Three v. Department of Public Health

2017 IL App (1st) 162548
CourtAppellate Court of Illinois
DecidedSeptember 18, 2017
Docket1-16-2548
StatusPublished
Cited by13 cases

This text of 2017 IL App (1st) 162548 (Three v. Department of Public Health) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Three v. Department of Public Health, 2017 IL App (1st) 162548 (Ill. Ct. App. 2017).

Opinion

Digitally signed by Reporter of Decisions Illinois Official Reports Reason: I attest to the accuracy and integrity of this document Appellate Court Date: 2017.09.18 08:54:13 -05'00'

Doe Three v. Department of Public Health, 2017 IL App (1st) 162548

Appellate Court JOHN DOE THREE, Plaintiff-Appellee, v. THE DEPARTMENT OF Caption PUBLIC HEALTH and NIRAV D. SHAH, M.D., J.D., Director of Public Health, Defendants-Appellants.

District & No. First District, First Division Docket No. 1-16-2548

Rule 23 order filed March 13, 2017 Motion to publish allowed May 3, 2017 Opinion filed May 22, 2017

Decision Under Appeal from the Circuit Court of Cook County, No. 15-CH-16766; the Review Hon. Neil H. Cohen, Judge, presiding.

Judgment Affirmed in part and reversed in part; cause remanded.

Counsel on Lisa Madigan, Attorney General, of Chicago (David L. Franklin, Appeal Solicitor General, and Nadine J. Wichern, Assistant Attorney General, of counsel), for appellants.

Michael K. Goldberg, Robert A. Bauerschmidt, and Jean Milaeger, of Goldberg Law Group, of Chicago, for appellee. Panel PRESIDING JUSTICE CONNORS delivered the judgment of the court, with opinion. Justices Harris and Mikva concurred in the judgment and opinion.

OPINION

¶1 Plaintiff John Doe Three petitioned the Department of Public Health (Department) to add “chronic post-operative pain” (CPOP) as a “debilitating medical condition” under the Compassionate Use of Medical Cannabis Pilot Program Act (Act) (410 ILCS 130/1 et seq. (West 2014)). The Director of the Department, Nirav D. Shah, M.D., J.D., denied the petition, and plaintiff sought judicial review under the Administrative Review Law (Review Law) (735 ILCS 5/3-101 et seq. (West 2014)). The circuit court reversed and remanded the case to the Department for further proceedings. The Department then asked the circuit court to reconsider its decision based on the fact that the Illinois General Assembly had recently amended the Act to reflect new procedures when attempting to add conditions to the list of debilitating medical conditions. The Department filed a motion to reconsider, asking the circuit court to reconsider its order in light of the new provisions. The circuit court amended its previous order to outright reverse the Department’s findings, without remand, and directed the Director to add CPOP to the list of “debilitating medical conditions” under the Act within 30 days of its order. The Department and its Director now appeal.1

¶2 BACKGROUND ¶3 The Act, which became law in Illinois effective January 1, 2014, recognizes that using medical cannabis may help treat or alleviate symptoms associated with “debilitating medical conditions.” 410 ILCS 130/5(b) (West 2014). The Act distinguishes between “medical and non-medical uses of cannabis” and removes state criminal penalties for the medical use of cannabis if certain conditions are satisfied. 410 ILCS 130/5(g) (West 2014). At the time plaintiff petitioned the Department, the Act provided that any citizen could petition the Department to add debilitating conditions or treatments to the list of debilitating medical conditions listed in subsection (h) of section 10 of the Act. 410 ILCS 130/45 (West 2014). ¶4 The Department promulgated a rule governing such petitions, which provided that an advisory board would then “review petitions and recommend to the Department additional debilitating conditions or diseases that would benefit from the medical use of cannabis.” 77 Ill. Adm. Code 946.30(b) (2014).2 ¶5 On March 2, 2015, plaintiff submitted a petition to the Department seeking to add CPOP as a debilitating medical condition under the Act. The petition described his suffering from CPOP

This court stayed enforcement of the circuit court’s amended order pending this appeal. 1

2 The administrative rules found in title 77, part 946, section 30, of the Illinois Administrative Code were adopted on July 29, 2014. 38 Ill. Reg. 17367, 17382-87 (eff. July 29, 2014). At the time Plaintiff submitted his petition to the Department, an emergency rule was in place that amended title 77, part 946, section 30(a), of the Illinois Administrative Code but did not make any changes to the remaining subsections in part 946, section 30, specifically cited in this opinion. 39 Ill. Reg. 444, 456-62 (emergency rule eff. Dec. 22, 2014).

-2- as a result of excessive nerve damage from foot surgery. Plaintiff claimed he was unable to perform routine daily tasks without suffering debilitating pain in his foot. Plaintiff also claimed his condition interfered with his ability to perform in his career, which involved hours of standing and moving. According to plaintiff’s petition, his physicians had attempted to treat his chronic pain with opiates, anticonvulsant drugs, and antidepressants. Plaintiff’s petition was supported by a statement from his treating physician, William B. Evans, M.D., that supported plaintiff’s use of medical cannabis to alleviate the symptoms of CPOP. Plaintiff also submitted several medical and scientific journal articles supporting the prescription of cannabis for CPOP. ¶6 A public hearing was held on the petition, as well as other petitions, seeking to add other medical conditions to the Act. At the hearing, the advisory board members considered plaintiff’s petition and supporting materials, and then voted. Of the 10 members, 7 voted to approve the petition, while 3 voted not to. ¶7 On October 20, 2015, despite the recommendation of the advisory board, the Director denied plaintiff’s petition, finding that “there was not substantial evidence from adequate, well-controlled clinical trials to support the use of cannabis in the setting of chronic post-operative pain. Therefore, the safety and efficacy for this medical condition cannot be assured.” Prior to issuing his decision, the Director added articles to the record which were not presented by any of the parties prior to the hearing. ¶8 Plaintiff then filed a complaint for administrative review, seeking reversal of the Director’s denial of his petition. The circuit court found that the Director “clearly violated” the Department’s rules governing the consideration of petitions to add debilitating conditions to the Act by considering materials outside the petition. The circuit court noted that under the applicable administrative rules, the Director was to review the advisory board’s recommendations and render a final decision. 77 Ill Adm. Code 946.30(m) (2014). But instead of reviewing the advisory board’s recommendations, the Director conducted his own investigation and added his own evidence to the record. The circuit court stated that plaintiff was not given any opportunity to challenge the additional evidence considered by the Director, which was a denial of procedural due process. ¶9 The circuit court also noted that the standard set forth in the Department’s rules for adding a medical condition was whether the debilitating condition or disease at issue would benefit from the medical use of cannabis. However, in rendering his decision, the Director considered whether there was substantial evidence from adequate, well-controlled clinical trials to support the use of cannabis for the treatment of CPOP, which “appears nowhere in the Act or the Department’s rules.” ¶ 10 The circuit court reversed the Director’s decision but remanded “for the issuance of a new decision by the Director. The Advisory Board was not unanimous in its recommendation regarding CPOP.

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Three v. The Department of Public Health
2017 IL App (1st) 162548 (Appellate Court of Illinois, 2017)

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2017 IL App (1st) 162548, Counsel Stack Legal Research, https://law.counselstack.com/opinion/three-v-department-of-public-health-illappct-2017.