Md. Bd. of Physicians v. Geier

Decision Date26 June 2019
Docket NumberNo. 1979,No. 338,1979,338
PartiesMARYLAND BOARD OF PHYSICIANS, ET AL. v. MARK R. GEIER, ET AL.
CourtCourt of Special Appeals of Maryland

APPELLATE PROCEDURESEPARATE DOCUMENT REQUIREMENT

Under a mechanical application of Md. Rule 2-601, the circuit court's 112-page memorandum opinion purporting to award damages to three plaintiffs did not set forth a final judgment. The court did not set forth a final judgment on a separate document within the meaning of Rule 2-601(a) until the court issued a subsequent order stating each defendant's liability for damages and directing the clerk to enter a final judgment.

FEDERAL CIVIL RIGHTS CLAIMSLIABILITY OF STATE AGENCY

42 U.S.C. § 1983 does not authorize an action for damages against a state or a state agency. The Board of Physicians had no liability for damages under 42 U.S.C. § 1983, where the complaint did not name the Board as a defendant in the § 1983 count, but instead named the Board as a defendant only in a separate tort count. Because the Board had no § 1983 liability, the Board could not be required to pay an award of attorneys' fees under 42 U.S.C. § 1988.

FEDERAL CIVIL RIGHTS CLAIMSABSOLUTE QUASI-JUDICIAL IMMUNITY

Under federal law, government officials who perform adjudicative or prosecutorial functions in administrative proceedings have absolute immunity from being sued for damages under 42 U.S.C. § 1983, as long as those proceedings afford procedural safeguards adequate to restrain unconstitutional conduct by agency officials.

In this case, members and staff of the State Board of Physicians were entitled to absolute immunity in an action under 42 U.S.C. § 1983 to recover damages resulting from their participation in the adjudicative function of issuing a cease-and-desist order. The administrative prosecutor who drafted the order was also entitled to absolute immunity, because she acted as an advocate for the State in asking the Board to include provisions in the order.

MARYLAND TORT CLAIMSABSOLUTE QUASI-JUDICIAL IMMUNITY

As a matter of first impression, under Maryland common law, agency officials who perform either adjudicative or prosecutorial functions in administrative proceedings are absolutely immune from suit for non-constitutional tort claims based on conduct for which those officials would enjoy absolute immunity under federal law in a suit for damages for alleged violations of the federal constitution.

STATUTORY INTERPETATIONPRESUMPTION AGAINST PREEMPTION OF COMMON LAW

Section 5-715(b) of the Courts and Judicial Proceedings Article provides that a member or legally authorized agent of the State Board of Physicians "who acts without malice ... is not civilly liable for ... acting on an allegation for Board action made to the Board[.]" Absent an express statement or clear implication of legislative intent to preempt the common law, this statute must be interpreted as neither changing nor limiting other defenses that might be available under common law.

CIVIL PROCEDUREABSOLUTE IMMUNITY

The defense of absolute immunity may be raised in a preliminary motion to dismiss or in a motion for summary judgment. An interlocutory order overruling a claim of absolute immunity is subject to de novo review on appeal from an adverse final judgment. If the circuit court erroneously rejected a valid claim of absolute immunity, the appellate court should reverse the judgment with the direction to dismiss the action.

DISCOVERYSANCTIONS AGAINST MULTIPLE DEFENDANTS

A decision to impose sanctions based on a defendant's discovery failure, without more, does not justify the imposition of sanctions against a co-defendant. In this case, the circuit court abused its discretion by imposing a default as to the liability of 25 individual defendants as a sanction for discovery failures attributed to their co-defendant, the State Board of Physicians. The court further erred when it refused to vacate the default as to those defendants, based on the court's clearly erroneous finding that those defendants previously waived their objection to being sanctioned for the Board's discovery failures.

MARYLAND TORT CLAIMSLIABILITY OF STATE AGENCY

In an action where all officials of a state agency have absolute immunity, the agency cannot be made liable for the conduct of those officials under the Maryland Tort Claims Act. Where the conduct of the agency officials is the only basis for liability of the agency, a judgment in favor of all of the agency officials inures to the benefit of the agency even if the agency is in default.

Circuit Court for Montgomery County

Case No. 371761V

REPORTED

CONSOLIDATED CASES

Arthur, Leahy, Reed, JJ.*

Opinion by Arthur, J.

*Chief Judge Matthew J. Fader, Judge Donald E. Beachley, and Judge Steven B. Gould did not participate in the Court's decision to designate this opinion for publication pursuant to Md. Rule 8-605.1

TABLE OF CONTENTS

Statutory and Regulatory Background ........................................................................... 1

A. The Maryland State Board of Physicians and Board Personnel ......................... 2
B. General Procedures for the Board's Medical Disciplinary Proceedings ............ 5

The Administrative Proceedings ...................................................................................... 7

A. The Initial Medical Disciplinary Proceedings Against the Geiers ..................... 7
B. The Cease-and-Desist Order Dated January 25, 2012 ........................................ 9
C. The Amended Cease-and-Desist Order Dated February 22, 2012 ................... 10
D. Outcome of the Medical Disciplinary Proceedings .......................................... 12

The Proceedings in the Circuit Court ............................................................................ 14

A. The Geiers' Action Against Board Personnel and the Board ........................... 14
B. Denial of Motion to Dismiss on the Ground of Absolute Immunity ................ 16
C. Grant of Motions to Compel Discovery and for Discovery Sanctions ............. 18
D. The First Interlocutory Appellate Decision on Discovery Matters .................. 20
E. Rejection of Absolute Immunity and Other Rulings on Remand .................... 21
F. The Second Interlocutory Appellate Decision on Discovery Matters .............. 23
G. Remaining Pretrial Rulings .............................................................................. 24
H. Bench Trial on Damages .................................................................................. 26
I. Opinion Awarding Compensatory and Punitive Damages .................................. 28
J. Award of Attorneys' Fees and Entry of Final Judgment ..................................... 32

Scope of Appellate Review .............................................................................................. 34

Questions Presented ........................................................................................................ 38

Discussion ......................................................................................................................... 40

I. Liability of the State Board of Physicians Under 42 U.S.C. § 1983 ....................... 40
II. Claim Against Board Personnel Under 42 U.S.C. § 1983 ................................... 44
A. Absolute Judicial and Prosecutorial Immunity in § 1983 Actions ................... 44
B. Absolute Immunity in the Context of Administrative Proceedings ................. 47
C. Absolute Immunity in Relation to Medical Disciplinary Proceedings ............. 50
D. Absolute Immunity for Medical Disciplinary Proceedings in Maryland ......... 53
E. Absolute Immunity for the Issuance of a Cease-and-Desist Order .................. 57
F. Absolute Immunity of Others Participating in the Board's Decision .............. 63
III. Maryland Tort Claim Against Board Personnel and the Board ........................... 65
A. Absolute Judicial (and Quasi-Judicial) Privilege Under Maryland Law ......... 65
B. Absolute Immunity for Government Officials Under Maryland Law ............. 71
C. Qualified Immunity for Board Personnel Under Maryland Statutes ................ 82
IV. Absolute Immunity in the Procedural Context of this Case ................................ 91
A. Denials of Motion to Dismiss and Motion for Summary Judgment ................ 91
B. Refusal to Consider Absolute Immunity After Default as to Liability ............ 97

Conclusion ...................................................................................................................... 108

In 2012, the Maryland Board of Physicians issued a public cease-and-desist order against Mark Geier, M.D. The text of the order included information about medications prescribed to Dr. Geier, his wife, and his son. The Geiers filed suit in the Circuit Court for Montgomery County, seeking to recover damages from 25 persons who were alleged to have participated in the drafting or approval of the order and from the Board itself. The court rejected the defendants' assertions that they were entitled to absolute immunity with respect to their functions in the administrative proceedings.

The defendants managed to narrow the discovery of some matters by prevailing in two interlocutory appeals: Maryland Board of Physicians v. Geier ("Geier I"), 225 Md. App. 114 (2015), and Maryland Board of Physicians v. Geier ("Geier II"), 451 Md. 526 (2017). Ultimately, as a sanction for the Board's discovery failures, the circuit court ordered a default as to the liability of all defendants. After a bench trial on damages, the court awarded a total of $1.25 million in compensatory damages and a total of $1.25 million in punitive damages. The court further ordered the defendants to pay nearly $2.4 million in attorneys' fees. All defendants appealed from the final judgment.

Foremost in a litany of challenges, the defendants contend that they are entitled to absolute immunity as to all claims. For the reasons discussed in this opinion, we conclude...

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