Nalluri v. State Med. Bd.

[Cite as Nalluri v. State Med. Bd., 2014-Ohio-5530.]

IN THE COURT OF APPEALS OF OHIO

TENTH APPELLATE DISTRICT

Anil Choudary Nalluri, M.D., :

Appellant-Appellant, :

No. 14AP-530

v. : (C.P.C. No. 13CV-12927)

State Medical Board of Ohio, : (REGULAR CALENDAR)

Appellee-Appellee. :

D E C I S I O N

Rendered on December 16, 2014

Graff & McGovern, LPA, Douglas E. Graff, and Levi J. Tkach,

for appellant.

Mike DeWine, Attorney General, and Melinda R. Snyder, for

appellee.

APPEAL from the Franklin County Court of Common Pleas.

BROWN, J.

{¶ 1} Anil Choudary Nalluri, M.D., appellant, appeals from the judgment of the

Franklin County Court of Common Pleas, in which the court affirmed the order by the

State Medical Board of Ohio ("board"), appellee.

{¶ 2} Appellant is a psychiatrist and formerly conducted independent medical

examinations on behalf of the Ohio Bureau of Workers' Compensation ("BWC"). In May

2012, appellant was indicted for fraud, a fifth-degree felony, with regard to his billing

practices relating to his BWC patients. After an extensive, expensive, multi-year

investigation, the BWC ultimately found appellant overbilled the BWC a sum of $257.40.

No. 14AP-530 2

On December 13, 2012, appellant pled guilty to a stipulated lesser-count of Workers'

Compensation fraud, a first-degree misdemeanor. The court did not order a jail sentence,

fine or court costs, but ultimately ordered appellant to pay $257.40 in restitution and

$70,497.68 for the cost of the BWC's investigation. Appellant claims that the state and his

counsel agreed that his guilty plea would not have any effect on his medical license.

{¶ 3} On April 10, 2013, the board issued appellant a notice of opportunity for a

hearing, notifying appellant that it proposed to take disciplinary action against his

medical license as a result of his first-degree misdemeanor fraud conviction.

{¶ 4} On September 23, 2013, appellant filed a motion to withdraw guilty plea

with regard to his first-degree misdemeanor fraud conviction. The court subsequently

denied the motion to withdraw.

{¶ 5} A board hearing examiner held a hearing on September 24, 2013. On

October 16, 2013, the hearing examiner issued a report and recommendation, in which

the examiner found a violation of R.C. 4731.22(B)(11) for a misdemeanor in the course of

practice and recommended a stayed 30-day suspension of appellant's license and two

years probation.

{¶ 6} At the board's meeting on November 13, 2013, both appellant and his

counsel addressed the board. The board moved to approve the hearing examiner's

recommended order. Of the six board members who voted, five voted to affirm and one,

Mr. Kenny, dissented. R.C. 4731.22(B) requires that a disciplinary action must be

approved by at least six votes. The board tabled the matter until another board member,

Mr. Gonidakis, arrived at the meeting. After a board member read a summary of the case,

the board voted again, with six members voting to affirm and Mr. Kenny again dissenting.

The board issued its order adopting the report and recommendation of the hearing

examiner on November 13, 2013.

{¶ 7} Appellant appealed the board's order to the common pleas court. On

June 16, 2014, the common pleas court issued a decision affirming the board's order. The

court found that (1) the prosecuting attorney had no authority to bind the board through a

plea agreement, (2) appellant never raised any objection to the tabling of the matter or the

second vote and never requested a continuance of the matter, and (3) appellant cited no

legal authority demonstrating that the board was prohibited from reconsidering his case

No. 14AP-530 3

at the same meeting or was required to allow him to address the board again before the

second vote. Appellant appeals the judgment of the trial court, asserting the following

assignments of error:

[I.] The common pleas court abused its discretion when not

considering evidence of essential terms in Appellant's

criminal plea agreement.

[II.] The Common Pleas Court erred when affirming the

Medical Board's proceedings not conducted in accordance

with law.

{¶ 8} Appellant argues in his first assignment of error that the common pleas

court abused its discretion when it failed to consider evidence of essential terms in his

criminal plea agreement. In an administrative appeal, pursuant to R.C. 119.12, the

common pleas court reviews an order to determine whether it is supported by reliable,

probative, and substantial evidence, and is in accordance with the law. Schechter v. Ohio

State Med. Bd., 10th Dist. No. 04AP-1115, 2005-Ohio-4062, ¶ 55. "Reliable" evidence is

dependable; that is, it can be confidently trusted. In order to be reliable, there must be a

reasonable probability that the evidence is true. Our Place, Inc. v. Ohio Liquor Control

Comm., 63 Ohio St.3d 570, 571 (1992). "Probative" evidence is evidence that tends to

prove the issue in question; it must be relevant in determining the issue. Id. "Substantial"

evidence is evidence with some weight; it must have importance and value. Id.

{¶ 9} The common pleas court's " 'review of the administrative record is neither a

trial de novo nor an appeal on questions of law only, but a hybrid review in which the

court "must appraise all the evidence as to the credibility of the witnesses, the probative

character of the evidence, and the weight thereof." ' " (Emphasis sic.) Akron v. Ohio Dept.

of Ins., 10th Dist. No. 13AP-473, 2014-Ohio-96, ¶ 19, quoting Lies v. Ohio Veterinary

Med. Bd., 2 Ohio App.3d 204, 207 (1st Dist.1981), quoting Andrews v. Bd. of Liquor

Control, 164 Ohio St. 275, 280 (1955). The court must give due deference to the

administrative determination of conflicting testimony, including the resolution of

credibility conflicts. Crumpler v. State Bd. of Edn., 71 Ohio App.3d 526, 528 (10th

Dist.1991). The court must defer to the agency's findings of fact unless they are

" 'internally inconsistent, impeached by evidence of a prior inconsistent statement, rest

upon improper inferences, or are otherwise unsupportable.' " Kimbro v. Ohio Dept. of

No. 14AP-530 4

Adm. Servs., 10th Dist. No. 12AP-1053, 2013-Ohio-2519, ¶ 7, quoting Ohio Historical Soc.

v. State Emp. Relations Bd., 66 Ohio St.3d 466, 471 (1993). However, the common pleas

court reviews legal questions de novo. Akron at ¶ 19, citing Ohio Historical Soc. at 471.

{¶ 10} Our review is more limited than that of the common pleas court. Smith v.

State Med. Bd. of Ohio, 10th Dist. No. 12AP-234, 2012-Ohio-4423, ¶ 13. In reviewing the

court of common pleas' determination that the board's order was supported by reliable,

probative, and substantial evidence, this court's role is limited to determining whether the

court of common pleas abused its discretion. Id., citing Roy v. Ohio State Med. Bd., 80

Ohio App.3d 675, 680 (10th Dist.1992). An abuse of discretion occurs when a decision is

unconscionable, unreasonable, or arbitrary. Weiss v. State Med. Bd. of Ohio, 10th Dist.

No. 13AP-281, 2013-Ohio-4215, ¶ 15, citing State ex rel. Nese v. State Teachers

Retirement Bd. of Ohio, 136 Ohio St.3d 103, 2013-Ohio-1777, ¶ 25. When determining

whether the board's order was in accordance with the law, our review is plenary. Id., citing

Univ. Hosp., Univ. of Cincinnati College of Medicine v. State Emp. Relations Bd., 63 Ohio

St.3d 339, 343 (1992).

{¶ 11} R.C. 4731.22(B)(11) provides:

The board, by an affirmative vote of not fewer than six

members, shall, to the extent permitted by law, limit, revoke,

or suspend an individual's certificate to practice, refuse to

register an individual, refuse to reinstate a certificate, or

reprimand or place on probation the holder of a certificate for

one or more of the following reasons:

***

A plea of guilty to, a judicial finding of guilt of, or a judicial

finding of eligibility for intervention in lieu of conviction for, a

misdemeanor committed in the course of practice.

{¶ 12} Appellant argues that the board and common pleas court did not give

proper consideration to the agreements made during the criminal matter. Appellant

maintains that, during the criminal proceedings, he was assured by the State of Ohio

("state") that his pleading guilty was not going to affect his ability to practice medicine,

but the board's action resulted in his inability to maintain his certification with the

American Board of Psychiatry and Neurology, Inc.

No. 14AP-530 5

{¶ 13} Initially, appellant fails to direct us to any evidence that the state made such

an agreement or even made such a statement. The only evidence in the record related to

this allegation was presented during the board hearing, where appellant testified that his

lawyer, not the state, told him that his guilty plea would not affect his medical license. In

denying appellant's motion to withdraw his plea, the trial court noted that, at the time of

the guilty plea, appellant's counsel indicated he did not know what effect, if any, his guilty

plea would have on his medical license. Our review of the record supports this finding. At

the guilty plea hearing, the trial court asked appellant's counsel if the plea would affect

appellant's medical license. Appellant's counsel replied that whether the guilty plea would

have an effect on appellant's medical license was outside his area of expertise, but

appellant was in contact with another attorney who specialized in such matters, and

appellant was hopeful that the situation would end favorably for him. The trial court then

noted on the record that he would be in favor of the board giving him a minimum

sanction, at the most. There is nothing to suggest that the state made any promise or

agreement with appellant.

{¶ 14} Notwithstanding, even if appellant could show that the state made an

agreement with him in this respect, appellant failed to cite any case law suggesting that

the board's power to impose a penalty is limited by the negotiations or promises made by

a prosecutor in a separate criminal prosecution. As the trial court found, a prosecutor

cannot bind the board, which is an unaffiliated entity, to an agreement forcing it to refrain

from investigating and prosecuting violations of R.C. 4731.22. Therefore, we can find no

error in this respect, and appellant's first assignment of error is overruled.

{¶ 15} Appellant argues in his second assignment of error that the common pleas

court erred when it affirmed the board's proceedings because they were not conducted in

accordance with law. Appellant contends that the board's order was not adopted in

compliance with its rules and procedures because R.C. 4731.22 requires six members to

affirm a vote to discipline a licensee, and only five members voted in favor of discipline

here. Appellant asserts that the board's subsequent decision to table the matter until

another member arrived at the meeting was not consistent with The Standard Code of

Parliamentary Procedures ("standard code"), by Alice Sturgis, by which the board's

meetings are apparently guided pursuant to board policy. According to the standard code,

No. 14AP-530 6

"When a main motion has been acted on and defeated, it cannot be renewed in the same

or substantially the same words at the same meeting or convention, but it may be

reconsidered at the same meeting or convention or presented as a new motion at a later

meeting or convention." (Emphasis sic.) Thus, appellant contends, the board could have

only held a second vote on the first motion after following its rules for reconsideration,

which require a substantive discussion, review of the report and recommendation, and a

second oral presentation from the parties.

{¶ 16} On this issue, the common pleas court found that, at the time the board

tabled the case after the first vote, the hearing examiner's report and recommendation

remained pending. By motion, the hearing examiner's report came before the board

again, and a second vote occurred, resulting in six votes to affirm the hearing examiner's

recommendation of discipline. The court noted that appellant did not raise any objection

to the tabling of the matter or to the second vote, and appellant never requested a

continuance. The court concluded that appellant failed to cite any authority

demonstrating that the board was prohibited from reconsidering his case at the same

meeting or was required to allow him or his counsel to address the board before the

second vote.

{¶ 17} With regard to the common pleas court's finding that appellant failed to

raise any objection to the procedure before the board, appellant contends that raising an

oral objection during the board meeting risked possible arrest and criminal prosecution.

Appellant contended in the common pleas court that board member Steinbergh

preemptively precluded him from making any oral motions, and appellant's counsel has

personally witnessed an attorney being escorted out of another board meeting by the State

Highway Patrol for doing so.

{¶ 18} Neither of the reasons cited by appellant to counter why he could not object

at the board hearing are persuasive. In the common pleas court, appellant submitted

board minutes from his hearing, which indicated that Steinbergh reminded the parties

that no oral motions could be made during the proceedings. Whether the board would

have considered a simple objection for the record as an "oral motion" is unclear.

{¶ 19} Furthermore, we find wholly unconvincing appellant's contention that his

raising an objection for the record could have subjected him to arrest and criminal

No. 14AP-530 7

prosecution. In the common pleas court, appellant submitted board minutes from an

unrelated disciplinary hearing, where an attorney for the subject doctor asked the board if

he would get a chance to respond to comments made by the assistant attorney general.

The minutes noted that the board did not recognize the attorney to speak. The attorney

then asked the board if its procedure was changed and if this would be the new procedure

going forward. The board stated that the attorney was out of order and instructed him to

resume his seat. The attorney then refused to sit down. The board then instructed the

State Highway Patrol officer to escort the attorney from the room. In the present case, the

trial court never suggested that appellant's counsel take the same actions as the attorney

in the other matter. The attorney in the cited matter refused to sit down after being found

out of order and being instructed to sit down. The attorney in the cited matter also

appeared argumentative in his comments. Furthermore, there is no evidence in the record

that the attorney in the referenced matter was ever arrested or criminally prosecuted.

Thus, we find these two arguments unconvincing.

{¶ 20} Notwithstanding, we find no reversible error in the board's procedure in the

instant case. As found by the common pleas court, appellant fails to present any authority

for the proposition that the board's failure to follow the standard code invalidates the

board's order. Appellant admits that the Ohio Revised Code does not specifically indicate

what rules of procedure the board must follow, and the board points out that it has not

promulgated the standard code as a rule. We also note that we are unable to locate a copy

of the board's policy for using the standard code in the record before us; thus, we are

unable to review it on our own.

{¶ 21} Although appellant fails to direct us to any case law that provides that the

board was required to follow the standard code or that a recommendation adopted in

contravention of the standard code is invalid, the Supreme Court of Ohio in State ex rel.

Savarese v. Buckeye Local School Dist. Bd. of Edn., 74 Ohio St.3d 543 (1996), addressed a

local board of education's failure to use parliamentary procedures. In Savarese, a teacher

argued that the board of education was required to approve a supplemental teaching

contract because it failed to follow Robert's Rules of Order in its voting procedure. The

Supreme Court first noted that neither the board nor any controlling statute adopted

these parliamentary procedures. The court further noted that " 'parliamentary rules, even

No. 14AP-530 8

when adopted as board policy, are intended merely to assist the board in the orderly

conduct of its business, and cannot operate to invalidate otherwise lawful actions of a duly

elected board.' " Id. at 546, quoting Baker and Carey Handbook of Ohio School Law

Section 3.11, at 40 (1995), citing Hanni v. Youngstown Bd. of Edn., Mahoning C.P. No. 91-

CV-1448 (July 29, 1991). In the underlying appellate case, Savarese v. Buckeye Local

School Dist. Bd. of Edn., 7th Dist. No. 94-J-30 (Mar. 21, 1995), the court of appeals

echoed the sentiment of the Supreme Court, finding:

"The courts generally do not concern themselves with

violations of parliamentary rules in deliberative proceedings,

and this is so whether such rules are codified in the form of a

manual and formally adopted, or whether they consist of a

body of unwritten customs or usages, preserved in memory

and by tradition. Since parliamentary rules are merely

procedural and not substantive, the courts have no concern

with their observance.

"As a general rule, the courts cannot review questions of

parliamentary law governing acts of a presiding officer with

respect to the order of motions, and no appeal lies to the court

for alleged errors of a presiding officer in administering

parliamentary law."

Id., quoting 59 American Jurisprudence 2d, Parliamentary Law, Section 5. Therefore,

even if we were to find that the board's voting procedure, in the present case, was in

contravention of the standard code, we would not find persuasive appellant's unsupported

argument that the board's order should be void or otherwise invalid. For these reasons,

appellant's second assignment of error is overruled.

{¶ 22} Accordingly, appellant's two assignments of error are overruled, and the

judgment of the Franklin County Court of Common Pleas is affirmed.

Judgment affirmed.

TYACK and LUPER SCHUSTER, JJ., concur.

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