Ex Parte Emad Mikhail Tewfik Bishai

Court of Appeals of Texas·Decided November 24, 2021·No. 09-21-00161-CR·Published

Opinion

In The

Court of Appeals

Ninth District of Texas at Beaumont

NO. 09-21-00158-CR

NO. 09-21-00159-CR

NO. 09-21-00160-CR

NO. 09-21-00161-CR

NO. 09-21-00162-CR

NO. 09-21-00163-CR

EX PARTE EMAD MIKHAIL TEWFIK BISHAI

On Appeal from the 359th District Court Montgomery County, Texas

Trial Cause Nos. 19-11-14893-CR, 19-11-14894-CR, 19-11-14896-CR, 19-11-14902-CR, 19-11-14905-CR & 20-09-11172-CR

MEMORANDUM OPINION

Appellant Emad Mikhail Tewfik Bishai appeals the trial court’s denial of Bishai’s pretrial application for writ of habeas corpus in trial cause numbers 19-11- 14893-CR (appellate cause number 09-21-00158-CR), 19-11-14894-CR (appellate cause number 09-21-00159-CR), 09-11-14896-CR (appellate cause number 09-21- 00160-CR), 19-11-14902-CR (appellate cause number 09-21-00161-CR), 09-19-11-

14905-CR (appellate cause number 09-21-00162-CR), and 20-09-11172-CR (appellate cause number 09-21-00163-CR). We affirm.

Background

Bishai was charged by ten indictments with crimes related to his medical practice. The trial court signed an order consolidating eight of the ten indictments for trial. Bishai filed a pretrial application for a writ of habeas corpus in six of the ten trial causes challenging the facial validity of the underlying statutes, sections 165.152 and 164.053 of the Texas Occupations Code. The four pending cases that are not subject to Bishai’s facial challenge are filed under cause numbers 19-11- 14895, 19-11-14898, 19-11-14900, and 19-11-14904, and, according to Bishai, those indictments charge him with violating section 481.128 of the Texas Health and Safety Code.

Each of the challenged indictments contains a single count and charges Bishai with violating section 165.152 of the Texas Occupations Code. Section 165.152(a) states: “[a] person commits an offense if the person practices medicine in this state in violation of [Subtitle B of Title 3 of the Occupations Code, commonly known as the Medical Practice Act].” Tex. Occ. Code Ann. § 165.152(a). Violation of section 165.152 is punishable by up to ten years in the penitentiary (a third-degree felony) and final conviction also results in the forfeiture of a physician’s medical license. See id. § 165.152(c), (d); see also Tex. Penal Code Ann. § 12.34(a). Each of the six

indictments challenged by Bishai relies on provisions in section 164.053 of the Texas Occupations Code to set out the manner and means of the alleged section 165.152 violations. Section 164.053 provides, in relevant part:

(a) [U]nprofessional or dishonorable conduct likely to deceive or defraud the public includes conduct in which a physician:

(3) writes prescriptions for or dispenses to a person who:

(A) is known to be an abuser of narcotic drugs, controlled substances, or dangerous drugs; or (B) the physician should have known was an abuser of narcotic drugs, controlled substances, or dangerous drugs;

(5) prescribes or administers a drug or treatment that is nontherapeutic in nature or nontherapeutic in the manner the drug or treatment is administered or prescribed;

(9) delegates professional medical responsibility or acts to a person if the delegating physician knows or has reason to know that the person is not qualified by training, experience, or licensure to perform the responsibility or acts.

Tex. Occ. Code Ann. § 164.053(a)(3), (5), (9).

Four of the indictments challenged by Bishai rely on section 164.053(a)(3) for their manner and means and allege that Bishai

as a physician,…practice[d] medicine in violation of [the Medical Practice Act] by committing a prohibited practice, to wit: committing unprofessional or dishonorable conduct that is likely to deceive or defraud the public by writing a prescription for dispensing to [a patient], a person whom the physician knew or should have known was an abuser of narcotic drugs, controlled substances, or dangerous drugs, or by prescribing or administering a drug or treatment that is nontherapeutic in nature or nontherapeutic in the manner the drug is administered or prescribed[.]

One of the indictments challenged by Bishai relies on section 164.053(5) for its manner and means and alleges that Bishai

as a physician,…practice[d] medicine in violation of [the Medical Practice Act] by committing a prohibited practice, to wit: committing unprofessional or dishonorable conduct that is likely to deceive or defraud the public by prescribing or administering a drug or treatment to [a patient] that is nontherapeutic in nature or nontherapeutic in the manner the drug is administered or prescribed[.]

The sixth indictment challenged by Bishai relies on section 164.053(a)(9) for its manner and means and alleges that Bishai

as a physician,…practice[d] medicine in violation of [the Medical Malpractice Act] by committing a prohibited practice, to wit:

committing unprofessional or dishonorable conduct that is likely to deceive or defraud the public by delegating professional medical responsibility or acts to a person, namely: [E.M., J.H. or M.Y.] whom the Defendant knew or had reason to know was not qualified by training, experience, or licensure to perform the responsibility or acts;

or failed to supervise adequately the activities of [E.M., J.H. or M.Y.], individuals acting under the supervision of Defendant[.]

Appellate Issues

In two issues, Appellant argues that sections 165.152 and 164.053 of the Texas Occupations Code are unconstitutionally vague under federal and state law. According to Bishai, each of the six indictments against him relies on provisions in section 164.053 to set out the manner and means of the alleged section 165.152 violations. Bishai argues that he has challenged the facial validity of sections 165.152 and 164.053 in the pretrial habeas applications filed in each of the six cases, and he contends the trial court erred in denying relief.

Bishai argues that section 164.053(a)(3) and (5) has terms that are not defined and that are unconstitutionally vague. More specifically he challenges the terms “abuser of narcotic drugs, controlled substances, or dangerous drugs,” “nontherapeutic in nature,” “nontherapeutic in the manner the drug is administered or prescribed,” and section 164.053(a)(9)’s term “professional medical responsibility or acts[]” because he contends they are not defined by statute and are all susceptible to subjective interpretation. 1 According to Bishai, he is not required to show that the challenged statutes operate unconstitutionally in all possible circumstances to prevail, and he argues that section 165.152 contains no scienter requirement and no “‘determinate guidelines’[]” for law enforcement (or the public in general) to differentiate between an administrative, injunctive, or civil violation of the Medical Practice Act, and a criminal one.

The State responds that (1) Bishai’s challenge is not cognizable because habeas relief would not entitle him to immediate release; (2) Bishai has not satisfied his burden to prove that the presumptively-valid statutes are unconstitutional; and (3) the statutes under which Bishai is charged are not unconstitutionally vague. We affirm.

1 Bishai also argues that if the State contends that section 165.152 proscribes only conduct set forth in section 164.052 (entitled “Prohibited Practices by Physician or License Applicant”), “violations of [section] 164.052 while practicing medicine are themselves overly broad and not statutorily defined.”

Standard of Review

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