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Perez v. Tex. Med. Bd.

UNITED STATES COURT OF APPEALS FOR THE FIFTH CIRCUIT
Feb 21, 2014
556 F. App'x 341 (5th Cir. 2014)

Summary

finding the Younger doctrine applicable to physician assistant proceeding

Summary of this case from Beck v. Austin

Opinion

No. 13-50663

02-21-2014

JOSE A. PEREZ; NANCY C. PEREZ, Plaintiffs-Appellants, v. TEXAS MEDICAL BOARD; MARI ROBINSON, Defendants-Appellees.


Summary Calendar


Appeal from the United States District Court

for the Western District of Texas

USDC No. 1:13-CV-00152-SS

Before KING, DAVIS, and ELROD, Circuit Judges. PER CURIAM:

Pursuant to 5TH CIR. R. 47.5, the court has determined that this opinion should not be published and is not precedent except under the limited circumstances set forth in 5TH CIR. R. 47.5.4.

Pro se appellants are Jose Perez, a Texas licensed physician assistant, and Nancy Perez, his wife. Appellants seek to enjoin the Texas Medical Board (TMB) from filing causes of action against them in response to a patient's complaint against Mr. Perez submitted to the Texas Physician Assistant Board (PAB). The PAB investigated the complaint and filed a formal complaint against Mr. Perez at the State Office of Administrative Hearings (SOAH). Mr. Perez refused to cooperate in the investigation and he failed to attend an informal settlement conference. After the informal settlement conference, the matter was referred to SOAH for a contested case proceeding. Mr. Perez failed to appear at a hearing on the merits at SOAH and the administrative law judge dismissed the proceeding from SOAH's docket on a default basis. The file was returned to the TMB for disposition but the PAB has not taken up Mr. Perez's matter and his disciplinary proceeding is still pending. Appellants brought suit in district court and the district court dismissed the suit pursuant to the Younger abstention doctrine. We AFFIRM.

I.

This court reviews de novo the grant of a Federal Rule of Civil Procedure 12(b)(1) motion to dismiss for lack of subject matter jurisdiction. Life Partners Inc. v. United States, 650 F.3d 1026, 1029 (5th Cir. 2011). The party asserting jurisdiction bears the burden of proof on a 12(b)(1) motion to dismiss. Randall D. Wolcott, M.D., P.A. v. Sebelius, 635 F.3d 757, 762 (5th Cir. 2011). We take as true all of the allegations of the complaint and the facts set out by the plaintiff. Ass'n of Am. Physicians & Surgeons, Inc. v. Tex. Med. Bd., 627 F.3d 547, 553 (5th Cir. 2010). The dismissal will not be affirmed "unless it appears certain that the plaintiff[s] cannot prove any set of facts in support of [their] claim which would entitle [them] to relief." Hobbs v. Hawkins, 968 F.2d 471, 475 (5th Cir. 1992) (alterations in original) (internal quotation marks omitted).

TMB argues that the Younger abstention doctrine bars this suit, and we agree. See Younger v. Harris, 401 U.S. 37 (1971). Younger abstention applies when three criteria are met: "(1) the dispute should involve an 'ongoing state judicial proceeding;' (2) the state must have an important interest in regulating the subject matter of the claim; and (3) there should be an 'adequate opportunity in the state proceedings to raise constitutional challenges.'" Wightman v. Tex. Supreme Court, 84 F.3d 188, 189 (5th Cir. 1996). Each of these criteria is met in this case.

First, there is an ongoing state judicial proceeding. The matter was dismissed by the SOAH administrative law judge pursuant to Texas Administrative Code § 155.501(d) and Texas Government Code § 2001.056, which allow for a dismissal of an administrative proceeding on a default basis. The matter is then returned to the referring agency for informal disposition on a default basis in accordance with Texas Government Code § 2001.056. The PAB has not yet taken up Mr. Perez's matter and his disciplinary proceeding is still pending there. The Supreme Court has expanded the Younger doctrine to encompass state administrative proceedings. See Middlesex County Ethics Comm. v. Garden State Bar Ass'n, 457 U.S. 423, 432 (1982). Second, as the district court noted, the State of Texas has a strong interest in protecting the public through the regulation and oversight of those practicing medicine in the state. See Tex. Occ. Code § 151.003 ("[T]he practice of medicine is a privilege and not a natural right of individuals and as a matter of public policy it is necessary to protect the public interest through enactment of this subtitle."). Third, Appellants can raise constitutional challenges in the state courts. Texas law provides for judicial review of the administrative decision in the state courts. Tex. Gov't Code. § 200.171. The Younger abstention therefore applies.

We AFFIRM the district court. Appellees' Motion to Dismiss Appeal as Frivolous is MOOT.


Summaries of

Perez v. Tex. Med. Bd.

UNITED STATES COURT OF APPEALS FOR THE FIFTH CIRCUIT
Feb 21, 2014
556 F. App'x 341 (5th Cir. 2014)

finding the Younger doctrine applicable to physician assistant proceeding

Summary of this case from Beck v. Austin

affirming application of the Younger doctrine to disciplinary proceeding brought by Texas Medical Board and Texas Physician Assistant Board

Summary of this case from Blue Mint Pharmco, LLC v. Tex. State Bd. of Pharm.

affirming dismissal under Rule 12(b) on Younger grounds

Summary of this case from Blue Mint Pharmco, LLC v. Tex. State Bd. of Pharm.

dismissing suit under the Younger abstention doctrine during pendency of the administrative proceeding

Summary of this case from Perez v. Physician Assistant Bd.
Case details for

Perez v. Tex. Med. Bd.

Case Details

Full title:JOSE A. PEREZ; NANCY C. PEREZ, Plaintiffs-Appellants, v. TEXAS MEDICAL…

Court:UNITED STATES COURT OF APPEALS FOR THE FIFTH CIRCUIT

Date published: Feb 21, 2014

Citations

556 F. App'x 341 (5th Cir. 2014)

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