Withrow v. Larkin

421 U.S. 35, 95 S. Ct. 1456, 43 L. Ed. 2d 712, 1975 U.S. LEXIS 56
Supreme Court of the United States·Decided April 16, 1975·No. 73-1573·Published·Cited by 2,291 cases

Opinion

Mr. Justice White

delivered the opinion of the Court.

The statutes of the State of Wisconsin forbid the practice of medicine without a license from an Examining Board composed of practicing physicians. The statutes also define and forbid various acts of professional misconduct, proscribe fee splitting, and make illegal the practice of medicine under any name other than the name under which a license has issued if the public would be misled, such practice would constitute unfair competition with another physician, or other detriment to the profession would result. To enforce these provisions, the Examining Board is empowered under Wis. Stat. Ann. §§448.17 and 448.18 (1974) to warn and reprimand, temporarily to suspend the license, and “to institute criminal action or action to revoke license when it finds probable cause therefor under criminal or revocation statute ....” 1 When an investigative proceeding before the *38 Examining Board was commenced against him, appellee brought this suit against appellants, the individual members of the Board, seeking an injunction against the enforcement of the statutes. The District Court issued a preliminary injunction, the appellants appealed, and we noted probable jurisdiction, 417 U. S. 943 (1974).

I

Appellee, a resident of Michigan and licensed to practice medicine there, obtained a Wisconsin license in August 1971 under a reciprocity agreement between Michigan and Wisconsin governing medical licensing. His practice in Wisconsin consisted of performing abor *39 tions at an office in Milwaukee. On June 20, 1973, the Board sent to appellee a notice that it would hold an investigative hearing on July 12,1973, under Wis. Stat. Ann. § 448.17 to determine whether he had engaged in certain proscribed acts. 2 The hearing would be closed to the public, although appellee and his attorney could attend. They would not, however, be permitted to cross-examine witnesses. Based upon the evidence presented at the hearing, the Board would decide “whether to warn or reprimand if it finds such practice and whether to institute criminal action or action to revoke license if probable cause therefor exists under criminal or revocation statutes.” App. 14.

On July 6, 1973, appellee filed his complaint in this action under 42 U. S. C. § 1983 seeking preliminary and permanent injunctive relief and a temporary restraining order preventing the Board from investigating him and from conducting the investigative hearing. The District Court denied the motion for a temporary restraining order.

On July 12, 1973, appellants moved to dismiss the complaint. On the same day, appellee filed an amended complaint in which injunctive relief was sought on the ground that Wis. Stat. Ann. §§448.17 and 448.18 were unconstitutional and that appellants’ acts with respect to him violated his constitutional rights. The District Court again denied appellee’s motion for a temporary restraining order, but did not act upon appellants’ motion to dismiss. On July 30, 1973, appellants submitted an amended motion to dismiss.

*40 The Board proceeded with its investigative hearing on July 12 and 13, 1973; numerous witnesses testified and appellee’s counsel was present throughout the proceedings. Appellee’s counsel was subsequently informed that appellee could, if he wished, appear before the Board to explain any of the evidence which had been presented. App. 36-37.

On September 18, 1973, the Board sent to appellee a notice that a “contested hearing” 3 would be held on October 4, 1973, to determine whether appellee had engaged in certain prohibited acts 4 and that based upon *41 the evidence adduced at the hearing the Board would determine whether his license would be suspended temporarily under Wis. Stat. Ann. §448.18 (7). Appellee moved for a restraining order against the contested hearing. The District Court granted the motion on October 1, 1973. Because the Board had moved from purely investigative proceedings to a hearing aimed at deciding whether suspension of appellee’s license was appropriate, the District Court concluded that a substantial federal question had arisen, namely, whether the authority given to appellants both “to investigate physicians and present charges [and] to rule on those charges and impose punishment, at least to the extent of reprimanding or temporarily suspending” violated appellee’s due process rights. Appellee’s motion to request the convening of a three-judge court was also granted, and appellants’ motion to dismiss was denied. 368 F. Supp. 793, 795-796 (ED Wis. 1973).

The Board complied and did not go forward with the contested hearing. Instead, it noticed and held a final investigative session on October 4, 1973, at which appellee’s attorney, but not appellee, appeared. 5 The Board thereupon issued “Findings of Fact,” “Conclusions of Law,” and a “Decision” in which the Board found that appellee had engaged in specified conduct proscribed by the statute. The operative portion of its “Decision” was the following:

“Within the meaning of sec. 448.17, Stats., it is hereby determined that there is probable cause to believe that licensee has violated the criminal provisions of ch. 448, Stats., and that there is probable cause for an action to revoke the license of the licensee for engaging in unprofessional conduct.
*42 “Therefore, it is the decision of this Board that the secretary verify this document and file it as a verified complaint with the District Attorney of Milwaukee County in accordance with sec. 448.18 (2), Stats., for the purpose of initiating an action to revoke the license of Duane R. Larkin, M. D., to practice medicine and surgery in the State of Wisconsin and initiating appropriate actions for violation of the criminal laws relating to the practice of medicine.” App. 59-60.

On November 19, 1973, the three-judge District Court found (with an opinion following on December 21, 1973) that § 448.18 (7) was unconstitutional as a violation of due process guarantees and enjoined the Board from enforcing it. Its holding was:

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Withrow v. Larkin, 421 U.S. 35, 95 S. Ct. 1456, 43 L. Ed. 2d 712, 1975 U.S. LEXIS 56 (1975).

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