Notice: Bischoff, James S., M.D.

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12734 Federal Register / Vol. 70, No.

49 / Tuesday, March 15, 2005 / Notices

The marketing consultant further appropriate fashion to ensure that listed U.S.C. 824(d) as an imminent danger to
explained that this information chemicals are not diverted. The Deputy the public health and safety.
support’s DEA’s conclusion that Administrator notes that while Mr. The Order to Show Cause alleged in
pseudoephedrine products distributed Osmani and OLW seek DEA registration relevant part, that Dr. Bischoff diverted
to this nontraditional market greatly in the State of Texas, the company also controlled substances through larceny
exceeded the normal demand for such seeks to distribute listed chemicals from and fraudulent prescriptions, failed to
products at such retail outlets. He convenience stores located in maintain required records, could not
agreed that such excessive sales could Oklahoma. Based solely on the account for 32,000 dosage units of
be purchases of listed chemical population statistics of Cartwright and controlled substances and dispensed
products that were diverted to illicit Durant, Oklahoma, it would appear at controlled substances to individuals
uses. With respect to Oklahoma first glance that the market for over-the- without a bona fide doctor-patient
wholesale pseudoephedrine sales of counter drug products in these cities is relationship or legitimate medical
several distributors and over 300 of their relatively insignificant. However, as the purpose. The Order to Show Cause also
retail customers, all of which were record before the Deputy Administrator notified Dr. Bischoff that should no
convenience stores, a July 2002 analysis clearly demonstrates, the relatively request for a hearing be filed within 30
by the marketing consultant led to the small size of the Oklahoma markets days, his hearing right would be deemed
conclusion ‘‘that without evidence of serviced by OLW is not a significant waived.
the existence of immense numbers of factor since Mr. Osmani appears intent On July 14, 2004, a DEA investigator
legitimate customers, it was likely that on purchasing extraordinarily large personally served the Order to Show
the massive inventories of quantities of listed chemical products Cause/Immediate Suspension of
pseudoephedrine products purchased without regard to market size. These Registration on Dr. Bischoff at the
by these Oklahoma stores were being purchasing practices indicate that OLW offices of the Ennis, Montana Police
turned to illegal uses.’’ Express would willingly accommodate persons Department. Since that date, DEA has
Wholesale, supra. involved in the illicit methamphetamine not received a request for a hearing or
With respect to the instant matter, Mr. trade. Based on the foregoing, the any other reply from Dr. Bischoff or
Osmani and OLW have similarly Deputy Administrator concludes that anyone purporting to represent him in
amassed large quantities of granting the pending application of this matter.
pseudoephedrine and ephedrine OLW would be inconsistent with the Therefore, the Deputy Administrator
products. The frequency and quantity of public interest. of DEA, finding that (1) thirty days
listed chemicals purchased by OLW Accordingly, the Deputy having passed since personal delivery of
from 1998 to 2003 defined all available Administrator of the Drug Enforcement the Order to Show Cause/Immediate
and conventional marketing data for the Administration, pursuant to the Suspension of Registration to the
expected sale of these products. Given authority vested in her by 21 U.S.C. 823 registrant and (2) no request for hearing
the demonstrated lack of legitimate and 28 CFR 0.100(b) and 0.104, hereby having been received, concludes that Dr.
demand for these products when sold orders that the pending application for Bischoff is deemed to have waived his
from convenience stores, the Deputy DEA Certificate of Registration, hearing right. See David W. Linder, 67
Administrator is left with the previously submitted by Tysa
conclusion that Mr. Osmani and OLW FR 12579 (2002). After considering
Management, d.b.a. Osmani Lucky material from the investigative file in
purchased pseudoephedrine and Wholesale be, and it hereby is, denied.
ephedrine products for sale to this matter, the Deputy Administrator
This order is effective April 14, 2005. now enters her final order without a
individuals involved in the illicit Dated: February 24, 2005.
manufacture of methamphetamine. hearing pursuant to 21 CFR 1301.43(d)
As noted above, effective April 6, Michele M. Leonhart, and (e) and 1301.46.
2004, Oklahoma enacted House Bill Deputy Administrator. The Deputy Administrator finds that
2176, titled the ‘‘Oklahoma [FR Doc. 05–5068 Filed 3–14–05; 8:45 am] Dr. Bischoff is registered with DEA as a
Methamphetamine Reduction Act of BILLING CODE 4410–09–M practitioner under Certificate of
2004.’’ This provision includes the Registration BB0377247. Dr. Bischoff’s
requirement that the sale of registered location is also his residence,
pseudoephedrine tablets are now DEPARTMENT OF JUSTICE which is located in Ennis, Montana.
restricted to licensed pharmacies. As in In April 2003, Dr. Bischoff took
Drug Enforcement Administration ‘‘Patient B,’’ a 16-year-old high school
a prior DEA final order, the Deputy
Administrator finds in the instant student, to an out of town physician
James S. Bischoff, M.D.; Revocation of
matter that OLW’s proposed distribution specialist for emergency treatment after
Registration
of listed chemicals through its the boy’s had was cut in an accident. Dr.
convenience stores is no longer legally On June 28, 2004, the Deputy Bischoff was a friend of the boy’s father
viable in Oklahoma. See, Express Administrator, Drug Enforcement and step-mother and would come to
Wholesale, supra at 62089. Administration (DEA), issued an Order their home for social visits/dinners.
A review of early data for 2004 reveals to Show Cause/Immediate Suspension They were both out of town at the time
that the newly enacted laws have of Registration to James S. Bischoff, of the accident and Dr. Bischoff
resulted in an apparent reduction in the M.D. (Dr. Bischoff) who was notified of volunteered to take the boy to the
number of seizures involving an opportunity to show cause as to why specialist. While the specialist did not
clandestine methamphetamine labs in DEA should not revoke his DEA recommend any treatment with
Oklahoma. These developments in Certificate of Registration BB0377247 controlled substances, Dr. Bischoff
Oklahoma are encouraging and under 21 U.S.C. 824(a)(4) and deny any wrote the boy a prescription for 100
represent another important step in the pending applications for renewal or tablets of Oxycontin, a Schedule II
ongoing battle to curb modification of that registration under narcotic controlled substance, which he
methamphetamine abuse in the United 21 U.S.C. 823(f). Dr. Bischoff was personally picked up a local pharmacy.
States. In keeping with this positive further notified that his registration was However, he delivered only 20 tablets to
trend, DEA must also act in an being immediately suspended under 21 the boy, unlawfully diverting the

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Federal Register / Vol. 70, No. 49 / Tuesday, March 15, 2005 / Notices 12735

remaining 80 tables to his own use or Inspection Warrant. Controlled (3) The applicant’s conviction record
that of someone else. substances were found in the basement under Federal or State laws relating to
Around the same time Dr. Bischoff of his home/registered location, but he the manufacture, distribution, or
wrote a second prescription in the name had very few actual patient records and dispensing of controlled substances.
of Patient B, for 120 tablets of the no records of receipt, inventory, (4) Compliance with applicable State,
Schedule II controlled substance dispensation or accountability for Federal, or local laws relating to
Adderall. He also picked that controlled substances, violating 21 controlled substances.
prescription up at a local pharmacy, U.S.C. 827(a) and 842(a)(5). Dr. Bischoff (5) Such other conduct which may
supposedly on behalf of the boy, but was unable to account for 32,000 dosage threaten the public health or safety.
never delivered it to the boy or his units of controlled substances and These factors are considered in the
parents, diverting the controlled refused to provide any records or disjunctive; the Deputy Administrator
substance to his personal use or for that otherwise account for their distribution may rely on any one or a combination
of another. or whereabouts. of factors and may give each factor the
In September 2003, Dr. Bischoff wrote Additional investigation determined weight she deems appropriate in
the boy another prescription for 120 Dr. Bischoff had written fraudulent determining whether a registration
tablets of Adderall, which was picked prescriptions for controlled substances should be revoked or an application for
up by the boy’s sister. However, the to several other area pharmacies during registration denied. See Henry J.
father and step-mother were unaware 2003. Interviews with professionals at Schwartz, Jr., M.D., 54 FR 16,422 (1989).
Dr. Bischoff had prescribed the some of his previous clinic and hospital As to factor one, the recommendation
medication, which the boy began taking, affiliations also indicated he was known of the appropriate state licensing board
thinking he was supposed to. When his to be involved in inappropriate or professional disciplinary authority,
step-mother discovered the bottle a dispensation and prescribing of there is no evidence in the investigative
couple of weeks later, she found out for controlled substances. file that the State of Montana has yet
the first time that Dr. Bischoff was On February 29, 2004, Dr. Bischoff taken adverse action against
prescribing Adderall to the boy. After gave a Schedule II controlled substance Respondent’s medical license. However,
checking with the regular family to a woman he was having dinner with. ‘‘inasmuch as State licensure is a
physician, she was advised the dosage She was on probation at the time for a necessary but not sufficient condition
instructions and strength of the controlled substance offense. This for a DEA registration * * * this factor
medication were excessive. Fortunately, distribution was done without a is not dispositive.’’ See Edson W.
the boy only took 12 of the tablets and legitimate medical purpose and was Redard, M.D., 65 FR 30,616, 30,619
stopped using them because of their outside the usual course of professional (2000).
effect. practice. With regard to factors two and four,
She then checked with the pharmacy Under Federal and Montana law, for Respondent’s experience in handling
where the prescription was filled and a doctor to be acting in the usual course controlled substances and his
discovered Dr. Bischoff had issued of professional practice, there must be a compliance with applicable controlled
multiple fraudulent prescriptions for bona fide doctor/patient relationship. substance laws, the investigative file
controlled substances in the names of Investigative review of Dr. Bischoff’s contains ample evidence Dr. Bischoff
family members, which he personally computer records indicated he was not unlawfully distributed, prescribed and
picked up, telling pharmacists he was a maintaining patient records, yet was diverted controlled substances over an
close friend and the purported patients prescribing controlled substances for extensive period. He grossly failed to
were too busy to get to the pharmacy. individuals, both inside and outside comply with accountability record
She also discovered Dr. Bischoff had Montana. He prescribed drugs directly keeping requirements or maintain
falsely told the pharmacy her stepson, to individuals without the benefit of minimally acceptable patient files
then 16 years old, was 18, thus avoiding examination or clinical determination of documenting medical necessity for
a requirement for a parent to sign when a valid medical purpose and in many controlled substance prescriptions. He
prescriptions were picked up. cases, there was no evidence Dr. could not account for 32,000 dosage
Investigators subsequently Bischoff had established any actual units of controlled substances delivered
determined Dr. Bischoff had written and doctor-patient relationship with these to his residence/office and wrote
filled seven prescriptions for controlled individuals. These controlled fraudulent prescriptions for controlled
substances in the name of Patient B, substances were dispensed either substances for non-patients, which he
along with multiple prescriptions in the directly or by prescription, in violation personally picked up and never
names of other family members who of 21 CFR 1306.04. delivered to their purported recipients.
were not his patients, all without their Pursuant to 21 U.S.C. 823(f) and He also prescribed controlled
knowledge. 824(a)(4), the Deputy Administrator may substances to individuals without bona
During the period January 2001 revoke a DEA Certificate of Registration fide doctor-patient relationships and
through January 2003, Dr. Bischoff and deny any pending applications for dispensed medically unnecessary or
ordered approximately 46,000 doses of renewal of such registration, if she inappropriate drugs to a minor without
Schedule III and IV controlled determines that the continued his parents’ knowledge.
substances from a supplier, including registration would be inconsistent with While the evidence does not reveal
various anti-depressants, anti-anxiety, the public interest. Section 823(f) whether Dr. Bischoff diverted controlled
sleep medications, amphetamines and requires that the following factors be substances for personal use or for
narcotics. After Dr. Bischoff was served considered in determining the public others, it is clear he failed abysmally to
with a Notice of Inspection at his interest: meet the rudimentary responsibilities of
registered premises, he declined to (1) The recommendation of the a physician and registrant. Thus, factors
permit an inspection or provide appropriate state licensing board or two and four weigh in favor of a finding
investigators with any of the records he professional disciplinary authority. that continued registration would be
was required to keep. (2) The applicant’s experience in inconsistent with the public interest.
On March 10, 2004, Dr. Bischoff was dispensing, or conducting research with Factor three, the applicant’s
served with an Administrative respect to controlled substances. conviction record under Federal or State

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12736 Federal Register / Vol. 70, No. 49 / Tuesday, March 15, 2005 / Notices

laws relating to the manufacture, Average All Items Consumer Price Index for Cooperative Agreement
distribution, or dispensing of controlled for All Urban Consumers (1967–100) Applications, please visit http://
substances, is not relevant for increased 81.9 percent from its 1984 www.dol.gov/ILAB/faq/faq36.htm.
consideration, as there is no evidence base period annual average of 311.1 to USDOL will hold a bidder’s meeting
Dr. Bischoff has yet been convicted of its 2004 annual average of 565.8. on Tuesday, April 12, 2005 to answer
any crime related to controlled Signed in Washington, DC, on the 3rd day any questions potential applicants may
substances. However, it is noted the of March, 2005. have on Child Labor Education
investigation has been provided to local Elaine L. Chao, Initiative Solicitations for Cooperative
authorities for possible initiation of Secretary of Labor. Agreement Applications. Please see
criminal charges. below for more information on the
With respect to factor five, other [FR Doc. 05–4989 Filed 3–14–05; 8:45 am]
bidder’s meeting.
conduct that many threaten the public BILLING CODE 4510–24–M
DATES: Specific solicitations for
health and safety, Respondent’s actions cooperative agreement applications will
discussed above are also relevant under be published in the Federal Register
this factor. The Deputy Administrator is DEPARTMENT OF LABOR
and remain open for at least 30 days
particularly troubled by Dr. Bischoff’s Office of the Secretary from the date of publication. All
abuse of the trust placed in him as a cooperative agreement awards will be
family friend and physician, both by the Child Labor Education Initiative made on or before September 30, 2005.
minor and his parents and by Dr.
AGENCY: Bureau of International Labor ADDRESSES: Once solicitations are
Bischoff’s calculated efforts to obtain
Affairs, U.S. Department of Labor. published in the Federal Register,
controlled substances through fraud and
Announcement Type: Notice of intent applications must be delivered to: U.S.
misrepresentation.
In sum, Dr. Bischoff’s cavalier to solicit cooperative agreement Department of Labor, Procurement
disregard for the law and regulations applications. Services Center, 200 Constitution
governing controlled substances and the SUMMARY: The U.S. Department of Labor Avenue, NW., Room N–5416, Attention:
abandonment of his responsibilities as a (USDOL), Bureau of International Labor Lisa Harvey, Washington, DC 20210.
physician and registrant cannot be Affairs (ILAB), intends to award FOR FURTHER INFORMATION CONTACT: Ms.
tolerated. They weigh heavily in favor of approximately U.S. $17 million to Lisa Harvey. E-mail address:
a finding that his continued registration organizations to develop and implement harvey.lisa@dol.gov. All inquiries
would not be in the public interest. formal, non-formal, and vocational should make reference to the USDOL
Accordingly, the Deputy education programs as a means to Child Labor Education Initiative—
Administrator of the Drug Enforcement combat exploitive child labor in the Solicitations for Cooperative Agreement
Administration, pursuant to the following countries: Mozambique, Applications.
authority vested in her by 21 U.S.C. 823 Angola, Sierra Leone, Liberia, Ecuador, Bidder’s Meeting: A bidder’s meeting
and 28 CFR 0.100(b), and 0.104, hereby Bolivia, and Guyana. ILAB intends to will be held in Washington, DC, on
orders that DEA Certificate of solicit cooperative agreement Tuesday, April 12, 2005. The purpose of
Registration BB0377247, issued to James applications from qualified this meeting is to provide potential
S. Bischoff, M.D., be, and it hereby is, organizations (i.e., any commercial, applicants the opportunity to ask
revoked. The Deputy Administrator international, educational, or non-profit questions concerning the Child Labor
further orders that any pending organization capable of successfully Education Initiative Solicitation for
applications for renewal or modification developing and implementing education Cooperative Agreement process.
of such registration be, and they hereby programs) to implement programs that Specific details on the time and location
are, denied. This order is effective April promote school attendance and provide of the meeting will be sent to interested
14, 2005. educational opportunities for working parties in early April 2005. To register
Dated: February 24, 2005.
children or children at risk of starting to for the meeting please call or e-mail Ms.
work. The programs should focus on Alexa Gunter (Phone: 202–693–4829; e-
Michele M. Leonhart,
innovative ways to provide educational mail: gunter-alexa@dol.gov) by
Deputy Administrator.
services to children engaged, or at risk Thursday, March 31, 2005. Please
[FR Doc. 05–5072 Filed 3–14–05; 8:45 am] of engaging, in exploitive labor and provide Ms. Gunter with the name,
BILLING CODE 4410–09–M should address the many gaps and organization, address, phone number,
challenges to basic education found in and e-mail address of the attendees.
the countries mentioned above. Please Background Information: Since 1995,
DEPARTMENT OF LABOR refer to http://www.dol.gov/ILAB/ USDOL has supported a worldwide
grants/main.htm for examples of technical assistance program
Office of the Secretary previous notices of availability of funds implemented by the International Labor
All Items Consumer Price Index for All and solicitations for cooperative Organization’s International Program on
Urban Consumers—United States City agreement applications. the Elimination of Child Labor (ILO-
Information on the specific sectors, IPEC). ILAB has provided over U.S.
Average
geographical regions, and funding levels $400 million to ILO-IPEC and other
Pursuant to section 33105(c) of Title on the potential projects in the countries organizations for international technical
49, United States Code, and the listed above will be addressed in assistance to combat abusive child labor
delegation of the Secretary of solicitations for cooperative agreement around the world.
Transportation’s responsibilities under applications to be published prior to In its FY 2005 appropriations, in
that Act to the Administrator of the September 30, 2005. Thus, we request addition to funds earmarked for ILO-
Federal Highway Administration (49 that inquiries to USDOL for such IPEC, USDOL received U.S. $34 million
CFR 501.2(a)(9)), the Secretary of Labor information be limited until publication to provide bilateral assistance to
has certified to the Administrator and of the solicitations. For a list of improve access to basic education in
published this notice in the Federal frequently asked questions on Child international areas with a high rate of
Register that the United States City Labor Education Initiative Solicitations abusive and exploitive child labor. All

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