Tucker v. State Department of Public Health

650 So. 2d 910, 1994 Ala. Civ. App. LEXIS 512, 1994 WL 576025
CourtCourt of Civil Appeals of Alabama
DecidedOctober 21, 1994
DocketAV93000179
StatusPublished

This text of 650 So. 2d 910 (Tucker v. State Department of Public Health) is published on Counsel Stack Legal Research, covering Court of Civil Appeals of Alabama primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Tucker v. State Department of Public Health, 650 So. 2d 910, 1994 Ala. Civ. App. LEXIS 512, 1994 WL 576025 (Ala. Ct. App. 1994).

Opinion

L. CHARLES WRIGHT, Retired Appellate Judge.

At the time of this proceeding, Dr. Thomas Tucker was a licensed physician engaged in the practice of medicine. In 1990 the Alabama State Board of Health determined that Dr. Tucker’s “private office” was subject to the rules relating to the licensure and certification of abortion or reproductive health centers. Dr. Tucker filed an appeal of the declaration in the Circuit Court of Montgomery County. The Board counterclaimed. The parties submitted cross-motions for summary judgment. The trial court found in favor of the Board. Dr. Tucker appeals.

Dr. Tucker argues that the trial court erred in finding that the Board had the authority to regulate the procedures performed in his “private office.”

We find it necessary to present an overview of the applicable statutes involved in this appeal.

Section 22-2-1, Code 1975, creates the State Board of Health. It provides that “[t]he medical association of the state of Alabama, as constituted under the laws now in force or which hereafter may be in force, is the state board of health.”

Section 22-2-2, Code 1975, provides for the authority and the jurisdiction of the Board. It includes general control over the enforcement of laws relating to public health and the adoption and promulgation of rules and regulations providing for control and enforcement.

Section 22-2-4 creates the State Committee of Public Health, which consists of twelve members of the board of censors of the medical association of the state of Alabama and four others. The State Committee of Public Health acts for the State Board of Health.

The legislature, in effect, has determined that the public health of the state of Alabama is to be regulated by physicians who are elected and appointed through various legislative schemes.

Simultaneously, the legislature has provided methods by which physicians determine their own qualifications and standards of practice. These are the provisions contained in §§ 34-24-50 through -84, and §§ 34-24-310 through -406, Code 1975.

Section 22-21-21, Code 1975, provides for the “Licensing of Hospitals, Nursing Homes and Other Health Care Institutions.” It states:

[912]*912“The purpose of this article is to promote the public health, safety and welfare by providing for the development, establishment and enforcement of standards for the treatment and care of individuals in institutions within the purview of this article and the establishment, construction, maintenance and operation of such institutions which will promote safe and adequate treatment and care of individuals in such institutions.”

Pursuant to § 22-21-22, Code 1975, all “hospitals” are required to obtain a license from the State Board of Health. “Hospital” is defined by § 22-21-20 to include abortion or reproductive health centers. That section defines “hospital” in the following manner:

“(1) HOSPITALS. General and specialized hospitals, including ancillary services; independent clinical laboratories; rehabilitation centers; ambulatory surgical treatment facilities for patients not requiring hospitalization; end stage renal disease treatment and transplant centers, including free-standing hemodialysis units; abortion or reproductive health centers; health maintenance organizations; and other related health care institutions when such institution is primarily engaged in offering to the public generally, facilities and services for the diagnosis and/or treatment of injury, deformity, disease, surgical or obstetrical care_ The term ‘hospitals’ relates to health care institutions and shall not include the private offices of physicians or dentists, whether in individual, group, professional corporation or professional association practice.”

(Emphasis supplied.)

The legislature gave the State Board of Health the authority to adopt necessary rules and regulations to meet these statutory objectives. § 22-21-28, Code 1975. That section provides:

“(a) In the manner provided in this section, the state board of health, with the advice and after the approval by the advisory board, shall have the power to make and enforce, and may modify, amend and rescind, reasonable rules and regulations governing the operation and conduct of hospitals as defined in section 22-21-20.
All such regulations shall set uniform minimum standards applicable alike to all hospitals of like kind and purpose in view of the type of institutional care being offered there and shall be confined to setting minimum standards of sanitation and equipment found to be necessary and prohibiting conduct and practices inimicable to the public interest and the public health.”

Beginning in 1980 the State Board of Health adopted specific rules and regulations concerning abortion and reproductive health centers. Rules of the Alabama State Department of Health, Division of Licensure and Certification, Rule 420-5-1. The rules set minimum uniform standards for the operation and regulation of abortion and reproductive health centers.

While § 22-21-20 defines an “abortion or reproductive health center” as a hospital, the statute does not contain the definition of what is in fact an “abortion or reproductive health center.” The State Board of Health remedied the void by promulgating a definition pursuant to the Alabama Administrative Procedure Act. The definition at issue is one that was refined and amended by the State Board of Health in 1990. Rule 420-5-1.01. That definition is as follows:

“(b) ‘Abortion or Reproductive Health Center’ means any health care facility operated substantially for the purpose of performing abortions. Such a facility must be a free-standing unit and not part of a hospital or other facility licensed for other purposes by the State Board of Health. A health care facility operates substantially for the purpose of performing abortions if any of the following conditions are met:
“1. The health care facility performs thirty or more abortion procedures per month during any two months of a calendar year;
“2. The health care facility holds itself out to the public as an abortion provider by advertising by some public means, such as a newspaper, telephone directory, magazine, or electronic media, that it performs abortions; or
[913]*913“8. The health care facility applies to the State Board of Health for licensure as an abortion or reproductive health center.”

As a consequence of this definition, the State Board of Health required facilities within the state which met any of these requirements to be licensed.

Dr. Tucker admitted that he performed approximately 1,200 abortions per year and that he advertised in the Yellow Pages. He insists, however, that his activities are not subject to regulation because the procedures are performed in his “private office” and that § 22-21-20 specifically excludes the “private offices of physicians” from regulation.

We find the trial court’s judgment to be persuasive. We, therefore, adopt it as our own.

“Although [Dr.

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650 So. 2d 910, 1994 Ala. Civ. App. LEXIS 512, 1994 WL 576025, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tucker-v-state-department-of-public-health-alacivapp-1994.