WASHINGTON STATE DEPT. OF HEALTH v. Yow

199 P.3d 417
CourtCourt of Appeals of Washington
DecidedDecember 30, 2008
Docket61021-0-I
StatusPublished
Cited by1 cases

This text of 199 P.3d 417 (WASHINGTON STATE DEPT. OF HEALTH v. Yow) is published on Counsel Stack Legal Research, covering Court of Appeals of Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
WASHINGTON STATE DEPT. OF HEALTH v. Yow, 199 P.3d 417 (Wash. Ct. App. 2008).

Opinion

199 P.3d 417 (2008)

WASHINGTON STATE DEPARTMENT OF HEALTH UNLICENSED PRACTICE PROGRAM, Appellant/Cross-Respondent,
v.
Dirk YOW, Respondent/Cross-Appellant.

No. 61021-0-I.

Court of Appeals of Washington, Division 1.

October 13, 2008.
Publication Ordered December 30, 2008.

*421 Geoffrey W. Hymans, Office of The Attorney General, Olympia, WA, for Appellant/Cross-Respondent.

Michael K. McCormack, Attorney at Law, Maple Valley, WA, for Respondent/Cross-Appellant.

COX, J.

¶ 1 The Department of Health appeals the superior court's order, which affirmed the Department's final order against Dirk Yow for the unlicensed practice of medicine except for the civil fine levied against him. We hold that the imposition of the $444,000 fine was not arbitrary and capricious.

¶ 2 Yow cross-appeals. We hold that the Department had statutory authority to use a health law judge to conduct the administrative hearing. The findings of fact that Yow challenges are supported by substantial evidence. Moreover, the findings support the legal conclusions, including the decision that Yow was engaged in the unlicensed practice of medicine. Yow fails in his burden to prove beyond a reasonable doubt that a portion of the statutory definition of the practice of medicine is unconstitutionally overbroad. Finally, the superior court did not abuse its discretion in striking evidence Yow first proffered during his appeal to that court. We affirm in part, reverse in part, and remand.

¶ 3 The Department began investigating Yow for the unlicensed practice of medicine after receiving a complaint from the son of an elderly man who had 163 colonic irrigation sessions with Yow in the 11 months before he died. Based on its investigation, the Department filed a Notice of Intent to Issue a Cease and Desist Order against Yow on March 16, 2006.

¶ 4 Yow requested an administrative hearing to contest the charges and filed an answer to the Department's allegations. A health law judge, appointed by the secretary of the Department, presided over the hearing.

¶ 5 Yow, several of his former patients and students, and an expert called by the Department testified at the hearing. According to the witnesses, colonic irrigation is a procedure by which "about 15 gallons of water" are circulated through a person's colon over one to two hours. The "modified tap water" is pumped into the colon through the anus and rectum through the use of a six-inch long tube called a speculum, which can vary from "the circumference of a quarter to a half dollar." The speculum is inserted one to two inches inside the body. As "part of the whole procedure," Yow would provide various additives to the water that was circulated through the colon, including ozone, various herbs, coffee, and "micro flora and probiotics."

¶ 6 Yow testified that the benefits of colonic irrigation are "anecdotal" and that the *422 purpose is based on "many theories," such as "colon hygiene." He admitted that he advertised colonic irrigation as providing "hydration, decongestion, [and] aerobic supplementation." Two articles authored by Yow and admitted into evidence show that he also offered his services to help with "prolapsed organs," "ballooned" or "spastic" colons, "diverticula," and constipation, among other things. Yow advertised himself as a "certified Hydrotherapist" and as an "intestinal hydropath."

¶ 7 Expert testimony by Stephen Rulyak, M.D., revealed that colonic irrigation creates serious medical risks in recipients. The procedure creates a potential for colon perforation, which could result in blood stream infection, as well as a risk of electrolyte shifts and cardiac arrhythmia.

¶ 8 Following the hearing, the health law judge entered his Corrected Findings of Fact, Conclusions of Law, and Final Order, concluding that Yow had engaged in the unlicensed practice of medicine. Based on evidence that Yow had engaged in the unauthorized practice of medicine for 37 months, averaging 12 work days per month, the Department imposed the statutory maximum fine of $1,000 per day, totaling $444,000. The health law judge also directed that Yow cease and desist his unlicensed practice of medicine.

¶ 9 Yow petitioned the King County Superior Court for judicial review pursuant to RCW 34.05.514. The superior court affirmed the Department's Final Order in all respects except for the fine. The court struck the civil fine "as arbitrary and capricious under RCW 34.05.570(3)(i)" and concluded that "no fine is appropriate."

¶ 10 The Department appeals. Yow cross-appeals.

PRESIDING OFFICER AT ADMINISTRATIVE HEARING

¶ 11 Yow argues that the Department's order was void ab initio because the Department lacked subject matter jurisdiction over his hearing. Specifically, he takes issue with the Department's use of "its own employee as the presiding officer," rather than assigning the case to the office of administrative hearings.

¶ 12 Yow improperly characterizes the question of the use of the health law judge as jurisdictional. It is not.

¶ 13 A tribunal lacks subject matter jurisdiction when it attempts to decide a type of controversy over which it has no authority to adjudicate.[1] A lack of subject matter jurisdiction implies that an agency has no authority to decide the claim at all, let alone order a particular kind of relief.[2] Any party may raise the issue of lack of subject matter jurisdiction at any time.[3] We review de novo a challenge to a tribunal's subject matter jurisdiction to hear a claim.[4]

¶ 14 The supreme court considered the meaning of subject matter jurisdiction in the context of agency adjudication in Marley v. Department of Labor & Industries.[5] In Marley, the Department of Labor and Industries determined that Marley was not entitled to widow's benefits under her deceased husband's worker's compensation payments. Marley did not appeal this decision within the 60-day appeal period. Nearly seven years later, Marley attempted to appeal the decision, arguing that the decision was void and therefore not final and binding. The supreme court concluded that in order to show that an order is void, the party must show that the tribunal lacked jurisdiction over the party or the claim.[6] The court concluded that the Department had broad statutory authority for subject matter jurisdiction *423 over worker's compensation claims.[7] The court refused to classify the Department's alleged errors of law as jurisdictional.[8]

¶ 15 Here, Yow characterizes the Department's choice of presiding officer at his hearing as an issue of subject matter jurisdiction. But his argument is more fairly characterized as an alleged error of statutory interpretation. Determinations regarding the unlicensed practice of medicine fall within the type of controversy over which the Department has jurisdiction and the authority to adjudicate.[9] Whether the Department's health law judge properly presided at the administrative hearing in this case is not a question of jurisdiction.

¶ 16 Despite Yow's contentions, the statutory scheme supports the Department's choice of presiding officer. The Department is correct in noting that the Secretary has independent statutory authority to conduct adjudications for unlicensed practice.

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199 P.3d 417, Counsel Stack Legal Research, https://law.counselstack.com/opinion/washington-state-dept-of-health-v-yow-washctapp-2008.