United States v. DeLia

906 F.3d 1212
Court of Appeals for the Tenth Circuit·Decided October 29, 2018·No. 17-7051·Published·Cited by 10 cases

Opinion

PHILLIPS, Circuit Judge.

A federal grand jury indicted Steven DeLia on one count of healthcare fraud . See 18 U.S.C. § 1347 . But the government filed the indictment outside the ordinarily applicable statute of limitations-that is, more than five years after DeLia's charged conduct occurred. See 18 U.S.C. § 3282 (a). Even so, for two independent reasons, the government argues that the indictment was timely: (1) that the Wartime Suspension of Limitations Act suspended the limitations period from running in this case , see 18 U.S.C. § 3287 ; and (2) that DeLia waived his asserted statute-of-limitations defense. We reject both reasons and conclude that the prosecution is time-barred. Exercising jurisdiction under 28 U.S.C. § 1291 , we reverse and remand with instructions to vacate DeLia's conviction and dismiss the indictment.

BACKGROUND

In 2009, DeLia, then a licensed physician, opened a medical clinic in Sallisaw, Oklahoma, practicing family medicine and psychiatry. He also served as a member of the United States Army Reserve. In mid-2010, DeLia learned that the Army would deploy him to Afghanistan, so he began preparing the clinic for his absence.

At that time, DeLia's staff included two licensed practical nurses, LeeAnn Dewberry and Jennifer Campney, and one physician's assistant, Susan Davis (PA Davis). Under Oklahoma law, licensed practical nurses cannot prescribe Schedule II controlled substances. See Okla. Stat. tit. 59 § 567.4a ; Okla. Stat. tit. 63 § 2-312(C). But Oklahoma law permits physician's assistants to prescribe Schedule II controlled substances 1 if acting under a physician's *1215 supervision and if the controlled substance is administered onsite. Okla. Stat. tit. 59 § 519.6(D).

To keep his clinic open while he was deployed, DeLia signed pads of blank prescription forms for the clinic staff's use. This enabled the clinic staff to write prescriptions by simply completing the prescription forms with the patient's name, the drug, and the dosage. In total, DeLia signed about 5,000 blank prescriptions to prepare the clinic for his four-month deployment. PA Davis used the signed prescription forms to write prescriptions for Schedule II controlled substances. Among those receiving her prescriptions for Schedule II controlled substances were DeLia's pain-management patients, a group making up a significant portion of DeLia's practice. Though DeLia looked for a physician to supervise PA Davis during his deployment, he failed to obtain one.

In mid-October 2010, DeLia left Sallisaw to visit family before reporting to Fort Benning at month's end. Appellant's App. vol. 3 at 632:5-9. In early November, the Army sent DeLia from Fort Benning to Kuwait and then to Afghanistan.

About two weeks after Delia left Sallisaw, the Oklahoma Board of Medical Licensure (the Board) learned from an anonymous caller that DeLia was out of state and that his office staff was prescribing controlled substances with DeLia's pre-signed, blank prescription forms. In addition, the Oklahoma State Pharmacy Board received calls from pharmacists reporting that they had received new prescriptions for Schedule II controlled substances from DeLia, who they believed was not in Oklahoma.

Two Board investigators traveled to DeLia's clinic where they questioned the clinic staff. According to the Board's records, DeLia was PA Davis's sole supervising physician. PA Davis confirmed this to investigators. While at the clinic, investigators confiscated 5,625 blank pre-signed prescriptions and a sign-out log showing that the clinic's staff had already used 4,330 pre-signed prescriptions between March 1, 2010 and November 3, 2010. Even before the Army told DeLia that it would deploy him in October, DeLia had pre-signed blank prescriptions for use when he was out of the clinic, including while he was vacationing. DeLia had also previously allowed clinic staff to use pre-signed, blank prescription forms to prescribe controlled substances even when he was working in the clinic-to increase office efficiency.

In February 2011, DeLia returned to Sallisaw. In December 2011, the Board filed a disciplinary action against DeLia, alleging that he had engaged in unprofessional conduct by pre-signing prescription forms for his staff to use while he was gone and by directing PA Davis to provide healthcare services despite his failure to secure for her a supervising physician. Okla. Stat. tit. 59 § 519.6(A). In March 2012, DeLia surrendered his medical license in lieu of prosecution by the Board.

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United States v. DeLia, 906 F.3d 1212 (10th Cir. 2018).

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