Haw v. Idaho State Board of Medicine

137 P.3d 438, 143 Idaho 51, 2006 Ida. LEXIS 88
CourtIdaho Supreme Court
DecidedMay 30, 2006
Docket31862
StatusPublished
Cited by12 cases

This text of 137 P.3d 438 (Haw v. Idaho State Board of Medicine) is published on Counsel Stack Legal Research, covering Idaho Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Haw v. Idaho State Board of Medicine, 137 P.3d 438, 143 Idaho 51, 2006 Ida. LEXIS 88 (Idaho 2006).

Opinions

TROUT, Justice.

This is an appeal from an order of the district court reversing the decision of the appellant Idaho State Board of Medicine (Board) ordering respondent Dr. Haw to pay the Board’s costs and attorney fees in the amount of $115,755 relating to a disciplinary action brought by the Board against Haw. While we agree with the district court the Board erred in its fee award analysis, we remand the matter to the Board to reconsider the issue consistent with the guidelines set forth in this opinion.

I.

FACTUAL AND PROCEDURAL BACKGROUND

In 2000, the Board filed a fifty-seven page amended complaint containing twenty-three counts against Haw. Twenty-one of those counts included multiple allegations relating to the standard of care Haw provided his patients. All of those counts included some variation on the following allegations: (1) using stereotypical and incomplete charting and record keeping; (2) illegible handwriting; (3) ordering lab work that did not support the diagnosis; (4) diagnosing patients in a manner inconsistent with the findings or lack of findings; (5) treating patients in a manner inconsistent with the diagnosis, including utilizing excessive doses of intramuscular estrogen; and (6) inappropriately using, or failing to use, consultants. After listing these allegations, each count included a paragraph in which the Board asserted, “The acts and practices of [Haw], as alleged ... above, constitute violations of the Idaho Medical Practice Act in that [Haw] has provided health care which fails to meet the standard of health care provided by other qualified physicians in the same or similar communities.” A hearing officer found little or no evidence to support many of the allegations, but did conclude Haw violated the community standard of care concerning estrogen injections. The Board adopted all of the hearing officer’s findings and conclusions, sanctioned Haw by prohibiting him from giving estrogen injections in the future, and awarded itself over $115,000 in costs and attorney fees.

In Haw’s first appeal, this Court affirmed the restriction on Haw’s practice, but determined the fee award violated Haw’s due process rights because he had not been given an opportunity to be heard on the matter. See Haw v. Idaho State Bd. of Medicine (Haw I), 140 Idaho 152, 90 P.3d 902 (2004). On remand, the Board held a hearing on the issue and concluded that assessing costs and attorney fees is one of the disciplinary measures the Board has discretion to impose as a sanction pursuant to I.C. § 54-1806A(9). With respect to determining the amount of fees and costs to impose, the Board noted [53]*53Haw’s argument the fees should be apportioned because much of what had been alleged was not found to be the basis for discipline. Despite that argument, the Board found “no reasonable basis for reducing the amount of costs and attorney fees on the rationale that [Haw] is entitled to apportionment of such costs and attorney fees.” Once sufficient grounds for discipline were found to exist, the Board reasoned, it had discretion as to what sanctions to impose. Thus, the Board declined to apportion at all, deciding that because it had disciplined Haw, it was appropriate to impose as a sanction all of the fees incurred. Haw again appealed.

While acknowledging the numerical count of claims won or lost was not dispositive, the district court concluded the record clearly showed the Board prevailed in part and lost in part. As the Board engaged in no analysis as to the relative significance of the claims won or lost, the district court concluded the Board failed to establish its entitlement to costs and attorney fees. The district court reversed the Board’s order of costs and attorney fees in its entirety and the Board timely appealed.

II.

STANDARD OF REVIEW

On appeal from the district court’s decision on judicial review in a proceeding governed by the Administrative Procedure Act (APA), this Court reviews the agency record independently of the district court’s decision. Haw I, 140 Idaho at 157, 90 P.3d at 907. Pursuant to the APA, an agency’s disciplinary decisions may only be overturned on appeal where the decisions violate a substantial right of the party and where the agency’s findings, inferences, conclusions, or decisions (a) violate statutory or constitutional provisions; (b) exceed the agency’s statutory authority; (c) are made upon unlawful procedure; (d) are not supported by substantial evidence in the record; or (e) are arbitrary, capricious, or an abuse of discretion. Staff of Idaho Real Estate Com’n v. Nordling, 135 Idaho 630, 633, 22 P.3d 105, 108 (2001); I.C. § 67-5279(3), (4).

III.

DISCUSSION

The main issues on this appeal are whether the Board’s award of attorney fees should be apportioned and, if so, the appropriate remedy given the statute governing judicial review of Board decisions.

A. The award

Idaho Code section 54-1806A(9) governs disciplinary proceedings before the Board as follows:

Adjudication of Discipline or Exoneration. The board shall make a determination of the merits of all proceedings, studies and investigations and, if grounds therefor are found to exist, may issue its order:
(a) Revoking the respondent physician’s license to practice medicine;
(b) Suspending or restricting the respondent physician’s license to practice medicine;
(c) Imposing conditions or probation upon the respondent physician and requiring rehabilitation planning, commitment and conditions upon such respondent physician’s licensure;
(d) Imposing an administrative fine not to exceed ten thousand dollars ($10,000) for each count or offense; and/or
(e) Assessing costs and attorney’s fees against the respondent physician for any investigation and/or administrative proceeding.
If grounds for any of the foregoing are not found to exist, the board shall enter its order so stating and dismissing the proceedings and shall provide the respondent and, if there be one, the complainant or petitioner in the proceedings a true copy thereof.

(emphasis added). We agree with the Board that this statute clearly gives the Board authority to assess attorney fees as a sanction if grounds for discipline are found to exist after the merits of all proceedings have been considered. We also agree that the Idaho Rules of Civil Procedure do not apply to Board proceedings, so the Board is not constrained to follow exactly the prevailing party [54]*54analysis set forth in I.R.C.P. 54. See Nordling, 135 Idaho at 635, 22 P.3d at 110 (noting the Idaho Rules of Civil Procedure, by their own definition, are not applicable to administrative proceedings). Nevertheless, we disagree with the Board that the imposition of a sanction is entirely within its discretion and it need not demonstrate how the award relates to the discipline imposed.

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Haw v. Idaho State Board of Medicine
137 P.3d 438 (Idaho Supreme Court, 2006)

Cite This Page — Counsel Stack

Bluebook (online)
137 P.3d 438, 143 Idaho 51, 2006 Ida. LEXIS 88, Counsel Stack Legal Research, https://law.counselstack.com/opinion/haw-v-idaho-state-board-of-medicine-idaho-2006.