In Re: Enforcement of Subpoenas b/f the Bd of Med. ( 2019 )


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  •                                  [J-98-2018]
    IN THE SUPREME COURT OF PENNSYLVANIA
    EASTERN DISTRICT
    SAYLOR, C.J., BAER, TODD, DONOHUE, DOUGHERTY, WECHT, MUNDY, JJ.
    IN RE: PETITION FOR ENFORCEMENT               :   No. 35 EAP 2016
    OF SUBPOENAS ISSUED BY THE                    :
    HEARING EXAMINER IN A                         :   Appeal from the Order of the
    PROCEEDING BEFORE THE BOARD                   :   Commonwealth Court entered on
    OF MEDICINE                                   :   September 1, 2016, at No. 373 M.D.
    :   2016, granting the Petition to Enforce
    :   Subpoenas.
    APPEAL OF: M.R.                               :
    :   ARGUED: December 5, 2018
    OPINION
    JUSTICE WECHT                                            DECIDED: August 20, 2019
    In this direct appeal, we are asked to consider the enforceability of a series of
    subpoenas obtained by a physician for testimony and treatment records relating to other
    providers’ care of the physician’s former patient, as well as related questions regarding
    the scope and applicability of numerous statutes that protect a patient’s medical
    information. The Commonwealth Court granted the physician’s petition to enforce the
    subpoenas. Because we conclude that the Commonwealth Court lacked subject matter
    jurisdiction to decide the issue, we must vacate that court’s order.
    Our disposition requires only a brief summary of the factual background. Sarah G.
    DeMichele, M.D., is a board-certified psychiatrist licensed to practice medicine in
    Pennsylvania.    From August 2011 through February 2013, Dr. DeMichele provided
    psychiatric care to M.R. Throughout her time under Dr. DeMichele’s care, M.R. struggled
    with suicidal ideations and engaged in a pattern of self-harming behavior, which she
    discussed regularly with Dr. DeMichele. In December 2012, M.R.’s self-inflicted injuries
    necessitated emergency medical treatment.        M.R. ultimately was transferred to the
    Trauma Disorders Program at Sheppard Pratt Health System (“Sheppard Pratt”) in
    Baltimore, Maryland.    At Sheppard Pratt, M.R. was treated by psychiatrist Richard
    Loewenstein, M.D., and psychologist Catherine Fine, Ph.D. During the course of his
    treatment of M.R., Dr. Loewenstein obtained M.R.’s medical records from Dr. DeMichele.
    On March 31, 2014, Dr. Loewenstein submitted a complaint to the Professional
    Compliance Office of Pennsylvania’s State Board of Medicine (“Board”), in which he
    alleged that Dr. DeMichele’s care of M.R. was professionally deficient. Dr. Loewenstein’s
    complaint prompted an investigation and, ultimately, the initiation of disciplinary
    proceedings against Dr. DeMichele.
    On September 24, 2015, the Pennsylvania Department of State’s Bureau of
    Professional and Occupational Affairs (“Bureau”) filed an order directing Dr. DeMichele
    to show cause as to why the Board should not suspend, revoke, or restrict her medical
    license, or impose a civil penalty or the costs of investigation. Dr. DeMichele filed a
    counseled response to the order, denying the allegations and requesting a hearing before
    a hearing examiner.1 A hearing on the disciplinary proceeding was scheduled for June
    15, 2016.
    1      See 63 P.S. § 2203(a) (“Notwithstanding any other provision of law, the
    Commissioner of the Bureau of Professional and Occupational Affairs, after consultation
    with the licensing boards and commissions, shall appoint such hearing examiners as may
    be necessary to conduct hearings in disciplinary matters before a licensing board or
    commission. Each licensing board and commission shall have the power to decide if a
    specific disciplinary matter or type of disciplinary matter is to be heard by the licensing
    board or commission itself or by a hearing examiner appointed pursuant to this
    subsection.”); 49 Pa. Code § 16.51 (“Hearing examiners are appointed by the Governor’s
    Office of General Counsel to hear matters before the Board. Unless otherwise ordered
    by the Board, disciplinary matters shall be heard by a hearing examiner.”).
    [J-98-2018] - 2
    In advance of the hearing, Dr. DeMichele requested that the hearing examiner
    issue subpoenas for the testimony of M.R. and the medical records of Dr. Loewenstein,
    Dr. Fine, Sheppard Pratt, and M.R.’s former treating psychologist, April Westfall, Ph.D.
    Relying upon the authority provided under 63 P.S. § 2203(c),2 the hearing examiner
    issued the requested subpoenas. However, when served with the subpoenas, all of
    M.R.’s treatment providers refused to release their records absent a court order or M.R.’s
    authorization. M.R. subsequently refused to authorize the release of her records.
    On June 9, 2016, Dr. DeMichele filed with the hearing examiner a motion to dismiss
    the disciplinary action or, in the alternative, to grant a continuance of the proceeding in
    order to allow her to apply to the Commonwealth Court for an order compelling
    compliance with the subpoenas. On June 10, 2016, the hearing examiner denied Dr.
    DeMichele’s motion to dismiss, but granted a continuance so that Dr. DeMichele could
    commence an action to enforce the subpoenas.
    On July 1, 2016, Dr. DeMichele filed a Petition to Enforce Subpoenas (“Petition”)
    in the Commonwealth Court, asking that court to order M.R., Sheppard Pratt, and Drs.
    Loewenstein, Fine, and Westfall to comply with the subpoenas. Dr. DeMichele did not
    specify whether she commenced the action in the Commonwealth Court’s original or
    appellate jurisdiction. See 42 Pa.C.S. §§ 761 (original jurisdiction); 763 (direct appeals
    from government agencies). Dr. DeMichele’s Petition did not name any party, but she
    2     Subsection 2203(c) provides:
    Such hearing examiners shall have the power to conduct hearings in
    accordance with applicable statutes, rules and regulations, to issue
    subpoenas requiring the attendance and testimony of individuals or the
    production of pertinent records or other papers by persons whom they
    believe have information relevant to any matters pending before the
    examiner and to issue decisions.
    63 P.S. § 2203(c).
    [J-98-2018] - 3
    served the Petition on the Board and the Bureau (collectively, the “Commonwealth”). Dr.
    DeMichele did not serve the Petition upon M.R. or the treatment providers against whom
    she sought enforcement of the subpoenas. However, upon receiving a courtesy copy of
    the Petition, M.R. retained counsel and sought to intervene in the enforcement action.
    The Commonwealth Court held a hearing on September 1, 2016, following which
    the court granted Dr. DeMichele’s Petition and ordered that each subpoena be enforced.
    After the Commonwealth Court denied her motion for reconsideration, M.R. filed a notice
    of appeal to this Court. On appeal, M.R. argued for the first time that the Commonwealth
    Court lacked subject matter jurisdiction to entertain Dr. DeMichele’s Petition.3 On August
    22, 2017, this Court directed the Commonwealth Court to prepare an opinion addressing
    M.R.’s allegations of error, including the jurisdictional challenge.
    On April 26, 2018, the Commonwealth Court issued an opinion addressing M.R.’s
    claims. In re Petition for Enf’t of Subpoenas Issued by the Hearing Exam’r in a Proceeding
    before the Bd. of Med., 373 M.D. 2016 (Pa. Cmwlth. Apr. 26, 2018) (unpublished)
    (hereinafter, “Commonwealth Court Opinion”). Concerning subject matter jurisdiction, the
    Commonwealth Court reasoned that it exercised original jurisdiction over Dr. DeMichele’s
    Petition. The Commonwealth Court first appeared to invoke Subsection 761(a)(4) of its
    original jurisdiction statute, which establishes the Commonwealth Court’s jurisdiction over
    any civil action or proceeding, “[o]riginal jurisdiction of which is vested in the
    Commonwealth Court by any statute hereafter enacted.” 42 Pa.C.S. § 761(a)(4). That
    subsequently enacted statute, the Commonwealth Court reasoned, was the Medical
    3      Although M.R. did not raise the issue of subject matter jurisdiction before the
    Commonwealth Court, an “objection to lack of subject-matter jurisdiction can never be
    waived; it may be raised at any stage in the proceedings by the parties or by a court [o]n
    its own motion.” Commonwealth v. Little, 
    314 A.2d 270
    , 272 (Pa. 1974).
    [J-98-2018] - 4
    Practice Act of 1985 (“MPA”),4 one provision of which authorizes the Board to “apply to
    Commonwealth Court to enforce its subpoenas.”                    63 P.S. § 422.9(c).   The
    Commonwealth Court recognized that the “instant proceeding differs in nature” from one
    that typically would fall under 63 P.S. § 422.9(c) “because the Board did not initiate the
    action.” Commonwealth Court Opinion at 11. The Commonwealth Court did not resolve
    the apparent inconsistency with the language of the MPA, instead offering, seemingly in
    the alternative, different bases for its exercise of original jurisdiction.
    The Commonwealth Court reasoned that subpoena enforcement actions are
    “proceedings ‘[b]y the Commonwealth government,’ as described in Section 761(a)(2) of
    the Judicial Code.” 
    Id. (quoting 42
    Pa.C.S. § 761(a)(2)). The court quoted this Court’s
    decision in Pennsylvania Human Relations Commission v. Lansdowne Swim Club, 
    526 A.2d 758
    (Pa. 1987), wherein we stated that, “[i]n a subpoena enforcement proceeding,
    the action is brought by an agency of the Commonwealth and Commonwealth Court’s
    jurisdiction is original and concurrent with the courts of common pleas.” Commonwealth
    Court Opinion at 11 (quoting 
    Lansdowne, 526 A.2d at 760
    ). Thus, the Commonwealth
    Court suggested that the action was brought “[b]y the Commonwealth government,”
    establishing jurisdiction under 42 Pa.C.S. § 761(a)(2).
    The court next invoked Subsection 761(a)(1) of its original jurisdiction statute,
    which provides that the Commonwealth Court shall have original jurisdiction over civil
    actions brought “[a]gainst the Commonwealth government.” 42 Pa.C.S. § 761(a)(1). With
    regard to Subsection 761(a)(1), the court reasoned:
    Dr. DeMichele filed the Petition with this court to which the Commonwealth
    filed an answer and alleged new matter, asserting that the subpoenaed
    records were protected by privilege and statutory confidentiality provisions.
    Two Commonwealth attorneys entered their appearances to oppose the
    Petition. Thereafter, the Commonwealth appeared at argument before this
    4      63 P.S. §§ 422.1-422.51a.
    [J-98-2018] - 5
    court in opposition to Dr. DeMichele’s Petition. M.R. appeared at the
    hearing based upon her application and fully participated. For these
    reasons, the court had subject matter jurisdiction over Dr. DeMichele’s
    Petition against the Commonwealth.
    Commonwealth Court Opinion at 12 (capitalization modified; footnotes omitted).
    Case law has long established that, in order for the Commonwealth Court to
    exercise original jurisdiction under 42 Pa.C.S. § 761(a)(1), the Commonwealth must be
    an indispensable party to the action. See, e.g., Annenberg v. Commonwealth, 
    686 A.2d 1380
    , 1384 (Pa. Cmwlth. 1996) (“[T]he Commonwealth must be an indispensable party
    to the action for Section 761(a)(1) to apply.”); see also CRY, Inc. v. Mill Serv. Inc., 
    640 A.2d 372
    , 377-78 (Pa. 1994)). In a footnote, the Commonwealth Court briefly addressed
    M.R.’s contention that the Commonwealth was not an indispensable party to Dr.
    DeMichele’s action. Because the Board and Bureau were the only entities that Dr.
    DeMichele served with her Petition, the Commonwealth Court reasoned that “the
    Commonwealth was not one of several defendants, it was the only defendant.”
    Commonwealth Court Opinion at 12-13 n.15. The court did not further address the
    standard by which a party is determined to be indispensable to an action.
    Following receipt of the Commonwealth Court’s opinion, we granted the parties the
    opportunity to file supplemental briefs addressing, inter alia, the Commonwealth Court’s
    finding of subject matter jurisdiction.5 M.R. contends that Dr. DeMichele’s Petition cannot
    5       We further requested briefing from the Board regarding the question of subject
    matter jurisdiction, and requested that the Board address “the procedure by which
    discovery subpoenas issued at the request of a private individual in medical disciplinary
    cases are typically enforced.” Order, 7/18/2018. On behalf of the Board, the Prosecution
    Division of the Department of State submitted a brief responsive to this Court’s order.
    Regarding subject matter jurisdiction, the Board offers a construction of the applicable
    jurisdictional statutes consistent with the interpretation that we provide in this Opinion.
    With regard to the “typical” procedure, the Board states that, “[a]fter reasonable
    investigation, the Board is not aware of a prior case where a private individual or entity
    has sought enforcement of a hearing subpoena issued by the board, any other board or
    [J-98-2018] - 6
    be construed as commencing an action “[a]gainst the Commonwealth government,” 42
    Pa.C.S. § 761(a)(1), because Dr. DeMichele “sought no judicial relief of any kind against
    the Board or the Bureau.” Supplemental Brief for M.R. at 4. Rather, M.R. argues, “the
    Petition merely recited various arguments as to why [Dr.] DeMichele, a private party,
    should be granted an order compelling enforcement of five subpoenas that sought
    documents and/or testimony from the five private respondents.” 
    Id. at 4-5.
    M.R. argues that neither the Board nor the Bureau qualify as indispensable parties
    to this matter. Supplemental Brief for M.R. at 5 (citing Pa. State Educ. Ass’n ex rel. Wilson
    v. Commonwealth, Dept. of Cmty. and Econ. Dev., 
    50 A.3d 1263
    , 1277 (Pa. 2012)
    (hereinafter, “PSEA”); 
    CRY, 640 A.2d at 377-78
    ). M.R. reiterates that Dr. DeMichele
    sought enforcement of the subpoenas against private parties, and that neither the Board
    nor the Bureau were in possession of any of the materials implicated in the subpoenas.
    M.R. characterizes the Board and the Bureau as “mere observers” of the action, not
    indispensable parties thereto. 
    Id. at 5.
    M.R. further disputes the Commonwealth Court’s reliance upon our decision in
    Lansdowne, contending that Lansdowne does not control this matter because, therein,
    the subpoena enforcement proceeding was brought by the Pennsylvania Human Rights
    Commission—an agency of the Commonwealth. Here, M.R. reiterates, a private party
    commenced the subpoena enforcement proceeding.                    M.R. argues that the
    Commonwealth Court erred in relying upon this Court’s statement that, “[i]n a subpoena
    enforcement proceeding, the action is brought by an agency of the Commonwealth . . . .”
    
    Lansdowne, 526 A.2d at 760
    . M.R. asserts that this was “not a statement intended to
    commission in the Bureau . . . or a hearing examiner.” Brief of Prosecution Division of
    the Department of State, Commonwealth of Pennsylvania, on behalf of the State Board
    of Medicine, at 7. Absent a statutory basis for jurisdiction in the Commonwealth Court,
    the Board argues that such enforcement proceedings fall within the general jurisdiction of
    the Courts of Common Pleas. 
    Id. at 13
    (citing 42 Pa.C.S. § 931(a)).
    [J-98-2018] - 7
    convert subpoena enforcement actions commenced by one private individual against
    another into original jurisdiction cases lying in the Commonwealth Court.” Supplemental
    Brief for M.R. at 7. Rather, M.R. continues, the “quoted language merely addressed the
    facts before the Court, which involved a subpoena enforcement action commenced by a
    Commonwealth agency.” 
    Id. In her
    initial brief, Dr. DeMichele contended that her Petition implicated the
    Commonwealth Court’s appellate jurisdiction, as an appeal from a final order of an
    administrative agency under 42 Pa.C.S. § 763(a). Brief for Dr. DeMichele at 20-22.
    However, following the Commonwealth Court’s issuance of its opinion, Dr. DeMichele
    now takes the position that original jurisdiction lay in the Commonwealth Court pursuant
    to 42 Pa.C.S. § 761(a)(1), because her action was against the Commonwealth and the
    Commonwealth was an indispensable party. Dr. DeMichele contends that the subpoena
    enforcement proceeding affects the Commonwealth’s substantive rights not only in the
    underlying disciplinary proceeding, but also in future such disciplinary proceedings.
    Supplemental Brief for Dr. DeMichele at 18-19.
    Dr. DeMichele also addresses the Commonwealth Court’s reliance upon
    Subsection 422.9(c) of the MPA.         Like the Commonwealth Court, Dr. DeMichele
    acknowledges that this provision authorizes the Board “to apply to Commonwealth Court
    to enforce its subpoenas,” but contains no similar authorization for private individuals. 63
    P.S. § 422.9(c). Recognizing that the absence of jurisdiction in the Commonwealth Court
    would require her to seek relief in various Courts of Common Pleas, Dr. DeMichele
    advances the argument that such a process would be inefficient and could lead to
    inconsistent rulings. See Supplemental Brief for Dr. DeMichele at 20. Dr. DeMichele
    contends that it is nonsensical to conclude that the Commonwealth may seek
    [J-98-2018] - 8
    enforcement of its subpoenas in the Commonwealth Court, but that a private party
    respondent in a disciplinary proceeding is not so authorized. 
    Id. Whether subject
    matter jurisdiction lies in the Commonwealth Court is a question
    of statutory interpretation, as to which our standard of review is de novo and our scope of
    review is plenary. Whitmoyer v. W.C.A.B. (Mountain Country Meats), 
    186 A.3d 947
    , 954
    (Pa. 2018). In all matters of statutory interpretation, our review is guided by the rules of
    construction set forth in the Statutory Construction Act of 1972.6 See 1 Pa.C.S. §§ 1901-
    91. In construing statutory language, our foremost object is to “ascertain and effectuate
    the intention of the General Assembly.” 1 Pa.C.S. § 1921(a). As we commonly note, the
    “best indication of legislative intent is the plain language of a statute.” Commonwealth by
    Shapiro v. Golden Gate Nat’l Senior Care LLC, 
    194 A.3d 1010
    , 1027 (Pa. 2018). “When
    the words of a statute are clear and free from all ambiguity, the letter of it is not to be
    disregarded under the pretext of pursuing its spirit.” 1 Pa.C.S. § 1921(b).
    Applying these precepts to the statutes implicated herein, we conclude that the
    Commonwealth Court lacked subject matter jurisdiction to entertain Dr. DeMichele’s
    Petition. We first reject Dr. DeMichele’s argument that the Commonwealth Court properly
    exercised its appellate jurisdiction.       The pertinent statute provides that “the
    Commonwealth Court shall have exclusive jurisdiction of appeals from final orders of
    government agencies.” 42 Pa.C.S. § 763(a) (emphasis added). A final order is one that
    “disposes of all claims and of all parties.” Pa.R.A.P. 341(b)(1). Rule 341 additionally
    provides that the issuing tribunal may designate as final an order that does not dispose
    of all claims and all parties “only upon an express determination that an immediate appeal
    would facilitate resolution of the entire case.” Pa.R.A.P. 341(c). “In the absence of such
    6      1 Pa.C.S. §§ 1501-1991.
    [J-98-2018] - 9
    a determination and entry of a final order, any order or other form of decision that
    adjudicates fewer than all the claims and parties shall not constitute a final order.” 
    Id. Dr. DeMichele’s
    action was not, as she claims, an appeal from a final order issued
    by the hearing examiner. Although the hearing examiner issued an order on June 10,
    2016, in order to allow Dr. DeMichele to proceed with her Petition in the Commonwealth
    Court, this was an interlocutory order that did not dispose of any claims or parties, and
    was not designated as final upon an express determination by the hearing examiner that
    immediate appeal would facilitate resolution of the entire case. Indeed, the hearing
    examiner’s order granted a continuance of the proceedings, an order which by its nature
    does not dispose of claims or parties but, rather, postpones disposition. Accordingly,
    there was no final administrative order from which an appeal to the Commonwealth Court
    would lie under 42 Pa.C.S. § 763(a).
    We further find no basis for the Commonwealth Court’s exercise of original
    jurisdiction. In short, this was an action neither by nor against the Commonwealth, the
    Commonwealth was not an indispensable party, and the MPA provides no authorization
    for private parties to bring subpoena enforcement actions in the Commonwealth Court.
    We address each of these points in turn.
    Although the underlying disciplinary action was commenced by the Bureau, a
    Commonwealth party, Dr. DeMichele’s Petition initiated a distinct cause of action. As
    M.R. stresses, Dr. DeMichele, a private party, commenced the instant enforcement
    proceedings against other private individuals and entities. Plainly, this was not an action
    “[b]y the Commonwealth government.” 42 Pa.C.S. § 761(a)(2). The Commonwealth
    Court’s reliance upon Lansdowne was misplaced. In Landsdowne, we held that original
    jurisdiction properly lay in the Commonwealth Court under Subsection 761(a)(2) because
    the subpoena enforcement proceeding therein was “brought by an agency of the
    [J-98-2018] - 10
    Commonwealth.” 
    Lansdowne, 526 A.2d at 760
    . To the extent that our reasoning in
    Lansdowne may be read to suggest that all subpoena enforcement proceedings fall within
    the ambit of 42 Pa.C.S. § 761(a)(2), as the Commonwealth Court appears to have
    concluded, we must clarify that Lansdowne does not stand for such a proposition.
    For similar reasons, Dr. DeMichele’s Petition did not commence an action
    “[a]gainst the Commonwealth government.” 42 Pa.C.S. § 761(a)(1). Dr. DeMichele’s
    Petition did not seek relief from the Board or the Bureau. Rather, it sought to compel
    private parties to comply with the subpoenas. As noted above, Dr. DeMichele’s Petition
    did not name any respondents, but she served the Petition upon the Commonwealth, and
    the Bureau filed an answer and new matter in response. Such was the basis for the
    Commonwealth Court’s finding that the Commonwealth was an indispensable party,
    because “it was the only defendant.” Commonwealth Court Opinion at 13 n.15. However,
    neither naming nor serving a Commonwealth party alone is sufficient to establish
    indispensability. See Ballroom, LLC v. Commonwealth, 
    984 A.2d 582
    , 588 (Pa. Cmwlth.
    2009) (“[I]t is well settled that merely naming the Commonwealth or a Commonwealth
    party as one of several defendants does not necessarily establish this Court’s original
    jurisdiction under Section 761.”); see also 
    PSEA, 50 A.3d at 1281-82
    (Todd, J.,
    concurring) (“[C]ase law clarifies that naming a Commonwealth agency is not enough to
    satisfy the jurisdictional requirement; the agency must also be an indispensable party.”).
    This Court has set forth several factors to consider when inquiring as to the
    indispensability of a party:
    1. Do absent parties have a right or interest related to the claim?
    2. If so, what is the nature of that right or interest?
    3. Is that right or interest essential to the merits of the issue?
    [J-98-2018] - 11
    4. Can justice be afforded without violating the due process rights of absent
    parties?
    
    CRY, 640 A.2d at 375
    (quoting Mechanicsburg Area Sch. Dist. v. Kline, 
    431 A.2d 953
    ,
    956 (Pa. 1981)).
    Applying CRY’s factors here, we conclude that the Commonwealth is not an
    indispensable party to Dr. DeMichele’s enforcement action.          In responding to Dr.
    DeMichele’s Petition, the Bureau did not assert its own rights, but, rather, questioned the
    validity of the subpoenas absent a court order or M.R.’s consent to the release of her
    records, and advanced concerns over M.R.’s right to maintain confidentiality in her
    medical records. That is, the Bureau argued on behalf of M.R.’s rights and interests, not
    its own. The Board did not participate at all. Although the Commonwealth may have a
    generalized interest in issues surrounding the enforcement of subpoenas and the
    protection of privileged material, the Commonwealth’s interests are not essential to a
    determination of the subpoenas’ validity and enforceability.              As such, the
    Commonwealth’s interests in this matter are too attenuated to warrant a finding that either
    the Board or the Bureau is indispensable to this action between private parties.
    Dr. DeMichele did not bring this action against the Commonwealth; she sought
    enforcement of the subpoenas against four private individuals and one private entity in
    order to obtain evidence in the sole possession of those private parties.              The
    Commonwealth, as M.R. notes, “had not received any subpoenas and therefore could not
    be sued for failure to comply with them.” Supplemental Brief for M.R. at 6. Accordingly,
    the Commonwealth Court’s conclusion that the Commonwealth “was the only defendant”
    lacks support. Commonwealth Court Opinion at 12 n.15. This was not an action against
    the Commonwealth government, and original jurisdiction therefore did not lie in the
    Commonwealth Court under 42 Pa.C.S. § 761(a)(1).
    [J-98-2018] - 12
    We find no support for the Commonwealth Court’s conclusion that jurisdiction was
    established under Subsection 422.9(c) of the MPA. That subsection provides as follows:
    (c) Subpoena power.--The board shall have the authority to issue
    subpoenas, upon application of an attorney responsible for representing the
    Commonwealth in disciplinary matters before the board, for the purpose of
    investigating alleged violations of the disciplinary provisions administered
    by the board. The board shall have the power to subpoena witnesses, to
    administer oaths, to examine witnesses and to take testimony or compel the
    production of books, records, papers and documents as it may deem
    necessary or proper in and pertinent to any proceeding, investigation or
    hearing held by it. Medical records may not be subpoenaed without consent
    of the patient or without order of a court of competent jurisdiction on a
    showing that the records are reasonably necessary for the conduct of the
    investigation. The court may impose such limitations on the scope of the
    subpoena as are necessary to prevent unnecessary intrusion into patient
    confidential information.      The board is authorized to apply to
    Commonwealth Court to enforce its subpoenas.
    63 P.S. § 422.9(c) (emphasis added).
    This statutory subsection pertains exclusively to the subpoena powers of the
    Board. It confers no such prerogative upon private parties. Had the Board sought to
    enforce a subpoena under Subsection 422.9(c), it would have been “authorized to apply
    to Commonwealth Court” to do so, 
    id., and original
    jurisdiction would lie therein pursuant
    to 42 Pa.C.S. § 761(a)(4). That is not the case here.
    Although not addressed by the Commonwealth Court in this case, investigatory
    subpoena power in disciplinary matters is further contemplated by 63 P.S. § 2202, the
    statutory section preceding the section upon which the hearing examiner relied in issuing
    the subpoenas, 63 P.S. § 2203. 
    See supra
    n.2. Section 2202 provides:
    The General Counsel or his designee shall have the power and his duty
    shall be to issue subpoenas upon application of an attorney responsible for
    representing the Commonwealth in disciplinary matters before a licensing
    board or commission for the purpose of investigating alleged violations of
    the disciplinary provisions administered by a licensing board or commission,
    provided that, if their disclosure is subject to a privilege provided by law,
    patient or client records may not be subpoenaed without the consent of the
    [J-98-2018] - 13
    patient or client or without order of a court of competent jurisdiction showing
    that the records are reasonably necessary for the conduct of the
    investigation. The court may impose such limitation on the scope of the
    subpoena as may be necessary to prevent unnecessary intrusion into
    patient or client confidential information. The attorney responsible for
    representing the Commonwealth in disciplinary matters before a licensing
    board or commission is authorized to apply to Commonwealth Court to
    enforce the subpoenas. Nothing in this clause shall be construed to excuse
    a person from producing documents and records as requested by a
    licensing board or commission under any other provision of law.
    63 P.S. § 2202 (emphasis added).
    Like the above-referenced provision of the MPA, Section 2202 provides no
    authorization to private individuals to seek enforcement of subpoenas against other
    private parties in the Commonwealth Court’s original jurisdiction. Rather, Section 2202
    states that, with regard to the contemplated subpoenas, the “attorney responsible for
    representing the Commonwealth in disciplinary matters before a licensing board or
    commission is authorized to apply to Commonwealth Court to enforce the subpoenas.”
    
    Id. Neither the
    Board nor an attorney representing the Commonwealth sought to
    enforce the subpoenas at issue. Accordingly, it is plain that the above-cited statutes do
    not apply, and that original jurisdiction did not thereunder lie in the Commonwealth Court
    pursuant to 42 Pa.C.S. § 761(a)(4).7
    7      Chief Justice Saylor opines that the “issue presented does not relate to subject
    matter jurisdiction, but rather, concerns standing” under Subsection 422.9(c) of the MPA.
    Dissenting Opinion at 1 (Saylor, C.J.) (emphasis omitted). We respectfully disagree. The
    Commonwealth Court is not a court of general jurisdiction; any action commenced therein
    must fall within a statutory provision which grants that court subject matter jurisdiction.
    See PA. CONST. art. 5, § 4 (“The Commonwealth Court shall . . . have such jurisdiction as
    shall be provided by law.”); 42 Pa.C.S. §§ 761-64 (setting forth the jurisdiction of the
    Commonwealth Court). The Chief Justice focuses upon the MPA to the exclusion of the
    Commonwealth Court’s original jurisdiction statute. Because Subsection 422.9(c) of the
    MPA does not authorize a private party to commence a subpoena enforcement action
    against other private parties in the Commonwealth Court, jurisdiction over this matter is
    [J-98-2018] - 14
    Finding no basis for the exercise of the Commonwealth Court’s subject matter
    jurisdiction, we are constrained to vacate the court’s order.       We appreciate Dr.
    DeMichele’s arguments that recourse to various other tribunals may be inconvenient and
    inefficient.   Such piecemeal litigation certainly is less than ideal.    However, the
    jurisdictional statutes are unambiguous, and we may not alter or improve upon their plain
    language.
    The order of the Commonwealth Court is vacated.
    Justices Todd, Donohue, Dougherty and Mundy join the opinion.
    Justices Dougherty and Mundy file concurring opinions.
    Justice Baer concurs in the result.
    Chief Justice Saylor files a dissenting opinion
    not “vested in the Commonwealth Court” by the MPA. 42 Pa.C.S. § 761(a)(4). As it
    concerns the MPA, that is the end of the inquiry.
    [J-98-2018] - 15