Michael v. Delaware Board of Nursing ( 2017 )

IN THE SUPERIOR COURT OF THE STATE OF DELAWARE
MAIA KATHRYN MICHAEL )
Appellant, §
v. § C.A. No. Nl7A-02-003-JRJ
DELAWARE BOARD OF NURSING, §
Appellee. §
OPINION
Date Submitted: June 9, 2017
Date Decided: September 8, 2017
Upon Appeal from the Jcmuary l l, 201 7 Order of the Board ofNursing:
AFFIRMED.
Gary W. Alderson, Elzufon, Austin & Mondell, P.A., Esquire, 300 Delaware
Avenue, 17th Floor, P.O. Box 1630, Wilmington, Delaware, Attorney for Appellant.
Jennifer L. Singh, Deputy Attorney General, Delaware Department of Justice, 102
W. Water Street, Dover, Delaware, Attorney for Appellee.
Jurden, P.J.
I. INTRODUCTION
In 201 l, the Delaware Board of Nursing suspended Appellant Maia Michael’s
nursing licenses after Michael impersonated a physician in order to obtain
prescription medication, conduct for which Michael also received a criminal
conviction of Obtaining a Controlled Substance by Deception.l In 2013, the Board
permanently revoked Michael’s nursing licenses based on the finding that Michael
Worked as a nurse While her licenses Were suspended.2 In 2015, the Govemor
pardoned Michael’s conviction for Obtaining a Controlled Substance by Deception,3
and in 2016, Michael first applied to have her licenses reinstated After the Board
proposed to deny the reinstatement based on the permanent revocation of Michael’s
licenses, Michael applied for licensure by examination4 By Order dated January 1 1,
2017, the Board denied Michael’s applications for reinstatement and licensure by
examination.5 Before the Court is Michael’s appeal of the Board’s January 1 l, 2017
Order.
1 Appellee’s Answering Brief (“Answering Brief”), Appendix, May 12, 2011 Order of the Board
of Nursing (“May 12, 2011 Order”) at A6-7 (Trans. ID. 60538483).
2 Opening Brief of Appellant in Support of Her Appeal of the January 1 1, 2017 Order of the Board
of Nursing (“Opening Br.”), Ex. E, October 9, 2013 Order of the Board of Nursing (“Oct. 9, 2013
Order”) (Trans. ID. 6044921 8).
3 Opening Br., Ex. G, June 26, 2015 Pardon.
4 Opening Br., Ex. H, May 1 1, 2016 Board of Nursing Meeting Minutes (“May 11, 2016 Minutes”)
at 5-6; Opening Br., Ex. I, July 13, 2016 Board of Nursing Meeting Minutes (“July 13, 2016
Minutes”) at 6.
5 January 11, 2017 Order (Trans. ID. 60154923).
2
II. BACKGROUND
In late 2008, Maia Michael illegally obtained a physician’s Drug Enforcement
Agency number, impersonated a physician, and ordered Xanax prescriptions in her
own name.6 On December 9, 2008, Michael Was arrested and charged With
Obtaining a Controlled Substance by Misrepresentation, Fraud, Forgery or
Deception and Criminal Impersonation.7 On February 12, 2009, Michael pled guilty
to one count of Obtaining a Controlled Substance by Deception.8 Michael Was
enrolled into the drug diversion program, which, upon successful completion, Would
have resulted in no criminal conviction.9 Michael failed to comply With the terms
of the program, and thus the conviction became effective10
As a result, the Department of Justice filed a complaint With the Board of
Nursing seeking revocation of Michael’s nursing licenses.ll The Board scheduled a
hearing for February 9, 2011. Although Michael received notice of the hearing, she
failed to appear.12 The Board conducted the hearing and voted to revoke Michael’s
licenses.13 Michael requested that the Board reopen the hearing so that she might
6 Michael v. Delaware Bd. ofNursing, 2012 WL 1413573, at *l (Del. Super. Feb. 16, 2012).
7 Id.
8 Id.
9 Id.
10 Id.
11 Id.
12 ld.
13 Id.
testify, and the Board granted Michael’s request.14 On April 13, 2011, the Board
held the requested hearing, and Michael admitted that she committed the crime for
which she was convicted, described her actions with particularity, apologized, and
accepted responsibility.15
The Board voted to suspend Michael’s licenses, and on May 12, 2011, the
Board issued an Order setting forth its finding that, pursuant to
24 Del. C. §§ 1922(a)(2), (3), and (8), Michael was convicted of a crime
substantially related to the practice of nursing, is unfit and incompetent to practice
nursing, and is guilty of unprofessional conduct.16 With respect to the finding of
unprofessional conduct, the Board found that Michael violated: (l) Board of Nursing
Regulation 10.4.2.1, in that her behavior failed to conform to the legal standards and
accepted standards of the nursing profession and adversely affected the health and
welfare of the public, and (2) Regulation 10.4.2.15 in that she diverted, possessed,
obtained, and administered prescription drugs to herself without authorization.17
Based on these findings, the Board suspended Michael’s nursing licenses for five
years, conditioned on Michael’s presentation to the Board a certification of
14 Id.
15 Ia'.
16 May 12, 2011 Order at A4-5.
17 Id. Board Regulation 19.4.2.15 in the May 12, 2011 Order is now Board Regulation 10.4.2.17.
4
successful completion of the TASC program.18 Michael appealed, and the Court
affirmed the decision of the Board.19
From June 2011 until January 31, 2012, Michael worked as a nurse while her
licenses were suspended.20 The Department of Justice again filed a complaint with
the Board against Michael, and on October 9, 2013, the Board found that Michael
committed unprofessional conduct under 24 Del. C. § 1922(a)(8), and violated
24 Del. C. § 1924 by practicing without a valid license. Based on Michael’s failure
to comply with the Board’s suspension of her licenses, the Board permanently
revoked her licenses.21 Michael did not appeal.
On June 26, 2015, the Governor issued a full pardon for Michael’s Obtaining
Controlled Substances by Deception conviction,22 and on March 31, 2016, Michael
applied to have her licenses reinstated.23 On May 11, 2016, the Board voted to
“propose to deny” the reinstatement of the licenses because the licenses were
permanently revoked and thus could not be reinstated.24
18 Id. at A6~7.
19 Michael, 2012 wL 1413573, at *4.
20 Oct. 9, 2013 Order at 1.
21 Id. at 2.
22 Opening Br., Ex. G, June 26, 2015 Pardon. The Pardon states, in pertinent part, “the Board of
Pardons has recommended that a pardon be granted based upon the lack of opposition from the
State, the passage of time without any further incidents, the lack of any prior or subsequent record,
and the need for a pardon for employment purposes[.]” Id.
23 Answering Brief, Appendix, Application for Reinstatement at A10-13.
24 May ii, 2016 Minutes ar 5-6.
On June 10, 2016, Michael applied for licensure by examination,25 and on July
13, 2016, the Board again proposed to deny Michael’s application because, “insofar
as the Board is only authorized to permanently revoke licenses under
24 Del. C. § l922(b)(1), Ms. Michael is not eligible to be granted a Delaware
nursing license by endorsement, examination, or reinstatement.”26 At Michael’s
request, the Board held a hearing on November 8, 2016,27 At the hearing, Michael
and the Board submitted documentary evidence, and the Board heard Michael’s
testimony and oral argument from Michael’s counsel.28
The Board issued a written order on January 11, 2017. In that Order, the
Board set forth its conclusion that the Board is bound by the 2013 Board Order
permanently revoking Michael’s licenses. The Board also concluded that Michael’s
pardon does not change the outcome because: (l) the Board suspended Michael’s
licenses not only for being convicted of a crime substantially related to nursing, but
also for being unfit to practice by reason of negligence, habits, or other causes, and
for unprofessional conduct; and (2) the Board ultimately revoked Michael’s licenses
25 Answering Br., Appendix, Application for Licensure by Examination at A14_17. Michael also
applied for licensure by endorsement. Answering Br., Appendix, Application f`or Licensure by
Endorsement at A18_22. However, at a November 8, 2016 hearing, Michael conceded that an
application by endorsement is not appropriate and withdrew the Application. Opening Br., Ex. J,
November 8, 2016 Hearing Transcript at 9:23_10:6.
26 January 11, 2017 Order at 1 (emphasis added).
27 The precise date of the November hearing is unclear. The hearing transcript states that the
proceeding occurred on November 8, but the Board’s January ll, 2017 Order states that the
hearing was held on November 14.
28 Opening Br., Ex. J, November 8, 2016 Hearing Transcript.
6
when she practiced nursing while her license Was suspended, i.e. Michael’s licenses
were permanently revoked for conduct separate and distinct from the original
suspension.29
III. PARTIES’ CONTENTIONS
Michael contends that she was “denied due process because she was not given
a meaningful hearing on the substantial evidence that her unconditional
gubernatorial pardon made her eligible to apply for [] licensure” pursuant to
24 Del. C. §§ 1910 and 1914.30 In short, Michael argues that her conviction was the
but for cause of “all that transpired with the Board after Michael’s 2009 conviction,”
and therefore, according to Michael, because her pardon fully restored her “civil
right” to pursue professional licensure, the Board erred in finding that it is bound by
its 2013 Order permanently revoking Michael’s licenses and rendering her ineligible
for re-licensure by examination.31 Michael further argues that her due process rights
were violated because she was subjected to disparate and irreversible discipline
because the Nurse Practice Act is the only profession or occupation covered by Title
24 that permits only “permanent revocation.”32 According to Michael, the
permanent revocation is of the nature of a constitutional tort because: Michael is a
29 January 11, 2017 Order at 3_4.
30 Opening Br. at 15.
311d. at 15-22.
32 1d.at23-25.
“member of an identifiable class;” “she was intentionally treated differently than
others similarly situated;” and “there was no rational basis for the differing
treatment.”33
The Board counters that it did not deny Michael’s due process by rejecting
her argument that her criminal conviction was the but for cause of her licenses being
revoked.34 Further, the Board maintains that Michael’s conviction was not the but
for cause of the licenses revocation, rather, it was Michael’s decision to fraudulently
purchase Xanax and Michael’s “willful decision to work as a nurse while her license
was suspended for eight months” that caused her license to be revoked.35 With
respect to Michael’s disparate treatment argument, the Board argues that the Nurse
Practice Act, in the case of revocation, provides only for permanent revocation, and
this unambiguous statutory language precludes the Board from issuing Michael new
licenses.36 Finally, with respect to Michael’s “constitutional tort” argument, the
Board maintains that this argument was not raised at the hearings and is now
waived.37 Even if not waived, the Board argues Michael’s argument fails because
Michael does not identify how she is being singled out by the Board compared with
other similarly situated individuals.38
33 Id. at 26.
34 Answering Br. at 13.
33 Id. at 14-15.
36 Id.
37 Id. at 25-26.
38 Id. at 26-29.
IV. STANDARD OF REVIEW
The role of the Court when reviewing appeals from the Board of Nursing is
limited to determining whether the Board’s factual findings are supported by
substantial competent evidence and to determining whether the Board committed
any errors of law.39 Substantial evidence is evidence that would lead a reasonable
mind to support a conclusion,40 and during its review, “the Court is not authorized
to make its own factual findings, assess credibility of witnesses or weigh the
evidence.”41 Questions of law are reviewed de n0v0.42
V. DISCUSSION
A. The Effect of Michael’s Pardon
Michael argues that she was denied of due process because she was denied a
meaningful hearing on her application for licensure.43 A professional license is
considered property under the Fourteenth Amendment, thus providing the license
due process protection.44 Due process affords the licensee the right to receive notice
to be heard “at a meaningful time and in a meaningful manner” prior to being
39 Villabona v. Bd. Of Med. Practice, 2004 WL 2827918, at *2 (Del. Super. Apr. 28, 2004)
(citations omitted).
40 Id. (ciring olney v. Cooch, 425 A.zd 610, 614 (Dei. 1981)).
41 Sokolojj”v. Bd. OfMed. Practice, 2010 WL 5550692, at *5 (Del. Super. Aug. 25, 2010).
42 Villabona, 2004 WL 2827918, at *2.
43 Opening Br. at 14-15.
44 Villabona, 2004 WL 2827918, at *6.
deprived of the property interest.45 Consistent with a license’s status as property,
Michael was afforded an opportunity to present her case and call witnesses on her
behalf at the April 13, 201 l hearing, which resulted in the suspension of her licenses,
and at the November 8, 2016 hearing, which resulted in the permanent revocation of
her licenses. Michael had the right to appeal both decisions to the Superior Court.
She appealed the suspension, but not the permanent revocation. The Board also held
a hearing when Michael applied to have her licenses reinstated and applied for
licensure by examination. Michael was represented by an attorney and was able to
present evidence. Thus, although styled as a matter of “due process,” the core
question raised in this case is whether the Board properly determined that it did not
have the authority_taking into consideration the effect of Michael’s pardon_to
either reinstate Michael’s licenses or to issue new ones.
Michael’s argument concerning the effects of a pardon has two aspects: (1) to
what extent a pardon erases the consequences flowing from a prior criminal
conviction; and (2) whether a nursing license is a “civil right” which is restored upon
the issuance of a pardon.
Regarding the first aspect, Michael states that because the unconditional
pardon was “as if the conviction had never occurred,”46 the Board erred in finding
45 Slawik v. State, 480 A.2d 636, 645 (Del. 1984) (quoting Armstrong v. Manzo, 380 U.S. 545, 552
(1965)).
46 Opening Br. at 21.
10
that it did not have the authority to issue her licenses. On this point, Michael’s
contention that the effect of the pardon is “as if [the] conviction had never occurred”
is not a correct statement of Delaware law.47 As the Delaware Supreme Court
explained in Heath v. State,48 “the pardon may have forgiven [the offender’s]
conviction, [but] it did not obliterate the public memory of the offense . . . a pardon
does not erase guilt.”49 Similarly, in State v. Skinner,§° the Delaware Supreme Court
stated, a “pardon ‘involves forgiveness and not forgetf`ulness’ and it does not ‘wipe
the slate clean.”’51
With regard to the second aspect, Michael argues that by statute a pardon
“shall have the effect of fully restoring all civil rights to the person pardoned.”52
Therefore, according to Michael, her ability to acquire new nursing licenses was
restored because a license to practice nursing is a “civil right.”53 In support for the
conclusion that her nursing license is a “civil right,” Michael makes no argument,
but rather cites to Villabona v. Board of Medical Practice.54
Contrary to Michael’s implication, nowhere does the Court in Villabona hold
or indicate that a professional license is a “civil right.” In Villabona, the Court
47 Opening Br. at 21.
48 938 A.2d 77 (Del. 2009).
49 Id. at 81 .
30 632 A.2d 82 (Del. 1993).
51 ld. at 84.
52 ii Del. C. § 4364.
53 Opening Br. at 19.
54 2004 wL 2827918 (Dei. super. Apr. 28, 2004).
11
recognizes that a professional license is a property right and protected accordingly
under the Fourteenth Amendment.55 From this language, Michael reaches the
conclusion, Without any supporting argument or further citation, that a professional
license is a “civil right.”56 As such, Michael’s argument falls far short of establishing
that her pardon restored, either directly or indirectly, the Board’s ability to reinstate
Michael’s licenses or to issue her new ones. That said, regardless of whether a
pardon could result in the reissuance of a professional license under other
circumstances, the Board correctly determined that it did not have the authority to
reinstate Michael’s licenses or to issue her new ones because Michael’s license was
not revoked solely as the result of her conviction.57
First, the Board originally suspended Michael’s nursing license, not only
because Michael was convicted of a crime substantially related to nursing
(24 Del. C. § 1922(a)(2)), but also because: (l) Michael was unfit to practice nursing
by reason of negligence, habits or other causes (24 Del. C. § 1922(a)(3)); (2)
Michael’s behavior failed to conform to the legally accepted standards of the nursing
55 Ia'. at *6.
55 Pursuant to 11 Del. C. § 4364, civil rights restored by pardon consist of, but are not limited to,
“the right to vote, the right to serve on a jury, the right to purchase or possess deadly weapons and
the right to seek and hold public office.”
57 See Heath, 983 A.2d at 81 (Heath, a convicted sex offender, was granted an unconditional pardon
for a sex offense. The Court found this represented a true “but for” situation. The Court explained
the reason for the sex offender registry is propensity for recidivism. An unconditional pardon
“constitutes a finding that the petitioner poses no threat to the public” and, “the unconditional
pardon extinguishes the underlying premise for the sex offenders’ registration obligation.”).
12
profession and adversely affected the health and welfare of the public
(24 Del. C. § 1922(a)(8) and Board Regulation 10.4.2.1); and (3) Michael diverted,
possessed, obtained and administered prescriptions to herself without proper
authorization (24 Del. C. § 1922(a)(8) and Board Regulation 10.4.2.15).
On this point, the Board can_and does_impose professional discipline
pursuant to § 1922 for conduct not resulting in criminal convictions. For example,
in Decker v. Board of Nursing,58 Decker diverted medications while in the prison
infirmary. Decker was found to have violated 24 Del. C. §§ l922(a)(3) and (a)(8),
the same sections that Michael was found to have violated. Decker was never
criminally convicted, but nevertheless the Board suspended her nursing license,59
Second, and more importantly, the Board permanently revoked Michael’s
nursing licenses because Michael practiced nursing without a license for eight
months.60 Michael’s decision to practice nursing without a license is entirely
separate from her conviction, and her pardon.
Upon de novo review, in light of the foregoing and considering the plain
meaning of the statutory language which provides that license revocations under the
Nurse Practice Act are “permanent,” the Court finds that the Board correctly
58 2013 WL 5952103 (Del. Super. Nov. 7, 2013).
59 See Hicks v. State, 1994 WL 164507 (Del. Super. Apr. 22, 1994) (nursing license suspended for
two years for violating 24 Del. C. § 1922(a)(4) with no related criminal conviction); Frazer v. Bd.
Of Nursing, 2016 WL 6610320 (Del. Super. Nov. 9, 2016) (nursing license suspended for
controlled substance medication errors With no related criminal conviction).
60 Oct. 9, 2013 Order at 2.
13
determined that it does not have the authority to either reinstate Michael’s licenses
or to issue her new ones.
B. Disparate Treatment
With respect to her allegation of disparate treatment, Michael argues that there
are over forty practice acts under Title 24 and only Chapter 19, the Nurse Practice
Act, uses “permanently revoke” exclusively in the list of disciplinary sanctions (as
opposed to allowing simple revocation or temporary revocation), and this leads to
inequitable discipline.61 Michael concludes this is “discriminatory” to a profession
that “has historically been female-dominated.”62
As the Delaware Supreme Court has explained, “when provisions are
expressly included in one statute but omitted from another, we must conclude that
the General Assembly intended to make those omissions,”63 and “[i]f an otherwise
valid statute causes or leads to an inequitable result, then it is the sole province of
the legislature to correct it.”64 Accordingly, in this case, because the statute uses the
term “permanently revoke,” “there is no room for judicial interpretation and the plain
61 Opening Br. at 25 stating “[t]hree have “revoke” or ‘permanently revoke;’ two have ‘revoke’ or
‘permanently revoke for conviction of a felony sexual offense,’ and “31 simply have ‘revoke.’
62 Id. at 27.
63 Leatherbury v. Greenspun, 939 A.2d 1284, 1291 (Del. 2007).
64 Serv. Comm ’n v. Wilmington Suburban Water Corp., 467 A.2d 446, 451 (Del. 1983).
14
meaning of the statutory language controls.”65 The Court finds Michael’s disparate
treatment argument meritless.
Next, Michael argues that “what has been done to Michael is in the nature of
a constitutional tort” because Michael is a member of an “identifiable class” who
was “intentionally treated differently than others similarly situated,” and there was
“no rational basis” for the difference in treatment.66 The Board counters that since
these arguments were not raised previously, they are now waived.67 Assuming
arguendo that the argument was not waived, it is readily apparent that Michael’s
argument is meritless.
In support of her argument that she has suffered a “constitutional tort,”
Michael cites to Village of Willowbrook v. Olech.68 In Willowbrook, the Village of
Willowbrook (“Village”) required the Olechs to provide a thirty-three-foot easement
to connect their property to the municipal water supply, but only required a fifteen-
foot easement from all other property owners.69 The Village later relented and
provided the connection to the municipal water supply with the fifteen-foot
easement, and the Olechs brought suit for an equal protection violation.70 The
65 Jimmy ’s Grille of Dewey Beach, LLC v. T own of Dewey Beach, 2013 WL 66673 77 (Del. Super.
Dec. 17, 2013) (citing to CML V, LLC v. Bax, 28 A.3d 1037, 1041 (Del. 2011)).
66 Opening Br. at 26.
67 Id. at 25.
68 528 U.S. 562 (2000).
69 Ia'. at 563.
70 Id.
15
Olechs claimed that they were being treated differently than all other property
owners within the Village because, initially, the Village required their easement to
be eighteen feet larger than the other property owners. Further, since the Village
later relented and allowed the fifteen-foot easement, this was evidence that the initial
thirty-three-foot easement was an “irrational and wholly arbitrary” decision.71 The
U.S. Supreme Court ruled that “where a plaintiff did not allege membership in a
class or group,” they can bring an equal protection clause cause of action as a “class
of one.”72 Further, the Court held that the plaintiff’s claim could proceed because
the allegation by plaintiffs was that the “Village’s demand was ‘irrational and wholly
arbitrary. ”’73
Contrary to Michael’s implication that she is a “class of one” akin to the
Olechs, Michael is a member of an identifiable class_nurses who have had their
licenses permanently revoked and have reapplied for licensure. In order for Michael
to bring an equal protection claim as a “class of one,” she must show that she was
treated differently than those similarly situated.74 However, all members of
Michael’s class are unable to seek licensure as a result of the permanent revocation
of their nursing license(s). Thus, Michael’s constitutional tort argument fails.
11 Id.
12 Id. at 564-65.
15 Id. at 565.
14 Id. at 564.
16
VI. CONCLUSION
For the foregoing reasons, the January 1 1, 2017 Order of the Board of Nursing
is AFFIRMED.
IT IS SO ORDERED.
17