United States v. Jong Kim

71 F.4th 155
Court of Appeals for the Fourth Circuit·Decided June 20, 2023·No. 22-4221·Published·Cited by 12 cases

Opinion

PUBLISHED

UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT

No. 22-4221

UNITED STATES OF AMERICA, Plaintiff - Appellee,

v.

JONG WHAN KIM, Defendant - Appellant.

Appeal from the United States District Court for the Eastern District of North Carolina, at Wilmington. Louise W. Flanagan, District Judge. (7:18-cr-00200-FL-1)

Argued: May 5, 2023 Decided: June 20, 2023

Before AGEE, Circuit Judge, TRAXLER, Senior Circuit Judge, and Henry E. HUDSON, Senior United States District Judge for the Eastern District of Virginia, sitting by designation.

Affirmed by published opinion. Senior Judge Traxler wrote in the opinion, in which Judge Agee and Judge Hudson joined.

ARGUED: Michelle Ann Liguori, ELLIS & WINTERS, LLP, Raleigh, North Carolina, for Appellant. Andrew Kasper, OFFICE OF THE UNITED STATES ATTORNEY, Raleigh, North Carolina, for Appellee. ON BRIEF: Scottie F. Lee, ELLIS & WINTERS LLP, Greensboro, North Carolina, for Appellant. Michael F. Easley, Jr., United States Attorney, David A. Bragdon, Assistant United States Attorney, Kristine L. Fritz, Assistant United States Attorney, OFFICE OF THE UNITED STATES ATTORNEY, Raleigh, North Carolina, for Appellee.

TRAXLER, Senior Circuit Judge:

Federal law prohibits the knowing or intentional distribution of a controlled substance “[e]xcept as authorized.” 21 U.S.C. § 841(a). Jong Whan Kim, a medical doctor, pleaded guilty to multiple charges under § 841 for prescribing oxycodone and other controlled substances outside the usual course of professional practice and without a legitimate medical need. See 21 C.F.R. § 1306.04(a) (“A prescription for a controlled substance to be effective must be issued for a legitimate medical purpose by an individual practitioner acting in the usual course of his professional practice. . . .”). After Kim was sentenced, the Supreme Court issued its decision in Ruan v. United States, 142 S. Ct. 2370 (2022), which held that the statutory knowing-or-intentional mens rea applies not only to the distribution-related elements of the crime, but also to the question of authorization. Accordingly, if a defendant charged under § 841 “produces evidence that he or she was authorized to dispense controlled substances, the Government must prove beyond a reasonable doubt that the defendant knew that he or she was acting in an unauthorized manner, or intended to do so.” Id. at 2375.

Before Ruan was decided, this circuit (and others) had held that whether a doctor’s actions were authorized was an objective inquiry. See, e.g., United States v. Hurwitz, 459 F.3d 463, 479 (4th Cir. 2006). Because Ruan changed the law in this circuit, Kim contends that his guilty plea must be set aside because the district court did not inform him that the government would be required to prove that he knew he was acting in an unauthorized manner when issuing the challenged prescriptions. Kim also contends that the district court

failed to afford him an adequate opportunity to allocute before imposing sentence. Finding no reversible error, we affirm.

I.

Kim was born in South Korea in 1949. He joined the Korean military and fought alongside American forces in the Vietnam war. He immigrated to the United States when he was 27. In Wisconsin, Kim got married and had three children. He worked in a factory and as a gardener to support his family. Kim obtained a bachelor’s degree from the University of Wisconsin in 1991 and received his medical degree in 1995.

After working for several years in a hospital in Pennsylvania, Kim was hired in 2002 as a hospitalist in Elizabethtown, North Carolina. The hospital eventually became concerned about Kim’s practices for prescribing controlled substances. Hospital officials met with Kim in December 2016 and informed him that his treatment notes did not justify the prescriptions he was issuing. Kim was given the option of complying with the hospital’s requirements or resigning; he chose to resign in March 2017.

After leaving the hospital, Kim began seeing patients at his home in Bladenboro, North Carolina. In the summer of 2017, the still-married Kim started dating Tammy Thompson, who then began helping Kim run his home-based medical practice. 1 In

1

Kim met Thompson in the early 2000s, when he was the primary care physician for Thompson’s then-husband. Thompson’s husband had been in an accident, and Kim prescribed him opiates in such large quantities that Thompson’s son became concerned.

September 2017, Kim opened a medical clinic in Tabor City, North Carolina. Thompson was Kim’s business partner and served as the clinic’s office manager.

The information in the record shows that the clinic operated as a classic pill mill.

Beyond a scale, blood-pressure cuffs, and a stethoscope, there was no medical equipment at the clinic. Kim issued prescriptions for strong pain medication without reviewing the patient’s prior medical records and without performing a proper examination to determine if medication was required. Although the clinic did perform drug tests on new patients, the results were not properly documented in the patients’ files, and Kim issued prescriptions even if the patient failed the drug test.

The clinic saw between 35 and 40 patients a day, and those patients frequently reeked of marijuana. Thompson and her daughter, who also worked at the clinic, would sometimes let a particular person (who was not a patient) bring a group of prospective patients to the clinic, and Kim would issue prescriptions to the group. Patients who brought other prospective patients would be seen more quickly. All patients paid in cash (usually $200), regardless of insurance status, and clinic employees were also paid in cash. The cash paid by the patients was placed by clinic employees in one of two lock boxes. At the end of each day, Thompson would gather the money from the lock boxes and deposit it at one of two banks. An employee of one of the banks told law enforcement that Thompson usually made deposits ranging between $5,000 and $8,000 twice a week.

The clinic was located next to Tabor City Elementary School. The clinic parking lot was often filled with patients waiting to be seen, which created safety concerns for the

school. The school frequently cancelled recess because of activity at the clinic, and it was forced to lock down more than once.

In 2018, law enforcement had a confidential informant pose as a clinic patient. The CI saw Kim twelve times. Kim conducted a drug screen on the first visit, but not thereafter. At each appointment, the CI paid $200 in cash and Kim issued prescriptions after minimal or no medical examination. At several appointments, the CI also purchased marijuana from Thompson. On one occasion when the CI was in the examination room with Kim, Thompson brought the marijuana into the room and sold it to the CI in front of Kim. In Kim’s presence, she told the CI that Kim was willing to trade work for prescriptions.

In May 2018, the CI asked Kim to prescribe stronger medication, and Kim complied with no examination and no questions asked. At the CI’s last clinic visit in June 2018, the CI asked Kim for a higher dosage of the medication so he could sell more pills on the street. The CI and Kim also discussed which pharmacy the CI should use to ensure that the prescription would not be recorded. At the CI’s request, Kim also issued a prescription for the CI’s father, who was not present at the appointment and had never been seen by Kim. The CI paid Kim $200 for the prescription issued in his name and $300 for the prescription issued in his father’s name.

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United States v. Jong Kim, 71 F.4th 155 (4th Cir. 2023).

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