Alfred Johnson, D.O. v. State

Court of Appeals of Texas·Decided July 24, 2009·No. 03-08-00667-CV·Published

Opinion

TEXAS COURT OF APPEALS, THIRD DISTRICT, AT AUSTIN

NO. 03-08-00667-CV

Alfred Johnson, D.O., Appellant

v.

The State of Texas; Texas Medical Board; Mari Robinson, J.D., in her Official Capacity as Interim Executive Director and Director of Enforcement for the Texas Medical Board; et al., Appellees

FROM THE DISTRICT COURT OF TRAVIS COUNTY, 201ST JUDICIAL DISTRICT NO. D-1-GN-08-001657, HONORABLE MARGARET A. COOPER, JUDGE PRESIDING

MEMORANDUM OPINION

Dr. Alfred Johnson, D.O., appeals a district court judgment dismissing his suit

against appellees for want of subject-matter jurisdiction. We will affirm the judgment.

Dr. Johnson is an osteopathic physician currently licensed by appellee, the Texas

Medical Board, to practice medicine in the State of Texas. See Tex. Occ. Code Ann. § 155.001

(West 2004). On March 26, 2008, the Board’s director of enforcement wrote Johnson, notifying

Johnson that a complaint had been initiated against him in regard to:

[t]he diagnosis, evaluation/treatment (i.e. tetanus injection for Klebsiella infection; immune globulin etc.), billing practices, charges, billable services and breach of confidentiality with fellow physician (Dr. Roby) regarding care for patient K.J. during 2003-2004.1

1 For privacy, the Board redacted all but the patient’s initials. Johnson wrote back on April 7 requesting clarification of the subject matter of the investigation

and further details regarding the complaint. On April 16, the Board’s director of enforcement sent

Johnson another letter, which included the identical language set out above, but this time also

enclosed a medical practice questionnaire and a form affidavit for medical records that Johnson was

instructed to complete and return with “a complete (medical and billing) copy of the patient records”

for K.J. for the 2003-04 time period.

On April 25, 2008, a Board investigator wrote Johnson advising him that the Board

had initiated a formal investigation concerning allegations of professional negligence regarding

the care of patient K.J. Following this letter, on April 29, the investigator issued an administrative

subpoena to Johnson for “any and all medical and billing records” of K.J.

Subsequently, Johnson filed suit against the State of Texas; the Board; the Board’s

executive director and director of enforcement; and the Board investigator who issued the

subpoena, naming all of the individual defendants in their official capacities2 (collectively,

appellees). Johnson asserted essentially two sets of claims. First, alleging that patient K.J. had

ordered him not to disclose the patient’s record to the Board, Johnson pled what he styled as an

interpleader action in which he requested a declaratory judgment under the Uniform Declaratory

Judgments Act (UDJA)3 to resolve the “competing claims” to the records and to clarify whether he

was required to produce them. Relatedly, Johnson sought injunctive relief restraining appellees from

prosecuting a disciplinary action against him while his suit was pending.

2 Where there has been a change in the interim, we have substituted the current officeholders. See Tex. R. App. P. 7.2(a). 3 Tex. Civ. Prac. & Rem. Code Ann. §§ 37.001-.011 (West 2008).

2 Second, Johnson alleged that appellees were violating his “due process rights”

through their letters and administrative subpoena. Specifically, Johnson alleged that (1) the Board’s

March 26, April 17, and April 25, 2008 letters violated his “due process rights” by failing to

adequately disclose the subject matter of the investigation and complaint; and (2) the administrative

subpoena was outside the Board’s statutory authority because it was a “fishing expedition”

that exceeded the scope of the investigation reflected in the Board’s prior letters. Johnson sought

declaratory judgments that (1) “the [Board] letters of March 26, April 17, and April 25, 2008 [are]

legally deficient communications from the Board in violation of Plaintiff’s due process rights

safeguarded by the Fourteenth Amendment to the U.S. Constitution, the Texas Constitution,

and further declaring the investigation null and void under Texas law in the absence of the disclosure

of the nature of the complaint and the scope of the investigation”; (2) “the [Board] purported

investigation conducted in the absence of a bona fide complaint containing allegations supporting

the contentions set forth in the [Board] letters of March 26, April 17, and April 25, 2008 [are] an

action in excess of the [Board] powers and authorities”; (3) the investigative subpoena is “overbroad,

illegal, and in excess of the powers and authorities of the [Board] and in contravention of the limited

scope of the investigation” reflected in the Board’s letters of March 26, April 17, and April 25, 2008;

and (4) further declaring “the true scope” of the investigation and the “specific documents that

the Court determines that are relevant to the Board’s investigation.” With this, Johnson requested

a mandatory injunction to compel appellees to comply with “the disclosure mandates of Tex. Occ.

Code Ann. § 154.053(a) and of the Board’s own regulations 22 TAC § 179.3(5),” a permanent

injunction under 42 U.S.C. § 1983 to restrain appellees’ “due process” violations, and a preliminary

3 injunction restraining appellees from prosecuting any disciplinary proceedings while his suit was

pending. In his petition, Johnson also requested a rule 176 protective order against the subpoena.

Appellees filed a plea to the jurisdiction asserting that Johnson’s suit was barred

by sovereign immunity, that his claims were not ripe, that he had failed to exhaust his administrative

remedies, and that the district court lacked subject-matter jurisdiction to intervene in the Board’s

ongoing administrative proceeding. The Board also wrote Johnson advising him that it was initiating

a separate investigation regarding his failure to comply with its initial subpoena. In response,

Johnson sought a temporary restraining order against the investigation pending the district court’s

determination of appellees’ plea to the jurisdiction. A hearing was held on Johnson’s TRO request

on August 14, 2008. At the hearing, Johnson’s counsel acknowledged what counsel terms K.J.’s

“newly conflicting views of reality on the ground” concerning whether the patient opposed

disclosure of the medical records. The district court denied the TRO. On the following day, Johnson

explains, he “voluntarily discontinued the interpleader part of the case regarding the priority of

the claims of K.J. and of the Board,” and produced the medical records called for in the subpoena.

On September 29, 2008, the district court granted appellees’ plea to the jurisdiction

without stating specific grounds, and dismissed Johnson’s claims “without prejudice to his later

seeking judicial review at the appropriate time.” This appeal followed.

Johnson brings a single issue on appeal in which he argues that the district court erred

in granting appellees’ plea to the jurisdiction because the district court, not the Board, had exclusive

jurisdiction over the subject matter of his claims; because his claims fall within exceptions to

exhaustion-of-remedies requirements; and because his claims are ripe for adjudication.

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