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:
Anonymous Physician vs. SCDLLR

AGENCY:
South Carolina Department of Labor, Licensing and Regulation

PARTIES:
Petitioner:
Anonymous Physician

Respondent:
South Carolina Department of Labor, Licensing and Regulation, State Board of
Medical Examiners
 
DOCKET NUMBER:
05-ALJ-11-0029-IJ

APPEARANCES:
James Edward Bradley, Esquire and S. Jahue Moore, Esquire for Petitioner

Kenneth P. Woodington, Esquire and Lynn W. Rogers, Esquire for Respondent
 

ORDERS:

ORDER

STATEMENT OF CASE

The present appeal by Anonymous Physician was filed just as a Medical Board Hearing Panel was about to begin taking evidence on January 21, 2005. The Board now moves to dismiss this matter on the ground that it is an appeal from an interlocutory decision and therefore is not immediately appealable. A hearing was held before the Administrative Law Court (ALC or Court) on February 8, 2005.

BACKGROUND

Previous Injunctions

The Medical Board first took action against Petitioner on August 6, 2004 by issuing a Cease and Desist Order requiring that he stop intravenous infusions until further notice. Petitioner appealed this action to the ALC, and the matter was resolved by an agreed-upon modification that Petitioner would cease only the practice of intravenous infusions of hydrogen peroxide.

On September 30, 2004, having received reports of other activities by Petitioner, the South Carolina Department of Labor, Licensing and Regulation (LLR or Department) initiated a proceeding in the ALC for a temporary suspension of the Petitioner’s license to practice. This motion was filed pursuant to the ALC’s authority to enjoin violations of the Medical Board’s practice act. More specifically, the injunction was sought pursuant to S.C. Code Ann. § 40-1-210 (2001).

Judge Carolyn Matthews issued an Order concerning the Motion for Suspension on November 18, 2004 (Matthews Order). In that Order, Judge Matthews held among other things that there was no evidence that the full Medical Board itself had authorized the filing of the Motion for Suspension with the ALC. As a result, Judge Matthews denied the Board’s request for suspension or injunctive relief. On or about November 30, 2004, the Board filed a Petition for Review with the Circuit Court, but that appeal has yet to be heard.

Formal Complaint

In early October 2004, shortly after filing the Motion for Suspension in the ALC, the Board commenced its own disciplinary proceeding by filing a Formal Complaint against Petitioner. However, the aforementioned Matthews Order opined that the Formal Complaint, although brought on the authority of officials to whom the Board had delegated authority to do so, could not be authorized by any person or entity other than a majority of the full Board itself. Footnote In response to that holding, the Board held a meeting several days later and authorized (or re-authorized) the Formal Complaint in this case. Another Formal Complaint was filed shortly thereafter.

Pursuant to the most recent Formal Complaint, a Medical Board Panel Hearing was noticed and scheduled for January 21, 2005. At that hearing, Petitioner made an oral motion that the proceeding should be either dismissed or discontinued based on res judicata, Rule 12(b)(8), SCRCP (“another action pending”), and due process. The Panel denied those motions and proceeded with the hearing. Counsel for Petitioner then announced that he was filing a Notice of Appeal with this Court by means of placing a call to someone who was standing by at the ALC with the Notice of Appeal ready to be filed. Petitioner’s Counsel then asserted that the filing of the Notice of Appeal rendered further proceedings before the Medical Board Panel null and void pending the outcome of the appeal. The Panel decided to adjourn the case out of an abundance of caution just in case Petitioner’s counsel was correct.

DISCUSSION

Interlocutory Appeal

Petitioner claims that the case below should be dismissed because the Medical Board now has two proceedings “going on” at the same time in violation of Rule 12 (b)(8), SCRCP, that he cannot receive a fair trial, and that the prosecution of the case is barred pursuant to the principle of res judicata. Footnote The Administrative Procedures Act (APA), not the Rules of Civil Procedure, generally provide the rules for procedure before administrative agencies. See Al-Shabazz v. State, 338 S.C. 354, 527 S.E.2d 742 (2000) (“The APA outlines a variety of rights and procedures available to the parties in a contested case decided by an administrative agency.”). Furthermore, ALC Rule 68 provides that: “The South Carolina Rules of Civil Procedure may, where practicable, be applied in proceedings before the Court to resolve questions not addressed by these rules.” (emphasis added). However, there is no need to resort to the Rules of Civil Procedure because S.C. Code Ann. § 1-23-380 (Supp. 2004) provides the standard for seeking interlocutory review in APA cases. Therefore, I find that Rule 12(b)(8), SCRCP, is inapplicable to this proceeding and those considerations of its principles are unnecessary. Moreover, even if Rule 12(b)(8) was applicable, a denial of any Rule 12(b)(8) motion to dismiss is not appealable in South Carolina. Breland v. Love Chevrolet Olds, Inc., 339 S.C. 89, 529 S.E.2d 11 (2000).

Petitioner also appealed this case after the Panel refused to dismiss his case because he believes the case is barred under by the doctrine of res judicata (the merits have already been litigated) and that he cannot receive a fair trial before the Medical Board. The Administrative Law Court has appellate jurisdiction to review final decisions of contested cases before professional and occupational licensing boards within the Department of Labor, Licensing, and Regulation. S.C. Code Ann. § 1-23-600(D) (Supp. 2004). The ALC’s appellate review of those cases is conducted pursuant to S.C. Code Ann. § 1-23-380(A) (Supp. 2004). Section 1-23-380 (A) sets forth that: “[a] preliminary, procedural, or intermediate agency action or ruling is immediately reviewable if review of the final agency decision would not provide an adequate remedy.” Therefore, this Court may address an interlocutory order of the Board only when review of the Board's final order through the normal appellate process would not provide an adequate remedy to Petitioner.

In addressing whether the Board’s decision would provide an adequate remedy, it is certainly important to consider the general view concerning interlocutory appeals. The South Carolina courts seek to avoid “piecemeal” litigation. Breland, supra. Obviously, if appeals within a case are allowed, litigation would be greatly protracted. In that regard, the South Carolina Supreme Court recently reaffirmed its longstanding position in Olson v. Faculty House of Carolina, Inc., 354 S.C. 161, 580 S.E.2d 440 (2003) that a denial of summary judgment is not an appealable order. The Court referenced Medlin v. W.T. Grant, Inc., 262 S.C. 185, 203 S.E.2d 426 (1974) in support of its holding. In Medlin, the Court dismissed the appeal of a denial of summary judgment based, in part, on the defense of res judicata.

Furthermore, two South Carolina cases have addressed due process issues similar to this case. In Adamson v. Richland County School Dist. One, 332 S.C. 121, 503 S.E.2d 752, (S.C. App. 1998) the school district superintendent suspended a school teacher and recommended that the school board terminate her employment. The S.C. Court of Appeals held that she must first exhaust her administrative remedies under the Teacher Employment and Dismissal Act by seeking review before the school board. The Court noted that “[t]he board is free to reject the Superintendent's recommendation for dismissal, lift his suspension, and reinstate Adamson without loss of compensation, in which case Adamson would have no reason to complain.” Furthermore, the Court recognized that the teacher was “free to interpose ‘any and all defenses’ she has pertaining to the suspension and dismissal recommendation, whether those defenses relate to procedural or substantive issues.”

Likewise, in Smith v. South Carolina Retirement System, 336 S.C. 505, 520 S.E.2d 339 (S.C. App. 1999), the Court recognized that “[a] general exception to the requirement of exhaustion of administrative remedies exists when a party demonstrates that a pursuit of them would be a vain or futile act.” Nevertheless, the Court held that even if an appellant has good reason to believe that their administrative remedies were futile, unless the administrative agency has taken “a hard and fast position that [makes] an adverse ruling a certainty,” they must exhaust their administrative remedies. Id. at 350 (quoting Thetford Properties IV Ltd. Partnership v. U.S. Dep't of Housing and Urban Development, 907 F.2d 445, 450 (4th Cir.1990)).

Here, the grounds cited by Petitioner in his Notice of Appeal are basically that he will be unduly harmed by having the present matter proceed to an evidentiary hearing. This case is a good illustration of the evils of piecemeal litigation: if Petitioner is allowed to proceed with this appeal, the merits hearing on this case could be postponed for years while a physician who potentially may be harming the public remains in active practice. Rather than “piecemeal” this case, Petitioner can raise his procedural or substantive issues to the Medical Board. The Panel or the Board may choose to dismiss all or part of the charges levied against him. Furthermore, on subsequent appeal to the ALC, the Court may reverse or modify the Medical Board's final order or remand the case for further proceedings “if substantial rights of the appellant have been prejudiced" because the Board’s decision is, among other things, “in violation of constitutional or statutory provisions; . . . made upon unlawful procedure; . . . affected by other error of law; . . . [or] arbitrary or capricious or characterized by abuse of discretion.” S.C. Code Ann. § 1-23-380(A)(6) (Supp. 2004). Therefore, since these procedures are an adequate remedy for the due process violations alleged by Petitioner, his interlocutory appeal is not currently reviewable by the ALC and the jurisdiction of this case remains with the Medical Board. See, e.g., Rhodes v. Southern Ry. Co., 68 S.C. 494, 47 S.E. 689, 691-692 (1904).

Res Judicata

Even if Petitioner’s res judicata defense is proper to consider in this proceeding, I find that he has failed to establish that defense. The doctrine of res judicata is based upon the well-established rule that the public interest is served by having an end to litigation and that no one should be sued twice for the same cause of action. First National Bank of Greenville v. U.S. Fidelity & Guaranty Co., 207 S.C. 15, S.E.2d 47 (1945). Administrative res judicata is comparable to the doctrine of judicial res judicata and precludes not only the relitigation of the same issues in an administrative hearing but also in a subsequent judicial proceeding. 5 Jacob A. Stein, Glenn A. Mitchell & Basil J. Mezines, Administrative Law § 40.01 (Supp. 1996); see also Earls v. Aycock, 276 S.C. 471, 279 S.E.2d 614 (1981) (holding that the mere fact an administrative agency rather than a judicial body rendered the previous decision does not prevent the application of res judicata). It prevents the parties from relitigating in a second action any issue actually litigated or that might have been litigated in the first action so long as the first and second actions are between the identical parties and the first action culminated in a final judgment. Griggs v. Griggs, 214 S.C. 177, 51 S.E.2d 622 (1949). “The doctrine requires three essential elements: (1) the judgment must be final, valid and on the merits; (2) the parties in the subsequent action must be identical to those in the first; and (3) the second action must involve matter properly included in the first action.” Owenby v. Owens Corning Fiberglas, 313 S.C. 181, 183, 437 S.E.2d 130, 131 (Ct. App.1993). More specifically, a party seeking to invoke a res judicata defense must establish that the former suit adjudicated “the precise question sought to be raised in the second suit.” See Griggs at 627.

As set forth above, Petitioner maintains that the previous case before Judge Matthews was an adjudication of the merits of the current Medical Board case. However, as reflected in the Matthews Order and in the pleadings seeking an appeal of that order, it was a request for an injunction pursuant to Section 40-1-210 by the Department. Petitioner argues that Section 40-1-210 is inapplicable to cases involving the Medical Board because the Board may use only Section 40-47-210 which specifically authorizes injunctions by the Board. Petitioner further urges this Court to construe Section 40-47-210 to mean that when an agency seeks to obtain an injunction, the underlying charges of wrongdoing may or must be decided by the ALC rather that the Board in the injunction action. Footnote

Use of Section 40-1-210

Section 40-1-210 provides that “[t]he department in addition to instituting a criminal proceeding, may institute a civil action through the Administrative Law [Court], in the name of the State, for injunctive relief against a person violating this article . . . .” Section 40-1-210 is part of the LLR umbrella statute created by 1996 Act No. 453, § 2 (Act 453). There are several aspects of Act 453 which are noteworthy to this case. Act 453 created two general provisions by which injunctions could be sought against individuals regulated by Title 40. Section 40-1-210 allows the Department to institute a proceeding. Footnote On the other hand, Section 40-1-100(A) provides that “[w]hen the board has reason to believe that a person is violating or intends to violate a provision of this article or a regulation promulgated under this article, in addition to all other remedies, it may order the person immediately to cease and desist from engaging in the conduct.” (emphasis added). Footnote Thus, Sections 40-1-100 and 40-1-210 created a general procedure for the Department to independently seek an injunction and a general procedure in addition to existing procedures for various boards to seek an injunction against individuals regulated by Title 40.

Act 453 was also created subsequent to various provisions of Chapter 47 of Title 40 (§§40-47-5 et seq.) upon which Petitioner relies. “A basic presumption exists that the legislature has knowledge of previous legislation when later statutes are passed on a related subject.” Berkebile v. Outen, 311 S.C. 50, 426 S.E.2d 760, 762 (1993). See also Justice v. Pantry, 330 S.C. 37, 496 S.E.2d 871 (S.C. App. 1998) (“It is presumed that the Legislature [is] familiar with prior legislation, . . . hence, if by any fair or liberal construction two acts may be made to harmonize, no [c]ourt is justified in deciding that the last repealed the first.”) (quoting State v. Hood, et al., 181 S.C. 488, 491, 188 S.E. 134, 136 (1936)). Moreover, Section 40-1-100 sets forth that its provision exists “in addition to all other remedies.” Accordingly, though Section 40-47-210 specifically grants the Medical Board authority to seek injunctions, the General Assembly clearly created not only a new provision for the Department to seek injunction but also another general grant of authority for the Medical Board to seek an injunction .

Furthermore, having the formal charges tried before the ALC in injunction proceedings would create a class of cases normally tried before the various boards. That construction would partially repeal the current statutory procedure granting a licensee the right to be heard by their regulatory board. In Hodges v. Rainey, 341 S.C. 79, 88, 533 S.E.2d 578, 583 (2000), the South Carolina Supreme Court held that: “The law does not favor the implied repeal of a statute . . . and that if it intends to repeal existing laws it would ... expressly do so; hence, if by any fair or liberal construction two acts may be made to harmonize, no court is justified in deciding that the later repealed the first.”

I find that Section 40-47-210 and the general provisions providing for the Medical Board to decide the merits of disciplinary cases, can be reasonably reconciled to read that the ALC hears and subsequently issues orders only concerning the issue of the licensee’s suspension from the practice of his profession. Therefore, since the temporary suspension was sought under the Department’s authority to seek the suspension, this case deals with both different issues and parties.

Section 40-47-210

In order to hold that the issues about Petitioner’s professional disciplinary sanctions were “actually litigated” or “might have been litigated” in the case before Judge Matthews, it is necessary to hold that such issues may be tried in original proceedings before the ALC. Petitioner has argued that litigation of the merits of disciplinary proceedings in injunction matters is authorized by the part of Section 40-47-210 which provides that the ALC “may issue any other order in the matter it deems proper” in addition to the injunction. However, the context of the statute strongly indicates that by using the term “any other order,” the General Assembly meant only to include orders related to the motion for temporary injunction that are of a similar nature. There is no suggestion of an intention to make the ALC the primary adjudicator of Medical Board disciplinary cases in injunction matters. Such an interpretation would simply be contrary to the policy expressed in Sections 40-47-5 et seq. In establishing the procedure for adjudicating medical disciplinary cases, Section 40-47-200 specifically provides that the Medical Board is the entity charged with hearing those cases, subject only to appellate review by the ALC and other judicial tribunals. Thus, the motion for suspension heard by Judge Matthews was clearly not an action “for the same claim” as the matter filed by the Medical Board. Rather, the motion for suspension is properly regarded as a motion for temporary injunctive relief pending the outcome of the Medical Board disciplinary proceeding, and cannot be regarded as a substitute for the disciplinary proceeding itself.

Moreover, “[i]t is well-settled that statutes dealing with the same subject matter are in pari materia and must be construed together, if possible, to produce a single, harmonious result.” Grant v. City of Folly Beach, 346 S.C. 74, 79, 551 S.E.2d 229, 231 (2001). If possible, this Court is obligated to reconcile conflicts and avoid a construction that would read a provision out of a statute. Steinke v. South Carolina Dept. of Labor, Licensing and Regulation, 336 S.C. 373, 520 S.E.2d 142 (1999). Here, Petitioner’s interpretation would have to be applied to the statutes setting forth the same or similar language. Several other statutes in Title 40 set forth that the Administrative Law Judge “may issue any other order in the matter it deems proper” when determining a temporary suspension matter. See S.C. Code Ann. §§ 40-9-95 (Chiropractors and Chiropractic); 40-61-40 (Sanitarians); and 40-69-210 (Veterinarians). Footnote A number of other statutes in Title 40 set forth practically the same language that the Administrative Law Judge “may issue any other order in the matter it considers proper” when determining a temporary suspension matter. See S.C. Code Ann. §§ 40-47-660 (B) (Respiratory Care); 40-47-1000 (C) (Physician Assistants); 40-47-1280 (C) (Anesthesiologist's Assistants); 40-63-100 (B) (Social Workers); and 40-75-100 (B) (Professional Counselors and Marriage and Family Therapists). In fact, several statutes which specifically authorize Circuit Court to issue injunctions regarding administration agencies also use statutory language very similar to the statute at issue in this case. See S.C. Code Ann. §§ 44-56-50 (Hazardous Waste Management); 44-93-50 (Infectious Waste Management); 13-7-40(L) (Department of Health and Environmental Control); and 6-8-50 (Building Codes Enforcement).

The "primary or fundamental rule of statutory construction a court must follow is to ascertain and give effect to the legislature's intention or purpose as expressed in the statute." Scholtec v. Reeves, 327 S.C. 551, 558, 490 S.E.2d 603, 606-607 (Ct. App. 1997). The language used in the statute should be given its plain and ordinary meaning without resort to subtle or forced construction to expand or limit the scope of the statute. Berkebile v. Outen, 311 S.C. 50, 426 S.E.2d 760 (1993). Furthermore, the interpretation of a term set forth in a statute should support the purpose of the statute and should not lead to an absurd result. S.C. Coastal Council v. S.C. State Ethics Comm’n, 306 S.C. 41, 410 S.E.2d 245 (1991).

Petitioner's interpretation that of language providing the ALC may issue “any other order in the matter it deems proper” means the ALC can try the merits of medical disciplinary cases in suspension proceedings is simply not reflective of the legislative intent for those statutes. The reasonable interpretation of the legislative intent of Section 40-47-210 is that the ALC can issue an order in addition to, or other than suspending, the licensee to accomplish a just result. Petitioner’s interpretation of Section 40-47-210 would also lead to the absurd result that all “suspension” statutes with language similarly setting forth that issue a court may issue “any other order in the matter it deems proper” would warrant the merits of board cases being tried at by the court rather than before the respective boards. Therefore, the prior matter before Judge Matthews cannot be regarded as one in which the disciplinary issues “might have been litigated.”

Therefore, I conclude that this case is not barred by res judicata because the prior petition for suspension or injunctive relief did not result in a judgment on the merits of whether Petitioner should be suspended. In fact, there are simply no findings of fact in the Matthews Order to support that contention. More importantly, even if that case reached a final decision on the merits, it did not involve the same issues that are before the Medical Board in this case. The issue in the previous case involved nothing more than whether to grant a motion for a temporary injunction pending the separate disciplinary action filed at the Board level. Here, the case currently before the Board involves the separate issue of determining the merits of the disciplinary action. Footnote

Due Process

Petitioner contends that it would also violate his due process rights to be tried by the Medical Board since it has already determined to suspend him. Footnote S.C. Const. art. I, § 22 states, in full:

No person shall be finally bound by a judicial or quasi-judicial decision of an administrative agency affecting private rights except on due notice and an opportunity to be heard; nor shall he be subject to the same person for both prosecution and adjudication; nor shall he be deprived of liberty or property unless by a mode of procedure prescribed by the General Assembly, and he shall have in all such instances the right to judicial review.

“Due process of course requires a hearing before an impartial decision maker. It does not, however, prohibit a single agency . . . from combining investigative and adjudicative functions, one group or individuals passing upon facts developed by others within the same organization.” Babcock Center, Inc. v. Office of Audits, 286 S.C. 398, 402, 334 S.E.2d 112, 114 (1985) (quoting Woodland Nursing Home Corporation v. Weinberger and Travelers Insurance Company, 411 F. Supp. 501 (S.D.N.Y.1976)). Furthermore, in Garris v. Governing Bd. of South Carolina Reinsurance Facility, 333 S.C. 432, 511 S.E.2d 48 (1998), the South Carolina Supreme Court addressed the issue of receiving a fair trial pursuant to Article I, Section 22 when an agency investigates and prosecutes a licensee for a regulatory violation. The Court held that “[t]he fact that investigative, prosecutorial, and adjudicative functions are performed within the same agency, or even performed by the same persons within an agency, does not, without more, constitute a violation of due process.” Moreover, “[a]gency officials or members who adjudicate a matter are presumed to be honest, fair, and unbiased.” Id. at 54. Nevertheless, the Court held that an agency violates Section 22 when the same persons serve as prosecutor and adjudicator placing “future adjudicators in situations where they had the opportunity to form . . . premature opinions.” Id. at 55.

Here, this case is yet to be tried or reviewed by the Medical Board. Though Petitioner claims that his due process right will be violated if he is forced to try this case before the Medical Board, his construction of Section 22 would operate to void other licensees' existing statutory due process right to be heard by their regulatory board. Moreover, the case resulting in the Matthews Order was litigated before the ALC under the authority of the Department and not the Medical Board. Therefore, though Petitioner may “feel” he will not receive due process, there is no record reflecting evidence to overcome the presumption that his Panel hearing will be unbiased. Accordingly, I find that even if Petitioner’s due process claim is properly before this Court, he has failed to establish the merits of his claim.

ORDER

IT IS THEREFORE ORDERED that this case is Dismissed.

AND IT IS SO ORDERED.


_________________________________

Ralph King Anderson, III

Administrative Law Judge


February 18, 2005

Columbia, South Carolina


Brown Bldg.

 

 

 

 

 

Copyright © 2024 South Carolina Administrative Law Court