South Carolina              
Administrative Law Court
Edgar A. Brown building 1205 Pendleton St., Suite 224 Columbia, SC 29201 Voice: (803) 734-0550

SC Administrative Law Court Decisions

CAPTION:
Scott J. Waguespack vs. SCDLLR

AGENCY:
South Carolina Department of Labor, Licensing and Regulation

PARTIES:
Appellant:
Scott J. Waguespack

Respondents:
South Carolina Department of Labor, Licensing and Regulation, State Board of Medical Examiners
 
DOCKET NUMBER:
08-ALJ-11-0192-AP

APPEARANCES:
Desa Ballard, Esquire, for the Petitioner

Kenneth P. Woodington, Esquire, for the Respondent
 

ORDERS:

ORDER

STATEMENT OF THE CASE

Appellant, Scott J. Waguespack, appeals the Final Order of the South Carolina Board of Medical Examiners (Board) denying his application for reinstatement of his medical license. Appellant alleges that the Board’s decision was issued in error. The Administrative Law Court (ALC) has jurisdiction to hear this matter pursuant to S.C. Code Ann. § 1-23-600(D) (Supp. 2008), S.C. Code Ann. § 40-47-160 (Supp. 2008) and S.C. Code Ann. § 40-1-160 (2001). Upon consideration of the briefs, the Board’s decision is affirmed.

BACKGROUND

Appellant’s involvement with the Board’s disciplinary process began in the 1990’s, while he was still a resident. According to a Final Order entered by the Board on February 10, 1994, Appellant admitted to unethical and inappropriate sexual contact with two of his patients. Those admitted actions caused Appellant to be placed on probation and subjected him to several probationary requirements, including having a nurse chaperone present whenever he was in the presence of any female patients.

In March of 1999, the terms and conditions of the February 10, 1994 decision were terminated, and the parties entered into a Private Agreement. Under the Private Agreement, the requirement that Appellant be accompanied by a chaperone in the presence of female patients continued in effect. In addition, Appellant was required to abstain completely from mood-altering substances, including alcohol, and to be subject to random alcohol and drug tests. He was also required to participate in an aftercare program.

In late 2003, while subject to the drug-testing requirements, Appellant was asked to submit a random blood test. He refused. Appellant subsequently met with one of the Board’s investigators to talk about the incident. During that meeting, he and the investigator discussed various options available to Appellant. Relinquishment of Appellant’s license was one of the options discussed, as was evaluation (with treatment if necessary) and continued monitoring. A few days after the meeting, Appellant and the Board’s investigator arranged to meet at the Board’s offices. At that meeting, Appellant stated that he was tired of dealing with the requirements and restrictions imposed by the Board and that he wanted to leave the practice of medicine. The Board presented Appellant with an “Agreement to Relinquish License to Practice Medicine” (Relinquishment Agreement), which Appellant signed. Pursuant to the agreement, Appellant agreed to relinquish “forevermore” his right to practice medicine in South Carolina, effective immediately upon acceptance by the Board. The Board accepted the agreement on February 3, 2004.

On July 27, 2007, Appellant filed a Petition for Reinstatement with the Board. In it, he contended that the Relinquishment Agreement was illusory and unconscionable and that it violated statutory provisions and public policy. A hearing regarding Appellant’s petition was held on November 5, 2007 before the Board. Though Appellant was only asking the Board to consider the propriety of his reinstatement, the Board denied Appellant’s reinstatement petition in an order dated November 16, 2007. Appellant now appeals.

ISSUES ON APPEAL

1. Did the Relinquishment Agreement exceed the Board’s authority?

2. Is the Relinquishment Agreement invalid due to lack of consideration?

3. Is the Relinquishment Agreement unconscionable?

4. Does the Relinquishment Agreement violate public policy?

STANDARD OF REVIEW

As set forth above, this case is before the Court as an appeal of an agency action. As such, the Administrative Law Judge sits in an appellate capacity rather than as an independent finder of fact. In South Carolina, the provisions of the Administrative Procedures Act (APA) ― specifically Section 1-23-380(A)(6) ― govern the circumstances in which an appellate body may reverse or modify an agency decision. That section states:

The court may reverse or modify the decision if substantial rights of the appellant have been prejudiced because the administrative findings, inferences, conclusions or decisions are:

(a) in violation of constitutional or statutory provisions;

(b) in excess of the statutory authority of the agency;

(c) made upon unlawful procedure;

(d) affected by other error of law;

(e) clearly erroneous in view of the reliable, probative and substantial evidence on the whole record; or

(f) arbitrary or capricious or characterized by abuse of discretion or clearly unwarranted exercise of discretion.

S.C. Code Ann. § 1-23-380(A)(6) (Supp. 2005).

A decision is supported by “substantial evidence” when the record as a whole allows reasonable minds to reach the same conclusion reached by the agency. Bilton v. Best Western Royal Motor Lodge, 282 S.C. 634, 321 S.E.2d 63 (Ct. App. 1984). The well-settled case law in this state has also interpreted the “substantial evidence” rule to mean that a decision will not be set aside simply because reasonable minds may differ on the judgment. Lark v. Bi-Lo, 276 S.C.130, 276 S.E.2d 304 (1981). The fact that the record, when considered as a whole, presents the possibility of drawing two inconsistent conclusions from the evidence does not prevent the agency’s finding from being supported by substantial evidence. Waters v. S.C. Land Resources Conservation Comm’n, 321 S.C. 219, 467 S.E.2d 913 (1996); Grant v. S.C. Coastal Council, 319 S.C. 348, 461 S.E.2d 388 (1995).

In applying the substantial evidence rule, the factual findings of the administrative agency are presumed to be correct. Rodney v. Michelin Tire Co., 320 S.C. 515, 519, 466 S.E.2d 357, 359 (1996) (citing Kearse v. State Health and Human Servs. Fin. Comm’n, 318 S.C. 198, 200, 456 S.E.2d 892, 893 (1995)). Furthermore, the reviewing court is prohibited from substituting its judgment for that of the agency as to the weight of the evidence on questions of fact. Grant v. S.C. Coastal Council, 319 S.C. 348, 353, 461 S.E.2d 388, 391 (1995) (citing Gibson v. Florence Country Club, 282 S.C. 384, 386, 318 S.E.2d 365, 367 (1984)). Finally, the party challenging an agency action has the burden of proving convincingly that the agency’s decision is unsupported by substantial evidence. Waters, 321 S.C. at 226, 467 S.E.2d at 917.

DISCUSSION

Board’s Authority

Appellant contends that the portion of the Relinquishment Agreement barring reinstatement of Appellant’s license exceeded the Board’s statutory authority. Appellant notes that S.C. Code Ann. § 40-1-150 (2001) specifically contemplates that licensees who voluntarily surrendered their licenses will be able to seek reinstatement.

Section 40-1-150 states in pertinent part:

A licensee who is under investigation for a violation provided for in Section 40-1-110 or the licensing act of the applicable board for which disciplinary action may be taken may voluntarily surrender authorization to practice to the board. The voluntary surrender invalidates the authorization to practice at the time of its relinquishment, and no person whose authorization to practice is surrendered voluntarily may practice the profession or occupation unless the board, by a majority vote, reinstates the license.

S.C. Code Ann. § 40-1-150 (2001) (emphasis added).[1]

A similar issue was addressed by the Tennessee Court of Appeals in Bacardi v. Tenn. Bd. of Registration in Podiatry, 124 S.W.3d 553 (Tenn. Ct. App. 2003). In that case, a podiatrist sought judicial review of a decision by the Tennessee podiatry board refusing to set aside a settlement agreement in which the podiatrist relinquished his right to reapply for his state license. The podiatrist claimed that the board was without authority to make the settlement agreement since no statutory or regulatory provision existed which prohibited reapplication. On appeal of the matter to the Tennessee Court of Appeals, the court disagreed with the podiatrist. It explained that the Tennessee Administrative Procedures Act expressly encouraged informal settlements of controversies and that no authority existed which prohibited the board from settling a dispute on the terms set out in the agreement. Id. at 561-62. The court further noted that “[a]lthough there is no express statutory or regulatory provision prohibiting a reapplication for a license, Dr. Bacardi, by his unequivocal Agreement, waived this right.” Id. at 561.

Here, South Carolina’s APA, like Tennessee’s, allows for the informal disposition of administrative proceedings. S.C. Code Ann. § 1-23-320(f) (2005) provides that “[u]nless precluded by law, informal disposition may be made of any contested case by stipulation, agreed settlement, consent order or default.” (emphasis added). Moreover, Appellant has not cited any statute or regulation that specifically prohibited the Board from entering into a settlement agreement containing the terms set forth in the Relinquishment Agreement, and the Court is not aware of any such statute or regulation. The Court notes in this regard that, had the matter not been settled and had the Board determined that grounds for discipline existed, the Board would have had the authority to “permanently revoke” Appellant’s license. See S.C. Code Ann. § 40-1-120(A)(4) (2001).[2] Finally, while Section 40-1-150 does not prohibit licensees who voluntarily surrender their licenses from seeking reinstatement, Appellant expressly waived his right to do so pursuant to the Relinquishment Agreement. Accordingly, like the Tennessee Court of Appeals in Bacardi, the Court concludes that the Relinquishment Agreement did not exceed the Board’s statutory authority.

Appellant, however, contends that the Relinquishment Agreement should not be considered a settlement agreement since a disciplinary proceeding had not been commenced against Appellant prior to the execution of the Relinquishment Agreement. The Court disagrees.

In its order denying Appellant reinstatement, the Board expressly found that the Relinquishment Agreement “was entered in the context of a pending disciplinary proceeding.” Upon review of the record, the Court concludes that the Board’s finding was supported by substantial evidence. First, the Relinquishment Agreement itself is evidence of the fact that a dispute existed. See Peoples Nat. Bank of Rock Hill, S.C. v. Rogers, 218 S.C. 11, 18, 61 S.E.2d 391, 395 (1950) (holding that a compromise agreement of a will contest itself constituted evidence that controversy existed). Second, the record indicates that Appellant expected the Board to eventually take some type of disciplinary action against him at the Board hearing, Appellant testified that he anticipated that, as a result of his refusal to submit to the blood test, the Board would either force him into treatment or do something “drastic” to his license. Third and most importantly, in an affidavit introduced at the Board hearing without objection, Wendy Cartledge, an attorney for the Board, stated that:

In late 2003, it came to the attention of the Board of Medical Examiners that Dr. Scott J. Waguespack was refusing to comply with the requirements of an agreement between him and the Medical Board requiring, among other things, that he regularly submit to drug testing. As a result of this information, LLR opened a new disciplinary file entitled “In the Matter of Scott J. Waguespack, M.D.,” and bearing a case number, M-297-03.[3] At the time, a number such as this indicated an active disciplinary investigation or proceeding. Upon receiving the above information, Dr. Waguespack met with the investigator P.E. Morris of LLR and myself. Dr. Waguespack advised us that he would prefer to surrender his license rather than subject himself to additional testing or additional disciplinary proceedings. As a result, I presented Dr. Waguespack with the Agreement to Relinquish License to Practice Medicine, which he signed.

(emphasis added). Thus, according to Ms. Cartledge’s affidavit, a disciplinary file was opened against Appellant prior to the execution of the Relinquishment Agreement. Although Appellant stated in his affidavit that he “never discussed with the Board any pending disciplinary action or proposed disciplinary action to be taken by the Board against me,” that statement, even if true, does not foreclose the possibility that the Board had begun a preliminary investigation. Moreover, conflicting evidence in the record does not prevent an agency’s findings from being supported by substantial evidence. Sharpe v. Case Produce, Inc., 336 S.C. 154, 160, 519 S.E.2d 102, 105 (1999). The final determination of witness credibility and the weight to be accorded evidence is reserved to the Board and it is not the task of this Court to weigh the evidence as found by the Board. Id.

Lack of Consideration

Next, Appellant argues that the portion of the Relinquishment Agreement making his relinquishment “irrevocable” was not supported by consideration and therefore should be invalidated. Specifically, Appellant contends that separate consideration was needed to make the relinquishment irrevocable since Section 40-1-150 did not prohibit licensees who voluntarily surrendered their licenses from seeking reinstatement.[4] The Board, on the other hand, contends that separate consideration was not needed to make the relinquishment irrevocable. Alternatively, the Board argues that, if consideration was needed, it existed since the Board forewent bringing a disciplinary action against Appellant.

Under the statute in effect at the time of the Agreement, the Board was permitted to take disciplinary action against Appellant despite Appellant’s voluntary relinquishment of his license. S.C. Code Ann. § 40-1-150 (2001) expressly stated that:

The surrender of an authorization to practice may not be considered an admission of guilt in a proceeding under this article and does not preclude the board from taking disciplinary action against the licensee as provided for in this article or the board’s licensing act including, but not limited to, imposing conditions that must be met before the board reinstates the license.

(emphasis added). Moreover, as the Board points out, at least one court has specifically held that the avoidance of the professional stigma of a revocation order can constitute consideration for a promise to forego reapplying for reinstatement of one’s professional license. See State ex rel. Mahur v. Ohio State Dental Bd., No. 04AP-764, 2005 WL 736232 (Ohio Ct. App. March 31, 2005) (unpublished decision).

In Mahur, a dentist, while in the midst of an appeal concerning the Ohio Dental Board’s decision to revoke his license, entered into a consent agreement with the board in which he agreed to relinquish his license and forego reapplying for reinstatement. The consent agreement contained the following provision:

Within five (5) days of the approval of this CONSENT AGREEMENT by the BOARD, the BOARD shall file a Notice of Dismissal of the Notice of Appeal in the Tenth District Court of Appeals Case No. 99AP-422, thereby terminating all further formal proceedings based upon the violations of Section 4715.30, Ohio Revised Code set forth in the Notice of Opportunity for Hearing issued by the BOARD on January 9, 1997, attached hereto as Appendix A and incorporated herein by this reference.

Id. at *2. The dentist subsequently filed an action seeking a writ of mandamus directing the board to issue him an application so that he could attempt to regain his license. The dentist claimed that the consent agreement was unenforceable due to lack of consideration. On appeal of the matter to the Ohio Court of Appeals, the court held that the agreement was supported by consideration. It explained that “[o]n Mathur’s part, there was consideration in the avoidance of the professional stigma a revocation order would have involved had he lost his case . . .” Id. at *5.[5]

While the present case is quite similar to Mahur, in this case, unlike in Mahur, there is no evidence that the Board promised to forego taking disciplinary action against Appellant. The Relinquishment Agreement contains no such promise. Moreover, the Board has not contended that it had a separate agreement with Appellant to refrain from ever pursuing disciplinary action against Appellant. Thus, there appears to be nothing that legally prevents the Board from taking such action.

The foregoing notwithstanding, however, the Court concludes that invalidation of the Relinquishment Agreement on the basis of lack of consideration is not warranted here. First, the Court notes that “a contract, although not enforceable at its inception because of lack of consideration, may nevertheless become valid and binding to the extent that it has been performed.” 17 C.J.S. Contracts § 84 (1999); see also Howard v. Mercury Record Corp., 178 F.2d 449, 452 (5th Cir. 1950). In other words, “[i]f one makes an executory contract which lacks consideration, he or she may avoid it when called on for performance, but if one executes the contract by performance he or she cannot undo his or her voluntary act.” 17 C.J.S. Contracts § 84 (1999); Sloan v. Sloan, 66 A.2d 799, 801 (D.C. Ct. App. 1949); see also Rubenstein v. Sela, 672 P.2d 492, 493 (Ariz. Ct. App. 1983) (“While lack of consideration is a valid defense in an action to enforce a contract, the courts will not undo a contract that has already been performed.”); Dale System, Inc. v. American Fixtures, Inc., 243 N.Y.S.2d 753, 756 (N.Y. Civ. Ct. 1963) (“Presence or absence of consideration . . . is material only as going to the enforceability of the purported agreement. Once the agreement has been executed, lack of consideration is beside the point and cannot be availed of to upset what has already transpired.”); King v. Bank of Pangburn, 233 S.W. 920, 921 (Ark. 1921) (“The agreement to release King having been fully performed, it becomes immaterial to determine whether it was enforceable prior to its performance.”); Farrington v. Tennessee, 95 U.S. 679, 683 (1877) (holding that a grant “actually made” requires no consideration to support it).

Here, pursuant to the Relinquishment Agreement, Appellant voluntarily agreed to “relinquish forevermore his right to practice medicine in South Carolina, effective immediately upon acceptance by the Board.”[6] The Board accepted the Relinquishment Agreement on February 3, 2004. Thus, because Appellant’s permanent relinquishment of his license has already become effective, it cannot be undone based on lack of consideration.

Second, while it does not appear that the Board expressly promised to forego pursuing disciplinary action against Appellant, the Board did in fact close Appellant’s disciplinary file. Moreover, it appears that the Board relied on Appellant’s permanent relinquishment of his license in deciding to take that action. Under the doctrine of promissory estoppel, reliance on a promise can, under certain circumstances, act as a substitute for consideration. See, e.g., 17A Am. Jur. 2d Contracts § 109 (2004) (“Under the doctrine of promissory estoppel, a promise is binding if the promise has suffered some detriment in reliance upon it, even though such detriment was not requested as consideration. This doctrine is a substitute for consideration, or an exception to its ordinary requirements.”).[7] In South Carolina, the elements of promissory estoppel are: (1) the presence of a promise unambiguous in its terms; (2) reasonable reliance upon the promise by the party to whom the promise is made; (3) the reliance is expected and foreseeable by the party who makes the promise; and (4) the party to whom the promise is made must sustain injury in reliance on the promise. Rushing v. McKinney, 370 S.C. 280, 295, 633 S.E.2d 917, 925 (Ct. App. 2006).

Here, pursuant to the Relinquishment Agreement, Appellant unambiguously agreed to “relinquish forevermore” his right to practice medicine in South Carolina. Moreover, the record indicates that the Board closed Appellant’s disciplinary file in reliance on the Relinquishment Agreement. For instance, in her affidavit, Ms. Cartledge stated that the practice of the Board was to discontinue disciplinary proceedings once a licensee permanently relinquished his license. She further stated that “[f]ollowing Dr. Waguespack’s signing the Agreement, and its approval by the Medical Board, File No. M-29703 was closed without further action by the Board.” Considering the fact that the Relinquishment Agreement was unambiguous and in writing, the Board’s reliance on it was reasonable.

Furthermore, the record demonstrates that Appellant anticipated that, by permanently relinquishing his license, he would avoid further disciplinary action by the Board. For example, at the hearing before the Board, when asked whether he thought that his refusal to submit to the blood test would result in additional action by the Board, Appellant responded by stating that he was aware that “it could’ve led up to it . . . if I would’ve let it go on that long, that far.” This testimony indicates that Appellant expected his act of entering into the Relinquishment Agreement to end the Board’s inquiry into the matter.

Finally, the Board has suffered an injury as a result of ending its investigation in reliance on the Relinquishment Agreement. More than five years have passed since Appellant relinquished his license. At this point in time, were the Board to attempt to investigate the circumstances leading up to that relinquishment, it would be at a clear disadvantage. As our Court of Appeals has noted with respect to statutes of limitation:

[W]ith the passage of time, evidence becomes more difficult to obtain and is less reliable. Physical evidence is lost or destroyed, witnesses become impossible to locate, and memories fade.

Moriarty v. Garden Sanctuary Church of God, 334 S.C. 150, 163, 511 S.E.2d 699, 706 (Ct. App. 1999).[8] Thus, because the elements of promissory estoppel are present here, Appellant’s promise to permanently relinquish his license is binding despite any lack of consideration.

For these reasons, the Court concludes that the Relinquishment Agreement should not be invalidated on the grounds of lack of consideration.

Unconscionability

Next, Appellant contends that the Relinquishment Agreement is unconscionable.

“Unconscionability is the absence of meaningful choice on the part of one party due to one-sided contract provisions together with terms that are so oppressive that no reasonable person would make them and no fair and honest person would accept them.” Hardee v. Hardee, 355 S.C. 382, 390, 85 S.E.2d 501, 505 (2003). As discussed below, the Court concludes that Appellant has failed to demonstrate that Appellant lacked meaningful choice and that no fair and reasonable person would accept the terms of the Relinquishment Agreement.

Absence of Meaningful Choice

“Absence of meaningful choice on the part of one party generally speaks to the fundamental fairness of the bargaining process in the contract at issue.” Simpson v. MSA of Myrtle Beach, Inc., 373 S.C. 14, 25, 644 S.E.2d 663, 669 (2007). In determining whether a contract was affected by an absence of meaningful choice, courts take into account “the nature of the injuries suffered by the plaintiff; whether the plaintiff is a substantial business concern; the relative disparity in the parties’ bargaining power; the parties’ relative sophistication; whether there is an element of surprise in the inclusion of the challenged clause; and the conspicuousness of the clause.” Id.

Here, Appellant has failed to establish that the Relinquishment Agreement was affected by an absence of meaningful choice. At the hearing before the Board, Appellant testified that, during his meeting with the Board investigator, the investigator informed him that one of his options was to undergo an evaluation and, if necessary, submit to treatment. Appellant further testified that “that’s what I should’ve done,” but noted that, at the time, he was not agreeable to undergoing an evaluation. Thus, by his own admission, Appellant was given additional options by the Board other than relinquishing his license. Cf. Hardee, 355 S.C. at 390, 85 S.E.2d at 505 (2003) (holding that wife who signed prenuptial agreement “clearly” had a meaningful choice because she “she could have refused to sign the agreement and opted against marrying Husband if he insisted on a prenuptial agreement.”). Additionally, while Appellant claims that he was not given the opportunity to negotiate the terms of the Relinquishment Agreement, that fact alone does not make a contract unconscionable. See Munoz v. Green Tree Financial Corp., 343 S.C. 531, 541, 542 S.E.2d 360, 365 (2001) (explaining that under state law, an adhesion contract, which is a standard form contract offered on a take-it or leave-it basis with terms that are not negotiable, is not per se unconscionable).

Moreover, while Appellant is not a “substantial business concern,” he is certainly a well-educated man. He has earned a medical degree. Furthermore, the one-page Relinquishment Agreement, which Appellant testified that he read prior to signing, contains conspicuous provisions that warn Appellant that he will not be able to seek reinstatement. The operative clause of the agreement states that “Respondent does hereby agree to relinquish forevermore his right to practice medicine in South Carolina, effective immediately upon acceptance by the Board.” Additionally, the recitals warn Appellant that the Relinquishment Agreement is “irrevocable,” that he “will not be eligible to reapply for a license to practice medicine in this State in the future,” and that he waives his right to “further proceedings in this matter.”

Finally, according to Appellant’s own affidavit, at the time that he arrived at the Board’s offices, he informed the Board that he “wanted to walk away from the practice of medicine.” There is no evidence that Appellant told the Board that he wanted his departure from medicine to be temporary. Additionally, in her affidavit, Ms. Cartledge stated that she informed Appellant that the relinquishment would be permanent if Appellant signed the Relinquishment Agreement. In light of the foregoing, the Court cannot conclude that the Relinquishment Agreement contained elements of unfair surprise.

The Board’s Acceptance of the Relinquishment Agreement

The Court also concludes that Appellant has failed to demonstrate that the terms of the Relinquishment Agreement were so oppressive that “no fair and honest person would accept them.” The Board was fully aware of Appellant’s apparent violation of the Private Agreement, and it certainly had a legitimate interest in avoiding potentially lengthy litigation. Moreover, the Board also knew that it had the authority to permanently revoke Appellant’s license if it determined that grounds for discipline existed. See S.C. Code Ann. § 40-1-120(A)(4) (2001). Furthermore, the Board had a valid reason to agree to the irrevocability of Appellant’s relinquishment, since doing so ensured that the Board would not be forced to investigate Appellant’s blood-test refusal at a later date in the event that Appellant sought reinstatement. As noted above, the passage of time makes the investigation of a matter much more difficult. See, e.g., Moriarty, 334 S.C. at 163, 511 S.E.2d at 706. In this case, had the Board agreed to allow Appellant to seek reinstatement, it would have faced the risk that Appellant would have done so at a much later point in time, when evidence relating to the events that lead to his relinquishment was difficult to gather. Accordingly, the Court concludes that it was neither unfair nor dishonest for the Board to have accepted the terms of the Relinquishment Agreement.

For these reasons, the Court concludes that the terms of the Relinquishment Agreement were not unconscionable.

Public Policy

Finally, Appellant contends that the Relinquishment Agreement violates public policy because it contracts away Appellant’s constitutional right to earn a living and his constitutional right to access to the courts. The Court disagrees.

Right to Earn a Living

“A sound public policy requires the enforcement of contracts deliberately made, which do not clearly contravene some positive law or rule of public morals. . . . Courts should not annul contracts on doubtful grounds of public policy. In such matters it is better that the legislature should first speak.” Rice v. Multimedia, Inc., 318 S.C. 95, 100, 456 S.E.2d 381, 384 (1995) (quoting Warren v. Pilgrim Health & Life Ins. Co., 217 S.C. 453, 456, 60 S.E.2d 891, 893 (1950)). Additionally, “the mere fact that a contract waives constitutional or statutory rights or changes an established rule of law does not necessarily render it void on the ground that it is against public policy.” 17A C.J.S. Contracts § 218 (1999).

Here, Appellant has failed to cite a case that specifically holds that a contract in which a person voluntarily agrees to permanently relinquish his professional license is violative of public policy. While Appellant points out that covenants not to compete have been successfully challenged in the past, the agreement at issue here is not sufficiently similar to a covenant not to compete to warrant invalidation. A covenant not to compete generally benefits no one other than the promisee. In contrast, a voluntary relinquishment by a physician who believes that he no longer possesses either the fitness or the inclination to practice medicine benefits the public at large. Moreover, the notion that there is a public policy in favor of providing reinstatement hearings to those physicians who have previously forfeited their licenses due to a disciplinary proceeding is undermined by the fact that the Board has the express statutory authority to permanently revoke a physician’s license upon a determination that grounds for discipline exist. See S.C. Code Ann. § 40-1-120(A)(4) (2001).

Furthermore, as noted above, the General Assembly has recently amended S.C. Code Ann. § 40-47-120(E) (Supp. 2008) such that it provides that voluntary relinquishments are to be irrevocable. “An agreement will not be declared void as against public policy when it is expressly authorized by a statute . . .” 17A C.J.S. Contracts § 218 (1999); see also S.C. Farm Bureau Mut. Ins. Co. v. Mumford, 299 S.C. 14, 20, 382 S.E.2d 11, 14 (Ct. App. 1989) (“Once the legislature has made [a] choice, there is no room for the courts to impose a different judgment based upon their own notions of public policy.”); 17A C.J.S. Contracts § 216 (1999) (“The legislative branch is much better suited than the courts to set public policy, and where the legislature has enacted a constitutional statute on the subject, public policy is what the statute enacts, regardless of a judge’s individual judgment or private notions or convictions.”). While it is certainly true that Section 40-47-120(E) was not in effect at the time that Appellant signed the Relinquishment Agreement, it was enacted just two years later. Although public policies may shift over time, they do not generally change dramatically over such short periods.

For these reasons, the Court concludes that the fact that the Relinquishment Agreement prevents Appellant from ever earning a living as a physician in South Carolina does not make it violative of public policy.

Access to the Courts

The Court also disagrees with Appellant’s argument that the Relinquishment Agreement violates public policy because it waives his constitutional right to access to the courts. South Carolina courts “favor settlements and agreements amongst litigants.” Darden v. Witham, 258 S.C. 380, 388, 188 S.E.2d 776, 778 (1972). Generally, there is no question of public policy involved in the enforcement of settlement agreements “since it is the right and privilege of each person to contract with reference to his property and rights.” Rogers, 218 S.C. at 17, 61 S.E.2d at 394. Moreover, South Carolina courts routinely enforce contractual provisions that waive access to courts. See, e.g., New Hope Missionary Baptist Church v. Paragon Builders, 379 S.C. 620, 667 S.E.2d 1 (Ct. App. 2008) (enforcing an arbitration provision); Spoone v. State, 379 S.C. 138, 665 S.E.2d 605 (2008) (enforcing provision of plea agreement in which defendant waived his right to appellate, post-conviction, and habeas corpus review). For these reasons, the Court concludes that the Relinquishment Agreement does not violate public policy merely because it waives Appellant’s access to the courts.

ORDER

Accordingly, based on the foregoing reasons, the decision of the Board is AFFIRMED.

AND IT IS SO ORDERED.

________________________________

Ralph King Anderson, III

Administrative Law Judge

April 15, 2009

Columbia, South Carolina



[1] While Section 40-1-150 remains in effect, in 2006 (after Appellant’s relinquishment), the General Assembly enacted Act 385, which substantially amended portionas of Chapter 47 of Title 40, the chapter of the Code specifically applicable to physicians. Act 385 provides that a licensee’s written relinquishment of his medical license is “irrevocable” upon signature by the licensee. See 2006 S.C. Act No. 385 (codified in pertinent part at S.C. Code Ann. § 40-47-120(E) (Supp. 2008)).

[2] While Appellant’s attorney claimed during oral arguments that a procedure for reinstatement existed in cases of revocation, she failed to cite a specific regulation or statute to support her argument. The most pertinent law that the Court is aware of is Regulation 81-31, which provides that a person who has been “indefinitely suspended” from the practice of medicine may petition for reinstatement. See S.C. Code Ann. Regs. 81-31 (1976 & Supp. 2008). In the Court’s view, a permanent revocation does not constitute an “indefinite suspension” since a permanent revocation has a fixed, rather than an indefinite, time limit. Moreover, the very term “permanent” implies that reinstatement is not a possibility. As one court has explained, “permanent” does not mean “temporary.” See Khouw v. Methodist Hospitals of Dallas, No. Civ.A.3:02-CV-1126-N, 2004 WL 524945, at *1-2 (N.D. Tex. Mar. 17, 2004) (unpublished decision).

[3] The Relinquishment Agreement contains the caption, “In the Matter of Scott J. Waguespack, M.D.,” and bears the case number, “M-297-03.”

[4] Appellant does not contend that his voluntary relinquishment itself was unsupported by consideration; rather, he merely contends that the irrevocability aspect of the relinquishment lacked consideration. Consideration clearly existed to support Appellant’s voluntary relinquishment since, pursuant to the Relinquishment Agreement, the Board effectively surrendered its authority to regulate Appellant and thus to enforce the drug-testing requirements of the Private Agreement.

[5] Other legal authorities provide support for the conclusion reached in Mahur. See, e.g., 17 C.J.S. Contracts § 118 (1999) (“The abandonment, dismissal, or discontinuance of pending judicial proceedings may constitute sufficient consideration to support a contract.”); Am. Jur. 2d Contracts § 143 (2004) (“In the absence of fraud or other invalidating circumstances, the surrender of a disputed or doubtful right or claim is sufficient consideration for an agreement compromising or settling the claim.”).

[6] Appellant has not argued that the Relinquishment Agreement was affected by fraud, duress, or undue influence. Moreover, there is no evidence that the Board exerted pressure on Appellant to sign the Relinquishment Agreement or that the Board otherwise acted inappropriately in obtaining Appellant’s signature to the agreement. Rather, it appears from the record that Appellant voluntarily signed the Relinquishment Agreement, with full knowledge that he had other options available to him.

[7] While the Board did not mention the doctrine of promissory estoppel in its decision, an appellate court may affirm for any reason appearing in the record. See Hutto v. State, 376 S.C. 77, 82 n.2, 654 S.E.2d 846, 849 n. 2 (Ct. App. 2007); Rule 220(c), SCACR.

[8] While Appellant contends that “he had not participated in any conduct which would warrant a finding of misconduct,” based on the absence of a full investigation by the Board, the Court cannot be so certain. Under S.C. Code Ann. § 40-1-110 (2001), the Board had the authority to revoke Appellant’s license upon a finding that Appellant had practiced medicine “while under the influence of alcohol or drugs” or used alcohol or drugs “to such a degree as to render him unfit” to practice medicine. At the hearing, Appellant testified that “back then [November 2003], marijuana, marijuana was probably one of my closest friends.” Moreover, in his affidavit, Appellant indicates that, after he refused to submit to the blood test, he went to see patients. This evidence, while not conclusive, suggests that Appellant may have engaged in misconduct.


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