Three v. The Department of Public Health

2017 IL App (1st) 162548, 81 N.E.3d 523
CourtAppellate Court of Illinois
DecidedMay 22, 2017
Docket1-16-2548
StatusUnpublished
Cited by3 cases

This text of 2017 IL App (1st) 162548 (Three v. The 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. The Department of Public Health, 2017 IL App (1st) 162548, 81 N.E.3d 523 (Ill. Ct. App. 2017).

Opinion

FIRST DIVISION May 22, 2017

No. 1-16-2548 2017 IL App (1st) 162548

IN THE APPELLATE COURT OF ILLINOIS FIRST JUDICIAL DISTRICT

) JOHN DOE THREE, ) Appeal from the ) Circuit Court of Plaintiff-Appellee, ) Cook County. ) v. ) ) No. 15 CH 16766 THE DEPARTMENT OF PUBLIC ) HEALTH and NIRAV D. SHAH, M.D., J.D., ) Director of Public Health, ) Honorable ) Neil H. Cohen, Defendants-Appellants. ) Judge Presiding. )

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 No. 1-16-2548

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.” See 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

1 This court stayed enforcement of the circuit court’s amended order pending this appeal. 2 The administrative rules found in 77 Ill. Adm. Code 946.30 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

2 No. 1-16-2548

¶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 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

in place that amended 77 Ill. Adm. Code 946.30(a) but did not make any changes to the remaining subsections in section 946.30 specifically cited in this opinion. 39 Ill. Reg. 444, 456-62 (emergency rule eff. Dec. 22, 2014).

3 No. 1-16-2548

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. The Director should have the opportunity to consider the addition of CPOP

under the correct standard.”

¶ 11 The Department and the Director then filed a motion to reconsider in light of the

Department’s emergency rules that were filed with the Illinois Secretary of State on August 1,

2016 (40 Ill. Reg. 10992 (emergency rule eff. Aug. 1, 2016)). 3 On June 30, 2016, section 45 of

3 An emergency amendment to 77 Ill. Adm.

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Related

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

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