    specifically provided that ‘‘[a] hearing                Advisory Committee Act, as amended,                       Date and time: December 7, 2016;
                                                    on the Application for Temporary                        notice is hereby given that 27 meetings                 11:30 a.m. to 1:30 p.m.
                                                    suspension (WITH NOTICE) will hereby                    of the Arts Advisory Panel to the                         Museums (review of applications):
                                                    be scheduled before a Disciplinary                                                                              This meeting will be closed.
                                                    Panel of the Board at a date to be                         2 Since the ALJ’s ruling, Respondent has not           Date and time: December 7, 2016;
                                                    determined as soon as practicable . . .                 submitted any evidence to the Agency showing that       2:30 p.m. to 4:30 p.m.
                                                    unless such hearing is specifically                     the Board’s suspension is no longer in effect.            Presenting and Multidisciplinary
                                                                                                               3 As for Respondent’s contention that his lack of
                                                    waived by Respondent.’’ Order of                                                                                Works (review of applications): This
                                                                                                            state authority should not be given weight under
                                                    Temporary Suspension, at 7. Whether                     the public interest standard, the Government did        meeting will be closed.
                                                    Respondent availed himself of his right                 not seek revocation based upon a finding that he          Date and time: December 7, 2016;
                                                    to a hearing to challenge the Suspension                committed acts which render his registration            2:00 p.m. to 4:00 p.m.
                                                    Order is not disclosed by the record.                   inconsistent with the public interest. Show Cause
                                                                                                            Order, at 1. Rather, the Government sought
                                                                                                                                                                      Arts Education (review of
                                                    DEA, however, presumes that the                         revocation solely based upon a finding that             applications): This meeting will be
                                                    Board’s procedures provide Respondent                   Respondent’s state license had been suspended and       closed.
                                                    with a constitutionally adequate means                  he is no longer authorized to dispense controlled         Date and time: December 8, 2016;
                                                    of challenging the Suspension Order. Cf.                substances. Id. (citing 21 U.S.C. 824(a)(3)). The
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                                                                                                                                                                    11:00 a.m. to 1:00 p.m.
                                                                                                            latter is an independent and adequate ground for
                                                    Gonzales v. Oregon, 546 U.S. 243, 270                   revocation. See 21 U.S.C. 824(a).                         Literature (review of applications):
                                                    (2006) (‘‘The structure and operation of                   4 Respondent’s registration does not expire until    This meeting will be closed.
                                                    the CSA presume and rely upon a                         December 31, 2018. Mot. for Summ. Disp., at               Date and time: December 8, 2016;
                                                    functioning medical profession                          Appendix A.                                             3:00 p.m. to 5:00 p.m.
                                                                                                               5 For the same reasons that led the Medical Board
                                                    regulated under the States’ police                                                                                Media Arts (review of applications):
                                                                                                            to order the emergency suspension of Respondent’s
                                                    powers.’’); see also Gary Alfred Shearer,               medical license, I concluded that the public interest
                                                                                                                                                                    This meeting will be closed.
                                                    78 FR 19009 (2013). Because in this                     necessitates that this Order be effective                 Date and time: December 8, 2016;
                                                    proceeding, Respondent was provided                     immediately. 21 CFR 1316.67.                            11:30 a.m. to 1:30 p.m.


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Document Created: 2016-11-10 01:43:59
Document Modified: 2016-11-10 01:43:59
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 79052 

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