Lead Opinion
OPINION
Opinion by
Appellant, Billie Jean Avery, was charged by indictment with obtaining an increased quantity of a Schedule II controlled substance through the use of a fraudulent prescription form, a second-degree felony.
I. BACKGROUND
On January 15, 2010, Donald Breech, M.D. treated Avery for pain associated with her knee.
Later that day, Avery, her common-law husband, Robin Bright, and Bright’s mother went to a Wal-Mart in Beeville, Texas, to fill the prescription. Adela Munoz, a certified pharmacy technician working for Wal-Mart, testified that Avery presented the prescription form to her. Munoz described the incident as follows:
What I did do, ma’am, is — everything now is computerized, so we have to actually scan our prescriptions into the system to have a visual for our records. The prescription, itself, when I scanned it in came out — this area right here came out shaded black. So right above it, I put “seven-point-five.” And then the pharmacist did receive the prescription on her screen, our visual. And she asked me, you know, “What is this above here?” And I told her I did that. Because through the system, all you could see was just a black spot where it had been changed.[4 ]
Munoz admitted to writing the “seven-point-five” notation of the prescription form, presumably at the direction of Avery; however, Munoz denied making any “cross-out marks” or shading on the form.
Once Avery left, Munoz became suspicious about the form and the “cross-out marks,” so she informed Stephani Trbula, M.D., the staff pharmacist on duty that day. Dr. Trbula testified that she did a “four-point” inspection of the prescription form, which included four different things:
the name of the patient, the name of the drug, the directions[,] and the doctor. And during my four-point evaluation, I also verify that it is a legitimate prescription. And if there are any alterations, I check to see, you know, if my technician made the alteration or if it was the doctor that made the alteration and we make phone calls at that time if there’s anything that I need to clarify before I send [the prescription] on [to be filled].
Dr. Trbula noted that the prescription form was “a typical — just a plain prescription pad. This was — I believe — yeah, it does have a security guard on the back.”
Shortly thereafter, Bright returned to the Wal-Mart, and when he acknowledged that he was there to pick up the prescription, police handcuffed him and escorted him out to the Wal-Mart parking lot. Bright told police that Avery was waiting in the car for him, and he directed police to the car. Upon questioning by police, Avery admitted to altering the prescription form. Bright was subsequently released from police custody, and Avery was arrested.
In the indictment, the State alleged that on or about January 15, 2009, Avery “through use of a fraudulent prescription form ... knowingly attempted] to obtain a controlled substance, namely, Lortab, by increasing the dosage.” See id. § 481.129(a)(5)(B). The language of the indictment clearly indicates that the State charged Avery with violating section 481.129(a)(5)(B) of the health and safety code, rather than section 481.129(a)(5)(A), which states that a defendant commits an offense by knowingly obtaining or attempting to obtain an increased quantity of a controlled substance “by misrepresentation, fraud, forgery, deception, or subterfuge.” See id. § 481.129(a)(5)(A)-(B).
The case was tried to a jury on May 17-18, 2010. At the close of the State’s casein-chief, Avery moved for a directed verdict, asserting that there was no evidence that she attempted to obtain an increased quantity of a controlled substance “through use of a fraudulent prescription form,” as alleged in the indictment and the jury charge. Specifically, counsel for Avery argued that: “The testimony is that the prescription form is not fraudulent. It is the prescription form of the doctor. What the testimony has been is that the prescription itself, that the doctor wrote on his form was altered.” The State countered that “the form is not limited to what has been pre-printed on the document”; thus, the alteration of the prescription form resulted in a “fraudulent prescription form.”
In analyzing section 481.129(a)(5)(A) and (B), the trial court noted that:
[T]he problem is the State has used a fraudulent prescription form. Plain meaning of that term would be somebody wrote “Dr. A.B.C.” on there instead of “Dr. Breech.” Dr. Breech has testified that’s his form. Yesterday the pharmacist [Dr. Trbula] testified that’s a good form; there’s nothing wrong with that prescription form. The indictment says “fraudulent prescription form.” Okay. So I think the legislators in their intent to note that was a separate thing — there’s [sic] people out there, like, making checks. That’s in my mind, “B” is like you’re over there chucking*494 the change and making your own checks. You’re making your checks. Our legislators, that’s why they have “A” up there. I mean, I think the evidence substantiates “A,” but you didn’t indict her on that.
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There is no definition of the word “form.” Okay. There is the definition of “prescription” provided but not for the word “form.” So when you don’t have a legal definition, you go back to the common-law meaning of the definition of “form” which is a preprinted — preprint-ed, without looking at Webster’s, would be a preprinted ... piece of document or paper that you fill in blanks, and that’s what we have in this case.
Despite its apparent agreement with Avery’s argument in her motion for directed verdict, the trial court denied the motion without explanation. The jury subsequently convicted Avery of the charged offense, and the trial court sentenced her to twenty-five years’ confinement with a $1,500 fine. This appeal followed.
II. STANDARD OF REVIEW
We treat a challenge to the denial of a motion for directed verdict as a challenge to the legal sufficiency of the evidence. See Williams v. State,
We measure the sufficiency of the evidence by the elements of the offense as defined by a hypothetically correct jury charge. Grotti v. State,
A person acts knowingly, or with knowledge, with respect to the nature of his conduct or to circumstances surrounding his conduct when he is aware of the nature of his conduct or that the circumstances exist. A person acts knowingly, or with knowledge, with respect to the result of his conduct when he is aware that his conduct is reasonably certain to cause the result.
TEX. PENAL CODE ANN. § 6.03(b) (Vernon 2003). Knowledge may be inferred from a person’s acts, words, and conduct. Hart v. State,
In addition, “when the statute defines alternative methods of manner and means of committing an element and the indictment alleges only one of those methods, ‘the law5 for purposes of the hypothetically correct charge, is the single method alleged in the indictment.” Gollihar v. State,
III. ANALYSIS
In her sole issue, Avery contends that the trial court erred in denying her motion for directed verdict because the State failed to present sufficient evidence proving the manner and means of the offense charged in the indictment. Specifically, Avery argues that the evidence does not demonstrate that she procured or attempted to procure Lortab through use of a fraudulent prescription form. She further argues that the alteration to the form presented to the pharmacy department at the Beeville Wal-Mart did not “result in a prescription form that was fraudulent.” The State asserts that Avery’s altering of the prescription form did, in fact, “create a fraudulent prescription form”; thus, the evidence is sufficient to sustain Avery’s conviction under section 481.129(a)(5)(B) of the health and safety code.
A. Applicable Law
Our analysis of the sufficiency of the evidence supporting Avery’s conviction hinges upon the proper definition of the term “fraudulent prescription form,” as described in section 481.129(a)(5)(B) of the health and safety code, and how it applies. See id. The parties do not dispute that section 481.129 of the health and safety code does not explicitly define “fraudulent prescription form.” Thus, we must resort to other resources to determine the proper definition of “fraudulent prescription form.”
When interpreting statutes, we seek to effectuate the intent or purpose of the legislators who enacted them. See Camacho v. State,
The court of criminal appeals has also stated that:
“Every word of a statute is presumed to have been used for a purpose, and a cardinal rule of statutory construction requires that each sentence, clause, phrase[,] and word be given effect if reasonably possible.... This rule is not altered by the fact that the Legislature has not defined a particular word or phrase, and in the absence of such a definition[,] the words of the enactment will usually be given their ordinary meaning.”
Morter v. State,
B. Discussion
On appeal, the State argues that section 481.075(e) of the health and safety code guides us in determining the proper contents of a “prescription form.” TEX. HEALTH & SAFETY CODE ANN. § 481.075(e) (Vernon 2010). Section 481.075(e) of the controlled substances act provides, in relevant part, that:
Each official prescription form used to prescribe a Schedule II controlled substance must contain:
(1)information provided by the prescribing practitioner, including:
(A) the date the prescription was written;
(B) the controlled substance prescribed;
(C) the quantity of controlled substance prescribed, shown numerically followed by the number written as a word;
(D) the intended use of the controlled substance or the diagnosis for which it is prescribed and the instructions for use of the substance;
(E) the practitioner’s name, address, department registration number, and the Federal Drug Enforcement Administration number;
(F) the name, address, and date of birth or age of the person for whom the controlled substance is prescribed; and
(G) if the prescription is issued to be filled at a later date under Section 481.074(d-l), the earliest date on which a pharmacy may fill the prescription;
(2) information provided by the dispensing pharmacist, including the date the prescription is filled; and
(3) the signatures of the prescribing practitioner and the dispensing pharmacist.
Id. We find section 481.075(e) to be applicable because the drug involved in this matter — Lortab—is a Schedule II controlled substance.
A copy of the prescription form that Avery presented was made a part of the indictment and was entered into evidence as State’s exhibit 1. The prescription form included, among other things: (1) Dr. Breech’s name, office address, phone number, and signature; (2) Avery’s name and birth date; (3) the Federal Drug Enforcement Administration number; (4) the date the form was signed by Dr. Breech; (5) the prescribed dosage and strength of Lor-
In determining whether Avery’s actions fall within section 481.129(a)(5)(A) or 481.129(a)(5)(B), we first examine the prior version of section 481.129(a) — former article 4476-15, section 4.09(a). See id.; see also Acts 1979, 66th Leg., R.S., ch. 90, § 6, eff. May 2, 1979 (former TEX.REV.CIV. STAT. art. 4476-15, § 4.09(a)(3)), repealed by Act of June 14, 1989, 71st Leg., R.S., ch. 678, § 13(1), 1989 Tex. Gen. Laws 2230, 2942; Whitfield v. State,
Based on our review of the predecessor statute to section 481.129(a) and governing case law, we believe that the Legislature intended for section 481.129(a)(5)(B) to apply to those instances where, for example, an individual has created his own prescription form, filled out the entire prescription form, and presented it to a pharmacy for fulfillment — an act that would essentially render a prescription form invalid at all relevant time periods. See TEX. HEALTH & SAFETY CODE ANN. § 481.129(a)(5)(B). Section 481.129(a)(5)(A) appears to apply to instances, such as in this case, where an individual makes a modification to an otherwise valid prescription form. Though the terms “misrepresentation,” “fraud,” “forgery,” and “deception” are not defined in the health and safety code, we believe that Avery’s actions in this case coincide more with section 481.129(a)(5)(A). See id. § 481.129(a)(5)(A).
As noted earlier, if terms are not clearly defined in the code, we are to apply the plain and common meaning of the words so long as the interpretation does not lead to an absurd result that the Legislature could not have intended. See Hines,
The testimony adduced at trial was that the prescription form was valid when Avery left Dr. Breech’s office and that Avery made the changes in an attempt to pass off the altered document as the act of Dr. Breech for the purpose of acquiring an increased dosage of Lortab. See BLACK’S LAW DICTIONARY at 722; see also MERRIAM WEBSTER’S COLLEGIATE DICTIONARY at 457. Based on her actions, the State should have charged Avery with violating section
Moreover, the State does not cite any case law to support its contention that the prescription form at issue in this case amounted to a “fraudulent prescription form.” Based on our review, we have only found a handful of cases involving a purported “fraudulent prescription form,” and each appears to support this Court’s interpretation of section 481.129(a)(5)(A) and (B). See Beaty v. State,
Of the above-mentioned cases, only two involved instances in which the defendants were charged solely under section 481.129(a)(5)(B). See Greer,
1. The Greer case
In Greer, the defendant was charged with “knowingly possessing or attempting to possess or obtain a controlled substance through the use of a fraudulent prescription.”
In the instant case, Avery did not recreate a prescription form or change the
2. The Kirby case
In Kirby, the defendant was charged with “intentionally and knowingly obtain[ing] or attempting] to obtain a controlled substance ... by fraud through use of a fraudulent prescription form.”
Though Kirby’s appellate argument centered on whether the evidence was factually sufficient to establish that he was the individual who presented the purported “fraudulent prescription form” to the pharmacy, the Dallas Court of Appeals concluded that the evidence supporting the defendant’s conviction for obtaining or attempting to obtain a controlled substance by fraud through use of a fraudulent prescription form was sufficient. Id. at *3^4, 2009 TexApp. LEXIS 3990 at **8-9. Implicit in this ruling is that a form becomes a “fraudulent prescription form” when an individual re-creates an entire prescription form and attempts to use the newly-created prescription form to obtain a controlled substance. This is so because the State only charged Kirby with a section 481.129(a)(5)(B) offense; the jury convicted; and the Dallas Court of Appeals affirmed when it could have reversed the conviction by concluding that Kirby engaged in the fraudulent activities prescribed in section 481.129(a)(5)(A). See TEX. HEALTH & SAFETY CODE ANN. § 481.129(a)(5)(A).
In this case, Avery merely changed one term of an otherwise valid prescription form. Dr. Breech testified at trial that he prescribed Lortab for Avery, albeit the lowest dosage possible, whereas the doctor in Kirby had never treated the defendant nor written a prescription for him. Kirby,
3. The Beaty case
The defendant in Beaty was charged under two separate indictments for having obtained controlled substances, Lortab and Xanex, by forgery, under section 481.129(a)(5)(A) and (B) of the health and safety code.
On appeal, the defendant argued that the evidence was insufficient to establish that she “knew that the prescription form used to obtain the controlled substance was forged.” Id. at 906. In concluding that the evidence supporting the defendant’s conviction was sufficient, the Beaumont Court of Appeals held that the jury could reasonably infer that the defendant “presented the ‘Laura Green’ prescription to the Wal-Mart pharmacy with full knowledge that the prescription was not the act of Dr. Chary.” Id. at 910.
Unlike the instant case, the jury in Beaty inferred that the defendant stole a prescription pad from Dr. Chary’s office and then filled out a prescription for similar medications that were received about a week earlier, while using the alias “Laura Green.” See id. at 907. In fact, the Beaty defendant filled out the entire prescription form that was presented at the Wal-Mart pharmacy in Livingston. Id. at 906-07. In this case, Dr. Breech filled out the entire prescription form, and when Avery left Dr. Breech’s office, she had a valid prescription form. However, before she presented it to the Wal-Mart pharmacy in Beeville, she made a single change to the dosage strength. Clearly, the prescription form in this case does not involve the use of a stolen prescription pad, and Avery did not fill out the entire prescription form herself. Like Greer and Kirby, the Beaty court appears to conclude that the use of a “fraudulent prescription form” involves a form that defendants create or fill out entirely by themselves to facilitate the procurement of a controlled substance.
4. The Whitfield case
The Texarkana Court of Appeals’ decision in Whitfield is important in that it involves a conviction for obtaining a controlled substance by forgery under the predecessor statute to section 481.129 of the health and safety code — former article 4476-15, section 4.09(a)(3) of the Texas Revised Civil Statutes.
5. Summary
A review of the Greer, Kirby, Beaty, and Whitfield cases reveals that for an individual to be convicted for using a fraudulent prescription form to procure an increased quantity of a controlled substance, the individual must engage in acts very different from the acts in this case — i.e., re-creating prescription forms. See Beaty,
IV. CONCLUSION
Having concluded that the evidence is not sufficient to support Avery’s conviction for a section 481.129(a)(5)(B) offense, we reverse the case on that basis, vacate the trial court’s judgment of conviction, and remand the case to the trial court for the entry of a judgment of acquittal. See Brooks,
Dissenting Opinion by Justice PERKES.
Notes
.In this case, Avery allegedly tried to obtain an increased quantity of Lortab. Lortab is the trade name for hydrocodone, a controlled substance which is listed in Schedule II of the health and safety code. See TEX. HEALTH & SAFETY CODE ANN. § 481.032 (Vernon 2010); see also Smith v. State, No. 2-07-125-CR,
. The indictment contained two enhancement paragraphs alleging Avery’s prior felony convictions for forgery and burglary of a habitation, both of which the trial court ultimately determined were "true.” Because she had been twice convicted of felonies and the offense in this case was a third-degree felony, Avery was subject to the punishment range associated with first-degree felonies — confinement for five to ninety-nine years or life. See TEX. PENAL CODE ANN. § 12.32(a) (Vernon Supp.2010) (outlining the punishment range for first-degree felonies); see also id. § 12.42(b) (Vernon Supp.2010) (“[I]f it is shown on the trial of a second-degree felony that the defendant has been once before convicted of a felony, on conviction he shall be punished for a first-degree felony.’’).
. Dr. Breech testified that Avery had reoccurring pain in her knee and her ankle that had previously required surgery.
.Stephani Trbula, M.D., the Wal-Mart pharmacist on duty, was shown the prescription form that Avery presented to the pharmacy department at the Beeville Wal-Mart and described it as follows:
Where the original prescription was written, there was [sic] cross-out marks and then the actual strength had been written over a couple of times so that it was darker throughout the cross-out mark. And then above that, there were parentheses that said "seven-point-five.” And so it had been altered and so I wasn’t sure who made the alterations or what the true strength was.
She further noted that:
[Munoz] had wrote [sic] the "seven-point-five” in parentheses above the original strength of the medication because when she scanned it into our computer, you couldn't read it. Because of the erasure marks, you couldn’t see the strength on our digital screen. So she had written it in parentheses to let me know that that’s what it said but that she did not make any of the cross-out marks or any of the darkening on the actual image.
. The "seven-point-five” notation refers to the dosage strength of the prescribed Lortab.
. On cross-examination, Dr. Trbula stated that if people manufactured their own prescription forms and then presented them for fulfillment, the forms would be "fraudulent prescription forms.” She also acknowledged that the prescription form in this case was Dr.
. At the outset of our analysis, we note that the State has not cited to any relevant authority to support its position on appeal.
. See supra note 1.
. Section 481.129(a)(5)(A) would be superfluous if we agreed with the State's argument because all prescriptions require the presentment of a prescription form or order and, according to the State’s reasoning, any attempts to alter, change, or re-create a prescription form would make the form a “fraudulent prescription form,” rendering the acts criminalized in section 481.129(a)(5)(A) meaningless or included in the "fraudulent prescription form” offense. See TEX. HEALTH & SAFETY CODE ANN. §§ 481.002(41) (defining a "prescription" as "an order by a practitioner to a pharmacist for a controlled substance for a particular patient,” which includes several identifying pieces of information), 481.075, 481.129(a)(5)(A)-(B) (Vernon 2010). We do not believe that such a construction reflects the intent of the Legislature, especially considering former article 4476-15, section 4.09 previously grouped all of the manner and
. The dissent suggests that the Beaty court affirmed Beaty’s conviction under section 481.129(a)(5)(B) — the fraudulent prescription form provision. However, we note that Beaty was charged by indictment with both forging a prescription and using a fraudulent prescription form under sections 481.129(a)(5)(A) and 481.129(a)(5)(B). See Beaty v. State,
Dissenting Opinion
Dissenting Opinion by
The majority’s opinion is premised on a mistaken notion that the 1989 recodification of the eontrolled-substances fraud statute was a substantive change in the law. On that premise, the majority interprets the meaning of “fraudulent prescription form” so narrowly that it would be virtually impossible to violate the statute by use of a fraudulent prescription form. The majority effectively defeats the Legislature’s intent to prohibit fraudulent procurement of controlled substances using a fraudulent prescription form. For these reasons, I respectfully dissent.
When interpreting a statute, a reviewing court considers the entire act, its nature and object, and the consequence that would follow from each construction. Boykin v. State,
Contrary to the majority’s premise, when the Legislature recodified the predecessor statute to list “forgery” and “use of a fraudulent prescription form” in separate clauses, the revision was not intended to be substantive. The revision was made pursuant to Texas Government Code section 323.007, which requires the Texas Legislative Council to make a complete, non-substantive recodification of Texas statutes. See TEX. GOV’T CODE ANN. § 323.007. Accordingly, at the beginning of the session law in which the Health and Safety Code was created, the Legislature stated that the changes did not affect the substance of the law. Act of May 18,1989, 71st Leg., R.S., Preamble, 1989 Tex. Gen. Laws 2230, 2230. The session law contains a repeal of the predecessor statute and an enactment of the recodified statute as part of the Health and Safety Code. Compare Id., ch. 678, § 13,
The Court of Criminal Appeals wrote, in Ex parte Holbrook, that the aim of the fraud statute is to proscribe every possession of a controlled substance unless authorized by the Texas Controlled Substances Act.
It is undisputed appellant admitted to the police that she altered the prescription form. As argued by the State on appeal, the State was required to prove the appellant knowingly obtained or attempted to possess or obtain a controlled substance through use of a fraudulent prescription form. Therefore, when appellant altered the prescription form, it became fraudulent. The statute does not require the State to prove more to meet its burden of proof. This interpretation is consistent with Health and Safety Code section 481.075 which, as quoted by the majority, defines an “official prescription form” for a schedule II controlled substance to include potentially “handwritten” information such as the patient’s birth date, type and quantity of the controlled substance, and the prescriber’s signature. See id. § 481.075(e)(1)(C),(F), (G)(3) (West 2003); see also Beaty v. State,
