Md. Bd. of Physicians v. Geier , 451 Md. 526 ( 2017 )


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  • Maryland Board of Physicians, et al. v. Mark Geier, Personal Representative of Anne
    Geier, et al., No. 11, September Term, 2016. Opinion by Hotten, J.
    APPEAL AND ERROR — NATURE AND SCOPE OF DECISION
    Court of Appeals held that none of the orders appealed by Petitioner constituted final
    judgments as defined by the Courts and Judicial Proceedings Article § 12-101(f).
    APPEAL AND ERROR — AFFECTING COLLATERAL MATTERS AND
    PROCEEDINGS — COLLATERAL ORDER DOCTRINE
    Court of Appeals held that the order granting Respondents sixth motion for sanctions
    satisfied the collateral order doctrine; the order denying Petitioners motion for
    reconsideration of default order was not properly appealable under the collateral order
    doctrine because the order was not “collateral” to the underlying merits of the action; the
    order denying Petitioner’s motion for a protective order was not properly appealable under
    the express language in Dawkins v. Baltimore City Police Dept., 
    376 Md. 53
    , 
    827 A.2d 115
    (2003), which denies appellate consideration of interlocutory orders brought by agencies
    asserting absolute quasi-judicial immunity.
    APPEAL AND ERROR — PRELIMINARY OR INTERLOCUTORY ORDERS IN
    GENERAL
    Court of Appeals held that appealability of one interlocutory order based on the collateral
    order doctrine does not give the Court the authority to hear “piggybacking” interlocutory
    orders that are not independently appealable under the Court’s prior holdings and the
    collateral order doctrine.
    PRIVILEGED COMMUNICATIONS AND CONFIDENTIALITY — WAIVER OF
    PRIVILEGE
    Court of Appeals held that Petitioners claim of deliberative process (executive) privilege
    was not waived in prior proceedings because the record reflects that Petitioners consistently
    asserted executive privilege in response to Respondents’ document requests, and
    Respondents failed to allege sufficient evidence that Petitioners purposefully withheld the
    audiotapes in violation of the circuit court’s order to compel their disclosure.
    PRIVILEGED COMMUNICATIONS AND CONFIDENTIALITY — EXECUTIVE
    PRIVILEGE — DELIBERATIVE PROCESS PRIVILEGE
    Court of Appeals held that under the Hamilton v. Verdow, 
    287 Md. 544
    , 
    414 A.2d 914
    (1980) balancing process, Petitioners asserted a valid claim for deliberative process
    (executive) privilege for the audiotapes; Respondents failed to assert any specific necessity
    for the audiotapes, and the nondisclosure of the audiotapes on the basis of the deliberative
    process (executive) privilege will not impact the fair administration of justice.
    Circuit Court for Montgomery County
    Case No. 371761V
    Argued: September 9, 2016                 IN THE COURT OF APPEALS
    OF MARYLAND
    No. 11
    September Term, 2016
    __________________________________
    MARYLAND BOARD OF
    PHYSICIANS, et al.
    v.
    MARK R. GEIER, PERSONAL
    REPRESENTATIVE OF THE ESTATE
    OF ANNE GEIER, et al.
    __________________________________
    Barbera, C.J.,
    Greene,
    Adkins,
    McDonald,
    Hotten,
    Getty,
    Battaglia, Lynne A.
    (Senior Judge, Specially Assigned)
    JJ.
    __________________________________
    Opinion by Hotten, J.
    Adkins, J., dissents.
    McDonald, J., concurs and dissents.
    __________________________________
    Filed: January 23, 2017
    We consider whether a party asserting the absolute quasi-judicial privilege and the
    deliberative process (executive) privilege may properly appeal three orders from the circuit
    court prior to a final judgment, and whether those privileges prevent the admissibility of
    certain discovery. Respondents, Dr. Mark Geier (“Dr. Geier”), David Geier (“Mr. Geier”)
    and Anne Geier (“Ms. Geier”),1 filed a complaint against Petitioners2”), in the Circuit Court
    for Montgomery County, alleging that Petitioners invaded their privacy by publicizing their
    private medical information in a cease and desist order that was issued during disciplinary
    proceedings brought by Petitioners against Dr. Geier and Mr. Geier.
    During discovery, the circuit court entered three separate orders that: (1) granted
    Respondents’ sixth motion for sanctions against Petitioners regarding the disclosure of
    audiotapes of Petitioners’ deliberations; (2) denied Petitioners’ motion for reconsideration
    of a default order on liability for a series of discovery failures; and (3) denied Petitioners’
    motion for a protective order from Respondents’ sixth motion to compel documents, which
    required Petitioners to disclose their personal financial information to Respondents.
    Petitioners appealed all three interlocutory orders, and this Court granted certiorari.
    For the reasons that follow, we grant Respondents’ motion to dismiss as it relates to
    the orders denying Petitioners’ motions for reconsideration and for a protective order; deny
    1
    This opinion will refer to all three individuals collectively as “Respondents” or
    individually where needed.
    2
    References to “Petitioners” include the Maryland Board of Physicians (the
    “Board”), and the individual Board members, staff, and the administrative prosecutor who
    make up the twenty-five co-defendants in this case. The parties will be referenced
    individually where appropriate.
    Respondents’ motion to dismiss as it relates to the order granting Respondents’ sixth
    motion for sanctions; reverse and vacate the order granting Respondents’ sixth motion for
    sanctions; and remand the case to the circuit court for further proceedings consistent with
    this opinion.
    FACTUAL AND PROCEDURAL BACKGROUND
    I.        Board’s Administrative Proceedings Against Respondents Mark R. Geier
    and David Geier
    a. Mark Geier
    On October 3, 2006, the Board notified Dr. Geier that it had received a complaint
    against him regarding his use of the drug Lupron3 to treat autistic children. The complaint
    alleged that Dr. Geier was: (1) practicing outside of the scope of his expertise and the
    prevailing standard of care for autism; (2) experimenting on children without a rational
    scientific theory or the supervision of a qualified review board; and (3) failing to provide
    appropriate informed consent regarding the potential side effects of Lupron and similar
    drugs.
    On April 27, 2011, the Board summarily suspended Dr. Geier’s right to practice
    medicine, asserting that the “public health, safety or welfare imperatively required
    3
    Lupron is an FDA-approved drug used for the treatment of precocious puberty, a
    condition where girls under the age of eight have changes in breast development or pubic
    hair and boys under the age of nine have penile and scrotal changes and pubic hair. Lupron
    can reduce the symptoms of puberty in children with higher than normal levels of
    testosterone. The reduction of testosterone can decrease aggressive, hyperactive and
    hypersexual behaviors. See Geier v. Md. State Bd. of Physicians, 
    223 Md. App. 404
    , 413
    n. 3, 
    116 A.3d 1026
    , 1031 n. 3 (2015).
    2
    emergency action” due to certain medical practices engaged in by Dr. Geier.4 On May 16,
    2011, the Board formally charged Dr. Geier with violations of the Medical Practice Act,
    Md. Code (Repl. Vol. 2014), §§14-401 et seq. of the Health Occupations Article (“Health
    Occ.”).
    On September 15, 2011 the Board issued amended charges against Dr. Geier for
    prescribing medicine to family members while his license was suspended. After amending
    its complaint, the Board charged Dr. Geier with: (1) unprofessional conduct in the practice
    of medicine; (2) willfully making or filing a false report or record in the practice of
    medicine; (3) willfully failing to file or record any medical record as required under law;
    (4) practicing medicine with an unauthorized person or aiding an unauthorized person in
    the practice of medicine; (5) gross overutilization of health care services; (6) failing to meet
    standards, as determined by peer review, for the delivery of quality medical care; and (7)
    failing to keep adequate medical records.
    4
    In addition to prescribing Lupron, Dr. Geier also prescribed chelation therapy to
    patients, a treatment that involves the use of certain chemicals to remove heavy metals
    from the body. In medicine, chelation has been used for the treatment of metal poisoning,
    among other conditions. See QUESTIONS AND ANSWERS ON UNAPPROVED CHELATION
    PRODUCTS,
    http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/M
    edicationHealthFraud/ucm229313.htm (last accessed November 18, 2016). Dr. Geier
    prescribed two types of drugs in his chelation therapy, DMSA (dimercaptosuccinic acid),
    which is approved by the FDA for removing severe levels of heavy metals from the body,
    and DMPS (2, 3–dimercapto–1–propane–sulfonic acid), which is not approved by the FDA
    for any purpose. See Geier, 223 Md. App. at 420, 116 A.3d at 1036.
    3
    On September 26, 2011, after six days of hearings,5 an Administrative Law Judge
    (“ALJ”) issued a proposed decision upholding the summary suspension of Dr. Geier’s
    license. On March 13, 2012, following an additional five days of hearings, the ALJ issued
    a 126-page proposed decision, recommending that the charges against Dr. Geier be
    upheld,6 and that his license be revoked.
    Dr. Geier took exception to the ALJ’s findings, but on August 22, 2012, the Board
    issued a final decision revoking his license. Dr. Geier petitioned for judicial review, and
    the Circuit Court for Montgomery County affirmed the Board’s revocation on April 9,
    2014. Dr. Geier moved to alter or amend the court’s ruling, but the motion was denied.
    Dr. Geier then noted an appeal to the Court of Special Appeals, and that Court, in a reported
    opinion, affirmed the Board’s decision. See Geier v. Md. State Bd. Of Physicians, 
    223 Md. App. 404
    , 
    116 A.3d 1026
     (2015).
    b. David Geier
    On May 16, 2011, the Board also charged Dr. Geier’s son, Mr. Geier, for practicing
    medicine without a license in violation of Health Occ. §14-601.7 On March 7, 2012, an
    ALJ recommended that the charges against Mr. Geier be dismissed. On July 30, 2012,
    however, the Board rejected the ALJ’s recommendation and many of the judge’s findings,
    5
    The ALJ did not consider Petitioners’ amended charges during the hearing
    because the charges were amended subsequently.
    6
    Specifically, Health Occ. §14-404(a)(3)(ii), §14-404(a)(11), §14-404(a)(22), and
    §14-404(a)(40). The ALG dismissed Health Occ. §14-404(a)(12), §14-404(a)(18), and
    §14-404(a)(19).
    7
    The record does not reflect that Mr. Geier has ever been a physician.
    4
    concluding that Mr. Geier had practiced medicine without a license because he diagnosed
    a patient, determined which blood tests the patient required, and ordered those tests. The
    Board imposed a $10,000 fine.
    Mr. Geier petitioned the Circuit Court for Montgomery County for judicial review
    of the Board’s findings, and the circuit court affirmed the Board’s decision on April 25,
    2014. Mr. Geier then appealed to the Court of Special Appeals, and that Court, in an
    unreported opinion dated July 31, 2015, also affirmed the Board.
    c. The Disclosure of the Respondents Personal Medical Information
    On January 25, 2012, during the pendency of both disciplinary proceedings, the
    Board issued a cease and desist order against Dr. Geier, accusing him of practicing
    medicine while his license had been summarily suspended. The order, posted to the
    Board’s website and viewable by the public, specifically alleged that Dr. Geier had written
    prescriptions for all three Respondents.     The order also detailed the Respondents’
    confidential medical information, identified the specific medications that Dr. Geier
    allegedly prescribed to each person, and described the medical conditions that each
    medication treated.8
    Petitioners promptly removed the confidential information from the cease and desist
    order in response to Respondents’ protest. Petitioners also issued an amended cease and
    desist order that deleted the references to the patients and the medications that Dr. Geier
    8
    This Court declines to reproduce the confidential medical information that was
    included in the cease and desist letter. Rather, we simply note that the information was
    highly personal, and not information that a reasonable person would want disseminated to
    the public.
    5
    allegedly prescribed for them. In the interim between the initial publication and the
    Petitioners’ remedial actions, other persons viewed and commented about the
    Respondents’ confidential medical information, and those comments are still accessible on
    the internet.
    Ultimately, an ALJ rejected the charge that Dr. Geier had written any prescriptions
    in violation of the summary suspension order issued by Petitioners.
    II. Respondents’ Civil Action Against Petitioners
    a. The Complaint
    On December 12, 2012, while Dr. Geier and Mr. Geier were pursuing judicial
    review of the Board’s adverse rulings, Respondents filed a three-count complaint in the
    Circuit Court for Montgomery County against Petitioners. The complaint alleged that by
    publicizing the January 25th cease and desist order that contained the Respondents’
    confidential medical information, Petitioners deprived them of their constitutional right to
    privacy; violated the Maryland Confidentiality of Medical Records Act, Md. Code (1982,
    2009 Repl. Vol.), §§4-301 et seq. of the Health General Article; and invaded their privacy
    by giving unreasonable publicity to private facts.       The complaint also alleged that
    Petitioners “acted with ill will and with the intent to injure [Respondents] by exposing Dr.
    Geier’s personal medical information and that of his wife and son.” Respondents requested
    compensatory damages, as well as three million dollars in punitive damages.
    Petitioners moved to dismiss the complaint for failure to state a claim upon which
    relief could be granted, asserting they had absolute quasi-judicial immunity from suit under
    Ostrzenski v. Siegel, 
    177 F.3d 245
     (4th Cir. 1999). Following a hearing on July 10, 2013,
    6
    the circuit court dismissed the Confidentiality of Medical Records Act claim, finding that
    the statute did not create a private cause of action.         The circuit court allowed the
    constitutional and invasion of privacy claims to proceed, finding that the record was
    inadequate to evaluate the applicability of any immunities at such an early stage of the
    proceedings.
    b. Discovery
    Following the circuit court’s ruling that allowed two of Respondents’ claims to
    proceed, Respondents sought extensive discovery, attempting to uncover evidence
    demonstrating Petitioners acted out of animosity in publishing the cease and desist letter.
    Respondents sought information regarding the specific circumstances immediately
    surrounding the Petitioners’ disclosure of their confidential medical information, as well
    as documents and testimony that revealed Petitioners’ decisional process in the
    administrative proceedings against them.           Respondents also sought communications
    between Petitioners and their counsel that related to these proceedings. Following an
    unsatisfactory response to discovery requests, Respondents filed multiple motions to
    compel and motions for discovery sanctions against Petitioners between the months of
    November 2013 and February 2016, which led to numerous hearings in the circuit court,
    and concurrent interlocutory appeals by Petitioners.
    Of import to the issues before this Court are the events that occurred during and
    after Petitioners’ filed their first interlocutory appeal from the circuit court’s June 17, 2014
    7
    discovery order.9 On August 15, 2014,10 Respondents filed their fifth motion for sanctions
    seeking a default judgment as to liability, alleging primarily that Petitioners failed to
    produce an adequately prepared organizational representative noted as a prepared designee
    for a 167-topic deposition. Respondents subsequently requested a hearing regarding the
    fifth motion for sanctions. Also on August 15th, the Court of Special Appeals issued an
    order staying all discovery in the circuit court pending the outcome of the first interlocutory
    appeal.
    In opposition to Respondents’ fifth motion for sanctions, Petitioners alleged that
    most of the deposition topics covered information in Respondents’ possession or were not
    discoverable because they involved issues pending on appeal. Petitioners also noted they
    appealed the circuit court’s June 17th discovery order denying Petitioners assertions of
    various privileges, and that Petitioners “should not be sanctioned for declining to allow
    these protections and privileges to be eviscerated in other discovery proceedings” and
    9
    On May 1, 2014, Respondents filed their third motion to compel seeking two
    classes of documents: (1) the Board’s administrative investigatory file in its disciplinary
    proceedings against Dr. Geier’s partner, John L. Young, M.D., and (2) communications
    between the Board’s attorneys and Petitioner Shafer, an investigator for the Board.
    Respondents argued that Petitioners proceeded against Dr. Young as part of their campaign
    to discredit Dr. Geier’s research. Petitioners opposed the production of the deliberations
    regarding Dr. Young based on deliberative privilege, attorney-client privilege, attorney
    work-product protection, and Health Occ. §14-410(a)(1), which states that generally, “[t]he
    proceedings, records, or files of , the Board a disciplinary panel, or any of its other
    investigatory bodies are not discoverable and are not admissible in evidence[.]” Following
    a hearing on June 17, 2014, the circuit court granted Respondents motion and compelled
    disclosure of the requested documents. On June 26, 2014, Petitioners noted an appeal.
    10
    Respondents’ fifth motion for sanctions was received by the circuit court on
    August 8, 2014, but due to a clerical omission, was not filed with the court until August
    15th.
    8
    allowing Respondents to “frustrate the appellate court’s ability to provide meaningful relief
    in its resolution” of the issues before it.
    Following a hearing on November 13, 2014, the circuit court granted Respondents’
    fifth motion for sanctions. On December 16, 2014, the circuit court issued a memorandum
    opinion that detailed Petitioners’ culpable conduct during discovery, and thereafter, entered
    a default judgment of liability against Petitioners. The circuit court noted that a trial on
    damages would be scheduled after Petitioners’ first interlocutory appeal had been resolved.
    On December 24, 2014, Petitioners noted a second interlocutory appeal based on
    the circuit court’s default judgment, which the Court of Special Appeals consolidated with
    Petitioners’ initial appeal filed on June 26. See Md. Bd. Of Physicians v. Geier, 
    225 Md. App. 114
    , 
    123 A.3d 601
     (2015).
    c. The Court of Special Appeals’ Decision
    The Court of Special Appeals first held that neither order appealed by Petitioners
    constituted a final judgment. The Court concluded that the collateral order doctrine applied
    to the June 17th discovery order, allowing the Court to hear Petitioners’ claims regarding
    that discovery order. See Geier, 225 Md. App. at 129-38; 123 A.3d at 610-16. The
    collateral order doctrine did not apply to the December 16th order of default on liability,
    corresponding to Respondents’ fifth motion for sanctions, because the Court concluded
    that the issues that order addressed were not “collateral” to the merits of the case. Id. at
    139-43, 123 A.3d at 616-19.
    9
    In considering the merits of Petitioners’ claims regarding the June 17th order, the
    Court held that under Health Occ. §14-41011 Dr. John L. Young’s (“Dr. Young”)12
    disciplinary files were not discoverable by Respondents. The Court noted that, under
    Health Occ. §14-410, both the Board and Dr. Young had to expressly consent to the
    discoverability of Dr. Young’s proceedings as parties to the action. Because the Board
    objected to releasing Dr. Young’s proceedings, they were not discoverable by Respondents
    in the present action. Id. at 144-47, 
    123 A.3d 619
    -21. The Court also concluded that the
    circuit court erred in rejecting Petitioners’ claim of executive privilege, because it failed to
    expressly balance Petitioners’ need for confidentiality against Respondents’ need for
    disclosure, and the impact of nondisclosure on a fair administration of justice. 
    Id.
     at 147-
    52; 
    123 A.3d 621
    -24.
    11
    Health Occ. §14-410 provides, in relevant part:
    (a) Except by the express stipulation and consent of all parties to a proceeding
    before the Board, a disciplinary panel, or any of its other investigatory bodies,
    in a civil or criminal action:
    (1) The proceedings, records, or files of the Board, or a disciplinary panel, or
    any of its other investigatory bodies are not discoverable and are not
    admissible evidence; and
    (2) Any order passed by the Board or disciplinary panel is not admissible
    evidence[.]
    (b) This section does not apply to a civil action brought by a party to a proceeding
    before the Board or a disciplinary panel who claims to be aggrieved by the
    decision of the Board or the disciplinary panel.
    12
    Dr. Young was a partner in Dr. Geier’s medical practice.
    10
    Finally, the Court considered the merits of Petitioners’ claims regarding the
    allegedly privileged communications between the Board and Joshua Shafer, an investigator
    for the Board. Although the Court noted that generally an appellate court does not have
    jurisdiction to consider an interlocutory appeal from a discovery ruling that rejects a claim
    of attorney-client privilege, the Court still considered the merits because it formed a part
    of a ruling that the Court had jurisdiction to review. Id. at 153, 123 A.3d at 624 (citing
    Kurstin v. Bromberg Rosenthal LLP, 
    420 Md. 466
    , 480, 
    24 A.3d 88
    , 96 (2011)). The Court
    noted that the Guidelines for Administrative Adjudicatory Proceedings (“Guidelines”)
    have no effect on the confidentiality of communications between Board employees, like
    Shaffer, and the Board’s attorneys. Id. at 154, 123 A.3d at 625. The Court concluded that
    the circuit court erred in rejecting Petitioners’ claim of privilege on the ground that the
    Guidelines rendered Shafer a “stranger” to the attorney-client relationship between the
    Board and its attorneys. Id. at 154, 123 A.3d at 625.
    The Court remanded the case back to the Circuit Court for Montgomery County for
    further proceedings consistent with its opinion.
    d. The Post-Remand Proceeding in the Circuit Court
    On remand, Respondents sought a hearing on their sixth motion for sanctions filed
    on August 8, 2014,13 involving Petitioners’ audio recordings on internal deliberations
    regarding Dr. Geier’s and Mr. Geier’s disciplinary proceedings.
    13
    Respondents also filed a fourth motion for sanctions on the same date.
    11
    On November 2, 2015, Respondents served their sixth request for production of
    documents, seeking a variety of financial information from Petitioners, which prompted
    Petitioners to pursue a protective order, based in substantial part, on their claim of absolute
    quasi-judicial immunity from suit.
    On December 28, 2015, Petitioners also filed a motion for reconsideration of the
    default liability order and for summary judgment in Petitioners’ favor. Petitioners asserted
    that in the order of default on liability, the circuit court found the Board, but not the
    individual Petitioners, had engaged in discovery violations. Petitioners also argued that
    the Court of Special Appeals narrowed the scope of what discovery should be permitted.
    Respondents disagreed, and on February 10, 2016, filed a seventh motion for sanctions
    alleging that Petitioners’ motion for a protective order raising the immunity defense was in
    bad faith.
    On March 24, 2016, the circuit court held a hearing on the parties’ respective
    motions, and subsequently denied Petitioners’ motion for summary judgment, motion for
    reconsideration on the default judgment of liability, and motion for a protective order from
    Respondents’ sixth request for documents. The circuit court found that the General
    Assembly had enacted a detailed statutory scheme addressing Petitioners’ immunity from
    suit in 1976 that has not been repealed.14 The circuit court concluded that because the
    statutory scheme remains in effect, Petitioners’ claim of a common law absolute quasi-
    14
    The circuit court noted the statutory scheme remained in full effect even after this
    Court established an absolute quasi-judicial privilege in Gersh v. Ambrose, 
    291 Md. 188
    ,
    
    434 A.2d 547
     (1981).
    12
    judicial immunity claim did not apply. On that basis, the circuit court denied Petitioners’
    motion for summary judgment.
    The circuit court also denied Petitioners’ motion for reconsideration because the
    circuit court found that, even under the Court of Special Appeals’ mandate, Petitioners
    failed to provide specific evidence that their deponent was responsive, sufficient for the
    circuit court to reverse its order. The circuit court also noted that, even after adhering to
    the Court of Special Appeals’ mandate, Petitioners’ conduct remained “abysmal,
    abominable, [and] sanctionable.”
    Finally, the circuit court granted Respondents’ sixth motion for sanctions. The
    circuit court found that Petitioners did not assert any privilege in their initial responses to
    Respondents’ requests for the audiotapes, and the tapes were not included on Petitioners’
    privilege logs, so the assertion of privilege was waived. The circuit court also ordered that
    all of Respondents’ outstanding discovery requests were due by April 22, 2016.
    On April 1, 2016, Petitioners noted an interlocutory appeal to the Court of Special
    Appeals, seeking review of the circuit court’s March 24th orders denying their motions for
    reconsideration and request for a protective order, and granting Respondents’ sixth motion
    for sanctions. This Court, sua sponte, granted certiorari, and on April 22, 2016 ordered a
    stay of the proceedings pending further review.
    Additional facts shall be provided, infra, to the extent they prove relevant in
    addressing the issues presented.
    13
    STANDARD OF REVIEW
    With respect to discovery rules, it is long settled that circuit court judges “are vested
    with a reasonable, sound discretion in applying them, which discretion will not be disturbed
    in the absence of a showing of its abuse.” Ehrlich v. Grove, 
    396 Md. 550
    , 560, 914 A 2.d
    783, 790 (2007) (quoting E.I. du Pont de Nemours & Co. v. Forma-Pack, Inc., 
    351 Md. 396
    , 405, 
    718 A.2d 1129
    , 1133–34 (1998)). Thus, the resolution of discovery disputes and
    the imposition of discovery sanctions are within the circuit court’s sound discretion, and
    reviewed by this Court only for abuse of discretion. See 
    id.
    An abuse of discretion occurs “where no reasonable person would take the view
    adopted by the [trial] court” or when the court acts “without reference to any guiding
    principles or rules[,]” or when the ruling under consideration is “clearly against the logic
    and effect of facts and inferences before the court[]” or when the ruling is “violative of fact
    and logic.” Gallagher Evelius & Jones, LLP v. Joppa Drive-Thru, Inc., 
    195 Md. App. 583
    ,
    597, 
    7 A.3d 160
    , 168 (2010) (quoting Wilson v. John Crane, Inc., 
    385 Md. 185
    , 198–99,
    
    867 A.2d 1077
     (2005)). “Generally, the standard is that absent a showing that a court acted
    in a harsh, unjust, capricious and arbitrary way, [this Court] will not find an abuse of
    discretion.” Ehrlich, 
    396 Md. at 561
    , 914 A 2.d at 790 (quoting Dashiell v. Meeks, 
    396 Md. 149
    , 178, 
    913 A.2d 10
    , 26 (2006)).
    DISCUSSION
    I.      Respondents Motion to Dismiss
    In conjunction with filing their brief in this Court, Respondents’ also filed a motion
    to dismiss this appeal for lack of appellate jurisdiction arguing that none of the three orders
    14
    before this Court are immediately appealable. We conclude that the orders denying
    Petitioners’ respective motions for reconsideration and for a protective order are not
    properly appealable, and therefore, grant Respondents’ motion to dismiss as it relates to
    those orders. Because we conclude, however, the order granting Respondents’ sixth motion
    for sanction is immediately reviewable by this Court under the collateral order doctrine,
    we deny Respondents’ motion to dismiss as it relates to that order.
    a. Final Judgment
    None of the appealed circuit court’s orders qualify as a final judgment that would
    grant this Court automatic review of the circuit court’s decisions. Section 12-101(f) of the
    Courts and Judicial Proceedings Article defines a final judgment as a “judgment, decree,
    sentence, order, determination, decision or other action by a court … from which an appeal,
    application for leave to appeal, or petition for certiorari may be taken.” To constitute a
    final judgment, a trial court’s ruling “must either decide and conclude the rights of the
    parties involved or deny a party the means to prosecute or defend rights and interests in the
    subject matter of the proceeding.” Harris v. State, 
    420 Md. 300
    , 312, 
    22 A.3d 886
    , 893
    (2011) (quoting Schuele v. Case Handyman, 
    412 Md. 555
    , 565, 
    989 A.2d 210
    , 216 (2010)).
    Additionally, for a judgment to be final, the ruling must also contain the following
    three attributes: “(1) it must be intended by the court as an unqualified, final disposition of
    the matter in controversy[;] (2) unless the court acts pursuant to Maryland Rule 2-602(b)
    to direct the entry of a final judgment as to less than all the claims or all the parties, it must
    adjudicate or complete the adjudication of all claims against all parties; [and] (3) it must
    be set forth and recorded in accordance with [Maryland] Rule 2-601.” Metro Maint. Sys.
    15
    S., Inc. v. Milburn, 
    442 Md. 289
    , 298, 
    112 A.3d 429
    , 436 (2015) (citing Rohrbeck v.
    Rohrbeck, 
    318 Md. 28
    , 41, 
    566 A.2d 767
    , 773 (1989).
    The record reflects that the circuit court did not intend for any of its orders to be
    considered a “final disposition of the matter in controversy[.]” See Metro Maint. Sys. S.,
    Inc., 442 Md. at 298, 112 A.3d at 435. The circuit court, after denying Petitioners’ motion
    for a protective order, ordered that Petitioners had until April 1, 2016 to provide an updated
    privilege log, and until April 22, 2016 to respond to all of Respondents’ outstanding
    discovery requests. The circuit court’s scheduling of additional discovery matters clearly
    indicates that there was no “unqualified, final disposition of the matter in controversy[.]”
    Id.
    In the absence of a final judgment, appellate review is limited to three exceptions:
    (1) appeals from interlocutory orders specifically allowed by statute; (2) immediate appeals
    permitted under Maryland Rule 2-602; and (3) appeals from interlocutory rulings allowed
    under the common law collateral order doctrine. See Salvagno v. Frew, 
    388 Md. 605
    , 615,
    
    881 A.2d 660
    , 666 (2005). The first two exceptions are not implicated in this case.
    b. Common Law Collateral Order Doctrine
    The common law collateral order doctrine is a well-established but narrow
    exception to the general rule that appellate review must ordinarily await the entry of a final
    judgment disposing of all claims against the parties. See Dawkins v. Balt. City Police
    Dep’t., 
    376 Md. 53
    , 58, 
    827 A.2d 115
    , 118 (2003). The doctrine is “based upon a judicially
    created fiction, under which, certain interlocutory orders are considered to be final
    judgments, even though such orders are clearly not final judgments.” 
    Id. at 64
    , 
    827 A.2d 16
    at 121. For the doctrine to apply, the interlocutory order must satisfy the following four
    requirements: (1) the order must conclusively determine the disputed question; (2) the
    order must resolve an important issue; (3) the order must resolve an issue that is completely
    separate from the merits of the action; and (4) the issue would be effectively unreviewable
    if the appeal had to await the entry of a final judgment. Id. at 58, 
    827 A.2d at 118
    . These
    four requirements are strictly applied, and appeals under the doctrine may be entertained
    only in extraordinary circumstances. 
    Id. at 59
    , 
    827 A.2d at 118
    .
    In Dawkins this Court made clear that, as “a general rule, interlocutory [] orders
    rejecting defenses of common law sovereign immunity, governmental immunity, public
    official immunity, statutory immunity, or any other type of immunity are not appealable
    under the [] collateral order doctrine.” 
    Id. at 65
    , 
    827 A.2d at 122
    . Specifically, we held,
    [w]hether, and under what circumstances, interlocutory orders overruling
    immunity defenses asserted by the Governor, Lieutenant Governor,
    Comptroller, Treasurer, Attorney General, Speaker of the House, President
    of the Senate, or judges as defined in Article IV, §2, of the Maryland
    Constitution, are immediately appealable under the collateral order doctrine
    will have to be determined in any future cases that might arise. Interlocutory
    trial court orders overruling immunity claims by other government officials,
    employees, departments, agencies, entities, units, or subdivisions, or by
    private persons or entities, are not appealable under this doctrine.
    Id. (citations omitted). After Dawkins, this Court and the Court of Special Appeals
    clarified that interlocutory orders denying absolute judicial immunity and interlocutory
    orders denying executive privilege to “high level decision makers” are immediately
    appealable under the collateral order doctrine. See, e.g., Ehrlich, 
    396 Md. at 572
    , 
    914 A.2d at 797
     (concluding that an interlocutory appeal was appropriate under the
    17
    “extraordinary circumstances involving discovery orders directed to a high government
    official.”); State v. Keller-Bee, 
    224 Md. App. 1
    , 6, 
    119 A.2d 80
    , 83 (2015), aff’d, 
    448 Md. 300
    , 
    138 A.3d 1253
     (2016) (concluding that, under Dawkins, the trial court’s denial of
    the State’s motion to dismiss was immediately appealable under the collateral order
    doctrine because Article IV judges, and their clerks, are entitled to immediate appellate
    review of the denial of their judicial immunity).
    1. Order Granting Respondents’ Sixth Motion for Sanctions
    We hold that the circuit court’s order granting Respondents’ sixth motion for
    sanctions is properly appealable because it satisfies the narrow exception allowing
    discovery orders denying “high level decision makers” their executive privilege to be
    immediately appealable under the collateral order doctrine.
    i.      Order Granting Motion for Discovery Sanctions is a “Discovery Order”
    An order granting discovery sanctions qualifies as a “discovery order” for the
    purposes of determining the appealability of an order denying executive privilege under
    the collateral order doctrine. Maryland Rule 2-433 governs a trial judge’s ability to enter
    orders when there are failures of discovery by one or both of the parties. Specifically,
    Maryland Rule 2-433(a)(3) authorizes a trial judge to enter “a judgment by default that
    includes a determination as to liability and all relief sought by the moving party against
    the failing party if the court is satisfied that it has personal jurisdiction over that party.”
    Respondents argue that “courts have consistently held that orders granting
    discovery sanctions against a party are not immediately appealable under the collateral
    order doctrine.” Respondents rely solely on Newman v. Reilly, a case that did not address
    18
    sanctions within the discovery context. 
    314 Md. 364
    , 
    550 A.2d 959
     (1988). Rather, the
    Newman court considered sanctions authorized by Cts. & Jud. Proc. §3-2A-07(a) and
    Maryland Rule 1-341. See id. at 376-82, 
    550 A.2d at 965-68
    .15 In Newman, this Court
    held that “a sanctions order against a party to the underlying litigation is not immediately
    appealable, in advance of final judgment on the merits of the underlying action, under the
    collateral order doctrine.” Newman, 
    314 Md. at 385
    , 
    550 A.2d at
    969 (citing Yamaner v.
    Orkin, 
    310 Md. 321
    , 326, 
    529 A.2d 361
    , 364 (1987)). This Court determined that the third
    prong for the collateral order doctrine test was not satisfied because “an application for
    sanctions” is not “a claim so distinct from the underlying lawsuit that the parties would be
    realigned depending on who is claiming, and who is defending against, sanctions.” 
    Id.
     In
    the context of discovery sanctions, the issues the circuit court determines in deciding
    whether sanctions are appropriate are sufficiently separate from the merits of the
    underlying action. We conclude therefore, that Newman is not controlling in this case,
    and that an order for discovery sanctions is considered a “discovery order” for the purposes
    of denying a “high level decision maker” his or her executive privilege.
    15
    Cts. & Jud. Proc. §3-2A-07(a) authorizes an arbitration panel, upon a finding that
    the conduct of any party was in bad faith or without substantial justification, to require
    “the offending party or the attorney advising the conduct or both of them to pay to the
    adverse party the costs of the proceeding and reasonable expenses, including reasonable
    attorney’s fees, incurred by the adverse party in opposing it.” Maryland Rule 1-341 states
    that “if the court finds that the conduct of any party in maintaining or defending any
    proceeding was in bad faith or without substantial justification the court, [on motion by
    an adverse party,] may require the offending party or the attorney advising the conduct or
    both of them to pay to the adverse party the costs of the proceeding and the reasonable
    expenses, including reasonable attorneys’ fees, incurred by the adverse party in opposing
    it.”
    19
    ii.    Order Granting Respondents’ Sixth Motion for Sanctions is
    Immediately Appealable
    This Court has consistently held that discovery orders, ordinarily, are not appealable
    prior to a final judgment terminating the case in the trial court. Montgomery County. v.
    Stevens, 
    337 Md. 471
    , 477, 
    654 A.2d 877
    , 880 (1995) (citing Dep’t of Soc. Serv. v. Stein,
    
    328 Md. 1
    , 7, 18, 
    612 A.2d 880
    , 883, 888 (1992); Pub. Serv. Comm’n v. Patuxent Valley,
    
    300 Md. 200
    , 207, 
    477 A.2d 759
    , 763 (1984)). A narrow exception exists when a “high
    level decision maker” appeals a discovery order that denies their assertion of executive
    privilege. See Stevens, 337 Md. at 477, 654 A.2d at 880; see also Patuxent Valley, 
    300 Md. at 210
    , 
    477 A.2d at 764
     (“[D]iscovery orders, directed at other than high level
    government decision makers, are ordinarily not appealable ….”). In both Stevens and
    Patuxent Valley, we determined that the discovery orders compelling a state actor to appear
    for a deposition were immediately appealable. In both cases, the four-part collateral order
    doctrine test was satisfied because: (1) the orders conclusively required the appellant to
    take a deposition; (2) the orders resolved an important issue because they dealt with the
    potentially great harm to the public by the “disruption of the governmental process” that
    can be caused by discovery into the decision making processes of a high level government
    official; (3) the issue as to whether the depositions were appropriate was distinct from the
    merits of the action for judicial review; and (4) the issue would become effectively
    unreviewable later because the harm would occur when the depositions were taken, and
    there would be no effective remedy available thereafter. Stevens, 337 Md. at 479-80, 654
    A.2d at 881; Patuxent Valley, 
    300 Md. at 206-07
    , 
    477 A.2d at 762-73
    .
    20
    Additionally, despite the narrowing language contained in Dawkins, 
    supra,
     this
    Court, relying on our decisions in Stevens and Patuxent Valley, continues to recognize that
    discovery orders may be immediately appealed under the collateral order doctrine when
    those orders seek to probe the individual thought processes of a high level government
    official acting in an administrative or investigatory decisional capacity. See Hudson v.
    Hous. Auth. of Balt. City, 
    402 Md. 18
    , 25, 
    935 A.2d 395
    , 399 (2007); see also Ehrlich,
    
    396 Md. at 572
    , 
    914 A.2d at 797
     (recognizing that an interlocutory appeal was appropriate
    under the “extraordinary circumstances involving discovery orders directed to a high
    government official.”). While the Hudson Court ultimately concluded that the collateral
    order doctrine did not apply under the facts presented, we acknowledged that if the four
    requirements for the collateral order doctrine are satisfied, then a discovery order that
    seeks to probe a high level government official’s mental processes acting in his or her
    administrative or decisional capacity, is immediately appealable. Hudson, 
    402 Md. at
    24-
    27, 
    935 A.2d at 398-400
    .
    We conclude that Petitioners are considered “high level decision makers” and the
    denial of their assertion of executive privilege through the circuit court’s grant of
    Respondents’ sixth motion for sanctions is immediately reviewable by this Court. In
    considering what constitutes a “high level decision maker” for the appealability of orders
    denying executive privilege, this Court has held that executive decision making bodies
    have the ability to appeal orders denying their executive privilege. See Stevens, 337 Md.
    at 479-80, 654 A.2d at 881 (holding that a discovery order requiring the Chief of Police
    for Montgomery County to be deposed was immediately appealable under the collateral
    21
    order doctrine because the Chief was a “high level government decision-maker.”);
    Patuxent Valley, 
    300 Md. at 206-07
    , 
    477 A.2d at 762-63
     (determining that a discovery
    order requiring individual commissioners at the Public Service Commission to be deposed
    satisfied the collateral order doctrine because the members were “high level government
    decision-makers.”); Stein, 
    328 Md. at 23
    , 
    612 A.2d at 891
     (1992) (concluding that
    “[a]lthough the director of the Baltimore City Department of Social Services is not so high
    an official as the President of the United States, he or she is nevertheless on a par with the
    individual Public Service Commissioners” who were the Petitioners in Patuxent Valley).
    Petitioners fall within this category of high level executive decision makers because
    members of the Board are appointed by the Governor, with the advice of the Secretary of
    the Department of Health and Mental Hygiene (“DHMH”), and the advice and consent of
    the Senate, similarly to commissioners in the Public Service Commission.          Cf. Health
    Occ. §14-202(a)(1), with Public Utilities Article       §2-102(a) (“The [Public Service]
    Commission consists of five commissioners, appointed by the Governor with the advice
    and consent of the Senate.”). The General Assembly has also delegated to the Board a
    variety of powers that make it the functional equivalent of a high level executive body.
    See, e.g., Health Occ. §14-205(a)(1) (granting the Board the power to “[e]nforce [Title 14]
    and Title 15 in [the Health Occupations Article.]”); Health Occ. §14-205(a)(5) (The Board
    “[o]versee[s:] (i) [t]he licensing requirements for physicians and the allied health
    professionals; and (ii) [t]he issuance and renewal of licenses[.]”); and Health Occ. §14-
    205(a)(8) (“[d]evelop[ing] and implement[ing] methods to: (i) [a]ssess and improve
    licensee practices; and (ii) [e]nsure the ongoing competence of licensees[.]”).
    22
    This case is closely analogous to the facts in both Stevens and Patuxent Valley.
    Respondents are seeking to obtain discovery that delves into the Board’s decision making
    process. As in both Stevens and Patuxent Valley, we conclude that this case also satisfies
    the requirements of the collateral order doctrine.          First, the circuit court’s order
    conclusively determined that Petitioners must disclose their pre-decisional deliberations by
    submitting the audiotapes to Respondents by April 22, 2016. Second, like in Stevens and
    Patuxent Valley, this issue is important because of the “potentially great harm to the public
    by the ‘disruption of the governmental process’ that can be caused by discovery into the
    decision making process[]” of a high level executive decision maker. Stevens, 337 Md. at
    479, 654 A.2d at 881; Patuxent Valley, 
    300 Md. at 206-07
    , 
    477 A.2d at 762
    . Third, the
    issue in this case concerning Petitioners’ deliberative process (executive) privilege is
    distinct from the merits of Respondents’ action seeking damages for an alleged invasion of
    their privacy. See, e.g., Ehrlich, 
    396 Md. at 572
    , 
    914 A.2d at 797
     (concluding that “the
    propriety of a potential intrusion on [executive] privilege[] has nothing to do with the
    merits of [the plaintiff’s] wrongful termination claim.”). Fourth, the discovery order will
    be effectively unreviewable on an appeal from a final judgment because the privilege’s
    protection would be irretrievably lost once Respondents’ gain access to the individual
    decisional thought processes of the Petitioners. See Patuxent Valley, 
    300 Md. at 207
    , 
    477 A.2d at 763
    . Additionally, as this Court noted in Patuxent Valley, “[r]egardless of the
    outcome of the trial, the disruption to the administrative process, caused by placing the
    officials under pretrial scrutiny, is incurred at the first instance. … [I]t would be impossible
    to cure the harm done” to Petitioners once the audiotapes are given to Respondents. 
    Id.
    23
    The order granting Respondents’ sixth motion for sanctions is a discovery order
    denying a high level executive decision maker their executive privilege. Accordingly, this
    Court has the authority to consider the merits of Petitioners’ assertion of executive privilege
    as applied to the audiotapes of their pre-decisional process.
    2. Orders Denying Petitioners’ Motion for Reconsideration as to Default
    Liability and Motion for Protective Order
    The circuit court’s order denying Petitioners’ motions for reconsideration and for
    a protective order are not immediately appealable to this Court. While we may have
    jurisdiction over one interlocutory order under the collateral order doctrine, it does not
    give us the authority to consider other interlocutory orders that are not independently
    appealable.
    Petitioners conceded before the Court of Special Appeals that a party cannot
    immediately appeal from an order of default on liability. See Geier, 225 Md. App. at 140,
    123 A.3d at 616. Petitioners advance the same argument to this Court– that because we
    have standing to hear their appeal regarding the denial of their executive privilege, this
    Court has supplementary standing to consider their claims regarding the denial of their
    quasi-judicial immunity in the orders denying their motions for reconsideration and for a
    protective order.
    As the Court of Special Appeals noted, Maryland Rule 8-131(d) states that “[o]n
    appeal from a final judgment, an interlocutory order previously entered in the action is
    open to review by the Court unless an appeal has previously been taken from that order
    and decided on the merits by the Court.” (emphasis added). As Judge Charles E. Moylan,
    24
    Jr. observed in Banashak v. Wittstadt, “[t]here is scant authority on the question of
    appellate piggybacking[.]” 
    167 Md. App. 627
    , 670, 
    893 A.2d 1236
    , 1261 (2006). We
    have not precisely addressed the issue of whether an order that is appealable as a final
    judgment allows other orders, otherwise not appealable, to be heard by an appellate court.
    As Judge Moylan noted, the Court of Special Appeals has repeatedly held that “the
    appealability of each separate issue must be analyzed in a vacuum and that there are no
    two-for-the-price-of-one bargains on the appellate docket.” Id. at 671, 
    893 A.2d at 1261
    ;
    see also Williams v. State, 
    17 Md. App. 110
    , 
    299 A.2d 878
     (1973), overruled on other
    grounds by Stewart v. State, 
    282 Md. 557
    , 
    386 A.2d 1206
     (1978) (holding that an order
    denying a challenge to an array cannot be converted into an appealable order simply
    because it is joined with an appeal of an interlocutory order that is appealable).
    We concluded, supra, that none of the orders appealed by Petitioners constitute a
    final order as defined in Cts. & Jud. Proc. §12-101(f). Instead, we determined that the
    order granting Respondents’ sixth motion for sanctions is immediately appealable because
    it satisfied the four-part collateral order doctrine test. An order that satisfies the collateral
    order doctrine is not a final judgment, but rather a legal fiction that, under narrow
    circumstances, allows this Court to consider orders that would otherwise not be appealable
    at the time they are entered. See Ehrlich, 
    396 Md. at 562
    , 
    914 A.2d at 791
     (quoting
    Dawkins, 
    376 Md. at 63
    , 
    827 A.2d at 121
    ); see also Snowden v. Balt. Gas & Elec. Co.,
    
    300 Md. 555
    , 560 n. 2, 
    479 A.2d 1329
    , 1331 n. 2 (1984). The collateral order doctrine
    is only applicable in narrow and extraordinary circumstances. See Ehrlich, 
    396 Md. at 562
    , 
    914 A.2d at 791
     (referring to collateral doctrine orders as a “narrow class of orders[,]”
    25
    and as a doctrine that is applicable only “in a very few … extraordinary situations”); see
    also Dawkins, 
    376 Md. at 58-59
    , 
    827 A.2d at 118
     (noting that the collateral order doctrine
    “is a very limited exception to the principle that only final judgments terminating the case
    in the trial court are appealable,” and that the requirements for the collateral order doctrine
    are “strictly applied” and “entertained only in extraordinary circumstances.”) (citations
    omitted); Stevens, 337 Md. at 477, 654 A.2d at 880 (recognizing that the collateral order
    doctrine applies to “a narrow class of orders … which are offshoots of the principal
    litigation in which they are issued and which are immediately appealable as ‘final
    judgments’ without regard to the posture of the case.”) (citations omitted).
    As the Court of Special Appeals explained, “in a permissible, interlocutory appeal
    under the collateral order doctrine, it would make no sense to allow the parties to contest
    every other order in the case as though there had been a conventional final judgment.”
    Geier, 225 Md. App. at 141, 123 A.2d at 617. Further, the Court concluded that it “would
    be absurd to say that, in an appeal that is permissible only if the subject matter is
    ‘completely separate from the merits of the action,’ the appellate court may proceed to
    consider and decide every interlocutory ruling pertaining to the merits of the case.” Id.
    We agree with the Court of Special Appeals’ assessment that due to the narrow purpose
    of the collateral order doctrine, orders that do not independently satisfy the four-part test
    may not be appealed by “piggybacking” onto another interlocutory order that does satisfy
    the test. Therefore, the two additional orders are not properly before this Court.
    26
    i.     Order denying Petitioners’ Motion for Reconsideration for Default as
    to Liability is Not Immediately Appealable
    It is well-established that an order of default is not an “unqualified, final disposition
    of the matter” because an assessment of damages is still required. Franklin Credit Mgmt.
    Corp. v. Nefflen, 
    436 Md. 300
    , 321, 
    81 A.3d 441
    , 453 (2013) see also Curry v. Hillcrest
    Clinic, Inc., 
    337 Md. 412
    , 425-27, 
    653 A.2d 934
    , 940-41 (1995) (holding this Court’s
    decision in Banegura v. Taylor, see infra, was dispositive in concluding that there is no
    final judgment in an order for default until damages have been assessed); Banegura v.
    Taylor, 
    312 Md. 609
    , 618, 
    541 A.2d 969
    , 973 (1988) (holding that an entry of an order of
    default, leaving damages open for a future trial, was not a final judgment, and could not
    be immediately appealed); Adams v. Mallory, 
    308 Md. 453
    , 461, 520 A.2d. 371, 375
    (1987) (concluding that an order entering a judgment default of liability that did not
    determine any relief was not a final judgment). Additionally, this Court in Banegura
    concluded that the denial of the defendant’s motion to strike the default order was
    interlocutory and not appealable because it did not dispose of the entire claim. Banegura,
    
    312 Md. at 618
    , 
    541 A.2d at 973-74
    .
    We conclude that the circuit court did not abuse its discretion in denying
    Petitioners’ motion for reconsideration of default as to liability.
    ii.    Order Denying Petitioners’ Motion for Protective Order is Not
    Immediately Appealable
    The circuit court’s denial of Petitioners’ motion for a protective order from
    Respondent’s sixth motion to compel documents is not properly appealable under the
    collateral order doctrine.
    27
    After creating the general rule in Dawkins, see supra, we declined to determine
    “[w]hether, and under what circumstances, interlocutory orders overruling immunity
    defenses asserted by the Governor, Lieutenant Governor, Comptroller, Treasurer,
    Attorney General, Speaker of the House, President of the Senate, or judges as defined in
    Article IV §2, of the Maryland Constitution, are immediately appealable under the
    collateral order doctrine….” Dawkins, 
    376 Md. at 65
    , 
    827 A.2d at 122
     (emphasis added).
    This Court purposefully left open the possibility that in cases where privilege is denied to
    one of the specified positions above, an appellate court may have the authority to consider
    the interlocutory order denying the privilege under the collateral order doctrine.
    As Dawkins made clear “[i]nterlocutory trial orders overruling immunity claims
    by… agencies … are not appealable under this doctrine.” 
    Id. at 65
    , 
    827 A.2d at 122
    .
    Additionally, this Court concluded that only judges defined by Article IV, §2 in the
    Maryland Constitution are eligible for the exception to the rule. Article IV, §2 states:
    The Judges of all of the said Courts shall be citizens of the State of Maryland,
    and qualified voters under this Constitution, and shall have resided therein
    not less than five years, and not less than six months next preceding their
    election, or appointment, as the case may be, in the city, county, district,
    judicial circuit, intermediate appellate judicial circuit or appellate circuit for
    which they may be, respectively, elected or appointed. They shall be not less
    than thirty years of age at the time of their election or appointment, and shall
    be selected from those who have been admitted to practice Law in this State,
    and who are most distinguished for integrity, wisdom and sound legal
    knowledge.
    Md. Const. Art. IV, §2.        The Health Occupations Article states, “[t]he Board [of
    Physicians] shall consist of 22 members appointed by the Governor with the advice of the
    Secretary [of DHMH] and the advice and consent of the Senate.” Health Occ. §14-
    28
    202(a)(1). The General Assembly did not intend for Petitioners to be considered Article
    IV judges, but rather as a quasi-judicial body within an administrative agency that has
    powers independent of the Maryland judiciary. The language in Dawkins is dispositive as
    it relates to the absolute judicial privilege, and we therefore decline to consider the four
    requirements of the collateral order doctrine.16
    We conclude that the circuit court did not abuse its discretion in denying
    Petitioners’ motion for a protective order from Respondents sixth motion to compel
    documents.
    c. Waiver
    Petitioners’ claim of deliberative process (executive) privilege regarding the
    production of the audiotapes is not “stale,” as Respondents argue, because there is
    insufficient evidence that at the time the November 25, 2013 order was entered, Petitioners
    were aware of the existence of the audiotapes. Accordingly, the circuit court erred in
    finding that Petitioners had waived their executive privilege in granting Respondents’ sixth
    motion for sanctions.
    16
    Petitioners, in their response to Respondents’ motion to dismiss, rely on Gill v.
    Ripley as evidence that this Court has recognized that absolute quasi-judicial privilege
    applies to Executive Branch officials engaged in quasi-judicial acts “because their
    judgments are ‘functional[ly] comparab[le]’ to those of judges– that is, because they, too
    ‘exercise a discretionary judgment’ as part of their function.” 
    352 Md. 754
    , 762, 
    724 A.2d 88
    , 92 (1999). The case that Petitioners cite pre-dated our holding in Dawkins. Because
    this Court finds that Dawkins’ limitation on appealing orders denying judicial immunity
    claims from agencies is controlling, we decline to consider the holding in Gill v. Ripley in
    the context of this case.
    29
    Respondents contend that the motion for sanctions did not compel the Petitioners
    to disclose the audiotapes. Instead, Respondents argue that the order that compelled the
    production of the audiotapes was entered on November 25th by the circuit court judge
    when the judge denied Petitioners’ assertion of executive privilege and compelled
    Petitioners to comply with Respondents’ requests for documents. Petitioners did not appeal
    that order. Based on the Petitioners’ failure to appeal the November 25 order, Respondents
    aver that Petitioners cannot now bring an appeal for the denial of their executive privilege
    because they should have brought that appeal when the November 25th order was entered.
    Respondents’ argument is a distinction without a difference. Although the order before
    this Court is based on an order for discovery sanctions for failing to produce the audiotapes,
    the effect of the order would still require Petitioners to produce the audiotapes on the basis
    of enforcing the prior order to compel from November 25th.
    Additionally, in his ruling regarding the sixth motion for sanctions, the circuit court
    judge determined that Petitioners had not timely objected to the disclosure of the audiotapes
    in their response to Respondents’ first request for documents, and failed to include the
    audiotapes in any privilege logs.17 Upon that basis, the circuit court judge concluded that
    Petitioners’ request for executive privilege was waived, in granting Respondents’ sixth
    17
    In the circuit court hearing on March 24, Respondents asserted that they had also
    made similar requests for documents encompassing the audiotapes in their third and fifth
    requests for documents; however, those document requests are not included in the record,
    only Petitioners’ responses to those requests, and the responses did not include the original
    request. This Court, therefore, does not have a proper record that would allow us to review
    this evidence for the purposes of waiver.
    30
    motion for sanctions. A review of the record reflects that Petitioners asserted the executive
    privilege in their response to Respondents’ first request for documents, request for
    Production No. 7, which stated: “Objection … the communications are also being withheld
    from [Respondents] pursuant to the deliberative privilege since disclosing them would
    reveal [Petitioners] deliberative, predecisional thoughts.”
    Further, there is insufficient evidence in the record to indicate whether Petitioners
    were aware of the existence of the audiotapes prior to July 29, 2014.18 Respondents argue
    that Petitioners knew about the recordings prior to when they acknowledged their existence
    in August 2014. Respondents base this contention on depositions taken in July 2014, where
    several of the individual Petitioners acknowledged that their meetings are recorded and
    audiotapes existed pertaining to the Board’s meetings regarding Respondents. Although
    Respondents contend that Petitioners purposefully hid the existence of the audiotapes from
    them until August 2014, they have provided no evidence that, prior to July 2014, the
    Petitioners were aware of the existence of the audiotapes or where the audiotapes were
    located. As this Court noted in Ehrlich,
    [a]lthough it is preferred that responses to document requests be as accurate
    as possible and are complied with as soon as possible in the discovery
    process, it is unrealistic to require an entity as large as the Executive Branch
    to know and to name precisely what documents are protected by [privilege]
    when they are collecting and sorting tens of thousands of documents in the
    early stages of litigations with such broad discovery requests of this nature.
    18
    On July 29, 2014, Petitioner Christine Farelly stated in her deposition testimony
    that the deliberations of the Board were recorded.
    31
    396 Md. at 575-76, 
    914 A.2d at 799
    . Similarly, in this case, at the time that Respondents
    filed their first request for documents, and subsequently, Petitioners were coordinating and
    obtaining information and documents from twenty-five separate individual defendants, in
    addition to the documents the Board had in its possession. Respondents even note in their
    brief to this Court that on January 8, 2014, Petitioners’ counsel notified Respondents that
    they were in the process of scanning and reviewing fourteen additional boxes of documents
    that were potentially responsive to Respondents’ August 1, 2013 document requests.
    Absent evidence that Petitioners purposefully concealed the existence of the audiotapes
    from Respondents, and in light of evidence that Petitioners timely asserted their executive
    privilege in response to Respondents’ document requests, this Court concludes that
    Petitioners’ assertion of executive privilege was not waived.
    II.      Deliberative Process (Executive) Privilege
    In Hamilton v. Verdow, this Court considered whether the deliberative process
    (executive) privilege applied to an investigative report written by Judge Wilner for the
    Governor’s Office that plaintiffs sought to obtain through discovery. 
    287 Md. 544
    , 
    414 A.2d 914
     (1980). This Court determined:
    There are two reasons for preserving the confidentiality of intragovernmental
    documents reflecting advisory opinions, recommendations and deliberations
    comprising parts of the process by which governmental decisions and
    policies are formulated: (1) to encourage aides and colleagues to give
    completely candid advice by reducing the risk that they will be subject to
    public disclosure, criticism and reprisals; (2) to give the President or other
    officer the freedom ‘to think out loud,’ which enables him to test ideas and
    debate policy and personalities uninhibited by the danger that his tentative
    but rejected thoughts will become subjects of public discussion.
    32
    
    287 Md. at 558
    , 
    414 A.2d at
    922 (citing Archibald Cox, The Executive Privilege, 122
    U.PA.L.REV. 1383, 1410 (1974)). We noted that the executive privilege “gives a measure
    of protection to the deliberative and mental process of decision-makers[,]” 
    id. at 561
    , 
    414 A.2d at 924
    , but that the privilege differs from other evidentiary privileges because “[i]t is
    for the benefit of the public and not the government officials who claim the privilege ….
    [It] attempts to accommodate the competing interests of a just resolution of legal disputes
    with the need to protect certain confidential communications.” 
    Id. at 565, 924-25
     (citations
    omitted).
    Where there has been an allegation of government misconduct, we have held a
    balancing process must be utilized, “weighing the need for confidentiality against the
    litigant’s need for disclosure and the impact of nondisclosure upon the fair administration
    of justice.” 
    Id. at 563, 925
    ; see also Ehrlich, 
    396 Md. at 568
    , 914 A.3d at 794 (quoting
    Hamilton for the proposition that “courts have engaged in a balancing process, weighing
    the need for confidentiality against the litigant’s need for disclosure and the impact of
    nondisclosure upon the fair administration of justice.”); Office of Governor v. Wash. Post
    Co., 
    360 Md. 520
    , 558, 
    759 A.2d 249
    , 270 (2000) (quoting the balancing process espoused
    in Hamilton). Additionally, this Court has held that when a government official makes a
    formal claim of executive privilege for confidential communications “of an advisory or
    deliberative nature, there is a presumptive privilege, with the burden upon those seeking to
    compel disclosure[]” to overcome the presumption. Hamilton, 
    287 Md. at 563
    , 
    414 A.2d at 925
     (citations omitted); see also Ehrlich, 
    396 Md. at 567-68
    , 914 A.3d at 794 (quoting
    Hamilton); Office of Governor, 
    360 Md. at 558
    , 
    759 A.2d at 270
     (quoting Hamilton);
    33
    Prince George’s County. v. The Wash. Post Co., 
    149 Md. App. 289
    , 319, 
    815 A.2d 859
    ,
    876 (2003) (quoting Hamilton).
    In weighing Petitioners’ need for confidentiality, we conclude that preventing the
    disclosure of Petitioners’ pre-decisional deliberations greatly benefits the public by
    allowing Petitioners to undertake their core public protection function without the constant
    threat of harassment and intimidation by aggrieved parties. As noted in Hamilton, “it is
    apparent from the very nature of government that a legitimate necessity exists for the
    protection from public disclosure of certain types of official information.” 
    287 Md. at 556
    ,
    
    414 A.2d at 921
    . The Hamilton Court concluded that “[t]he necessity for some protection
    from disclosure clearly extends to confidential advisory and deliberative communications
    between officials and those who assist them in formulating and deciding upon future
    governmental action. A fundamental part of the decisional process is the analysis of
    different options and alternatives.” 
    Id. at 558
    , 
    414 A.2d at 922
    .
    Petitioners were empowered by the General Assembly to, among other things:
    enforce Title 14 and Title 15 in the Health Occupations Article; oversee the licensing
    requirements for physicians and allied health professionals; review and preliminarily
    investigate complaints; develop and implement methods to assess and improve licensee
    practices and ensure the ongoing competence of licensees; and make recommendations that
    benefit the health, safety, and welfare of the public.                 Health Occ. §14-
    205(a)(1)(5)(7)(8)(13). The General Assembly also explicitly authorized Petitioners to
    “issue a cease and desist order or obtain injunctive relief against an individual
    34
    for…[p]racticing medicine without a license ….” Health Occ. §14-206(e)(1).19 The
    General Assembly clearly intended to afford Petitioners considerable discretion in carrying
    out their duties under the Health Occupations Article, including the express authority to
    issue cease and desist orders. We conclude that Petitioners raised a valid claim of executive
    privilege that weighs against the disclosure of the audiotapes to Respondents.
    Respondents, therefore, bear the burden of overcoming the presumption of executive
    privilege. Respondents, however, failed to provide any substantive argument that states
    their basis for seeking the disclosure of the audiotapes in litigating their claims of invasion
    of privacy against Petitioners.
    The last consideration the Hamilton balancing process requires is an analysis of the
    impact that nondisclosure will have on the “fair administration of justice.” 
    287 Md. at 563
    ,
    
    414 A.2d at 925
    . Because Respondents have not articulated any specific necessity for
    access to the audiotapes, the nondisclosure will not impact the fair administration of justice.
    Therefore, we hold that the audiotapes are protected under the executive privilege and are
    not discoverable by Respondents.
    CONCLUSION
    In summary, this Court does not have appellate jurisdiction over Petitioners’ appeal
    regarding the interlocutory orders denying Petitioners’ motion for reconsideration and
    19
    COMAR 10.32.02.06 (B)(2) (as effectuated at the time Petitioners published the
    cease and desist order) states, “[d]uring the course of the investigation of the complaint,
    the Board may issue a nonpublic cease and desist order. At the conclusion of an evidentiary
    hearing, the administrative law judge may recommend a public cease and desist order in
    addition to a penalty.”
    35
    motion for a protective order, because neither order independently satisfies the collateral
    order doctrine. However, we do have appellate jurisdiction over the order granting
    Respondents’ sixth motion for sanctions because it is a discovery order that denied the
    assertion of executive privilege to a “high level decision maker.”
    We conclude that Petitioners’ assertion of the executive privilege was not waived
    because Petitioners properly asserted the privilege throughout the discovery process, and
    Respondents failed to demonstrate that prior to July 29, 2014, Petitioners were aware of
    the existence of the audiotapes in dispute.
    Finally, we hold that because Respondents failed to assert any basis for seeking
    discovery of the audiotapes, and this Court determined that strong public policy concerns
    support protecting Petitioners’ deliberative process, the circuit court abused its discretion
    in granting Respondents sixth motion for sanctions.
    MOTION TO DISMISS RELATIVE TO
    THE   DENIAL   OF   PETITIONERS’
    MOTIONS FOR RECONSIDERATION
    AND   FOR   PROTECTIVE    ORDER
    GRANTED. ORDER OF THE CIRCUIT
    COURT FOR MONTGOMERY COUNTY
    GRANTING   RESPONDENTS’    SIXTH
    MOTION FOR SANCTIONS REVERSED.
    CASE REMANDED TO THAT COURT
    FOR    FURTHER      PROCEEDINGS
    CONSISTENT WITH THIS OPINION.
    COSTS TO BE DIVIDED EQUALLY
    BETWEEN      PETITIONERS     AND
    RESPONDENTS.
    36
    Circuit Court for Montgomery County     IN THE COURT OF APPEALS
    Case No.: 371761V
    Argued: September 9, 2016
    OF MARYLAND
    No. 11
    September Term, 2016
    MARYLAND BOARD OF
    PHYSICIANS, et al.
    v.
    MARK R. GEIER, PERSONAL
    REPRESENTATIVE OF THE ESTATE
    OF ANNE GEIER, et al.
    Barbera, C.J.,
    Greene,
    Adkins,
    McDonald,
    Hotten,
    Getty,
    Battaglia, Lynne A.
    (Senior Judge, Specially Assigned),
    JJ.
    Dissenting Opinion by Adkins, J.
    Filed: January 23, 2017
    Respectfully, I dissent. This appeal is a premature, interlocutory appeal from an
    order imposing sanctions for the failure to produce discovery documents. The Majority is
    wrong to treat this sanctions order as an appeal from the denial of a properly asserted
    deliberative process privilege. An appeal from an order for sanctions is generally not an
    allowable interlocutory appeal. See Newman v. Reilly, 
    314 Md. 364
    , 385 (1988); Yamaner
    v. Orkin, 
    310 Md. 321
    , 326–27 (1987). In Yamaner, we denied a party’s attempted appeal
    of a sanctions order because it did not meet the requirements of the collateral order doctrine.
    Yamaner, 
    310 Md. at
    326–27. This attempted appeal of the trial court’s sanctions order
    should be similarly denied.
    Maryland Rule 2-422(c) requires the following response to a request for discovery
    of documents:
    The response shall state, with respect to each item or category,
    that (1) inspection and related activities will be permitted as
    requested, (2) the request is refused, or (3) the request for
    production in a particular form is refused. The grounds for
    each refusal shall be fully stated. If the refusal relates to
    part of an item or category, the part shall be specified.
    (Emphasis added.) Applying an earlier version of Rule 2-422, we have explained:
    When under an appropriate Maryland Rule a party demands of
    another discovery of a document or other tangible thing, the
    adversary, even though resisting the demand, should
    nonetheless be required to specifically answer whether it
    has in its possession or under its control such an item or
    items.
    Kelch v. Mass Transit Admin., 
    287 Md. 223
    , 228 (1980) (emphasis added).
    The use of privilege logs is a customary practice in Maryland, and complies with
    the Rule 2-422(c) requirement that the “grounds for each refusal shall be fully stated” and
    that “[i]f the refusal relates to part of an item or category, the part shall be specified.” So,
    the Board was required to identify what it claimed was privileged and what it did not. Md.
    Rule 2-422. We have explained that “the application of sanctions under the discovery rules
    is within the sound discretion of the trial judge.” Broadwater v. Arch, 
    267 Md. 329
    , 336
    (1972) (citation omitted); see Ehrlich v. Grove, 
    396 Md. 550
    , 560 (2007) (discovery
    matters are within the discretion of the trial court). Thus, the trial court was well within its
    rights to find a waiver of the privilege, order the production of the audio recordings, and
    impose a sanction on the Board.
    The Majority resurrects the deliberative process privilege waived by Petitioners,
    both ignoring the abuse of discretion standard of review for discovery decisions and
    creating a new rule that merges orders for production with orders for sanctions after a
    failure to produce. The Majority holds, with no cited authority, that “[a]n order granting
    discovery sanctions qualifies as a ‘discovery order’ for the purposes of determining the
    appealability of an order denying executive privilege under the collateral order doctrine.”
    Maj. Slip Op. at 18. In so holding, the Majority disregards—and tells government
    litigants to disregard—the Rule 2-422 requirements for identifying specifically which
    parts of a discovery request are sheltered from discovery and for what reason.
    We have recognized that when a government is a party to litigation, “a question of
    unfair litigation advantage may arise.” Hamilton v. Verdow, 
    287 Md. 544
    , 564 n.8 (1980).
    Here, rather than protecting against such unfair advantage, the Majority leans the opposite
    way, sending the message that a governmental party may, with impunity, ignore discovery
    requests for months at a time and wait until the eleventh hour to identify what items fall
    2
    within its claimed privilege. The Board did exactly that, and the Majority enables its
    behavior by permitting this interlocutory appeal, and then overturning the trial court’s
    discretionary determination that Petitioners had waived the privilege.
    The Board’s conduct at issue on this appeal is merely one example of their discovery
    abuses. In December 2014, the trial court described the Board’s foot-dragging thus far,
    saying: “The deadlines in this case have been moved repeatedly because of discovery
    problems, due to the conduct of the Board and its inability, or in some cases outright
    refusal, to produce documents or accurate privilege logs in a timely fashion.”
    (Emphasis added.) It concluded that the Board delayed document production for seven
    months after an order that it do so:
    To say that discovery in this case has not proceeded
    smoothly would be an understatement. [Respondents’] first
    motion for sanctions, which the court granted, was the result of
    the Board’s production of fourteen boxes of documents many
    months after the court ordered their production on November
    25, 2013. Although the original request for production was
    issued on August 1, 2013, the Board did not make its final
    production of responsive documents until June 2, 2014.
    It also found that the Board’s designated representative “fail[ed] to appear for a properly
    noticed organizational deposition,” and that, on a rescheduled date, she was present but
    entirely unprepared.
    What is at stake here is more than a meaningless discovery slug-fest. The audio
    recordings in question are highly relevant to Respondents’ claim for invasion of privacy.
    In order to prevail, they must show malice to defeat the immunity given to the Board
    members and their agents by statute. Md. Code (1990, 2013 Repl. Vol.), § 5-715(b) of the
    3
    Courts and Judicial Proceedings Article. The internet publication of highly sensitive
    medical information about a physician and his family is sufficiently unusual and
    unnecessary that one might wonder why a professional oversight agency did not know
    better. What went on behind the scenes of the decision to publish is exactly what
    Respondents need to know. If they are denied this information they are severely hampered
    in pursuit of their claim. If the audio recordings are protected by a valid deliberative
    process privilege, then Petitioners should have identified them specifically, and claimed
    the privilege on a timely basis. It is not up to this Court to protect the Board and its
    members from their discovery abuses.
    4
    Circuit Court for Montgomery County
    Case No. 371761V
    Argued: September 9, 2016                 IN THE COURT OF APPEALS
    OF MARYLAND
    No. 11
    September Term, 2016
    __________________________________
    MARYLAND BOARD OF
    PHYSICIANS, et al.
    v.
    MARK R. GEIER, PERSONAL
    REPRESENTATIVE OF THE ESTATE
    OF ANNE GEIER, et al.
    __________________________________
    Barbera, C.J.,
    Greene,
    Adkins,
    McDonald,
    Hotten,
    Getty,
    Battaglia, Lynne A.
    (Senior Judge, Specially Assigned)
    JJ.
    __________________________________
    Concurring and Dissenting Opinion
    by McDonald, J.
    __________________________________
    Filed:   January 23, 2017
    I agree with the Majority opinion to the extent that it addresses the merits of this
    appeal. I would, however, go farther and address the question of immunity. This Court
    has adopted from federal practice the collateral order doctrine – a doctrine that provides
    for consideration of certain interlocutory appeals. Cohen v. Beneficial Indus. Loan Corp.,
    
    337 U.S. 541
    , 545-47 (1949); Peat, Marwick, Mitchell & Co. v. Los Angeles Rams Football
    Co., 
    284 Md. 86
    , 91-92 (1978); State v. Hogg, 
    311 Md. 446
    , 455-57 (1988). However, this
    Court later deviated from the federal version of that doctrine when it overruled Hogg and
    declined to consider an appeal of an order denying official immunity, except in certain
    instances (which the Court did not well define). Compare Dawkins v. Baltimore City
    Police Dep’t., 
    376 Md. 53
     (2003) with Mitchell v. Forsyth, 
    472 U.S. 511
     (1985) and
    Behrens v. Pelletier, 
    516 U.S. 299
     (1996). The Court of Special Appeals has applied an
    exception to allow an appeal of an adverse ruling on immunity relating to the alleged
    actions of a court clerk – an official with less decision-making authority than the Board
    members in this case. See State v. Keller-Bee, 
    224 Md. App. 1
    , 5-7 (2015), aff’d, 
    448 Md. 300
     (2016). In my view, Dawkins should be reconsidered.