Yost v. State, Division of Corporations, Business & Professional Licensing

234 P.3d 1264, 2010 WL 2792104
CourtAlaska Supreme Court
DecidedJuly 16, 2010
DocketS-13212
StatusPublished
Cited by12 cases

This text of 234 P.3d 1264 (Yost v. State, Division of Corporations, Business & Professional Licensing) is published on Counsel Stack Legal Research, covering Alaska Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Yost v. State, Division of Corporations, Business & Professional Licensing, 234 P.3d 1264, 2010 WL 2792104 (Ala. 2010).

Opinion

OPINION

CARPENETI, Chief Justice.

I. INTRODUCTION

A doctor encountered a problem with her medical license application. Rather than pursue the administrative adjudication process, she entered into a settlement agree *1267 ment providing, subject to the approval of the medical board, that she would be issued a license, fined, and reprimanded. The doctor asserts that the professional licensing division promised her an opportunity to address the Board before it considered approving the settlement and that this promise was a condition precedent to the settlement. The Division denies it made such a promise. The Board changed the meeting time without notifying the doctor and voted to approve the settlement without hearing from her. In response, the doctor filed a civil case for breach of contract. The superior court converted the case to an administrative appeal and affirmed the Board's decision. The doe-tor appealed. We hold that although the superior court properly treated the case as an administrative appeal, it was error to decide that no condition precedent existed without first conducting a trial de novo on the issue. Therefore, we vacate the superior court's decision and remand for trial.

II. FACTS AND PROCEEDINGS A. Facts

1. The application and settlement process

Dr. Ann-Marie Yost, a neurosurgeon, accepted a short-term assignment at the Alaska Native Medical Center 1 and, in January 2005, applied to the State of Alaska, Division of Corporations, Business and Professional Licensing (the Division) for a lieense to practice medicine in the state. The license application included question 32(a) "Have you ever been under investigation by any medical licensing jurisdiction or authority?" Dr. Yost answered: "No." In fact, as the Division soon became aware, Dr. Yost had five years earlier been the subject of an inquiry by the Washington state Medical Quality Assurance Commission, set in motion by a patient's complaint that Dr. Yost had misdiagnosed him. On March 31, 2005, Colin Matthews, a division employee assigned to conduct investigations for the Alaska State Medical Board (the Board), was tasked with resolving the discrepancy.

According to Dr. Yost, she answered "No" to question 82(a) out of a good faith belief that the Washington inquiry "did not constitute an 'investigation' for purposes of the application." Dr. Yost said she understood the term "investigation" to mean a formal proceeding with interviews, discovery, and a hearing, none of which the Washington inquiry entailed. Indeed, the entirety of the Washington inquiry involved a letter sent to Dr. Yost informing her of the patient complaint and asking her to turn over relevant records and to write a statement about the case. The hospital's legal team handled all correspondence and, six months later, the case was closed with a finding of no violations and no need for disciplinary action. Dr. Yost considered the incident a nuisance complaint and stated that "it did not even come to mind" when she reached question 32(a) on the Alaska medical license application.

Investigator Matthews had a different view of the incident. He understood that Washington had characterized its inquiry into Dr. Yost as an "investigation" and that Dr. Yost had been so notified. The initial letter to Dr. Yost-return address "Investigations Unit"-informed her that this was a "preliminary investigation," and that "no charges have been issued in connection with this investigation." The final letter Dr. Yost received informed her that the "investigation" was complete. To Matthews, whether Dr. Yost's answer to question 32(a) was innocent oversight or intentional fraud was irrelevant; the answer was false, and the statute 2 prohibiting false answers on license applications was indifferent to the reason 3 Faced with *1268 this dilemma, Dr. Yost could have allowed the application process to run its course; if the Board denied her application, she could have requested a hearing 4 complete with argument, discovery and testimony. 5 If this was unsuccessful, she could have appealed to the superior court, and if necessary appealed again to this court. 6 However, Dr. Yost was under a time constraint; her job with the Alaska Native Medical Center was set to begin the next day, April 1, 2005, and neurosurgeons in Alaska are not easily replaceable.

In search of a solution, Matthews consulted a board member who offered the opinion that this case should be dealt with just as similar cases had been handled in the past: Dr. Yost could enter into a memorandum of agreement (MOA) by which she would be granted a license, but the Board would impose a $1,000 fine and a reprimand. As soon as Dr. Yost signed the draft MOA, she could be issued a temporary license so she could begin her job. Then, if the Board adopted the MOA at its next meeting, a permanent license would be issued and the fine and reprimand would be imposed. If the Board rejected the MOA, Dr. Yost would be back where she started, free to pursue the hearing process.

On April 1, 2005, Dr. Yost's anticipated first day of work, Matthews called her and explained the MOA process, then spoke by phone with Dr. Yost's attorney, David Thor-ner, to work out the details When an acceptable agreement was reached, Matthews faxed a copy of the proposed MOA to Thor-ner. That afternoon, Dr. Yost came into the Division office, signed the MOA, and was issued a temporary license.

This case arises from a disagreement about what else happened that day. Dr. Yost alleges that she signed the MOA on the express condition that before the agreement could be adopted as final, she would have the opportunity to appear before her peers on the medical board to explain directly her response to question 32(a), and ask that no action be taken against her. She alleges that Matthews, on behalf of the Division, orally promised her and her attorney that she would have this opportunity, and that this condition was fundamental to her participation in the MOA. In her affidavit, Dr. Yost said that she "wholeheartedly disagreed" with the allegations against her and "would never have signed the [MOA] without the assurance made by Investigator Matthews that I would have a chance to explain myself to the Board at the meeting where the draft agreement would be presented." For its part, the Division acknowledges that Matthews told Dr. Yost that the Board's meetings were open to the public and offered to accommodate her request to listen in by teleconference, but the Division denies representing to Dr. Yost or her attorney that she would have an opportunity to address the Board, or even guaranteeing the time at which the matter would be considered.

The disagreement about what exactly Dr. Yost had been promised would have major ramifications. On April 21, 2005, the Board met to consider, among other things, whether Dr. Yost's MOA should be adopted as final. Dr.

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Cite This Page — Counsel Stack

Bluebook (online)
234 P.3d 1264, 2010 WL 2792104, Counsel Stack Legal Research, https://law.counselstack.com/opinion/yost-v-state-division-of-corporations-business-professional-licensing-alaska-2010.