MedPure, LLC v. Department of Health
CourtDistrict Court of Appeal of Florida
Date FiledApril 17, 2020
Docket1D19-2736
StatusPublished
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Full Opinion
FIRST DISTRICT COURT OF APPEAL
STATE OF FLORIDA
_____________________________
No. 1D19-2736
_____________________________
MEDPURE, LLC,
Appellant,
v.
DEPARTMENT OF HEALTH,
Appellee.
_____________________________
No. 1D19-2737
_____________________________
GREEN POINT RESEARCH, LLC,
Appellant,
v.
DEPARTMENT OF HEALTH,
Appellee.
_____________________________
On appeal from the Department of Health.
Michele Tallent, Deputy Secretary for Operations.
April 17, 2020
WOLF, J.
This appeal is a consolidation of two cases, 1D19-2736 and
1D19-2737, which both raise the same issue and the same
arguments. The appellants, MedPure and Green Point Research,
are Florida corporations established to operate a Medical
Marijuana Treatment Center (MMTC) in Florida. Appellants
argue that the Department of Health (the Department) erred in
dismissing their petitions for formal administrative hearings
concerning their requests to be licensed to operate MMTCs.
The appellants first argue that the Department should have
allowed hearings on their claims that they were entitled to default
licenses pursuant to section 120.60(1), Florida Statutes (2019). We
determine that they were not entitled to default licensure because
their bare bones filings were insufficient to constitute an
application. In addition, the Department had adopted an
emergency rule providing that applications were not being
accepted at that time; therefore, the unauthorized and insufficient
filings did not trigger the Department’s responsibilities to respond
pursuant to section 120.60, Florida Statutes.
The appellants next argue that the Department violated its
constitutional responsibility to accept applications pursuant to
article X, section 29 of the Florida Constitution. We determine,
based on the clear constitutional language, this claim is properly
brought in the courts rather than as part of an administrative
licensing proceeding. Further, the relief sought by appellants—
immediate issuance of a license to operate an MMTC as a result of
the Department’s failure to follow their constitutional duties—was
unavailable based on public policy concerns expressed by the court
in Florida Department of Health v. Florigrown, 2019 WL 2943329
*1 (Fla. 1st DCA 2019). We, therefore, affirm.
The Medical Marijuana Amendment was approved by Florida
voters in 2016, and it went into effect on January 3, 2017. The
Amendment is codified at article X, section 29 of the Florida
Constitution. The Amendment defines a Medical Marijuana
Treatment Center as follows:
“Medical Marijuana Treatment Center” (MMTC)
means an entity that acquires, cultivates, possesses,
2
processes (including development of related products
such as food, tinctures, aerosols, oils, or ointments),
transfers, transports, sells, distributes, dispenses, or
administers marijuana, products containing marijuana,
related supplies, or educational materials to qualifying
patients or their caregivers and is registered by the
Department. 1
Art. X, § 29(b)(5).
The constitutional amendment imposed several duties on the
Department and provided statutory standing for persons to “seek
judicial relief to compel compliance with the Department’s
constitutional duties.” Art. X, § 29(e), Fla. Const. The duties of the
Department in regard to implementing the Medical Marijuana
Amendment are set forth, in pertinent part, in article X, section
29(d) – (d)(3):
--Issue reasonable regulations necessary for the
implementation and enforcement of the Amendment to
ensure the availability and safe use of medical marijuana
by qualifying patients in a timely fashion. See Art. X, §
29(d), Fla. Const.
--Promulgate regulations “no later than six (6) months
after the effective date” of the Amendment, to include
“procedures for the registration of MMTCs that include
procedures for the issuance, renewal, suspension and
revocation of registration . . . .” Art. X, § 29(d)(1) - (d)(1)c.,
Fla. Const.
--Begin issuing qualifying patient and caregiver
identification cards and registering MMTCs no later than
nine (9) months after the effective date of this section.
See Art. X, § 29(d)(2), Fla. Const.
In June 2017, the Legislature passed a bill setting forth a
statutory framework for the registration of MMTCs by amending
1 The “Department” is defined in article X, section 29(b)(2) as
“the Department of Health.”
3
section 381.986, Florida Statutes. The amended statute, among
other things, required the Department
--To convert the existing licenses of low-THC and medical
cannabis dispensing organizations into MMTC licenses.
§ 381.986(8)(a)1., Fla. Stat.
--To provide for a limited number of additional MMTC
licenses under specified conditions set out in the statute.
§ 381.986(8)(a)1.-4., Fla. Stat.
--To require a licensed medical marijuana treatment
center to cultivate, process, transport, and dispense
marijuana for medical use. § 381.986(8)(e), Fla. Stat.
CONSTITUTIONAL CHALLENGE TO SECTION 381.986(8)
THE FLORIGROWN CASE
In December 2017, Florigrown, LLC, a medical marijuana
provider whose application to register as an MMTC under the
Constitutional Amendment was denied by the Department, filed
suit in the Second Judicial Circuit seeking a declaration that
portions of section 381.986(8) were unconstitutional. The circuit
court granted Florigrown’s motion for a temporary injunction and
ruled that the implementing statute was unconstitutional. The
order granting the temporary injunction also directed the
Department to begin registering MMTCs in accordance with the
plain language of the Amendment. Id. The Department appealed
the circuit court’s order.
On appeal, this Court upheld the circuit court’s injunction “to
the extent it requires the Department to consider Florigrown’s
request for licensure without applying the portions of the statutory
scheme which this opinion identifies as being unconstitutional.”
See Fla. Dep’t of Health v. Florigrown, LLC, 2019 WL 2943329 *1
(Fla. 1st DCA 2019). The ultimate conclusion of this court,
however, was that due to public interest concerns the portion of
the injunction which “allow(s) the Department a reasonable period
of time to exercise its duties under the constitutional amendment”
should be upheld. Florigrown, LLC at *5. The Florida Supreme
Court has accepted jurisdiction to review this case and our decision
has been stayed pending supreme court review.
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THE INSTANT CASES: MEDPURE AND GREEN POINT
On October 19, 2018, relying on the circuit court’s ruling in
Florigrown (No. 2017 CA 002549), which directed the Department
to begin registering MMTCs in accordance with the plain language
of the Amendment, MedPure and Green Point Research submitted
letters to the Department purporting to be registration
applications to operate MMTCs pursuant to the language of the
Amendment. 2 These letters were filed in spite of a Department
rule stating that applications would be received at a later date
published by the Department. See Fla. Adm. Code R. 64ER17-2
(9/19/2017). 3
2 The applications of both appellants include the article X,
section 29 definition of an MMTC: “to acquire, cultivate possesses,
process . . ., transfer, transport sell, distribute, dispense, or
administer marijuana, products containing marijuana, related
supplies or education materials, to qualifying patients of their
caregivers.”
3 In September 2017, and pursuant to chapter 2017-232,
section 14(1), Laws of Florida, the Department issued the Notice
of Emergency Rule entitled Application for Registration of Medical
Marijuana Treatment Centers. Fla. Admin. Code R. 64ER17-2
(9/19/2017). The Emergency Rule incorporated Form DH8013-
OMMU-08/2017 (“Application for Medical Marijuana Treatment
Center Registration” or “Application Form”) and the requirements
for the application for registration of MMTCs. Applicants are
required to include with the application a non-refundable
application fee of $60,830.00, written documentation from the
Department of State or the Department of Revenue showing that
the applicant had been registered to do business in Florida for the
prior five consecutive years and that the applicant possessed a
valid certificate of registration from the Department of Agriculture
and Consumer Services, and a list of the owners, officers, board
members, and managers. Id. (1)(a), (b), (c). Pursuant to the Rule,
if an applicant fails to provide any of these requirements, the
application will be denied. Id. at (3). Additionally, in November
2017, pursuant to article X, section 29(d) of the Florida 9
5
On March 26, 2019, the Department informed the appellants
that the Office of Medical Marijuana Use was not accepting
applications for MMTC registration, and it advised that the
Department “will publish in the Florida Administrative Register
the date upon which it will begin accepting applications.”
On May 24, 2019, MedPure filed a petition with the
Department for formal administrative proceedings to challenge
the “rejection of the registration application” for an MMTC license.
On April 15, 2019, Green Point filed an identical petition. The
petitions argued, among other things, that the petitioners were
“entitled to a default license under section 120.60(1) because the
Agency allowed more than thirty (30) days to elapse without
requesting any additional information from [the petitioner], and
also allowed more than ninety (90) days to elapse without
approving or denying [petitioner’s] MMTC registration
application.” The petitions sought “prompt issuance of a license to
operate as an MMTC in the state of Florida, by default under
section 120.60(1), Florida Statutes, or otherwise.”
On June 28, 2019, the Department dismissed the appellants’
petitions with prejudice, finding that the October 19, 2018, letter
submitted by the appellants did not operate as an application
under chapter 120, and as such, sections 120.60 and 120.52,
Florida Statutes, did not apply; that default licensure was not
applicable in this case because section 381.986(8) is a need-driven
procedure with competing entities vying for a finite number of
licenses; and that the appropriate means of compelling compliance
with the Amendment was through judicial review rather than
administrative agency action.
Constitution, the Department published Constitutional
Regulation 2-1.01 “Application for Registration of Medical
Marijuana Treatment Centers.” The Constitutional Regulation
also incorporated the Application Form by reference. Both the
Emergency Rule and the Constitutional Regulation state: (4) The
department shall publish in the Florida Administrative Register
and on its website the date upon which the department will begin
accepting applications and the deadline to receive all applications.
6
ANALYSIS
Default Licensure Under Section120.60(1) 4
The appellants argue that they are entitled to be licensed
under the default licensure provision of section 120.60(1), which
provides:
An application for a license must be approved or
denied within 90 days after receipt of a completed
application unless a shorter period of time for agency
action is provided by law. . . . Any application for a license
which is not approved or denied within the 90-day or
shorter time period . . . is considered approved unless the
recommended order recommends that the agency deny
the license.
Thus, under section 120.60(1), where an agency fails to act
upon a license application within 90 days, the application is
considered approved. The relevant conditions precedent under
which default licensure would apply are “receipt of a completed
application” and application approval or denial within 90 days.
The bare bones letter filed by appellants did not act as a
completed application that triggered the Department’s
responsibilities under section 120.60, Florida Statutes, under the
circumstances of this case. These circumstances include: 1) the
Department’s rule that put parties on notice that applications were
not being accepted at that time; 2) the letters were not filed on an
application form prepared by the Department; 3) the bare bones
filing did not demonstrate compliance with the minimum licensure
requirements; and 4) allowing the appellants to file for licenses
during an undesignated period for filing would contravene the
competitive structure for licensing contemplated in section
381.968, Florida Statutes (2019).
4 This section 120.60(1) provision is referred to in the briefs
and this analysis as a “deemer provision” or as “default licensure.”
7
Incomplete and Unauthorized Application
On October 19, 2018, the date the appellants filed their letters
to register as MMTCs, an Emergency Rule of the Department was
already in place providing the application requirements and
process necessary to apply and be approved for registration as an
MMTC. See Fla. Admin. Code R. 64ER17-2 (9/19/2017). The
Emergency Rule specifically provides that the Department would
publish notice to the public of when it would begin accepting
applications, along with the deadline to submit applications for
registration as an MMTC. Appellants apparently intended for
their letters to be considered applications for licensure even
though they made no reference to the Department’s Emergency
Rule or to the application process required by the agency. Further,
appellants’ intent is immaterial in light of the Department’s rule
that they were not accepting applications. 5
In Dixie Lodge Assisted Living Facility v. Agency for Health
Care Administration, 273 So. 3d 272, 274 (Fla. 1st DCA 2019), this
court found that while the deemer provision was implicated
because the agency had not timely denied the license, the applicant
was not entitled to default licensure because it failed to meet the
minimum licensure requirements of the agency. Here, the
appellants’ letter merely states that they “will meet” all the
requirements, without offering any actual documentation showing
its ability to do so. Merely stating that an applicant will meet
various requirements, including security, safety, and record
keeping, without specifically identifying how the applicant will
operate to meet the requirements does not meet the minimum
5 The letter did not include: 1) an accompanying Form
DH8013-OMMU-08/2017, “Application for Medical Marijuana
Treatment Center Registration,”; 2) written documentation from
the Department of State or the Department of Revenue showing
that MedPure and Green Point Research were registered to do
business in Florida and had done so for the prior five consecutive
years; 3) proof of a valid certificate of registration from the
Department of Agriculture and Consumer Services; or 4) the non-
refundable application fee of $60,830.
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requirement of a license application. Similarly, the deemer
provision cannot apply because the appellants failed to meet the
minimum licensure requirements of the agency and were on notice
as a result of a departmental rule that applications were not being
accepted.
These specific facts of this case distinguish it from other cases
in which courts have found that the deemer provision does apply.
In addition, as more fully discussed later in this opinion, this court
has previously concluded that public policy concerns require that
the Department be given a reasonable period of time to comply
with their constitutional duties once the statute’s constitutionality
has ultimately been determined. Fla. Dep’t of Health v.
Florigrown, 2019 WL 2943329 (Fla. 1st DCA 2019).
Competitive Process
Finally, section 381.986(8)(a), Florida Statutes, provides that
MMTC licenses will only be issued based upon need. 6 The
Department argues that if this court were to find that the deemer
provision applies to need-based licenses, it would contravene the
doctrine announced by the Supreme Court in Ashbacker Radio
Corp. v. F.C.C., 326 U.S. 327, 330 (1945), holding that an agency
generally may not license one party without considering the
applications of others for the same license. This principle
6 Section 381.986(8)(a)4. provides,
Within 6 months after the registration of 100,000
active qualified patients in the medical marijuana use
registry, the department shall license four additional
medical marijuana treatment centers that meet the
requirements of this section. Thereafter, the department
shall license four medical marijuana treatment centers
within 6 months after the registration of each additional
100,000 active qualified patients in the medical
marijuana use registry that meet the requirements of
this section.
9
“constitutes a fundamental doctrine of fair play which
administrative agencies must diligently respect and courts must
be ever alert to enforce.” Bio-Med. Applications of Clearwater, Inc.
v. Dep’t of Health & Rehab. Servs., 370 So. 2d 19, 23 (Fla. 2d DCA
1979) (finding that the Ashbacker doctrine commands the agency
to “conduct a comparative hearing at which the competing
applications are considered simultaneously”).
Here, providing an MMTC license to the appellants pursuant
to the deemer provision would automatically exclude other
applicants from consideration. See Bio-Medical Applications of
Clearwater, Inc., 370 So. 2d at 23. This would violate the principles
of administrative fairness that Ashbacker represents, and it could
pose a threat to public health and safety, as the best applicants for
MMTC licensure may not be properly considered in the process.
An MMTC license cannot be obtained by default under section
120.60(1) because that statute requires a limited number of MMTC
licenses based on need under section 381.986(8)(a).
Thus, as a matter of law, the filings of appellants were
insufficient to require the Department to grant an administrative
hearing on the “deemer provisions,” contained in section 120.60,
Florida Statutes.
Constitutional Claims
Judicial Review vs. Agency Action
Appellants also claim they were entitled to an administrative
hearing on their claims that the Department was not following its
constitutional duties under article X, section 29 of the Florida
Constitution. They are not entitled to the remedy of issuance of a
license pursuant to their constitutional claim through the
administrative process for several reasons.
First, the language of the constitution itself provides that such
relief must be sought through judicial review. Article X, section
29(d)(3), specifically provides:
If the Department does not issue regulations, or if
the Department does not begin issuing identification
cards and registering MMTCs within the time limits set
in this section, any Florida citizen shall have standing to
10
seek judicial relief to compel compliance with the
Department’s constitutional duties.
(Emphasis added.)
Appellants’ assertion is that the constitutional duty being
violated is failure to timely comply with the registering
requirements for MMTCs. However, the language of the
Amendment contemplates judicial enforcement. In addition, if
constitutional non-compliance is determined to have occurred,
there is no indication that the appropriate remedy is the
entitlement to immediate licensure or even an immediate entry
into the administrative process. As we specifically stated in
Florigrown, where we found a constitutional violation had
occurred,
While it is in the public interest for the Department
to promulgate[] rules that do not thwart the purpose of
the amendment, it is also clear that the public interest
would not be served by requiring the Department to
register MMTCs pursuant to a preliminary injunction
without applying other regulations to uphold the safety
of the public.
Id. at *5. We, thus, determined the appropriate remedy was to give
the Department a reasonable period of time to comply with its
constitutional duties. 7 There is no present requirement for the
Department to immediately open up the administrative permitting
process.
We, therefore, AFFIRM.
BILBREY and M.K. THOMAS, JJ., concur.
7 The decision in Florigrown has been stayed and is presently
under review by the Florida Supreme Court. Therefore, this court’s
mandate to comply with its constitutional duties has been stayed.
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_____________________________
Not final until disposition of any timely and
authorized motion under Fla. R. App. P. 9.330 or
9.331.
_____________________________
Brigid F. Cech Samole and Katherine M. Clemente of Greenberg
Traurig, P.A., Miami; Barry Richard and Lorence J. Bielby of
Greenberg Traurig, P.A., Tallahassee; and Avi Benayoun of
Greenberg Traurig, P.A., Fort Lauderdale, for Appellants.
Sarah Young Hodges, Chief Appellate Counsel, Florida
Department of Health, Tallahassee, for Appellee.
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