Showing posts with label Doctor Shopping. Show all posts
Showing posts with label Doctor Shopping. Show all posts

Doctor Shopping - Florida Medical Records Thrown Out

Medical Records in Doctor Shopping Drug Cases



Drug Charge and Doctor-Shopping Defense Attorney Lawyer notes a case where although the court allowed evidence from warrantless seizure of pharmacy records, it granted a Motion to Suppress Evidence from medical records and discussions with doctors that were also obtained without a warrant. We have previously covered this law here: 

Florida Statute: 893.13.7A8 is a Third Degree Felony.
Statute Excerpt: 893.13 Prohibited acts; penalties.

(7)(a) It is unlawful for any person: To withhold information from a practitioner from whom the person seeks to obtain a controlled substance or a prescription for a controlled substance that the person making the request has received a controlled substance or a prescription for a controlled substance of like therapeutic use from another practitioner within the previous 30 days.

Here are the Doctor Shopping Case Facts:
The officer had reason to believe that Defendant was committing the crime of withholding information from a physician and, as such, trafficking would ensue because the prescriptions received would have been fraudulent because of the withholding information. The officer goes to various pharmacies, pulls patient’s profiles. From those patients’ profiles, he finds out who the prescribing doctors are. He then goes to the prescribing doctors, in this case, [Dr. X and Dr. Y], and speaks with the doctors without any subpoena or search warrant being issued. The conversations include whether or not Defendant had disclosed previous prescriptions to the doctor. The officer also pulled and reviewed various patient documents.
Doctor Shopping Case Excerpts:
"Medical records and physician’s statements are protected by the statutory physician-patient privilege, and therefore, the State was required to get either a subpoena with court approval or prior notice to and authorization from Defendant. See §§ 456.057(6) & (7)(a), Fla. Stat. (2008)."
"The fact that the police had already secured doctors’ names from prescriptions at pharmacies does not waive the requirements of law. There is a danger of medical professionals willing to surrender private medical records and engage in discussions regarding private and privileged communications concerning their treatment of individuals in submission to apparent police authority."
"The language in Section 456.057 is intentionally broad in protecting information from being disclosed by a health care practitioner and in assuring that the condition of a patient may not be discussed. The protection extends to all patient records. The State is not precluded from obtaining the information it seeks. Its agents must only follow the law and either seek a patient’s written authorization or the issuance of a subpoena from a court of competent jurisdiction and proper notice to the patient or a search warrant."
"The object of the physician-patient privilege is to encourage patients to be entirely forthcoming and candid in their statements to their treating physicians. These conversations and the records with regard thereto protect our most fundamental right, the pursuit of life itself."
Source: 4th DCA No. 4D10-777 November 16, 2011

If you or someone you care about have been charged with Doctor Shopping you can call a Florida Criminal Defense Attorney at 813-222-2220 and tell me your story.

Tampa Doctor Shopping Florida Attorney Lawyer

Doctor Shopping - Valid Prescription Is Defense

Doctor Shopping Defense Attorney
Call Casey at 813-222-2220
Florida Doctor Shopping Defense Attorney Opinion Free Download 


Doctor Shopping Charges 893.13(6)(a) in Florida? 


Call Casey at 813-222-2220.

We have previously written about doctor shopping. See links below. Here is the latest from a Florida Court on Doctor Shopping.





Drug Charge Defense Attorney has been researching use of medical records by police in doctor shopping cases. One court just ruled the doctor's records were inadmissible in evidence. "The state charged [the defendant] with oxycodone ...


Detectives with the Sheriff's Special Operations Division expect to arrest more than 85 people on charges ranging trafficking in controlled substances to doctor shopping during. Email ThisBlogThis!Share to TwitterShare to Facebook ...


If you have been charged with Doctor Shopping DRUG9892 OBTAINING DRUGS FROM PHYSICIAN BY WITHHOLDING you can call a Tampa Criminal Defense Attorney at 1-877-793-9290 and tell me your story. Form Code: DRUG9892 ...

Complete Text of Recent Doctor Shopping Court Ruling:


DISTRICT COURT OF APPEAL OF THE STATE OF FLORIDA FOURTH DISTRICT
January Term 2012

JAMES FRANCIS WAGNER, II,
Appellant,
v.

STATE OF FLORIDA,
Appellee.
No. 4D09-3264
[January 11, 2012]
POLEN, J.

James Francis Wagner appeals the final judgment of the trial court, adjudicating him guilty of trafficking in Oxycodone, possession of Xanax, withholding information from a practitioner, and two counts of obtaining Oxycodone and Xanax by fraud. Wagner makes two arguments on appeal: (1) that the trial court reversibly erred and committed fundamental error when it added the phrase, “for a lawful purpose,” to the section 893.13(6)(a), Florida Statutes (2007), “prescription defense” jury instruction; and (2) that the trial court erroneously denied his motions for judgment of acquittal. We agree with Wagner on the first issue. As to the second issue, we affirm as the question of a valid prescription defense, given a proper jury instruction, would be a question for the jury.

The information alleged that Wagner obtained prescriptions for controlled substances from two different physicians during the period from July 15, 2007, to August 15, 2007. At trial, the State introduced prescriptions from Dr. Terrero dated July 15 and August 15. The State argued that Wagner obtained a prescription from Dr. Doldan on July 31, 2007, which made the August 15 prescription illegal pursuant to section 893.13(6)(a).

Judith Gonzalez-Doldan, the office manager for her late husband, Dr. Eustabio Gonzalez-Doldan, testified that Wagner began seeing Dr. Doldan on July 31, 2007. She created a chart for Wagner, which indicated that he previously treated with a doctor in Delray Beach. The chart did not mention Dr. Terrero. According to Gonzalez-Doldan, on July 31, 2007, Dr. Doldan prescribed Wagner Roxicodone, Xanax, and a bottle of Oxydose. At trial, the office manager for Dr. Terrero identified a prescription signed by Dr. Terrero for Wagner for Oxycodone and Xanax. The prescription was dated August 15, 2007. He also identified forms signed by Wagner, dated August 15, wherein Wagner stated that he did not receive any narcotic medication from another practitioner.

Molly Herrera, Dr. Doldan’s medical assistant, assisted Dr. Doldan with writing prescriptions because of Dr. Doldan’s physical limitations related to his illness. She testified that she wrote and signed duplicate prescriptions for Roxycodone for Wagner which were not authorized by Dr. Doldan, and that Wagner knew the prescriptions were fraudulent. Although she wrote two prescriptions for Wagner, she testified that Wagner filled only one of them.

Using a confidential informant, a pharmaceutical crimes agent of the Palm Beach County Sheriff’s Office placed recorded controlled calls to Wagner to set up a sale between the informant and Wagner. Upon meeting to make the sale, Wagner was arrested. Four prescription pill bottles, containing Oxycodone and Xanax, were found in Wagner’s pocket. Thereafter, the agent met with Molly Herrera who gave a statement, admitting that she had written fraudulent prescriptions for Wagner. The agent testified that all of the pill bottles found on Wagner were prescribed by Dr. Terrero and none of the prescriptions were from Dr. Doldan.

After Wagner’s motions for judgments of acquittal were denied, he requested a special jury instruction for a “valid prescription” affirmative defense to the trafficking and possession charges. The court ruled that Wagner was entitled to the instruction, but omitted the phrase “while acting in the course of his or her professional practice” from the instruction and added the phrase “for a lawful purpose” to the instruction. During closing argument, the State replayed the controlled calls, conceded that Wagner had a prescription, but argued that the prescription was not valid because Wagner possessed the drugs for an “unlawful purpose.” The trial court instructed the jury as follows:

It is unlawful for any person to be in actual or constructive possession of a controlled substance unless such controlled substance was lawfully obtained for a lawful purpose from a practitioner or pursuant to a valid prescription . . . .
In accordance with the jury’s verdict, the trial court adjudicated Wagner guilty on all counts charged. This appeal followed.

To warrant reversal, an incorrect jury instruction must be so prejudicial that a miscarriage of justice would result. Williams v. State, 982 So. 2d 1190, 1193 (Fla. 4th DCA 2008) (citing Johnson v. State, 747 So. 2d 436, 438 (Fla. 4th DCA 1999)). “[W]here . . . a trial judge gives an instruction that is an incorrect statement of the law and necessarily misleading to the jury, and the effect of that instruction is to negate the defendant’s only defense, it is fundamental error and highly prejudicial to the defendant.” Id. at 1194 (quoting Carter v. State, 469 So. 2d 194, 196 (Fla. 2d DCA 1985)).

Section 893.13(6)(a), Florida Statutes (2007), provides:

It is unlawful for any person to be in actual or constructive possession of a controlled substance unless such controlled substance was lawfully obtained from a practitioner or pursuant to a valid prescription or order of a practitioner while acting in the course of his or her professional practice or to be in actual or constructive possession of a controlled substance except as otherwise authorized by this chapter.

Pursuant to section 893.13(7)(a)8., Florida Statutes (2007), it is unlawful for any person:

To withhold information from a practitioner from whom the person seeks to obtain a controlled substance or a prescription for a controlled substance that the person making the request has received a controlled substance or a prescription for a controlled substance of like therapeutic use from another practitioner within the previous 30 days.

“‘[W]hen the statute is clear and unambiguous, courts will not look behind the statute’s plain language for legislative intent or resort to rules of statutory construction to ascertain intent.’” Kasischke v. State, 991 So. 2d 803, 807 (Fla. 2008) (quoting Daniels v. Fla. Dep’t of Health, 898 So. 2d 61, 64 (Fla. 2005)). A valid prescription is a complete defense to trafficking and a defendant is entitled to a jury instruction on this defense. O’Hara v. State, 964 So. 2d 839, 847 (Fla. 2d DCA 2007). In Knipp v. State, 67 So. 3d 376 (Fla. 4th DCA 2011), this court rejected the State’s argument that by obtaining prescriptions in violation of section 893.13(7)(a)8., Knipp did not possess a valid prescription as a matter of law:

[N]othing in either sections 499.03(2) or 893.13(7)(a)8., Florida Statutes, eliminates the valid prescription defense to trafficking or possession of a controlled substance if the prescription is obtained in violation of the doctor shopping statute. That may have been the intention of the Legislature, but we are constrained by the rules of statutory interpretation to follow the plain language of the statute. Id. at 380 (internal citations omitted).

We hold that Wagner’s alleged violation of section 893.13(7)(a)8. did not invalidate his prescription. Knipp. We further hold that Wagner’s subsequent decision to sell the contents of his prescription did not affect the validity of the prescription. As such, the trial court’s jury instruction misstated the law, misled the jury, and negated Wagner’s only defense. The State emphasized the lawful purpose “requirement” in its case in chief and during closing argument. As the jury could have improperly relied on the erroneous instruction, we hold that the State has not proved beyond a reasonable doubt that the error was harmless and did not contribute to the jury’s verdict. However, the erroneous instruction was not given as to the withholding from a practitioner charge. As such, we hold the error could not have contributed to the jury’s guilty verdict as to this charge, and thus affirm.

Affirmed in part, and Reversed and Remanded, in part, for a New Trial.

CONNER, J., and GILLESPIE, KENNETH L., Associate Judge, concur.
* * *
Appeal from the Circuit Court for the Fifteenth Judicial Circuit, Palm Beach County; Lucy Chernow Brown, Judge; L.T. Case No. 2007CF 011855AMB.

Carey Haughwout, Public Defender, and James W. McIntire, Assistant Public Defender, West Palm Beach, for appellant.

Pamela Jo Bondi, Attorney General, Tallahassee, and Laura Fisher, Assistant Attorney General, West Palm Beach, for appellee.
Not final until disposition of timely filed motion for rehearing.


Doctor Shopping Charges 893.13(6)(a) in Florida? 


Call Casey at 813-222-2220.


Source: http://www.4dca.org/opinions/Jan%202012/01-11-12/4D09-3264.op.pdf

Doctor Shopping Records Tossed

Drug Records Thrown Out
Drug Charge Defense Attorney has been researching use of medical records by police in doctor shopping cases. One court just ruled the doctor's records were inadmissible in evidence. "The state charged [the defendant] with oxycodone trafficking, contrary to subsection 893.135(1)(c)1.a., Florida Statutes (2009), and withholding information from a practitioner, which is prohibited by subsection 893.13(7)(a)8., Florida Statutes (2009). Subsection 893.13(7)(a)8. proscribes the withholding of information from a practitioner to obtain a prescription for a controlled substance, when the person has obtained the same or a similar prescription from another practitioner within the past thirty days. This practice is known as doctor-shopping."

 Doctor Shopping Charges? Call me Toll Free to Discuss 1-877-793-9290.

The trial judge granted the defendant's motion to suppress as to the patient contracts and doctors’ statements. The defense "argued [the detective] violated section 456.057, Florida Statutes (2009), which provides for the confidentiality of medical records and information and sets forth those circumstances that allow law enforcement to obtain them. Second, he contended that [the detective’s] taking of the items violated his right to privacy under Article I, Section 23 of the Florida Constitution. Finally, [the defendant] asserted the seizure was illegal under Article I, Section 12 of the Florida Constitution."

"To obtain medical records, the statute requires law enforcement to obtain a subpoena after notice to the patient."  The court held, "we hold that the patient contracts that [the detective] obtained from [the defendant's] doctors were medical records protected by subsection 457.057(7)(a)."

The court then turned to statements made by the doctor: "the statute creates only four exceptions that allow doctors to break the privileged relationship and disclose confidential information:

(1) to other health care providers involved in the care and treatment of the patient; 

(2) if permitted by written authorization from the patient; 

(3) if compelled by subpoena; and 

(4) to attorneys, experts, and other individuals necessary to defend the physician in a medical negligence action in which the physician is or expects to be a defendant. No other disclosures are statutorily permitted . . . ."

However, the court also ruled Florida State "893.07(4), Florida Statutes (2009), empowered [the detective] to obtain the pharmacy records without a warrant or subpoena . . . ."

The court then concluded: "Suppression is the only remedy to sanction this police misconduct and deter similar misconduct. The danger of the law enforcement practices in this case are amply demonstrated by the willingness of medical professionals to surrender private medical records and engage in discussions regarding private and privileged communications concerning their treatment of individuals on the mere naked display of authority by law enforcement."


Doctor Shopping Charges? Call me Toll Free to Discuss 1-877-793-9290.

Doctor Shopping 893 




DRUG9892 OBTAINING DRUGS FROM PHYSICIAN BY WITHHOLDING

Doctor Shopping Obtain Drugs Physician
Withhold Information Practitioner
If you have been charged with Doctor Shopping DRUG9892 OBTAINING DRUGS FROM PHYSICIAN BY WITHHOLDING you can call a Tampa Criminal Defense Attorney at 1-877-793-9290 and tell me your story.


Form Code: DRUG9892


Florida Statute: 893.13.7A8
Level: Fel (Felony)
Degree: 3rd
Description: OBTAINING DRUGS FROM PHYSICIAN BY WITHHOLDING


DRUG9892 OBTAINING DRUGS FROM PHYSICIAN BY WITHHOLDING is often charged in Hillsborough County, Florida.


Title XLVI CRIMES
Chapter 893 DRUG ABUSE PREVENTION AND CONTROL


893.13 Prohibited acts; penalties.


(7)(a) It is unlawful for any person:
       
1. To distribute or dispense a controlled substance in violation of this chapter.


2. To refuse or fail to make, keep, or furnish any record, notification, order form, statement, invoice, or information required under this chapter.


3. To refuse an entry into any premises for any inspection or to refuse to allow any inspection authorized by this chapter.


4. To distribute a controlled substance named or described in s. 893.03(1) or (2) except pursuant to an order form as required by s. 893.06.


5. To keep or maintain any store, shop, warehouse, dwelling, building, vehicle, boat, aircraft, or other structure or place which is resorted to by persons using controlled substances in violation of this chapter for the purpose of using these substances, or which is used for keeping or selling them in violation of this chapter.


6. To use to his or her own personal advantage, or to reveal, any information obtained in enforcement of this chapter except in a prosecution or administrative hearing for a violation of this chapter.


7. To possess a prescription form which has not been completed and signed by the practitioner whose name appears printed thereon, unless the person is that practitioner, is an agent or employee of that practitioner, is a pharmacist, or is a supplier of prescription forms who is authorized by that practitioner to possess those forms.
       
8. To withhold information from a practitioner from whom the person seeks to obtain a controlled substance or a prescription for a controlled substance that the person making the request has received a controlled substance or a prescription for a controlled substance of like therapeutic use from another practitioner within the previous 30 days.
      
9. To acquire or obtain, or attempt to acquire or obtain, possession of a controlled substance by misrepresentation, fraud, forgery, deception, or subterfuge.
      
10. To affix any false or forged label to a package or receptacle containing a controlled substance.
      
11. To furnish false or fraudulent material information in, or omit any material information from, any report or other document required to be kept or filed under this chapter or any record required to be kept by this chapter.
      
12. To store anhydrous ammonia in a container that is not approved by the United States Department of Transportation to hold anhydrous ammonia or is not constructed in accordance with sound engineering, agricultural, or commercial practices.
  
(b)Any person who violates the provisions of subparagraphs (a)1.-7. commits a misdemeanor of the first degree, punishable as provided in s. 775.082 or s. 775.083; except that, upon a second or subsequent violation, the person commits a felony of the third degree, punishable as provided in s. 775.082, s. 775.083, or s. 775.084.