McGrath v. BPOA, Aplt.

Supreme Court of Pennsylvania·Decided November 22, 2017·No. 5 WAP 2017·Published

Opinion

[J-51-2017] IN THE SUPREME COURT OF PENNSYLVANIA WESTERN DISTRICT

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

SHANNON MCGRATH, : No. 5 WAP 2017 : Appellee : Appeal from the Order of the : Commonwealth Court entered 8/24/16 v. : at No. 1001 CD 2015, affirming in part : and reversing in part the order of the : Bureau of Professional and BUREAU OF PROFESSIONAL AND : Occupational Affairs entered 4/10/15 at OCCUPATIONAL AFFAIRS, STATE : No. 1393-51-13 BOARD OF NURSING, : : Appellant : SUBMITTED: May 2, 2017

OPINION

CHIEF JUSTICE SAYLOR DECIDED: November 22, 2017

This appeal by allowance involves the automatic suspension of a nursing license

based on a felony drug conviction. The question raised is whether, under the governing

statute, reinstatement of the license is precluded for a fixed period of ten years, or is

instead permitted at an earlier date subject to the discretion of the state nursing board.

The nursing profession in Pennsylvania is overseen by the State Board of

Nursing (the “Board”), an arm of the Bureau of Professional and Occupational Affairs

(the “Bureau”), which in turn is part of Pennsylvania’s Department of State. Nursing

licenses are regulated pursuant to the Professional Nursing Law.1 Once issued, nursing

1 Act of May 22, 1951, P.L. 317, No. 69 (as amended 63 P.S. §§211-225.5) (the “Nursing Law,” or simply the “Law”). licenses may be suspended or revoked by the Board. As set forth in Section 14 of the

Law, the Board may suspend or revoke a license if it makes certain findings. See 63

P.S. §224(a), (b)(3). Additionally, the Board may refuse to issue an initial license for

these same reasons. For example, the Board may refuse, suspend, or revoke a license

if it finds that the licensee – or prospective licensee, as the case may be – is repeatedly

negligent or incompetent in practice; suffers from a mental or physical illness which

renders the person unable to practice with reasonable skill and safety; has willfully and

repeatedly violated the Nursing Law; has committed certain types of fraud or deceit; has

committed unprofessional conduct; has possessed or distributed a controlled substance

for other than medical purposes; has been convicted of a felony or a crime of moral

turpitude; or has received probation without verdict in the disposition of a felony charge.

See id. §224(a).

After the Board has suspended a license, it may restore or reissue the license in

its discretion subject to any disciplinary or corrective measure it could have originally

imposed. See id. §224(b)(6). The process for doing so is reflected in Section 15 of the

Nursing Law, which states, in pertinent part:

All suspensions and revocations shall be made only in accordance with the regulations of the Board, and only by majority vote of the members of the Board after a full and fair hearing before the Board. . . . The Board, by majority action and in accordance with its regulations, may reissue any license which has been suspended. If a license has been revoked, the Board can reissue a license only in accordance with section 15.2. 63 P.S. §225. Thus, the Law sets forth distinct procedures for the restoration of

suspended and revoked licenses, and it imposes a more restrictive regimen in relation

to the latter.

In addition to the discretionary suspension of licenses under Sections 14 and 15,

the Nursing Law contains a provision, added in 1985, for automatic suspension due to a

[J-51-2017] - 2 felony conviction under the Controlled Substance, Drug, Device and Cosmetic Act.2 In

particular, Section 15.1(b) of the Law states:

A license issued under this act shall automatically be suspended upon . . . conviction of a felony under the [Controlled Substance Act] . . .. As used in this section the term “conviction” shall include a judgment, an admission of guilt or a plea of nolo contendere. . . . Restoration of such license shall be made as hereinafter provided in the case of revocation or suspension of such license. 63 P.S. §225.1(b) (emphasis added). In terms of the “hereinafter provided” clause of

the above text, Section 15.2 indicates:

Unless ordered to do so by Commonwealth Court or an appeal therefrom, the Board shall not reinstate the license of a person to practice nursing . . . which has been revoked. Any person whose license has been revoked may reapply for a license, after a period of at least five (5) years, but must meet all of the licensing qualifications of this act for the license applied for, to include the examination requirement, if he or she desires to practice at any time after such revocation. 63 P.S. §225.2.

Finally, Section 6(c) of the Nursing Law, which relates to the qualifications for

licensure, specifies that if a nursing license applicant has been convicted of a felony

under the Controlled Substance Act, the Board may not issue a nursing license to that

person unless: ten years have passed since the date of the conviction; the applicant

demonstrates significant progress in rehabilitation so that licensure is not expected to

create a substantial risk to patients or the public; and the applicant otherwise satisfies

the licensure qualifications set forth in the Law. See 63 P.S. §216(c).3

2 Act of April 14, 1972, P.L. 233, No. 64 (as amended 35 P.S. §§780-101 to 780-144) (the “Controlled Substance Act”).

3 Like Section 15.1(b), Section 6(c) clarifies that a conviction includes having admitted guilt. See 63 P.S. §216(c)(3).

[J-51-2017] - 3 Given the interplay among the above provisions – and the fact that Section 15.2

only facially applies to revoked, as opposed to suspended, licenses – there is some

uncertainty as to when and how a license which has been automatically suspended per

Section 15.1(b) may be restored. At the heart of this appeal is the proper interpretation

of Section 15.1(b)’s prescription that restoration “shall be made as hereinafter provided

in the case of revocation or suspension of such license.” 63 P.S. §225.1(b).

Turning to the facts of this case, at the relevant time Appellee held a license to

practice professional nursing in Pennsylvania. In 2013, she pled guilty to one count of

felony drug possession in violation of the Controlled Substance Act and received a

sentence of probation without verdict. The Commonwealth then petitioned the Board to

impose an automatic suspension of Appellee’s nursing license pursuant to Section

15.1(b) of the Nursing Law. In response, the Board issued a notice and order informing

Appellee that her nursing license would be automatically suspended based on her

felony guilty plea. As for the length of the suspension, the Board referenced two

aspects of the Nursing Law reflecting different time periods. It first observed that

Section 15.2 of the law prescribes a five-year minimum period. See 63 P.S. §225.2.

Next, the Board referred to Section 6(c) of the Nursing Law, which provides for a ten-

year period with regard to the issuance of a new license. See 63 P.S. §216(c). After

quoting these provisions, the Board, without explanation, indicated that Appellee’s

license would be automatically suspended for ten years.

Appellee filed exceptions arguing that the ten-year suspension period was

improper.4 Thereafter, the Board entered a final adjudication affirming the notice and

order. Applying an interpretation of Sections 15.1(b) and 15.2 which it had recently

adopted, see infra note 5, the Board explained that, under the latter provision,

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