B. R. Ringer, Jr., D.O. v. Texas State Board of Medical Examiners and Bruce A. Levy, M.D.

CourtCourt of Appeals of Texas
DecidedNovember 4, 1999
Docket03-99-00021-CV
StatusPublished

This text of B. R. Ringer, Jr., D.O. v. Texas State Board of Medical Examiners and Bruce A. Levy, M.D. (B. R. Ringer, Jr., D.O. v. Texas State Board of Medical Examiners and Bruce A. Levy, M.D.) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
B. R. Ringer, Jr., D.O. v. Texas State Board of Medical Examiners and Bruce A. Levy, M.D., (Tex. Ct. App. 1999).

Opinion

TEXAS COURT OF APPEALS, THIRD DISTRICT, AT AUSTIN




NO. 03-99-00021-CV

B. R. Ringer, Jr., D.O., Appellant


v.



Texas State Board of Medical Examiners and Bruce A. Levy, M.D., Appellees



FROM THE DISTRICT COURT OF TRAVIS COUNTY, 250TH JUDICIAL DISTRICT

NO. 98-04774, HONORABLE JOSEPH HART, JUDGE PRESIDING

Appellees Texas State Board of Medical Examiners and Bruce A. Levy, M.D. (1) found that appellant B.R. Ringer had violated the Medical Practice Act and suspended Ringer's medical license for five years, stayed the suspension, and placed him on probation. See Tex. Rev. Civ. Stat. Ann. art 4495b (West Supp. 1999). Ringer appealed this decision to the district court, which found that the Board's decision was supported by substantial evidence. In four issues, Ringer appeals the district court's decision. We will affirm the district court's judgment.

BACKGROUND

On January 13, 1994, appellant Ringer, a cosmetic surgeon, performed a pre-surgical examination on a female patient who wished to undergo liposuction. The woman, A.K., alleged that while she and Ringer were alone in an examining room, Ringer made inappropriate remarks and sexually molested her.

On May 19, 1994, the Board staff filed an application for the temporary suspension of Ringer's license, alleging, among other things, that Ringer had: (1) engaged in unprofessional or dishonorable conduct involving A.K. and another female patient, K.L.; (2) failed to practice medicine in an acceptable manner by performing penile enlargements; and (3) been removed, suspended, or had disciplinary action taken against him. (2) See id. § 3.08(4), (18), (19). On May 26, a disciplinary panel consisting of three members of the Board met to consider the application and denied it. In February 1995, the Board issued a complaint against Ringer involving the same violations alleged in the original application.

During September and November 1995, an administrative law judge ("ALJ") at the State Office of Administrative Hearings conducted a contested-case hearing. On July 18, 1996, the ALJ issued a proposal for decision in which he concluded that Ringer had violated the Medical Practice Act by his conduct with A.K. and K.L., but not by performing penile enlargements. On August 29, Ringer moved that the ALJ reopen the hearing to receive evidence regarding psychological testing of A.K. that Ringer contended undermined her credibility. The ALJ declined to reopen the hearing, stating that because he had already issued his proposal, he no longer had jurisdiction over the matter. (3)

The Board convened on October 5, 1996, to address the ALJ's proposal. At the Board meeting, Ringer asked the Board to remand the cause to the ALJ to consider A.K.'s psychological test results and receive expert testimony interpreting those results. The Board denied the motion and voted to adopt an order incorporating all of the findings of fact and conclusions of law set out in the ALJ's proposal for decision. The Board suspended Ringer's license for five years but stayed the suspension and placed Ringer on probation.

Ringer sought judicial review in Travis County district court. Without addressing the remaining issues, the district court ruled that res judicata barred Count II of the complaint involving patient K.L. because the Board had previously closed its investigation of her allegations without bringing formal charges. The court remanded the cause to the agency for further disposition, and the Board did not appeal the court's decision. The Board reconvened on February 7, 1998, at which time Ringer again asked the Board to remand the cause to the ALJ for consideration of A.K.'s psychological test results. The Board overruled Ringer's motion and voted to amend the findings of fact and modify the conclusions of law to remove all references to patient K.L. Except for deleting references to K.L., the Board adopted the ALJ's original proposal without change.

Ringer again sought judicial review in the district court, and again Ringer asked the court to remand the cause to the Board so that he could present additional evidence. The district court denied Ringer's motion and rendered a final judgment affirming the Board's order. Ringer now appeals from the district court's judgment.



DISCUSSION

On appeal, Ringer brings four issues for our consideration. First, Ringer contends that the Board changed the ALJ's findings of fact and conclusions of law in violation of the Administrative Procedure Act ("APA") by deleting the references to the offense involving K.L. See Tex. Gov't Code Ann. § 2001.058(e) (West 1999). Ringer next argues that he was deprived of his substantial right to a decision free from the appearance of impropriety because a Board member who had participated at his disciplinary panel proceeding also participated in the meeting at which the Board voted to suspend him. In his third issue, Ringer argues that the Board and the district court abused their discretion in not remanding the cause to the ALJ to consider newly discovered evidence. And finally, Ringer contends that the Board's conclusion that he violated the Medical Practice Act is not supported by substantial evidence.

Appellate courts consider various factors when reviewing administrative rulings. See id. § 2001.174. We review interpretations of constitutional or statutory provisions de novo. See id. § 2001.174(2)(B); see also In re Humphreys, 880 S.W.2d 402, 404 (Tex. 1994). We can reverse a decision for an abuse of discretion. See Tex. Gov't Code Ann. § 2001.174(2)(F). Finally, we can reverse a decision not supported by substantial evidence. See id. § 2001.174(2)(E). These errors require reversal only if they prejudice substantial rights of the appellant. See id. § 2001.174(2).



Compliance with Section 2001.058(e)

In his first issue, Ringer argues that the Board violated section 2001.058(e) of the APA when it omitted the ALJ's findings and conclusions relating to patient K.L., pursuant to the district court's ruling, without providing written policy reasons and legal bases for the omission. Ringer contends that because the Board failed to comply with this section, the Board's order must be reversed. We disagree.

The version of section 2001.058(e) in effect at the time of the hearing read:



A state agency may change a finding of fact or conclusion of law made by the administrative law judge, or may vacate or modify an order issued by the administrative law judge, only for reasons of policy. The agency shall state in writing the reason and legal basis for a change made under this subsection.



Act of April 30, 1993, 73d Leg., R.S., ch. 268, § 1, 1993 Tex. Gen. Laws 583, 741 (Tex. Gov't Code Ann. § 2001.058(e), since amended) (emphasis added).

In its simplest terms, this issue asks whether the Board's action on remand from the district court constituted a change for purposes of section 2001.058(e). We do not believe that it did. An agency violates section 2001.058(e) when the agency substitutes its

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