In Re: Enforcement of Subpoenas b/f the Bd of Med.

CourtSupreme Court of Pennsylvania
DecidedAugust 20, 2019
Docket35 EAP 2016
StatusPublished

This text of In Re: Enforcement of Subpoenas b/f the Bd of Med. (In Re: Enforcement of Subpoenas b/f the Bd of Med.) is published on Counsel Stack Legal Research, covering Supreme Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In Re: Enforcement of Subpoenas b/f the Bd of Med., (Pa. 2019).

Opinion

[J-98-2018] IN THE SUPREME COURT OF PENNSYLVANIA EASTERN DISTRICT

SAYLOR, C.J., BAER, TODD, DONOHUE, DOUGHERTY, WECHT, MUNDY, JJ.

IN RE: PETITION FOR ENFORCEMENT : No. 35 EAP 2016 OF SUBPOENAS ISSUED BY THE : HEARING EXAMINER IN A : Appeal from the Order of the PROCEEDING BEFORE THE BOARD : Commonwealth Court entered on OF MEDICINE : September 1, 2016, at No. 373 M.D. : 2016, granting the Petition to Enforce : Subpoenas. APPEAL OF: M.R. : : ARGUED: December 5, 2018

OPINION

JUSTICE WECHT DECIDED: August 20, 2019 In this direct appeal, we are asked to consider the enforceability of a series of

subpoenas obtained by a physician for testimony and treatment records relating to other

providers’ care of the physician’s former patient, as well as related questions regarding

the scope and applicability of numerous statutes that protect a patient’s medical

information. The Commonwealth Court granted the physician’s petition to enforce the

subpoenas. Because we conclude that the Commonwealth Court lacked subject matter

jurisdiction to decide the issue, we must vacate that court’s order.

Our disposition requires only a brief summary of the factual background. Sarah G.

DeMichele, M.D., is a board-certified psychiatrist licensed to practice medicine in

Pennsylvania. From August 2011 through February 2013, Dr. DeMichele provided

psychiatric care to M.R. Throughout her time under Dr. DeMichele’s care, M.R. struggled

with suicidal ideations and engaged in a pattern of self-harming behavior, which she

discussed regularly with Dr. DeMichele. In December 2012, M.R.’s self-inflicted injuries necessitated emergency medical treatment. M.R. ultimately was transferred to the

Trauma Disorders Program at Sheppard Pratt Health System (“Sheppard Pratt”) in

Baltimore, Maryland. At Sheppard Pratt, M.R. was treated by psychiatrist Richard

Loewenstein, M.D., and psychologist Catherine Fine, Ph.D. During the course of his

treatment of M.R., Dr. Loewenstein obtained M.R.’s medical records from Dr. DeMichele.

On March 31, 2014, Dr. Loewenstein submitted a complaint to the Professional

Compliance Office of Pennsylvania’s State Board of Medicine (“Board”), in which he

alleged that Dr. DeMichele’s care of M.R. was professionally deficient. Dr. Loewenstein’s

complaint prompted an investigation and, ultimately, the initiation of disciplinary

proceedings against Dr. DeMichele.

On September 24, 2015, the Pennsylvania Department of State’s Bureau of

Professional and Occupational Affairs (“Bureau”) filed an order directing Dr. DeMichele

to show cause as to why the Board should not suspend, revoke, or restrict her medical

license, or impose a civil penalty or the costs of investigation. Dr. DeMichele filed a

counseled response to the order, denying the allegations and requesting a hearing before

a hearing examiner.1 A hearing on the disciplinary proceeding was scheduled for June

15, 2016.

1 See 63 P.S. § 2203(a) (“Notwithstanding any other provision of law, the Commissioner of the Bureau of Professional and Occupational Affairs, after consultation with the licensing boards and commissions, shall appoint such hearing examiners as may be necessary to conduct hearings in disciplinary matters before a licensing board or commission. Each licensing board and commission shall have the power to decide if a specific disciplinary matter or type of disciplinary matter is to be heard by the licensing board or commission itself or by a hearing examiner appointed pursuant to this subsection.”); 49 Pa. Code § 16.51 (“Hearing examiners are appointed by the Governor’s Office of General Counsel to hear matters before the Board. Unless otherwise ordered by the Board, disciplinary matters shall be heard by a hearing examiner.”).

[J-98-2018] - 2 In advance of the hearing, Dr. DeMichele requested that the hearing examiner

issue subpoenas for the testimony of M.R. and the medical records of Dr. Loewenstein,

Dr. Fine, Sheppard Pratt, and M.R.’s former treating psychologist, April Westfall, Ph.D.

Relying upon the authority provided under 63 P.S. § 2203(c),2 the hearing examiner

issued the requested subpoenas. However, when served with the subpoenas, all of

M.R.’s treatment providers refused to release their records absent a court order or M.R.’s

authorization. M.R. subsequently refused to authorize the release of her records.

On June 9, 2016, Dr. DeMichele filed with the hearing examiner a motion to dismiss

the disciplinary action or, in the alternative, to grant a continuance of the proceeding in

order to allow her to apply to the Commonwealth Court for an order compelling

compliance with the subpoenas. On June 10, 2016, the hearing examiner denied Dr.

DeMichele’s motion to dismiss, but granted a continuance so that Dr. DeMichele could

commence an action to enforce the subpoenas.

On July 1, 2016, Dr. DeMichele filed a Petition to Enforce Subpoenas (“Petition”)

in the Commonwealth Court, asking that court to order M.R., Sheppard Pratt, and Drs.

Loewenstein, Fine, and Westfall to comply with the subpoenas. Dr. DeMichele did not

specify whether she commenced the action in the Commonwealth Court’s original or

appellate jurisdiction. See 42 Pa.C.S. §§ 761 (original jurisdiction); 763 (direct appeals

from government agencies). Dr. DeMichele’s Petition did not name any party, but she

2 Subsection 2203(c) provides: Such hearing examiners shall have the power to conduct hearings in accordance with applicable statutes, rules and regulations, to issue subpoenas requiring the attendance and testimony of individuals or the production of pertinent records or other papers by persons whom they believe have information relevant to any matters pending before the examiner and to issue decisions. 63 P.S. § 2203(c).

[J-98-2018] - 3 served the Petition on the Board and the Bureau (collectively, the “Commonwealth”). Dr.

DeMichele did not serve the Petition upon M.R. or the treatment providers against whom

she sought enforcement of the subpoenas. However, upon receiving a courtesy copy of

the Petition, M.R. retained counsel and sought to intervene in the enforcement action.

The Commonwealth Court held a hearing on September 1, 2016, following which

the court granted Dr. DeMichele’s Petition and ordered that each subpoena be enforced.

After the Commonwealth Court denied her motion for reconsideration, M.R. filed a notice

of appeal to this Court. On appeal, M.R. argued for the first time that the Commonwealth

Court lacked subject matter jurisdiction to entertain Dr. DeMichele’s Petition.3 On August

22, 2017, this Court directed the Commonwealth Court to prepare an opinion addressing

M.R.’s allegations of error, including the jurisdictional challenge.

On April 26, 2018, the Commonwealth Court issued an opinion addressing M.R.’s

claims. In re Petition for Enf’t of Subpoenas Issued by the Hearing Exam’r in a Proceeding

before the Bd. of Med., 373 M.D. 2016 (Pa. Cmwlth. Apr. 26, 2018) (unpublished)

(hereinafter, “Commonwealth Court Opinion”). Concerning subject matter jurisdiction, the

Commonwealth Court reasoned that it exercised original jurisdiction over Dr. DeMichele’s

Petition. The Commonwealth Court first appeared to invoke Subsection 761(a)(4) of its

original jurisdiction statute, which establishes the Commonwealth Court’s jurisdiction over

any civil action or proceeding, “[o]riginal jurisdiction of which is vested in the

Commonwealth Court by any statute hereafter enacted.” 42 Pa.C.S. § 761(a)(4). That

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