Opinion

Medical Bd. of Cal. v. Superior Court

Court
California Court of Appeal
Filed
Jan 8, 2018
Status
Published
Cited by
0 cases
Authority
More cited than 4.1%

The opinion

Filed 1/8/18

CERTIFIED FOR PUBLICATION

IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA

FIRST APPELLATE DISTRICT

DIVISION FOUR

MEDICAL BOARD OF CALIFORNIA,

Petitioner,

A151175

v.

THE SUPERIOR COURT OF THE CITY (City & County of San Francisco

AND COUNTY OF SAN FRANCISCO, Super. Ct. No. CPF-16-515301)

Respondent;

BRANDON J. ERDLE,

Real Party in Interest.

In this writ proceeding, we construe two statutes involving the use of arrest

records to support disciplinary proceedings involving professional licensees in the

healing arts. Penal Code section 1000.4 provides generally that “[a] record pertaining to

an arrest resulting in successful completion of a pretrial diversion program shall not,

without the defendant’s consent, be used in any way that could result in the denial of any

employment, benefit, license, or certificate. . . .” (Pen. Code, § 1000.4, subd. (a).) 1 In

contrast, Business and Professions Code section 492 (Section 492) states as follows:

“Notwithstanding any other provision of law, successful completion of any diversion

program under the Penal Code . . . shall not prohibit any agency established under

Division 2 (commencing with Section 500) of this code, or any initiative act referred to in

that division, from taking disciplinary action against a licensee or from denying a license

for professional misconduct, notwithstanding that evidence of that misconduct may be

1

All statutory references are to the Penal Code unless otherwise indicated.

1

recorded in a record pertaining to an arrest.” (Bus. & Prof. Code, § 492.) Because we

conclude that Section 492 creates a blanket exemption from the restrictions on the use of

arrest records contained in section 1000.4 for licensing decisions made by the healing arts

agencies referenced in Section 492, we grant the writ petition.

I. BACKGROUND

After real party in interest Dr. Brandon Erdle (Dr. Erdle or doctor) was arrested in

September 2013 for possession of cocaine, he entered into and, in January 2016,

successfully completed drug treatment under a deferred entry of judgment program

authorized by Penal Code section 1000 et seq. 2 The Medical Board of California

(Medical Board), having learned of Dr. Erdle’s arrest, interviewed him in November

2014 regarding the circumstances surrounding the incident. During this interview, the

Medical Board’s investigator referenced the arrest report that had been generated by the

police in the matter. Thereafter, on April 17, 2015—prior to the doctor’s successful

completion of his drug program and the corresponding dismissal of his underlying

criminal matter—the Medical Board filed an accusation against Dr. Erdle, alleging that

his possession of cocaine constituted a violation of the drug laws and unprofessional

conduct pursuant to Business and Professions Code sections 2227, 2234, and 2238

(Accusation).

At the administrative hearing on the Accusation in August 2016, the doctor argued

that he could not be disciplined because the Medical Board’s action was based entirely on

information obtained from his arrest record, the use of which was prohibited by section

1000.4. In support of his claim, the doctor also cited B. W. v. Board of Medical Quality

Assurance (1985) 169 Cal.App.3d 219 (B.W.), in which the Second Appellate District

held that—after a physician had successfully completed a drug program pursuant to

section 1000 et seq.—the Medical Board’s predecessor was prohibited by section 1000.4

2

Effective January 1, 2018, the deferred entry of judgment program authorized by

section 1000 et seq. was converted into a pretrial diversion program. (Stats. 2017,

ch. 778.) For the purposes of this opinion, we will cite to the current version of the

statute, as the changes effected by this new legislation do not alter our analysis.

2

(then section 1000.5) from relying solely on information in that physician’s record of

arrest to institute disciplinary proceedings. (Id. at pp. 225, 233.) The administrative law

judge (ALJ), however, noted that the Legislature had enacted Section 492 in 1987 in

direct response to the holding in B.W. Indicating that he needed to “reconcile the two

statutes,” the ALJ concluded that “Section 492 permits discipline for underlying conduct

even if the facts on which the agency relies are contained in an arrest report or other

record pertaining to the arrest.”

Nevertheless, the ALJ further determined that—based on section 1000.4—records

pertaining to the arrest should not be permitted at the hearing. In addition, any portions

of the doctor’s prior interview with the Medical Board that directly referenced arrest

records would be excluded. And, the ALJ also refused to admit the results of the

confirmatory police testing that positively identified the substance in the doctor’s

possession as cocaine. Instead, the ALJ required the misconduct at issue to be proved by

other means, including through the direct testimony of the arresting officer. In this

regard, the ALJ determined that the officer would not be allowed to refresh his

recollection with any arrest documents during the hearing. However, he did allow the

officer to testify irrespective of whether he had refreshed his recollection with the police

report prior to the hearing, opining that he had no control over what happened outside of

his presence. Ultimately, the ALJ concluded—based on the evidence that was

presented—that cause for discipline existed, that Dr. Erdle’s physician’s and surgeon’s

certificate should be “publically reproved,” and that any subsequent reinstatement of his

license should be on a probationary basis. 3

In October 2016, Dr. Erdle filed a petition for writ of administrative mandate in

the Superior Court for the City and County of San Francisco, seeking to set aside the

decision of the ALJ because, among other reasons, the ALJ improperly allowed into

evidence information that should have been excluded pursuant to section 1000.4. In

3

At the time of the hearing, the doctor’s certificate had expired, he was practicing

medicine in another state, and he had no plans to return.

3

particular, the doctor argued that the ALJ erred in allowing the arresting officer to testify

after it was established that he had refreshed his recollection with the arrest report

immediately prior to the disciplinary hearing on the matter. Section 492, the doctor

urged, only allows the Medical Board to pursue disciplinary proceedings based on

testimonial and documentary evidence derived entirely from independent sources. The

trial court ordered a stay of the administrative decision pending a hearing on the writ

petition.

After briefing and hearing, the trial court granted Dr. Erdle’s petition.

Specifically, the court held that the ALJ violated section 1000.4 in admitting the police

officer’s testimony, stating: “There is nothing in the record to indicate that the officer

had a clear recollection of his arrest of [the doctor] independent of the arrest report. An

officer can testify at a medical board hearing and that testimony can be the basis for

discipline. But the officer cannot read the arrest report immediately prior to the hearing

to refresh his recollection and then subsequently parrot that report. Such a process

violates [section 1000.4].” In adopting this position, the court rejected the argument that

Section 492 creates a blanket exception to section 1000.4, concluding instead that “[t]he

section clarifies that a physician can be disciplined, but the Medical Board must still rely

on evidence that does not violate [section 1000.4].” Since, in the trial court’s opinion,

there was “no persuasive evidence that [the doctor] possessed cocaine” absent the

officer’s testimony, the court granted the petition and caused a peremptory writ of

mandate to be issued directing the Medical Board to set aside its decision.

In response, the Medical Board filed a petition for extraordinary writ in this court,

challenging the trial court’s decision and requesting a stay. 4 On May 5, 2017, we issued

the requested stay of the trial court proceedings pending further order. Thereafter, noting

that “section 1000.4 does not prohibit a witness from refreshing his or her recollection

with an arrest report prior to testifying at a Medical Board disciplinary hearing,” we

4

Pursuant to section 2337 of the Business and Professions Code, review of a

superior court’s decision revoking, suspending, or restricting a license issued by the

Medical Board “shall be pursuant to a petition for an extraordinary writ.”

4

issued an alternative writ of mandate commanding the trial court to set aside and vacate

its order granting the petition for writ of administrative mandate, the judgment granting a

peremptory writ of mandate, and the peremptory writ of mandate, and to reconsider its

decision on this basis or show cause why it should not be compelled to do so. The trial

court subsequently declined to reconsider its ruling, reportedly so that this matter of first

impression could be heard and resolved by this court. Dr. Erdle having thereafter filed a

written return to the alternative writ and a traverse having been filed by the Medical

Board, the cause is now before us for decision.

II. DISCUSSION

We resolve this matter through statutory interpretation, a task in which we engage

independent of any determinations made by the trial court or the Medical Board. (Rand

v. Board of Psychology (2012) 206 Cal.App.4th 565, 575 (Rand); see also Szold v.

Medical Bd. of California (2005) 127 Cal.App.4th 591, 595–596 & fn. 4 (Szold).) 5

Under such circumstances, “ ‘ “[w]ell-established rules of statutory construction require

us to ascertain the intent of the enacting legislative body so that we may adopt the

construction that best effectuates the purpose of the law.” [Citation.] “We first examine

the words themselves because the statutory language is generally the most reliable

indicator of legislative intent. [Citation.] The words of the statute should be given their

ordinary and usual meaning and should be construed in their statutory context.”

[Citation.] If the statutory language is unambiguous, “we presume the Legislature meant

what it said, and the plain meaning of the statute governs.” [Citation.]’ ” (Szold, supra,

127 Cal.App.4th at p. 596.)

Here, it is true that section 1000.4, subdivision (a), provides that “[a] record

pertaining to an arrest resulting in successful completion of a pretrial diversion program

5

In this regard, we reject the doctor’s suggestion that we must limit ourselves to

the question of whether section 1000.4 allows for the use of arrest records to refresh

recollection before testimony. The issue before us is whether the officer’s testimony

should have been excluded pursuant to section 1000.4 and Section 492, and our answer is

necessarily based on the construction of both statutes.

5

shall not, without the defendant’s consent, be used in any way that could result in the

denial of any employment, benefit, license, or certificate.” (Italics added.) The statute

was enacted to keep these cases from “ ‘clogging the criminal justice system’ ” as well as

to “permit the courts ‘to identify the experimental or tentative user[s] before [they]

become[] deeply involved with drugs, to show [them] the error of [their] ways by prompt

exposure to educational and counseling programs in [their] own community, and to

restore [them] to productive citizenship without the lasting stigma of a criminal

conviction[.]’ ” (B.W., supra, 169 Cal.App.3d at p. 228.) On this basis, the language of

section 1000.4 has been construed to evince a legislative intent that the protection

afforded by the statute “be given the broadest application.” (Id. at p. 232; id. at p. 230

[noting that statute is remedial and thus should “be liberally construed to promote the

objects to be accomplished by it”]; accord, Sandoval v. State Personnel Bd. (1990) 225

Cal.App.3d 1498, 1501 (Sandoval).)

However, Section 492—a more recent and more specific statute—expressly states

that “[n]otwithstanding any other provision of law, successful completion of any

diversion program under the Penal Code . . . shall not prohibit any agency established

under Division 2 (commencing with Section 500) of this code, or any initiative act

referred to in that division, from taking disciplinary action against a licensee or from

denying a license for professional misconduct, notwithstanding that evidence of that

misconduct may be recorded in a record pertaining to an arrest.” (Bus. & Prof. Code,

§ 492, italics added.) The language of the statute highlighted above does not say that

evidence of misconduct may also be contained in an arrest record, wording which might

arguably support the ALJ’s approach in this case. It says “may be” contained in such a

record. In our view, this plain language provides a blanket exemption from the

restrictions on the use of arrest records contained in section 1000.4 for licensing decisions

made by the healing arts agencies referenced in Section 492, such as the Medical Board.

In short, the two statutes were not meant to be reconciled as attempted by the ALJ below

and argued by Dr. Erdle here. Rather, Section 492 is simply a straightforward exception

to the more general statute, section 1000.4, applicable to a particular subset of divertees.

6

We believe that the legislative history underlying the enactment of Section 492

supports this construction. 6 As stated above, Section 492 was enacted in response to the

B.W. decision. (Sen. Rules Com., Off. of Sen. Floor Analyses, 3d reading analysis of

Sen. Bill No. 1303 (1986–1987 Reg. Sess.) May 20, 1987, pp. 1–2 (Sen. Analysis).) The

legislative history notes that, prior to B.W., regulatory licensing agencies interpreted

section 1000.4 (then 1000.5) “to allow disciplinary action either by 1) filing the action

before the completion of the diversion program, or 2) calling witnesses to establish by

direct testimony the underlying unprofessional conduct of the licensee, without reference

to the arrest report.” (Id. at p. 2.) The Legislature was apparently concerned that B.W.

provided absolute immunity from disciplinary action once diversion had been

successfully completed, even if the underlying misconduct could be established through

independent evidence and the direct testimony of witnesses. 7 (Ibid.)

Nothing in the legislative history, however, suggests that the scope of Section 492

was intended to be limited in any way by the continued existence of section 1000.4.

Rather, the bill is described as authorizing “healing arts agencies to take disciplinary

action against a licensee charged with drug violations notwithstanding the fact that the

licensee successfully completed a drug diversion program.” (Sen. Analysis, supra, at

p. 1.) Moreover, adoption of a blanket exception makes sense given the public safety

concerns that are specific to the particular subset of licensees who fall within the ambit of

Section 492.

6

We take judicial notice of this legislative history and supporting documentation.

(Evid. Code, §§ 451, 452, 459; Schmidt v. Southern Cal. Rapid Transit Dist. (1993) 14

Cal.App.4th 23, 30, fn. 10 [“[i]n a search to discern legislative intent, an appellate court

is entitled to take judicial notice of the various legislative materials, including committee

reports, underlying the enactment of a statute”].)

7

We do not read B.W. so broadly. Rather, it appears that the holding acts as a

complete bar to disciplinary actions only if they are initiated after the successful

completion of the diversion program and the arrest record is the sole source of the

information used to initiate the disciplinary proceedings. (B.W., supra, 169 Cal.App.3d

at p. 233; see, e.g., Sandoval, supra, 225 Cal.App.3d at p. 1502 [distinguishing B.W.

because, among other reasons, the dismissals at issue were based on testimony of the

arresting officer “regarding the events leading up to the arrest”].)

7

As the bill’s sponsor—the Department of Consumer Affairs (department)—

indicated, the perceived problem created by B.W. was “particularly acute for the Board of

Medical Quality Assurance, Board of Pharmacy, Board of Registered Nursing, and Board

of Vocational Nurse and Psychiatric Technician Examiners. Since the licensees of these

boards have easy access to drugs and their jobs are often stressful, they experience a

higher instance of substance abuse.” (Cal. Dept. of Consumer Affairs, Bill Analysis of

Sen. Bill No. 1303 (1986–1987 Reg. Sess.) Apr. 6, 1987, p. 2.) The department

elaborated as follows: “Drug abuse by licensees of the healing arts boards presents a

special danger to consumers since they rely upon the advice and services of health care

providers to maintain their families’ good health. This bill would enable the

department’s healing arts boards to continue to discipline licensees for drug use

regardless of the fact that the offender completed a court-ordered drug diversion program.

Without this legislation a primary function of healing arts boards, the protection of the

health and safety of consumers through discipline of licensees, is limited severely.” (Id.

at p. 3; see also Assem. Com. on Health, Rep. on Sen. Bill No. 1303 (1986–1987 Reg.

Sess.) Aug. 18, 1987, p. 2 [noting that “[t]he issue before the Legislature is whether the

opportunity for rehabilitation and treatment are the only factors that should be considered

when drug violations are discovered” and that “[t]he sponsor believes that review of the

record for evidence of professional misconduct is also relevant if the licensing boards are

to protect the public,” italics added].)

Even before the enactment of Section 492, the appellate court in B.W. itself

recognized that physicians occupy “a unique and centralized position in the overall

elaborate regulatory scheme established by the Legislature to control dangerous drugs

and narcotics.” (B.W., supra, 169 Cal.App.3d at p. 230.) Indeed, such medical

professionals “literally ha[ve] ‘the “keys to the safe.” ’ ” (Ibid.) Thus, the public safety

rationale underlying the enactment of Section 492 supports the broad construction

suggested by the plain language of the statute.

Additionally, the construction of Section 492 suggested by Dr. Erdle—which

would allow disciplinary proceedings after successful diversion only to the extent that the

8

alleged misconduct at issue could be independently proven without the use of arrest

records—must also be rejected because it could clearly lead to irrational results, some of

which have been illustrated by this case. For example, if we were to endorse the doctor’s

construction of section 492, two entirely similarly situated physicians accused of the

same misconduct could be treated very differently based solely on the random ability of

the arresting officer involved to recall the case without reference to the record of arrest.

Under such circumstances, one physician might continue in practice while the other’s

license would be revoked, even if both represented identical risks to the public. Such a

result seems arbitrary and in no way related to the public safety rationale underlying the

statute. Moreover, the doctor’s suggested approach would in all probability require

numerous ancillary determinations and related litigation (of which this is but one

example) on the issue of whether evidence presented at a disciplinary hearing is truly

independent of the record of arrest—a situation that is hardly likely to “unclog” the

courts. 8

Finally, as the trial court itself acknowledged, “[m]ost police officers can’t

remember anything unless you show them their records.” Thus, requiring police officers

to testify from their independent recollection places them at an extreme disadvantage and

could very well lead to erroneous testimony in these hearings where important issues of

public safety are being determined. Indeed, it is our guess that, had the testimony of the

arresting officer contradicted the arrest report in a way that was detrimental to the doctor

in this case, he would be here arguing that the arrest record should have been admissible

for purposes of impeachment, despite the “in any way” language of section 1000.4.

“Where, as here, the language of the statute is fairly susceptible of two constructions, one

8

What if, for example—as the Medical Board posits—the police officer in this

case had refreshed his recollection six months before the hearing rather than immediately

prior to testifying? Or, what if the resolution of this case happened to depend on the

exact extent to which the ALJ was permitted to rely on the Medical Board’s investigatory

report without running afoul of section 1000.4, and the courts were thus required to

conduct a fact-specific inquiry into the source of the many statements contained in that

report?

9

which in application will render such language reasonable, fair and harmonious with its

manifest purpose, and another which will be productive of absurd consequences, the

former construction will be adopted.” (B.W., supra, 169 Cal.App.3d at p. 230.) In this

instance, we have no trouble concluding that, where an exception to the mandate of

section 1000.4 has been expressly created for public safety reasons, that exception should

be interpreted in a way that allows the best evidence of the misconduct at issue to be

placed before the hearing officer so that the most informed decision regarding the scope

of any required discipline can be made. 9

We thus conclude, albeit under a different rationale, that the ALJ did not err in

admitting the testimony of the police officer in this case. Below, the trial court decided

that—if the testimony of the arresting officer was excluded—there was “no persuasive

evidence that [the doctor] possessed cocaine.” Implicit in this determination is the

9

Although unnecessary to our resolution of this matter, we note that the recent

amendments to section 1000 et seq. appear to support our conclusion that the Legislature,

in enacting Section 492, intended a complete exemption for the specified healing arts

boards from the requirements of section 1000.4. (See Stats. 2017, ch. 778, § 5.5.) As

stated above, the legislation is largely focused on converting the deferred entry of

judgment program authorized by section 1000 et seq. into a pretrial diversion program.

(Id., Legis. Counsel’s Dig.) However, it also amends section 1000.4 to include the

exception created by Section 492 directly in the text of that statute. (Id., §§ 5.5 & 9.)

Thus, as amended, section 1000.4 now provides that the record of arrest for a successful

divertee shall not be used “in any way . . . , except that, as specified in Section 492 of the

Business and Professions Code,” successful diversion shall not prohibit the specified

healing arts boards from taking disciplinary action against a divertee for professional

misconduct, “notwithstanding that evidence of that misconduct may be recorded in a

record pertaining to an arrest leading to successful completion of a pretrial diversion

program.” (§ 1000.4, subd. (a).) In addition, new subdivision (b) of amended section

1000.4 further provides that any licensing agency listed in section 144 of the Business

and Professions Code (including the Medical Board) “may request, and is authorized to

receive, from a local or state agency certified records regarding referral to, participation

in, successful completion of, and termination from, diversion programs described in this

section.” (Id., subd. (b); see also Bus. & Prof. Code, § 144, subd. (b)(14).) We read

these changes as further illustrating the Legislature’s intent to allow the unrestricted use

of arrest records and related information by the specified boards when making

disciplinary determinations.

10

corollary that if the officer’s testimony is considered, the evidence is sufficient to support

the Medical Board’s disciplinary action. Were this not the case, the trial court could have

resolved the matter without reaching the merits of the statutory interpretation question

here at issue. Having reviewed the administrative record, we have no difficulty

concluding that this implied finding is supported by substantial evidence. (Rand, supra,

206 Cal.App.4th at p. 574 [trial court’s factual findings in this context reviewed for

substantial evidence].) Thus, the Medical Board’s disciplinary action should be

affirmed. 10

III. DISPOSITION

The Medical Board’s writ petition is granted. Let a peremptory writ of mandate

issue directing respondent superior court to (1) vacate its order granting the petition for

writ of administrative mandate, the judgment granting a peremptory writ of mandate, and

the related writ; and (2) enter in their place an order denying Dr. Erdle’s petition. The

stay of the trial court proceedings issued on May 5, 2017, is hereby lifted. Each party to

bear their own costs.

10

In reaching this decision, we reject the specific evidentiary arguments raised by

Dr. Erdle in his return to the alternative writ as unsupported by the record. In addition,

given our resolution of this matter, we decline the Medical Board’s request that we strike

the doctor’s return as procedurally defective.

11

REARDON, J.

We concur:

_________________________

RUVOLO, P. J.

_________________________

RIVERA, J.

A151175 Medical Board v. Superior Court

12

A151175/Medical Bd. of California v. Superior Court

Trial Court: San Francisco City & County Superior Court

Trial Judge: A. James Robertson II, J.

Counsel: Xavier Becerra, Attorney General, Gloria L. Castro, Senior Assistant

Attorney General, Robert McKim Bell and E. A. Jones III,

Supervising Deputy Attorneys General, Peggy Bradford Tarwater,

Deputy Attorney General, for Petitioner.

No appearance for Respondent.

Nossaman, Mitchell J. Green and Morgan Muir Callahan for Real Party in

Interest.

13

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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