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Doe v. Department of Public Health

Appellate Court of Connecticut
Apr 6, 1999
52 Conn. App. 513 (Conn. App. Ct. 1999)

Summary

In Doe v. Dept. of Public Health, 52 Conn.App. 513, 519, 727 A.2d 260, cert. denied, 249 Conn. 908, 733 A.2d 225 (1999), the Appellate Court held that § 4-183(b) " reflects the principle that exhaustion of administrative remedies is required except in exceptional circumstances."

Summary of this case from State, Department of Insurance v. Freedom of Information Commission

Opinion

(AC 17520)

Syllabus

The plaintiff physician, who was the subject of charges brought against him by the defendant department of public health, appealed to the trial court from the department's denial of his motion to dismiss the charges against him. That court rendered judgment dismissing the plaintiff's appeal, from which the plaintiff appealed to this court. Held:

1. The defendants' claim to the contrary notwithstanding, this court had jurisdiction to consider the plaintiff's appeal from the trial court's dismissal of his administrative appeal; the trial court's dismissal was a final adjudication of the plaintiff's right to an interlocutory appeal.

2. The trial court properly determined that the plaintiff had an adequate remedy in the administrative proceeding, which he failed to exhaust; the plaintiff could not demonstrate irreparable harm that would result from the administrative proceeding and the remedy he sought from the trial court — a determination of whether he is guilty of wrongdoing — is precisely what the administrative proceeding is empowered to provide.

Argued December 2, 1998

Officially released April 6, 1999

Procedural History

Appeal from the denial by the defendant Connecticut medical examining board of the plaintiff's motion to dismiss the statement of charges against him, and for other relief, brought to the Superior Court in the judicial district of Hartford-New Britain at Hartford, where the court, McWeeny, J., granted the defendants' motion to dismiss and rendered judgment thereon, from which the plaintiff appealed to this court. Affirmed.

Louis B. Blumenfeld, with whom, on the brief, were Rodd J. Mantell and Lorinda S. Coon, for the appellant (plaintiff).

Paul J. Lahey and Hugh Barber, assistant attorneys general, with whom, on the brief, were Richard Blumenthal, attorney general, and Richard J. Lynch, assistant attorney general, for the appellees (defendants).


Opinion


The plaintiff appeals from the judgment of the trial court that dismissed his administrative appeal as premature. In that appeal, the plaintiff claimed that the defendant Connecticut medical examining board (board) improperly refused to dismiss a statement of charges brought against the plaintiff by the defendant department of public health (department).

The trial court granted the plaintiff's ex parte motion to prosecute this matter under a fictitious name.

The first question before us is whether this court has jurisdiction to review this appeal. If we determine that we have jurisdiction, we must then decide whether the trial court properly determined that the plaintiff did not satisfy the requirements of General Statutes § 4-183 (b), which authorizes appeals from the interlocutory rulings of administrative agencies. Section 4-183 (b) provides that "[a] person may appeal a preliminary, procedural or intermediate agency action or ruling to the Superior Court if (1) it appears likely that the person will otherwise qualify under this chapter to appeal from the final agency action or ruling and (2) postponement of the appeal would result in an inadequate remedy." The defendants concede that subdivision (1) is satisfied here.

The plaintiff claims that the requirements for such an appeal were met here because the agency remedy is inadequate in two respects. First, the department's failure to complete its investigation in a timely manner, as required by General Statutes § 20-13e (a), deprived the board of jurisdiction and, therefore, the proceedings before the board constitute a continuing violation of the plaintiff's constitutional right to due process. Second, the agency record will be available to the public prior to a final decision by the board, thereby depriving the plaintiff of the confidentiality that is necessary to protect his professional reputation.

General Statutes § 20-13e (a) provides: "The department shall investigate each petition filed pursuant to section 20-13d, in accordance with the provisions of subdivision (10) of subsection (a) of section 19a-14 to determine if probable cause exists to issue a statement of charges and to institute proceedings against the physician under subsection (e). Such investigation shall be concluded not later than eighteen months from the date the petition is filed with the department and, unless otherwise specified by this subsection, the record of such investigation shall be deemed a public record, in accordance with section 1-210, at the conclusion of such eighteen-month period. Any such investigation shall be confidential and no person shall disclose his knowledge of such investigation to a third party unless the physician requests that such investigation and disclosure be open. If the department determines that probable cause exists to issue a statement of charges, the entire record of such proceeding shall be public unless the department determines that the physician is an appropriate candidate for participation in a rehabilitation program in accordance with subsection (b) and the physician agrees to participate in such program in accordance with terms agreed upon by the department and the physician. If at any time subsequent to the filing of a petition and during the eighteen-month period, the department makes a finding of no probable cause, the petition and the entire record of such investigation shall remain confidential unless the physician requests that such petition and record be open."

The defendants assert that this court lacks jurisdiction because the trial court's dismissal of the plaintiff's administrative appeal is not a final judgment. In the event that we disagree with their jurisdictional claim, the defendants posit two reasons why the trial court's dismissal should be affirmed. They first assert that a claim that an agency action violates a person's constitutional rights must await the final agency decision, unless the agency remedy is demonstrably futile. Here, the plaintiff has shown neither a colorable claim of a violation of his constitutional rights nor that the agency remedy is demonstrably futile. They further assert that the agency proceeding provides an adequate remedy to the plaintiff because any damage to the plaintiff's reputation is simply an indirect result of the proceeding itself. We first conclude that this court has jurisdiction to review this appeal. We further conclude that the plaintiff has an adequate administrative remedy and, therefore, we affirm the judgment of the trial court.

The following facts and procedural history are relevant to the disposition of this appeal. The plaintiff is a physician licensed by the department. On or about July 16, 1993, a petition was filed with the department pursuant to General Statutes § 20-13e (a), alleging certain misconduct in the plaintiff's care and treatment of a patient between September 7, 1989, and November 5, 1990. The department did not complete its investigation of the petition until April 15, 1996. On that day, the department filed charges against the plaintiff that alleged that the plaintiff had engaged in illegal, incompetent or negligent conduct in the practice of medicine in violation of General Statutes § 20-13c (4), and requested that the board take appropriate action, including the revocation of the plaintiff's medical and surgical license.

See footnote 2.

General Statutes § 20-13c provides in relevant part: "The board is authorized to restrict, suspend or revoke the license or limit the right to practice of a physician or take any other action in accordance with section 19a-17, for any of the following reasons . . . (4) illegal, incompetent or negligent conduct in the practice of medicine. . . ."

Thereafter, the plaintiff filed a motion to dismiss the charges. He alleged that in concluding its investigation thirty-three months after the petition was filed, the department failed to comply with the eighteen month time limitation of § 20-13e (a), thereby depriving the board of jurisdiction over the matter. The board denied the motion to dismiss the charges because it concluded that the eighteen month time limit set out in § 20-13 (e) was not jurisdictional in nature and that the department's failure to comply with it did not, therefore, prevent the board from hearing the matter. The plaintiff appealed to the Superior Court, pursuant to § 4-183 (b), from the board's denial of his motion to dismiss. The department then filed a motion to dismiss the plaintiff's administrative appeal, in which it claimed that the plaintiff's failure to exhaust all available administrative remedies deprived the Superior Court of subject matter jurisdiction. The trial court granted the motion because it determined that the plaintiff had an adequate remedy in the administrative proceeding. This appeal followed.

Because the plaintiff challenges the subject matter jurisdiction of this court, we must first address that claim. "Whenever a claim of lack of jurisdiction is brought to the court's attention, it must be resolved before the court can proceed. Castro v. Viera, 207 Conn. 420, 429, 541 A.2d 1216 (1988); Vincenzo v. Warden, 26 Conn. App. 132, 135, 599 A.2d 31 (1991)." Gallant v. Cavallaro, 50 Conn. App. 132, 134, 717 A.2d 283 (1998).

The plaintiff's appeal arises from a decision of an administrative agency and is governed, therefore, by the requirements of the Uniform Administrative Procedure Act (UAPA). General Statutes § 4-166 et seq. Under the UAPA, "further appellate review of superior court rulings on administrative appeals is limited to cases in which the Superior Court has rendered a final judgment. General Statutes § 4-184. That statutory provision accords with the general proposition that, except in special cases, such as appeals upon reservations; State v. Sanabria, 192 Conn. 671, 681-85, 474 A.2d 760 (1984); or upon certification pursuant to General Statutes § 52-265a; Laurel Park, Inc. v. Pac, 194 Conn. 677, 678-79 n. 1, 485 A.2d 1272 (1984); the jurisdiction of this court is restricted to appeals from judgments that are final." (Internal quotation marks omitted.) Reardon v. Dept. of Public Health Addiction Services, 37 Conn. App. 694, 696-97, 657 A.2d 702 (1995).

In Reardon, this court determined that "[a]n order of the trial court dismissing an administrative appeal for lack of subject matter jurisdiction under UAPA has been considered a final judgment for purposes of appeal; see Lewis v. Gaming Policy Board, 224 Conn. 693, 620 A.2d 780 (1993); even if the administrative proceeding itself has not yet been finally resolved. See Cannata v. Dept. of Environmental Protection, 215 Conn. 616, 577 A.2d 1017 (1990)." Reardon v. Dept. of Public Health Addiction Services, supra, 37 Conn. App. 697. While in Reardon, this court recognized that both Lewis and Cannata involved dismissal by the trial court pursuant to § 4-183 (a) for failure to exhaust administrative remedies, the court nevertheless saw no reason why a failure to satisfy the requirements of § 4-183 (b) would require a different result. Id. The Reardon court stated: "This conclusion is consistent with the rule regarding appealable interlocutory orders articulated in State v. Curcio, 191 Conn. 27, 463 A.2d 566 (1983). Under Curcio, where an order or action so concludes the rights of the parties that further proceedings cannot affect them, the order is immediately appealable. Id., 31." Reardon v. Dept. of Public Health Addiction Services, supra, 697-98.

Here, as in Reardon, the trial court dismissed the plaintiff's appeal for lack of subject matter jurisdiction, thereby concluding the plaintiff's right to appeal under § 4-183 (b). We agree with the rationale of the Reardon court that any right the plaintiff has to an interlocutory appeal will be lost if it is not now determined. We, therefore, reject the defendants' request that we overrule Reardon and conclude that the plaintiff has properly appealed from a final judgment.

We now address whether the trial court properly dismissed the plaintiff's interlocutory appeal. We agree with the trial court that the plaintiff has an adequate remedy in his administrative hearing before the board with available Superior Court review pursuant to § 4-183 (j). Thus, an appeal pursuant to § 4-183 (b) is not warranted.

Because our determination of this appeal involves the interpretation of a statute and is, therefore, a question of law, this court must review the trial court's ruling de novo. Murchison v. Civil Service Commission, 234 Conn. 35, 43, 660 A.2d 850 (1995); Andover Ltd. Partnership I v. Board of Tax Review, 232 Conn. 392, 396, 655 A.2d 759 (1995).

General Statutes § 4-183 (j) provides in relevant part: "The court shall not substitute is judgment for that of the agency as to the weight of the evidence on questions of fact. The court shall affirm the decision of the agency unless the court finds that substantial rights of the person appealing have been prejudiced because the administrative findings, inferences, conclusions, or decisions are: (1) In violation of constitutional or statutory provisions; (2) in excess of statutory authority of the agency; (3) made upon unlawful procedure; (4) affected by other error of law; (5) clearly erroneous in view of the reliable, probative, and substantial evidence on the whole record; or (6) arbitrary or capricious or characterized by abuse of discretion or clearly unwarranted exercise of discretion. If the court finds such prejudice, it shall sustain the appeal and, if appropriate, may render a judgment under subsection (k) of this section or remand the case for further proceedings. . . ."

Section 4-183 (b) reflects the principle that exhaustion of administrative agencies is required except in exceptional circumstances. See, e.g., Polymer Resources Ltd. v. Keeney, 227 Conn. 545, 558, 630 A.2d 1304 (1993); Housing Authority v. Papandrea, 222 Conn. 414, 420, 610 A.2d 637 (1992). Our Supreme Court has "recognized such exceptions only infrequently and only for narrowly defined purposes." (Internal quotation marks omitted.) Polymer Resources, Inc. v. Keeney, supra, 561, quoting Pet v. Dept. of Health Services, 207 Conn. 346, 353, 542 A.2d 672 (1988).

See footnote 4.

The defendants do not dispute that the plaintiff satisfies the first prong of § 4-183 (b). The plaintiff asserts that he also satisfies the second prong of § 4-183 (b) in that "postponing the present appeal provides an inadequate remedy because the agency's decision adversely impacts upon an entrenched property right, [his] medical license, without proper statutory authority, thereby depriving [him] of due process." We disagree.

In Johnson v. Dept. of Public Health, 48 Conn. App. 102, 113, 710 A.2d 176 (1998), a recent case decided by this court with facts similar to this case, we stated: "Two recognized exceptions to the exhaustion doctrine are in circumstances in which recourse to the administrative remedy would be inadequate or demonstrably futile. . . . Exhaustion is not required simply because the plaintiff has brought an interlocutory appeal under § 4-183 (b) challenging the jurisdiction of the department to hear and decide his licensure." In Johnson, where a nursing home administrator brought an interlocutory appeal from an agency's denial of his motion to dismiss the department's administrative action that brought charges against him, we stated that the plaintiff in that case failed to satisfy the second prong of § 4-183 (b) because "nothing has happened to the plaintiff's license issued to him by the department. He is still licensed to operate a nursing home facility and is operating the facility involved. The department has decided nothing except to bring charges against him, against which he will have the right to defend fully prior to any decision by that agency on his licensure. While it is true that exhaustion may be excused where recourse to the administrative remedy would be futile or inadequate, the plaintiff has not demonstrated that resort to agency action will be futile. The mere allegation that it will prove so is not cognizable." Id.

We discern no reason why the analysis in Johnson should not be applied to this case. Here, the plaintiff physician has not been denied any right to practice his profession. Because no formal hearings on the pending charges have yet been held and no determination has been made concerning his medical license, the plaintiff's claim is meritless. See id., 116.

The plaintiff specifically claims that "the defendants' continued investigation and prosecution is causing irreparable harm to his constitutional property right in his medical license" and that "his license and professional reputation cannot be sullied by the defendants (state actors) until due process requirements have been satisfied." The gravamen of the plaintiff's claim is that he fears that in continuing in the administrative forum, the department's records will remain open to public inspection until all of his administrative remedies are exhausted, and he will effectively be denied a "large part of the relief sought, specifically, confidentiality," which will damage his professional reputation.

Our Supreme Court has previously recognized, however, that damage of this type is an indirect result of an agency proceeding and is not the sort of irreparable harm that would justify immediate resort to the courts. In Pet v. Dept. of Health Services, supra, 207 Conn. 373, the court stated that the plaintiff in that case "complain[ed] in great measure about injuries that are the indirect result of the initiation of the action itself. The reaction of former and prospective patients, insurance carriers, other physicians and the general public, although unfortunate since only charges have been made, is not of the defendants' doing. . . ." Here, the plaintiff cannot demonstrate any damage or injury, but points to possible future injury to his professional reputation. Like the plaintiff physician in Pet, the plaintiff in this case seeks "a finding that he has committed no wrongdoing and is capable to practice medicine. This remedy is precisely what the board is empowered to provide. [The Supreme Court] has permitted interruption of administrative remedies in circumstances where the agency is incapable of providing an adequate remedy. See, e.g., Dukes v. Durante, 192 Conn. 207, 223-24, 471 A.2d 1368 (1984); Cahill v. Board of Education, 187 Conn. 94, 444 A.2d 907 (1982)." (Emphasis added.) Pet v. Dept. of Health Services, supra, 371; see Johnson v. Statewide Grievance Committee, 248 Conn. 87, 106-107, 726 A.2d 1154 (1999). Here, the board is capable of providing an adequate remedy because completing the administrative proceedings could provide the plaintiff with complete vindication. An immediate appeal to the court is therefore unwarranted.

Because the plaintiff fails to satisfy the second prong of § 4-183 (b), the trial court's dismissal of the plaintiff's interlocutory appeal was proper.


Summaries of

Doe v. Department of Public Health

Appellate Court of Connecticut
Apr 6, 1999
52 Conn. App. 513 (Conn. App. Ct. 1999)

In Doe v. Dept. of Public Health, 52 Conn.App. 513, 519, 727 A.2d 260, cert. denied, 249 Conn. 908, 733 A.2d 225 (1999), the Appellate Court held that § 4-183(b) " reflects the principle that exhaustion of administrative remedies is required except in exceptional circumstances."

Summary of this case from State, Department of Insurance v. Freedom of Information Commission

In Doe v. Dept. of Public Health, 52 Conn.App. 513, 519, 727 A.2d 260, cert. denied, 249 Conn. 908, 733 A.2d 225 (1999), the Appellate Court held that § 4-183(b) " reflects the principle that exhaustion of administrative remedies is required except in exceptional cases."

Summary of this case from Smith v. Freedom of Information Commission

In Doe v. Department of Public Health, 52 Conn. App. 513, 521, cert. denied, 249 Conn. 908 (1999), the Appellate Court recognized that if the agency is capable of providing an adequate remedy because completing the administrative proceeding could provide the plaintiff with complete vindication, an immediate appeal to the court is unwarranted.

Summary of this case from Commission, H. Rts. v. Comm., H. Rts.
Case details for

Doe v. Department of Public Health

Case Details

Full title:JOHN DOE v. DEPARTMENT OF PUBLIC HEALTH ET AL

Court:Appellate Court of Connecticut

Date published: Apr 6, 1999

Citations

52 Conn. App. 513 (Conn. App. Ct. 1999)
727 A.2d 260

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