Jutkowitz v. Department of Health Services

596 A.2d 374, 220 Conn. 86, 1991 Conn. LEXIS 389
CourtSupreme Court of Connecticut
DecidedAugust 13, 1991
Docket14141
StatusPublished
Cited by153 cases

This text of 596 A.2d 374 (Jutkowitz v. Department of Health Services) is published on Counsel Stack Legal Research, covering Supreme Court of Connecticut primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jutkowitz v. Department of Health Services, 596 A.2d 374, 220 Conn. 86, 1991 Conn. LEXIS 389 (Colo. 1991).

Opinion

Callahan, J.

This case is an administrative appeal from the decision of the defendant state board of chiropractic examiners (board) to discipline the plaintiff chiropractor, Jesse Jutkowitz, for allegedly improper conduct in the treatment of certain patients. The disciplinary proceeding arose out of a complaint filed by the named defendant, the department of health services (department). As a result of that proceeding, the plaintiffs chiropractic license was suspended for one year, he was ordered to pay fines totalling $5000 and he was placed on probationary status for a period of three years. The plaintiff, a chiropractor licensed by the state of Connecticut, filed an administrative appeal in the Superior Court. The trial court sustained the appeal as to certain of the counts filed against the plaintiff and dismissed the appeal as to the other counts. After the plaintiff filed an appeal and the defendants filed a cross appeal in the Appellate Court, we transferred the matter to this court pursuant to Practice Book § 4023. We now affirm the judgment of the trial court.

The material facts are not in dispute. After complaints concerning the plaintiff had been made to the department, it brought a disciplinary action in twenty-four counts. The department alleged that, in the course of providing chiropractic services, the plaintiff had engaged in illegal and incompetent conduct and material deception in violation of General Statutes § 20-29.1 The conduct at issue involved the treatment of three patients during 1982 and 1983. The board charged that the plaintiff had engaged in incompetent practice in diagnosing Mark Spivey and in advising him that his [89]*89scoliosis was caused by emotional or psychological factors. The board also claimed that the plaintiff had engaged in illegal and incompetent conduct and material deception in the treatment of Cheryl Benham and her husband, Richard Benham. Those allegations arose out of certain representations made by the plaintiff and out of his use of x-rays. The charges also concerned the plaintiffs use of a procedure known as the coccygeal-meningeal manipulation, which involves a manual intra-rectal examination and manipulation.2 The plaintiff performed this procedure on Cheryl Ben-ham on several occasions and advised her that proper chiropractic adjustment required this procedure. In addition, after learning that Cheryl Benham would be taking a trip by plane, the plaintiff instructed her to perform this procedure on herself during the flight. The plaintiff also advised Richard Benham of the necessity of this procedure, but he did not agree to it.

When the hearings on this matter were held by the board in 1985 and 1986, General Statutes (Rev. to 1985) § 20-253 required that the board consist of two chiro[90]*90praetors and one public member. One of the chiropractic members, Lewis Labbadia, recused himself from this matter because he had filed a complaint with the department about the plaintiff’s conduct. Because there was no public member of the board at the time of the hearings, the hearings were conducted solely by Marino Passero, the other chiropractor on the board at that time. After the hearings, Mary Coman was appointed as the public member of the board. She read the record of the hearings and discussed the matter with Passero, and the board subsequently issued its decision, which was signed by Passero and Coman.

During the hearings, the department withdrew three of the counts. The board dismissed or transferred to another state agency eight of the remaining counts, while it found in the department’s favor on the other thirteen counts. The plaintiff then appealed that decision to the Superior Court pursuant to General Statutes § 4-183. After granting the plaintiff’s motions to present evidence outside the record and to add to the record, the trial court sustained the plaintiff’s appeal as to seven of the counts and dismissed the appeal as to the five other counts.4 Each of those five counts concerns either the plaintiff’s use of the coccygealmeningeal manipulation or statements that he made regarding that procedure.

[91]*91On appeal, the plaintiff claims that the trial court incorrectly concluded that: (1) count twenty of the department’s complaint adequately informed the plaintiff of the nature of the charge in that count; (2) the plaintiff waived the right to claim that the board’s decision was not rendered on a timely basis because he did not avail himself of the remedy available under General Statutes (Rev. to 1985) § 4-180 (a) and (b); (3) the plaintiff received a fair hearing and was not denied his right to due process of law; (4) Passero’s membership on the board was proper despite the fact that at the time of the hearings he was an officer of the Council of Chiropractic Education; (5) the board properly interpreted General Statutes § 20-28 (b) as defining limitations on chiropractic practice; (6) the board properly admitted into evidence an exhibit concerning schools and colleges of chiropractic approved by the board; and (7) the plaintiff had abandoned one of his claims by failing to brief that issue.5 In their cross appeal, the defendants contend that the trial court improperly: (1) concluded that expert testimony was required to support some of the counts; and (2) allowed the plaintiff to conduct discovery after the hearing before the board and supplement the record of those proceedings.

I

The plaintiff claims that the twentieth count did not adequately inform him of the nature of the charge against him.6 After the plaintiff filed a written request [92]*92that the department state the basis for its claim that the coccygeal-meningeal manipulation was improperly prescribed and not clinically indicated, the department denied this request on the ground that there is no provision for discovery under the Uniform Administrative Procedure Act (UAPA), General Statutes § 4-166 et seq.7 The trial court rejected the plaintiffs contention that his rights under the federal due process clause and under the UAPA were denied because of the alleged deficiency in the notice. The trial court also rejected the plaintiffs claim that the department’s refusal to respond to his request for clarification violated General Statutes (Rev. to 1985) § 4-177 (b).8 We agree with the trial court’s conclusion that the charge was adequately stated.

General Statutes § 4-182 (c) provides that “[n]o revocation, suspension, annulment or withdrawal of any license is lawful unless, prior to the institution of agency proceedings, the agency gave notice by mail to the licensee of facts or conduct which warrant the intended action . . . In Levinson v. Board of Chiropractic Examiners, 211 Conn. 508, 534, 560 A.2d 403 (1989), [93]*93we noted that the notice requirements in § 4-182 (c) are stricter than those in § 4-177 (b) because the former proceeding involves a “ ‘more compelling private interest.’ ” When the potential result of an agency proceeding is the suspension of a license upon which a person depends in earning his or her living, “ ‘due process requires that the notice given must advise the party of the facts or conduct alleged to be in violation of the law and must fairly indicate the legal theory under which such facts are claimed to constitute a violation of the law.’ ” Id., 535, quoting Hart Twin Volvo Corporation v. Commissioner of Motor Vehicles,

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Bluebook (online)
596 A.2d 374, 220 Conn. 86, 1991 Conn. LEXIS 389, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jutkowitz-v-department-of-health-services-conn-1991.