Scott Freshour, Margaret McNeese, Timothy Webb, and Sherif Zaafran, M.D., in Their Official Capacities as Officers of the Texas Medical Board// Robert W. Van Boven M.D., D.D.S. v. Robert W. Van Boven M.D., D.D.S.// Amy Swanholm and Christopher Palazola, in Their Official Capacities as Officers of the Texas Medical Board

Court of Appeals of Texas·Decided January 9, 2020·No. 03-18-00817-CV·Published

Opinion

TEXAS COURT OF APPEALS, THIRD DISTRICT, AT AUSTIN

NO. 03-18-00817-CV

Appellants, Scott Freshour, Margaret McNeese, Timothy Webb, and Sherif Zaafran, M.D., in their Official Capacities as Officers of the Texas Medical Board// Cross-Appellant, Robert W. Van Boven M.D., D.D.S.

v.

Appellee, Robert W. Van Boven M.D., D.D.S.// Cross-Appellees, Amy Swanholm and Christopher Palazola, in their Official Capacities as Officers of the Texas Medical Board

FROM THE 353RD DISTRICT COURT OF TRAVIS COUNTY, NO. D-1-GN-17-005957, THE HONORABLE DUSTIN M. HOWELL, JUDGE PRESIDING

MEMORANDUM OPINION

The dispute underlying this appeal arises from a disciplinary proceeding brought by the Texas Medical Board (the Board) against appellee Robert W. Van Boven, M.D., D.D.S. Although the proceeding resulted in a final order that dismissed the complaint against him, Dr. Van Boven filed suit against Scott Freshour, Margaret McNeese, Timothy Webb, Sherif Zaafran, Amy Swanholm, and Christopher Palazola (collectively, the Board Defendants), in their official capacities as officers of the Board, contending that they committed ultra vires acts when reporting the outcome of the proceeding to the National Practitioner Data Bank. The Board Defendants subsequently filed a plea to the jurisdiction asserting that Dr. Van Boven’s claims were barred by sovereign immunity, which the court granted as to some of the Board Defendants

but denied as to others. This interlocutory appeal and cross-appeal followed. See Tex. Civ. Prac. & Rem. Code § 51.014(a)(8). Because we conclude that Dr. Van Boven’s claims are barred by sovereign immunity, we reverse that portion of trial court’s order denying the plea to jurisdiction and affirm that portion of the order granting the plea to the jurisdiction.

BACKGROUND

Administrative Proceedings and Initial Report to the National Practitioner Data Bank In 2015, the Texas Medical Board received two separate complaints from patients of Dr. Van Boven alleging that he had engaged in inappropriate conduct while performing a medical examination. Following an expedited hearing, a three-member disciplinary panel from the Board placed a temporary restriction on Dr. Van Boven’s license to practice medicine in Texas. See Tex. Occ. Code § 164.059(b) (temporary suspension or restriction of license). The restriction prohibited Dr. Van Boven from treating female patients, and the order imposing the restriction stated that it would “remain in effect until . . . superseded by a subsequent Order of the Board.”

In March 2016, the Board reported the temporary restriction on Dr. Van Boven’s license to the National Practitioner Data Bank (NPDB). Authorized by the Health Care Quality Improvement Act of 1986, 42 U.S.C. §§ 11101-52, and administered by the United States Department of Health and Human Services, the NPDB collects and maintains “information relating to the professional competence and conduct of physicians, dentists, and other health care practitioners.”1 See 45 C.F.R. § 60.1. In part, the Act seeks to prevent “incompetent physicians

1 Although the Act does not expressly call for the creation of the NPDB, it does direct the Secretary to promulgate regulations providing for the reporting of physician information; the “disclosure of [reported] information, upon request to the physician or practitioner”; and

[from moving] State to State without disclosure or discovery of the physician’s previous damaging or incompetent performance.” See 42 U.S.C. § 11101(2). In furtherance of this objective, each state medical board is required to report to the NPDB whenever it “revokes or suspends (or otherwise restricts) a physician’s license or censures, reprimands, or places on probation a physician, for reasons relating to the physician’s professional competence or professional conduct.” Id. § 11132; see id. § 11151(2) (defining “Board of Medical Examiners”). Information reported to the NPDB is considered confidential but may be provided, under limited circumstances, to other licensing boards, hospitals, and other healthcare entities. See id. § 11137(a), (b). Published guidance from the NPDB outlines four types of reports that a state medical board, in certain circumstances, should file with the NPDB: (1) an Initial-Adverse- Action Report; (2) a Revision-to-Action Report; (3) a Correction Report; and (4) a Void Report. See id. § 11134 (providing that information reported under Act “shall be reported regularly . . . and in such form and manner as the Secretary prescribes”); see also id. § 11137(c) (providing that “no person or entity . . . shall be held liable with respect to any report made . . . without knowledge of the falsity of the information contained in the report”). In this case, the Board reported the temporary restriction on Dr. Van Boven’s license to the NPDB as an Initial- Adverse-Action Report.

The Board later filed a formal complaint against Dr. Van Boven with the State Office of Administrative Hearings (SOAH), and a four-day hearing on the complaint was held before an administrative law judge (ALJ). See Tex. Occ. Code § 164.005. On September 15, 2017, the ALJ issued a proposal for decision concluding that the Board “failed to prove, by

procedures in the case of disputed accuracy. See 42 U.S.C. §11136. Pursuant to this directive, the Secretary has promulgated regulations establishing the NPDB. 45 C.F.R. § 60.1.

preponderance of the evidence, that Dr. Van Boven [was] subject to sanction.” On December 8, 2017, the Board issued a “Final Order” that adopted the ALJ’s findings of fact and conclusions of law and stated, “This matter is hereby dismissed. . . . This Order supersedes the Order of Temporary Restriction issued on February 29, 2016, and [Dr. Van Boven’s] license to practice medicine in Texas is no longer restricted.” See id. § 164.007(a) (providing that after receiving ALJ’s findings of fact and conclusions of law, “the board shall dispose of the contested case by issuing a final order based on the [ALJ’s] findings of fact and conclusions of law”); see also 22 Tex. Admin. Code § 187.37(a), (b) (Texas Medical Board, Final Decisions and Orders,).

Follow-up Report to the NPDB At the center of this dispute is the report made by the Board to the NPDB informing it of the Final Order.2 See 45 C.F.R. § 60.6(b) (providing that entity “which reports information on licensure” “must also report any revision to the action originally reported”). The Board submitted its December 2017 report to the NPDB as a Revision-to-Action Report, and in the report stated:

On December 8, 2017, the Board entered a Final Order regarding [Dr. Van Boven], dismissing the Board staff’s complaint. The action was based on the findings of an [ALJ] at [SOAH]. This Order resolves a formal complaint filed at SOAH. The Order supersedes all previous orders.

The next day Dr. Van Boven informed the Board in writing that he disagreed with its decision to submit a Revision-to-Action Report and argued that the Board should have

2 In his appellate brief, Dr. Van Boven complains, in part, that the Board “unilaterally issu[ed] a ‘modified’ order instead of a Decision.” Without expressing any opinion on the merits of this argument, we will refer to the Board’s action on the ALJ’s proposal for decision as a “Final Order” because the document is titled as such in the appellate record.

submitted a Void Report instead. In his letter, Dr. Van Boven asserted that he had been completely exonerated by the ALJ’s decision and by the Board’s subsequent Final Order adopting that decision. Dr. Van Boven reasoned that, as a result of the decision, any record of the underlying disciplinary proceedings against him should be removed from his disclosable NPDB record—including any record of the Board’s decision to temporarily restrict his license— which could only be accomplished by the submission of a Void Report.

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Scott Freshour, Margaret McNeese, Timothy Webb, and Sherif Zaafran, M.D., in Their Official Capacities as Officers of the Texas Medical Board// Robert W. Van Boven M.D., D.D.S. v. Robert W. Van Boven M.D., D.D.S.// Amy Swanholm and Christopher Palazola, in Their Official Capacities as Officers of the Texas Medical Board, (Tex. Ct. App. 2020).

Scott Freshour, Margaret McNeese, Timothy Webb, and Sherif Zaafran, M.D., in Their Official Capacities as Officers of the Texas Medical Board// Robert W. Van Boven M.D., D.D.S. v. Robert W. Van Boven M.D., D.D.S.// Amy Swanholm and Christopher Palazola, in Their Official Capacities as Officers of the Texas Medical Board (Scott Freshour, Margaret McNeese, Timothy Webb, and Sherif Zaafran, M.D., in Their Official Capacities as Officers of the Texas Medical Board// Robert W. Van Boven M.D., D.D.S. v. Robert W. Van Boven M.D., D.D.S.// Amy Swanholm and Christopher Palazola, in Their Official Capacities as Officers of the Texas Medical Board) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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