In one of our firm's recent appeals, the Georgia Supreme Court last week determined that a Georgia statute prohibiting medical doctors from issuing blank prescriptions was constitutional despite its vague language. The Court was sharply divided, and there were two separate dissenting opinions. (Our firm represents the doctor.)
In Raber v. State, Dr. Raber was charged with 33 counts of unlawfully issuing prescription forms which were signed but left blank. Dr. Raber, a small town doctor, left the pad of 33 prescriptions signed in blank with a nurse practitioner on his staff while he was out of town. The nurse took the pad to her residence. However, at the residence, the nurse’s daughter stole some prescriptions. Someone forged one of the signed prescriptions to obtain a powerful drug, and this resulted in the death of another woman who died of a drug overdose. The investigation into the death resulted in the discovery of the 33 prescriptions signed in blank by Dr. Raber.
Section (h) of a Georgia statute which deals with controlled substances states that, “[i]t shall be unlawful for any practitioner to issue any prescription document signed in blank.” Dr. Raber’s attorney argued that this law is unconstitutionally vague, because it does not define what a physician must do to “issue” a prescription document. In other words, the law does not give a physician notice that it is illegal to provide a prescription signed in blank to a member of his medical staff. The trial judge denied this argument, and the defense appealed the decision to the Georgia Supreme Court.
The Court’s majority noted prior sections of the statute in question state that a prescription is issued only when the name and address of the patient, the kind and quantity of the controlled substance, directions for taking, the signature and name of the physician, and the DEA registration number are present. The Court also noted that the other sections imply that a prescription is only issued when the “ultimate user” has received it. However, the Court found that section (h) is different, because it calls the form a “prescription document” instead of just a “prescription” which is used in the other sections. The majority reasoned that section (h) deals with only prescriptions that are signed but that have no other information listed, and thus, there does not need to be the additional information which is required by the other sections for a physician to issue a prescription. The Court also explained that the prescription does not need to be given to the “ultimate user” for it to be issued under section (h).
Thus, according to the majority, a doctor who hands a prescription signed in blank to any person for any reason has committed a felony.
Three justices dissented. Justice Hunstein found section (h) to be unconstitutionally vague and criticized the majority’s opinion as one which will lead to absurd results. For instance, Hunstein notes that a doctor who momentarily hands a signed but blank prescription to a nurse while he looks up a drug’s name has committed a felony under the majority’s interpretation. Justice Hunstein believed that the Georgia legislature enacted the statute at issue in order to punish doctors who are drug dealers. The purpose was not to incarcerate doctors who are trying to carry out their patients’ legitimate medical needs. Hunstein also argued that the majority failed to exercise common sense by giving the term “issue” a separate meaning under section (h), and that “issue” under section (h) should require that the prescription be given to the ultimate user.
Justice Melton also dissented, to which Chief Justice Sears joined, by writing that the majority’s definition of “issuance” is simply wrong. Melton believed that a prescription can only be issued when it is given to its ultimate user.
The case was covered by the National Law Journal as an important decision in the area of criminal law.
Pate & Brody is an accomplished Georgia law firm with offices in Atlanta, Macon and Madison. Our lawyers are dedicated to pursuing justice for people charged with serious crimes. We have successfully represented clients facing serious federal criminal charges and state criminal charges in courts across Georgia. Our lawyers have been recognized on the list of Georgia's "Super Lawyers", and included among Georgia's "Legal Elite" by Georgia Trend Magazine. Our firm is also listed in the Bar Register of Preeminent Lawyers by Martindale-Hubbell.