MEGDAL, Petitioner, υ. OREGON STATE BOARD OF DENTAL EXAMINERS, Respondent.
(CA 9772, SC 26120)
OREGON STATE BOARD OF DENTAL EXAMINERS
January 2, 1980
605 P2d 273
LINDE, J.
Argued and submitted October 2, 1979, reversed January 2, 1980
Al J. Laue, Assistant Attorney General, Salem, argued the cause for respondent. With him on the brief were James A. Redden, Attorney General, and Walter L. Barrie, Solicitor General.
LINDE, J.
Denecke, C.J., specially concurring opinion.
Petitioner, a dentist licensed both in Oregon and in California and maintaining offices in both states, seeks review of an order of the State Board of Dental Examiners which revoked his Oregon license on the ground of “unprofessional conduct.”
The conduct which the board found unprofessional under the statute was that petitioner obtained malpractice insurance coverage for other dentists employed by him in his California practice by a misrepresentation that they were employed in Oregon. Briefly stated, the board found that petitioner had requested this coverage from his insurance brokers on his Grants Pass, Oregon, letterhead, that thereafter he had his California employees submit application forms on which a line asking for their office address had been cancelled out or left blank, purposely leaving the impression that the applicants were employed in Grants Pass, and that upon this misrepresentation the insurance carrier, to its damage, provided liability coverage which it otherwise would not have provided. The issue, in sum, is whether the board may revoke a dentist‘s license under an unparticularized rubric of “unprofessional conduct” upon an administrative finding that he practiced a fraud on an insurance company.
Petitioner objects that before revoking a license for unprofessional conduct other than the kinds specified in the statute itself the board must first adopt rules indicating the forbidden conduct, because the phrase “unprofessional conduct” alone is too vague a standard to be applied directly from case to case.
A similar claim by a physician licensed under another statute was rejected by this court in Board of Medical Examiners v. Mintz, 233 Or 441, 378 P2d 945 (1963), a decision later followed in the case of a nurse in Ward v. Ore. State Bd. of Nursing, 266 Or 128, 510 P2d 554, 55 ALR3d 1134 (1973). Nevertheless, the Court of Appeals was troubled by the problem posed by forbidding a skilled or professional person, once found qualified, to practice his or her occupation on essentially ad hoc determinations of “unprofessional conduct.” The panel which first heard this case, with one dissent, distinguished the Mintz and Ward precedents because the unprofessional conduct in those cases was an “inchoate” form of conduct expressly proscribed by the governing statutes, and it concluded that prior rulemaking was required to proscribe other conduct that bears no such relationship to the statute. 37 Or App 219, 586 P2d 816 (1978). However, on reconsideration en banc the court decided that petitioner‘s challenge to the statutory standard was foreclosed by this court‘s holding in Board of Medical Examiners v. Mintz, supra, and that the demand for prior rulemaking had not been properly presented; it therefore affirmed the board‘s order. 38 Or App 469, 590 P2d 745 (1979).1 We allowed review in order to reexamine the role of broadly stated standards in laws governing disciplinary actions against occupational licensees. For the reasons that follow, we conclude that the board‘s order must be reversed.
1. Petitioner‘s constitutional claim.
Petitioner begins his brief in the Court of Appeals with a constitutional attack on the statutory phrase “unprofessional conduct.” The attack is as unspecific as its target. We have had previous occasion to point out that constitutional claims should identify the provisions of the constitution, state and federal, that the governmental action is said to contravene and should show the relevance of these provisions to the claim. See, e.g., Rogers v. Department of Revenue, 284 Or 409, 412 n. 2, 587 P2d 91 (1978). Petitioner‘s brief cites no clause of either constitution for his assertion that
An initial distinction is whether “unprofessional conduct” is attacked as inadequate to guide the Board of Dental Examiners or as inadequate to inform dentists of the conduct expected under their license.
Often very broad terms, even broader than “unprofessional conduct,” are employed in laws that assign an agency responsibility for managing a program or pursuing a policy whose goals the law indicates only in the most general sense. As recently stated in Anderson v. Peden, 284 Or 313, 587 P2d 59 (1978), the constitutional issue in such broad delegations of authority is only whether it remains possible for the agency and for reviewing courts to determine when subsequent agency rules or actions have honored and when they have departed from the general policy indicated by the politically accountable lawmaker.3 So much necessari
It is another question whether “unprofessional conduct” is adequate by itself as a standard for deciding individual cases. It involves additional considerations which are reflected in different constitutional premises. In criminal cases, one concern about overly general or vague penal laws is that they not only allow a court or a jury to define a crime but to do so after the fact, contrary to article I, section 21 of the constitution. See State v. Blair, 287 Or 519, 601 P2d 766 (1979), quoting from State v. Hodges, 254 Or 21, 457 P2d 491 (1969).4 The second concern is that such laws do not
We may assume that petitioner could not be prosecuted for a statutory crime described only as “unprofessional conduct.” But the same premises do not obviously apply to a revocation of his professional license under that standard. If loss of the right to practice one‘s profession were employed as a form of punishment for delinquencies apart from safeguarding prop
In common parlance a claimed denial of due process of law may intend simply a claim of illegality, of failure to follow what the claimant asserts to be the law. But when a state law is attacked for failure to provide due process, we are in the realm of the fourteenth amendment, where guidance must be found in the decisions of the United States Supreme Court.6 Such an attack depends not on our own views but, rather, on the premise that if a state law explicitly directed a board to apply “unprofessional conduct” case by case in disciplinary proceedings, the Supreme Court would reverse the revocation of an occupational license without prior specification of standards as a deprivation of liberty or property without due process of law.
There is no lack of suggestion that a prior specification of grounds should be a prerequisite of due process
“Given the critical consequences including ‘the loss of professional standing, professional reputation, and of livelihood . . .‘, Spevack v. Klein, 385 U.S. 511, 516, 87 S.Ct. 625, 628 (1967), attending the suspension or revocation of a pharmacist‘s license and permit, there can be no doubt that the imposition of sanctions under section 390-5 must satisfy the requirements of notice and clear description of what is prohibited
conduct imposed on all penal statutes by the Fourteenth Amendment. . . .” 292 A2d at 282.
Perhaps federal “due process” law will move toward the step anticipated by the Pennsylvania court.8 But, contrary to the sentence last quoted, there has been no clear signal from the United States Supreme Court that the standards for occupational licensing decisions must meet those for penal laws. The Court‘s later holdings sustaining the adequacy of phrases such as “conduct unbecoming an officer and a gentleman” for military punishment, Parker v. Levy, 417 US 733, 94 S Ct 2547, 40 L Ed 2d 439 (1974) and a string of epithets9 for disciplinary discharge of civil service employees, Arnett v. Kennedy, 416 US 134, 94 S Ct 1633, 41 L Ed 2d 15 (1974), can be distinguished as dealing with special relationships. Nonetheless, the gravity of the losses there permitted to be inflicted under vague standards leaves the crucial step assumed by the Pennsylvania court in doubt. Again, the factors from which Mathews v. Eldridge, 424 US 319, 96 S Ct 893, 47 L Ed 2d 18 (1976), directs us to derive the requirements of due process — the private interest affected, the chances of error and of its reduction by better procedures, and the countervailing governmental interests — clearly affirm a licensee‘s right to the kind of adjudicatory procedures of notice, hearing, and findings based on evidence that, in this state, are provided him under the administrative procedure act;10 but
In sum, the most that can be said about “due process” as a possible premise for petitioner‘s constitutional attack on the phrase “unprofessional conduct” is that the state of the federal law is inconclusive and the attack perhaps only premature. Nor is the phrase vulnerable under the state constitution as transferring legislative power to the board or as empowering the board to make laws ex post facto, since the object of the law is not to punish misconduct as such but to confine the practice of the profession to those who maintain professional standards of conduct. However, to conclude that the law is not unconstitutional does not decide what it means. We turn to that question.
2. The use of “unprofessional conduct” in ORS 679.140
On review in this court, petitioner changes emphasis to the question whether the board misapplied the statutory term “unprofessional conduct.” He contends that the legislature did not mean “unprofessional conduct” to extend to a dentist‘s dealings with an insurance company, or at least not without prior rulemaking. The argument combines two claims against the board‘s application of this phrase in the statute, one substantive and the other procedural.
In theory, the statutory standard “unprofessional conduct” could be intended in one of three ways. The intended meaning will not be found in cases decided under different laws in this or another state. Occupational licensing is not common law but statutory administration. The meaning to be found is what the statute‘s drafters, if aware of the problem, could readily have made explicit, and what they can change if they so choose.
First, an occupational licensing law might use “unprofessional conduct” to refer to norms of conduct that are uniformly or widely recognized in the particular profession or occupation, apart from the views of the agency itself and in this sense “external” to the law. If this were the intended meaning of the phrase, its application would depend not on interpreting the law or making rules but on finding what the existing standards in fact are.
Second, such a phrase might be intended to express the legislature‘s own licensing standard, though in very general terms. While its contours might have to be derived from the context and legislative history, its meaning would nevertheless be a question of statutory interpretation, not of external sources, and agency interpretive rulemaking would be confined to providing notice of the agency‘s view of its proper application. Such an agency interpretation of a broadly stated standard entrusted to it is often entitled to judicial
Finally, such a legislative assignment to the agency to make new rules is the third possible role intended for “unprofessional conduct” in the statute. If so, the term itself cannot be applied without prior rulemaking, and the issue on review is whether a given rule remains within the scope of the delegated authority. An example is the rule against advertising that was sustained in Angelos v. Bd. of Dental Examiners, 244 Or 1, 414 P2d 335 (1966), and compare Ore. Newspaper Pub. v. Peterson, 244 Or 116, 415 P2d 21 (1966).
Board of Medical Examiners v. Mintz, supra, proceeded on the premise that the legislature, in enacting the statute involved there, meant the general standard of “unprofessional or dishonorable conduct” in the first of the three ways mentioned above, as a reference to standards recognized in the profession external to the board itself. The question seems not to have been made a central issue in the case. The statute defined “unprofessional or dishonorable conduct” as “conduct unbecoming a person licensed to practice medicine or detrimental to the best interest of the public,” and the dispute centered on the vagueness of this standard rather than on the proper source from which to give it substance. With its focus on the vagueness issue, the court followed a New York decision which treated “unprofessional conduct” as referring to “the standards of conduct generally accepted by practitioners in the State of New York” and held that these standards were “not so indefinite that they cannot be determined by qualified persons.” Matter of Bell v. Board of Regents, 295 NY 101, 110, 65 NE2d 184, 189 (1946), quoted in 233 Or at 446-447. Accordingly, the court in Mintz continued:
“The board‘s discretion is not without controls. As was noted above, the standards are those which are
accepted by the practitioners in the community. The standard must be ascertained through expert opinion; except where the standard is clear as it is in the present case. [The charge against Mintz was that he administered drugs for the purpose of performing an abortion, which fell short of an express proscription of the statute.] Conceding that the charge is so limited, we are of the opinion that the conduct described is of such a nature that the board was warranted in regarding it as a violation of medical ethics and that it was not necessary to elicit expert opinion outside of the board to support the conclusion.”
233 Or at 448-449. The court later followed the same approach in holding that expert testimony was not needed to establish that a nurse who aided another in violating an express proscription of the licensing statute was herself guilty of “conduct derogatory to the standards of professional nursing.” Ward v. Ore. State Bd. of Nursing, supra.
We hold to the view that expert testimony is not the proper source for determining the governing standards of “unprofessional conduct,” but we do so for somewhat different reasons. Mintz and Ward started from the assumption that the board‘s task was to determine what the standards of the profession in fact were. Taking this assumption to its logical conclusion, such determinations would presumably have the character of findings, required by
To view the statute as incorporating external professional standards by reference creates needless difficulties. It poses a question whether authority to impose rules, enforced by governmental power to grant or revoke licenses, has been delegated to private associations. See Hillman v. North. Wasco Co. PUD, 213 Or 264, 323 P2d 664 (1958). Licensing statutes are a form of public regulation, not organized self-regulation. Although generally members of the regulated occupations are appointed to licensing boards, they are agencies of the government, not representatives of a guild.12 Their responsibilities are not to their own occupational groups but to the public. Cf. Marbet v. Portland Gen. Elect., 277 Or 447, 469-470, 561 P2d 154 (1977).
Nor may a board proceed on the assumption today, if it ever could, that all members of the profession should be expected to share unarticulated understandings about professional manners and mores because they were drawn from a few homogeneous ethnic, religious and social origins. And to view the profession‘s attitude toward particular conduct as a factual issue for decision in disciplinary proceedings might well lead to contradictory results depending on the evidence put in the record on that issue. A decision that Dr. A‘s conduct was shown to be contrary to prevailing professional standards would not mean that Dr. B‘s identical conduct might not be shown, on different evidence, to be consistent with prevailing professional standards. We doubt that this is the legislative intent. Indeed, the statute is not wholly silent on
However, this subsection makes no such reference for determining what constitutes “unprofessional conduct.” While current standards of scientific knowledge and of safe and effective technique in a profession or craft may be determinable from such sources, disputed ethical standards often are more an issue of policy and values than of the state of the art. So, at least, the legislature may have thought. No doubt the views of members of the profession itself on standards of professional conduct nevertheless are entitled to weight when the board adopts rules to give content to a general standard under the statute. Cf. Morra v. State Board of Examiners of Psychologists, 212 Kan 103, 510 P2d 614 (1973) (professional association‘s code of
Petitioner claims that the meaning of “unprofessional conduct” by dentists was narrowed by amendments of
Plainly the significant change made after Mintz was to authorize the board to expand the reach of “unprofessional conduct” rather than to confine it. But how was the board to do this?
Since 1939 the statute has authorized the board to “make and enforce rules . . . for regulating the practice of dentistry.”
Doubts are sometimes expressed whether rules can encompass the variety of acts that should be recognized as “unprofessional,” or “unethical,” or “unbecoming,” or otherwise improper. An attempt to “catalogue all the types of professional misconduct” might well seem infeasible, as the court said in Board of Medical Examiners v. Mintz, supra, 233 Or at 448. But rules need not imitate a detailed criminal code to serve the two purposes of giving notice of censurable conduct and confining disciplinary administration to the announced standards.20 Nor is the only alternative to include some form of catchall clause that is as general as the standard it purports to elucidate. The resources of rulemaking are not so limited.
For instance, as this case illustrates, an important question is what relationships are covered by the term “unprofessional conduct” and thus within the range of professional discipline. It might be agreed that the
Petitioner contends that his dealings with the insurance company in this case could not in any event be brought within the range of the legislative standard “unprofessional conduct” because it is too unlike the other types of “unprofessional conduct” proscribed in
3. The basis for review in this case.
In summary, we have concluded that
The proceeding that resulted in the revocation of petitioner‘s license was a “contested case” under the administrative procedure act, then
As amended,
. . .
“(7) Review of a contested case shall be confined to the record, the court shall not substitute its judgment for that of the agency as to any issue of fact or agency discretion. . . . The court shall remand the order for further agency action if it finds that either the fairness of the proceedings or the correctness of the action may have been impaired by a material error in procedure or a failure to follow prescribed procedure.
“(8) (a) The court may affirm, reverse or remand the order. If the court finds that the agency has erroneously interpreted a provision of law and that a correct interpretation compels a particular action, it shall:
“(A) Set aside or modify the order; or
“(B) Remand the case to the agency for further action under a correct interpretation of the provision of law.
“(b) The court shall remand the order to the agency if it finds the agency‘s exercise of discretion to be:
“(A) Outside the range of discretion delegated to the agency by law:
“(B) Inconsistent with an agency rule, an officially stated agency position, or a prior agency practice, if the inconsistency is not explained by the agency; or
“(C) Otherwise in violation of a constitutional or statutory provision.
“(c) The court shall set aside or remand the order if it finds that the order is not supported by substantial evidence in the record.”
Oregon Laws 1979, ch 593, § 24. The new version separates a challenge based on material procedural error from a challenge based on misinterpretation or misapplication of the governing law. Under subsection (7), failure to follow prescribed procedure or to do so correctly requires a remand to the agency if the correctness of the action, or irrespective of this, if the fairness of the proceedings may have been impaired by the error. But this refers to procedure in the contested case, for the remand ordered by subsection (7) cannot cure a prior error in adopting a substantive rule if the order depends on such a previously adopted rule.24 Petitioner does not complain of the procedure in the license revocation proceeding.
Subsection (8) directs the parties and the court to distinguish between three kinds of claims. One is that a governing provision of law (not limited to statutes) requires the agency to take or to refrain from a particular action. The second is that the law assigns the
character of the error and the agency‘s further role in the matter; subsection (7) forbids the court to substitute its own judgment for that of the agency on issues of fact or agency discretion. The latter restraint on overenthusiastic judicial review is reinforced in a new section,
Reversed.
DENECKE, C. J., specially concurring.
The majority opinion holds that
I agree that the State Board is required to promulgate rules; however, I am of the opinion that it is a fiction to hold that the statutory scheme and legislative history lead to the conclusion that the legislative intent was to require the Board to make such standards. I am of the further opinion that it is more realistic to hold that the court, pursuant to its power to review the decisions of the Board, is empowered to require the promulgation of such standards.
There is an involved legislative history of
If the legislature did not intend that the Board of Dental Examiners be required to promulgate rules defining “unprofessional conduct” what is the basis for a court making such a requirement? There is a growing body of authority that courts do have this power. Davis states the basis as follows:
“* * * A fourth method could be the best and most important—the simple creation of common law by a reviewing court. Federal law requiring findings and reasons was mostly common law before it was codified by the Administrative Procedure Act; courts should require not only findings and reasons but also standards or rules to guide the exercise of administrative discretion.” Davis, Administrative Law of the Seventies, § 6.13, p 225 (1976).
The Oregon Court of Appeals apparently followed this principle in Sun Ray Dairy v. OLCC, 16 Or App 63, 517 P2d 289 (1973). In that case the agency denied the petitioner a liquor license. The statute provided that the agency may refuse to grant a license if it has reasonable grounds to believe there are “sufficient
I would adopt this common-law principle in deciding this case. Attempting to reach the same result by interpreting the statute in my opinion can result, as I think it has in this case, in a very strained interpretation of a statute.
It is not always necessary for an administrative agency to fill in the gaps of its authority by rulemaking. The gaps can be filled in by deciding individual contested cases; that is, by the adjudicative process. This kind of rule making was expressly approved in Securities and Exchange Com. v. Chenery Corp., 332 US 194, 67 S Ct 1575, 91 L Ed 1995, 2001-003 (1946). Schwartz summarized the Chenery opinion:
“* * * An agency is not barred from applying a new principle in an adjudicatory proceeding simply because it had the power to announce that principle in advance by using its power of rule-making. In Chenery the Court upheld the refusal of the Securities and Exchange Commission to approve a corporation‘s reorganization on terms which would allow a profit to its directors and officers who had bought its stock with inside knowledge. The SEC had power to approve schemes which were ‘fair and equitable,’ and previously it had made no objection to ‘inside’ dealings in such circumstances. Though pressed with the argument that the SEC should not be allowed to ‘legislate retrospectively’ in this way, the majority held that to tie the commission‘s hands would ‘stultify the administrative process. * * *‘” Schwartz, Administrative Law, 186 (1976).
In my opinion, for three reasons this is not a proper case for making a rule in the process of deciding a contested case. First, the potential sanction for a violation of the rule is severe,—a loss of license to practice a
Tongue and Peterson, JJ., join in this specially concurring opinion.
Notes
As Justice Frankfurter once put it in deciding whether Congress intended a governmental corporation to be immune from suit:
“The Congressional will must be divined, and by a process of interpretation which, in effect, is the ascertainment of policy immanent not merely in the single statute from which flow the rights and responsibilities of Regional, but in a series of statutes utilizing corporations for governmental purposes and drawing significance from dominant contemporaneous opinion regarding the immunity of governmental agencies from suit.
“. . . In spawning these corporations during the past two decades, Congress has uniformly included amenability to law. . . . Such a firm practice is partly an indication of the present climate of opinion which has brought governmental immunity from suit into disfavor, partly it reveals a definite attitude on the part of Congress which should be given hospitable scope. . . .
. . . .
“To give Regional an immunity denied to more than two score corporations, each designed for a purpose of government not relevantly different from that which occasioned the creation of Regional, is to impute to Congress a desire for incoherence in a body of affiliated enactments and for drastic legal differentiation where policy justifies none. . . .”
“Obtaining or attempting to obtain a narcotic drug or a dangerous drug, as previously defined in this section, in any manner proscribed by the rules of the board.”
This provision of
“By requiring agency explanation of any deviation from ‘an agency rule, an officially stated policy, or a prior agency practice,’ Section 120.68(12)(b) recognizes there may be officially stated agency policy’ otherwise than in ‘an agency rule‘; and, since all agency action tends under the APA to become either a rule or an order, such other officially stated agency policy’ is necessarily recorded in agency orders. All such rules and orders, catalogued by a subject-matter index, must be made available for inspection and copying by the public in an ever-expanding library of precedents to which the agency must adhere or explain its deviation. Sections 120.53(2), 120.68(12)(b).
“Section 120.57 proceedings, in which the agency‘s nonrule policy is fair game for a party‘s challenge both in the public and in his private interest, concludes by a final agency order which explicates ‘policy within the agency‘s exercise of delegated discretion,’ explains any deviation from ‘an agency rule, an officially stated policy, or a prior agency practice,’ and, in a licensing’ proceeding such as this one, ‘state[s] with particularity the grounds or basis for the issuance or denial’ of the license. Sections 120.57(1)(b)9, 120.57(2)(a)l and 2, 120.60(2), 120.68.
“Judicial review proceedings under Section 120.68 similarly press for crystalization of agency discretion. . .
“Failure by the agency to expose and elucidate its reasons for discretionary action will, on judicial review, result in the relief authorized by Section 120.68(13): an order requiring or setting aside agency action, remanding the case for further proceedings or deciding the case, otherwise redressing the effects of official action wrongfully taken or withheld, or providing interlocutory relief.”
McDonald v. Dept. of Banking and Finance, 346 S2d 569, 582-584 (Fla App, 1977).
“(1) The reviewing court‘s decision under
ORS 183.482 or183.484 may be mandatory, prohibitory, or declaratory in form, and it shall provide whatever relief is appropriate irrespective of the original form of the petition. The court may:“(a) Order agency action required by law, order agency exercise of discretion when required by law, set aside agency action, remand the case for further agency proceedings or decide the rights, privileges, obligations, requirements or procedures at issue between the parties; and
“(b) Order such ancillary relief as the court finds necessary to redress the effects of official action wrongfully taken or withheld.
“(2) If the court sets aside agency action or remands the case to the agency for further proceedings, it may make such interlocutory order as the court finds necessary to preserve the interests of any party and the public pending further proceedings or agency action.
“(3) Unless the court finds a ground for setting aside, modifying, remanding, or ordering agency action or ancillary relief under a specified provision of this section, it shall affirm the agency action.”
