Marina Narowetz v. Board of Dental Practice

2021 ME 46, 259 A.3d 771
Supreme Judicial Court of Maine·Decided September 28, 2021·Published·Cited by 4 cases

Opinion

MAINE SUPREME JUDICIAL COURT Reporter of Decisions Decision: 2021 ME 46 Docket: Ken-20-308 Argued: July 14, 2021 Decided: September 28, 2021

Panel: MEAD, GORMAN, JABAR, HUMPHREY, HORTON, and CONNORS, JJ.

MARINA NAROWETZ

v.

BOARD OF DENTAL PRACTICE

CONNORS, J.

[¶1] Marina Narowetz appeals from a judgment of the Superior Court (Kennebec County, Stokes, J.) affirming a decision of the Board of Dental Practice sanctioning her for unprofessional conduct for her failure to timely provide patient medical records. See M.R. Civ. P. 80C. Because the Board issued factual findings that were insufficient to permit judicial review, we must remand the matter to the Board; and because the same assistant attorney general who advised the Board acted in an advocate capacity contrary to 5 M.R.S. § 9055 (2021), we remand for the Board to conduct a new evidentiary hearing.

I. BACKGROUND1

[¶2] Narowetz is a licensed dentist in Maine and has owned a dental practice in Old Orchard Beach since 2011. On September 17, 2018, she provided a free dental consultation for a patient. A. The Record Request

[¶3] On September 25, 2018, attorney Neil Weinstein, who represented the patient, sent a request to Narowetz by mail for the patient’s dental records. The record request was returned by mail and received by Weinstein’s office on October 10, 2018. On that same day, Weinstein hand-delivered the envelope containing the request to Narowetz’s office. The envelope was again refused and was mailed back to Weinstein’s office.

[¶4] Weinstein then filed a complaint with the Board on October 23, 2018, alleging that Narowetz had refused a request for patient

Because, as discussed infra, the Board did not make sufficient factual findings, we draw the 1

factual background from the undisputed facts and the procedural record. See D’Alessandro v. Town of Harpswell, 2012 ME 89, ¶¶ 2, 8, 48 A.3d 786; Fair Elections Portland, Inc. v. City of Portland, 2021 ME 32, ¶ 11, 252 A.3d 504.

records in violation of 32 M.R.S. § 18325(1)(E) (2021)2 and the Board rule regarding record production.3 B. The Board’s Review of the Complaint

[¶5] The record reflects that the Board held a public meeting at which Assistant Attorneys General Andrew Black and Adria LaRose were present and for which Narowetz had received notice. At the meeting, the Board considered whether to dismiss the complaint, offer a consent agreement, or set the matter for a hearing.4 A Board member made an initial presentation of the complaint against Narowetz to the rest of the Board.5 The Board flagged Narowetz’s case

2 Title 32 M.R.S. § 18325(1)(E) (2021) provides: “Unprofessional conduct. A licensee is considered to have engaged in unprofessional conduct if the licensee violates a standard of professional behavior that has been established in the practice for which the licensee is licensed or authorized by the board[.]”

3 The Board rule provided:

The failure of a dentist to surrender a copy of a patient’s records upon appropriate request by the patient or the patient’s agent and payment of a reasonable duplication cost. This rule does not require a dentist to surrender original patient records. The records should be released within five business days of receipt of the request and shall be released within 21 calendar days of receipt of the request. Dentists shall maintain patient treatment records for a minimum of seven (7) years after the date on which the last dental services were provided to the patient.

02-313 C.M.R. ch. 9, § II(K) (effective June 27, 2010) (currently located at 02-313 C.M.R. ch. 12, § I(G)(3)(a) (effective Apr. 5, 2020); the substance of the rule has not materially changed).

No rule promulgated by the Board of Dental Practice pursuant to the Administrative Procedure 4

Act, 5 M.R.S. §§ 8001-11008 (2021), specifies the Board’s process for reviewing complaints.

That Board member recused himself from participating in Narowetz’s subsequent hearing and 5

did not take part in the Board’s final decision.

for follow up with the Office of the Attorney General. Black was acting in an advisory capacity to the Board at this time.

[¶6] At that meeting, the Board voted to offer Narowetz a consent agreement “in order to resolve the complaint.” The draft consent agreement sent to Narowetz included a space for LaRose to sign on behalf of the Attorney General’s Office. The proposed consent agreement included sixteen findings of fact; stated that Narowetz admitted to the violation; and included as discipline a warning, a civil penalty of $1,500, and the requirement that Narowetz complete three hours of continuing education pertaining to ethics in the dental profession.

[¶7] Narowetz rejected the consent agreement and requested that the Board reconsider its disposition of the complaint. The Board, at Narowetz’s request, reviewed Narowetz’s case again in a meeting on March 15, 2019, with Black and LaRose in attendance and Black advising the Board. The Board arrived at the same result. Another consent agreement was then offered, this time with Black listed as a signatory on behalf of the Office of the Attorney General.6

6This Board meeting was held in open session but with no opportunity for Narowetz’s counsel to participate.

[¶8] Narowetz again rejected the consent agreement, and the matter was scheduled for an evidentiary hearing before the Board. In the notice of hearing, the Board informed Narowetz that it had “contracted with a Hearing Officer who [would] advise the Board at the hearing and rule on procedural issues prior to hearing.” The notice also stated:

Pursuant to 5 M.R.S. § 9054(5), Board staff with the assistance of an assistant attorney general will facilitate the presentation of this matter to the Board by offering relevant evidence, examining witnesses, filing appropriate motions, and responding to motions and objections of the applicant.

[¶9] Immediately after receiving the notice of hearing, Narowetz filed a motion arguing that the Board could find that she had engaged in unprofessional conduct only if it made that finding by clear and convincing evidence. Black submitted an opposition to the motion on behalf of “the [p]rosecution,” arguing that only a finding by a preponderance of the evidence was required. The hearing officer ruled on this motion after a pre-hearing conference and explained that he would “instruct the Board to apply the standard of ‘proof by a preponderance of the evidence.’”

[¶10] The Board held its evidentiary hearing on June 14, 2019. At the start of that hearing, the hearing officer confirmed that he was “authorized to administer oath[s] and affirmations[,] to rule on any non-dispositive motions

[and] any objections to admissibility of evidence, . . . to regulate the course of the hearing[,] and to address any procedural matters that might arise . . . [and] serve as . . . the Board’s legal advisor during the proceedings.” Placing his previous ruling on the record, the hearing officer stated, “The State is not technically a party to the matter, but having assumed the role of a moving party on behalf of Board staff, the burden of proof at hearing is upon the State in the person of the Assistant Attorney General.” The presiding officer thereafter referred to Black and the prosecution as “the State.”

[¶11] At the start of the hearing, the Board ruled on a motion to dismiss previously filed by Narowetz, challenging the overlapping roles undertaken by the assistant attorneys general as violations of her right to due process and of sections of the Maine Administrative Procedure Act, including 5 M.R.S. § 9055. The Board denied the motion.

[¶12] During the evidentiary hearing, Black, with the assistance of a third assistant attorney general, presented the case that Narowetz had engaged in unprofessional conduct. Black submitted evidence, conducted direct and cross-examination, and made opening and closing arguments.7 Narowetz was

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Marina Narowetz v. Board of Dental Practice, 2021 ME 46, 259 A.3d 771 (Me. 2021).

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