Amended Accusations Set Ball Rolling Towards Blea Hearing

In an amended accusation, the California Veterinary Medical Board has revised its original set of complaints leveled against California Horse Racing Board (CHRB) equine medical director, Jeff Blea.

The additional information, however, mostly “fine-tunes” what was included in the original accusation against Blea and doesn't change the “big picture,” said George Wallace, Blea's attorney.

According to various leading veterinary medical experts, that big picture is one largely of lax record keeping.

What the amended accusation does, however, is set the ball rolling on a rough time-table leading to a full hearing, giving Blea 15 days with which to file a notice of defense.

Once Blea's notice of defense has been filed, the formal hearing is required to be scheduled within 30 days, said Wallace. But due to the complicated nature of the case, it will likely take longer, he said.

“We expect to oppose and refute most everything here when the appropriate time comes. It remains the case that the allegations of the Accusation are disputed, and will be either refuted altogether or shown to be consistent with the professional and legal obligations of equine veterinarians generally, and particularly of equine veterinarians at California race tracks,” Wallace wrote in an email, regarding the amended accusation.

Blea was put on administrative leave from his position as California horse racing's head veterinarian by UC Davis in January. As per an administrative law judge ruling from earlier this month, Blea's veterinary license is also temporarily suspended pending a formal hearing.

In the interim, Blea might still seek injunctive relief in the California Superior Court to lift the temporary block on his veterinary license due to the fact the suspension has “serious problems in terms of a lack of an evidentiary basis,” Wallace said. A decision on such a move could arrive by next week, he said.

After the administrative law judge's ruling earlier in February, CHRB executive director, Scott Chaney, explained that the agency was contemplating similar legal intervention in the Superior Court on behalf of Blea.

According to a CHRB spokesperson Wednesday, no decision had yet been made on the agency's legal approach in the case.

The veterinary board accuses Blea of a number of offenses, including allegedly administering drugs to racehorses without a prior examination to form a diagnosis and determine medical necessity, failing to establish “any” veterinary-client-patient relationship, and of issuing drugs that are not FDA approved for equine administration.

A subsequent TDN investigation found a broad consensus among veterinary medical experts that the infractions are largely matters of poor record keeping which typically result in punitive actions less severe than a suspended license.

Veterinary experts also suggested that the medical board's investigation into Blea potentially failed to account for the unusual nature of veterinary practice on the backstretch, where veterinarians with multiple barns under their care can build the sort of relationship with their animals that is absent from traditional small animal practice.

In its original argument for an interim suspension, the veterinary board claimed that Blea presents a “danger to public health, safety and welfare,” due to his oversight as equine medical director of the high-profile investigation into the death of the Bob Baffert-trained Medina Spirit (Protonico), the GI Kentucky Derby winner who collapsed and died after a scheduled workout Dec. 6 at Santa Anita.

The final results of that necropsy were issued to the public last week, with Medina Spirit's cause of death ultimately “undetermined.”

According to UC Davis, Blea remains on administrative leave, despite completion of the necropsy.

“The conclusion of the Medina Spirit necropsy does not affect the status of the equine medical director position. Dr. Blea's administrative leave continues. In the meantime, school personnel continue to fulfill the duties of the equine medical director for the California Horse Racing Board,” wrote a UC Davis spokesperson, in an email.

The amended accusation includes details that weren't included in the original complaint.

It states, for example, that Blea's veterinarian confidential reports revealed “clusters of equine patients were administered identical medications and treatments, at the same time, at the request of their trainers without medical necessity.”

Listed in explanation are the following substances that are commonly found along the racetrack backstretch: Adequan, Gastrogard, Aspirin powder, Acepromazine pills, Uniprim, Otomax, Legend (a hyaluronic acid), and Tucoprim powder.

The amended accusation also adds additional substances to those that Blea reportedly possessed or used that have not been approved by the FDA.

But as Bryan Langlois, former president of the Pennsylvania Veterinary Medical Association, had previously told the TDN, just because certain drugs don't have FDA approval for use in horses doesn't mean veterinarians are prohibited from prescribing them.

“A lot of drugs that are out there, they're FDA approved but only in certain species or only in humans. The companies never did the trials to test them in animals to get the FDA certification. So, a lot of times, we prescribe these drugs as off-label use,” Langlois had told the TDN.

“Usually, what that means is that there is no FDA approved equivalent out there for that species. The research has been done and the drug dosage has been worked out so that it can be used safely in animals, you just have to make the owner aware of the fact that you're using it off-label,” he had said.

Among the punitive outcomes the veterinary medical board is seeking against Blea is full revocation or suspension of his license.

The TDN asked Langlois to review the amended accusation. In a text, he explained that the nature of the allegations still don't rise to the level requiring immediate license suspension.

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Blea’s Vet License Remains Suspended, Per Judge

The veterinary license of California Horse Racing Board (CHRB) equine medical director, Jeff Blea, remains suspended pending a full administrative hearing, according to a ruling by administrative law judge Nana Chin.

In a 15-page document dated Friday, Jan. 28 but posted to the Veterinary Medical Board's website Wednesday, Chin wrote that despite Blea not currently practicing veterinary medicine, this still “does not ensure” public safety.

“As long as Respondent's license to practice is active, he is free to return to the practice of veterinary medicine at any time. Permitting Respondent to practice and engage in veterinary medicine poses a risk of injury to the public health, safety, and welfare,” wrote Chin in the ruling.

According to a UC Davis spokesperson, Blea remains on administrative leave from his position as equine medical director.

At the start of the year, the California veterinary board announced that an emergency hearing had resulted in an interim suspension of Blea's veterinary license for a number of alleged offenses, including purportedly administering medications to racehorses without a prior examination, without forming a diagnosis and without medical necessity.

Chin presided over a formal hearing on that interim suspension on Jan. 21.

“I'm certainly disappointed,” said Blea's attorney, George Wallace. “But I don't know, given the players involved, that it really is a surprise.”

According to Wallace, the veterinary board has 30 days with which to schedule a full hearing on the merits of the case once a notice of defense has been filed, though he warned that the timeline will likely take longer.

Wallace also suggested that Blea might seek “intervention” from the Superior Court in the meantime. “Under the interim suspension statute, there is a right to seek review in the Superior Court,” Wallace said.

“I would expect that, by this time next week, we'll have a much clearer idea of where things are going to be steered,” said Wallace. “But at the moment, it's an ongoing process. There are a lot of people whose opinions get to be heard on it, on all sides.”

A timeline of events leading to the issuance of the charges against Blea can be read here.

A key wrinkle in the case concerns the question of whether or not the equine medical director position requires an active veterinary license.

The position is first appointed by the dean of UC Davis, and the university then contracts with the CHRB for the appointee's services.

Historically, the equine medical director has not required an active license.

But in its argument for an interim suspension, the veterinary board claimed that Blea presents a “danger to public health, safety and welfare,” due to his oversight as equine medical director of the high-profile investigation into the death of the Bob Baffert-trained Medina Spirit (Protonico), the Kentucky Derby winner who collapsed and died after a scheduled workout on Dec. 6 at Santa Anita.

The CHRB responded to Blea's emergency interim suspension by bringing in the executive associate dean of UC Davis's School of Veterinary Medicine, John Pascoe, to oversee the necropsy of Medina Spirit.

UC Davis subsequently placed Blea on administrative leave on Jan. 12, however.

“The UC Davis School of Veterinary Medicine is aware the interim order of suspension of Dr. Jeff Blea's veterinary license has been upheld and is monitoring the situation as the legal process moves forward,” wrote a UC Davis spokesperson, in an email.

“The School of Veterinary Medicine continues to fulfill its duties to provide equine medical director services for the CHRB,” the spokesperson added.

The CHRB has thrown its weight behind Blea, voting unanimously in closed session on Jan. 20 on their “support and confidence in Blea to continue in his role,” according to a statement issued last week.

The commissioners are “further committed to pursue appropriate legal avenues to protect the authority of the board, as well as preserve the contract with UC Davis,” the CHRB wrote, adding that “regardless of the outcome, Dr. Blea has their full support and confidence to continue in his role as EMD throughout the full adjudication process.”

The TDN reached out to the CHRB for comment on the latest ruling but didn't receive a response before deadline.

The veterinary board accuses Blea of a number of offenses, including allegedly administering drugs to racehorses without a prior examination to form a diagnosis and determine medical necessity, failing to establish “any” veterinary-client-patient relationship, and of issuing drugs that are not FDA approved for equine administration.

A subsequent TDN investigation found a broad consensus among veterinary medical experts that the infractions are largely matters of poor record-keeping which rarely, if ever, rise to the level of a suspended license.

“When it comes to rising to the level of needing an immediate suspension, in my opinion, I don't think it reaches that level,” Bryan Langlois, former president of the Pennsylvania Veterinary Medical Association, told the TDN.

In her ruling, however, Chin suggests that the defense failed to provide at the administrative hearing an adequate rebuttal to the allegations, writing that while testimony from the veterinary board's investigator, James Howard, was given “significant merit,” the affidavits submitted by the defendant were afforded “little” weight.

“Though each affiant asserts that the allegations were without merit and claims the allegations are based on a misunderstanding of racetrack practice, they provide no factual grounds for their conclusions,” Chin wrote.

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Hearing: Blea’s Attorney Says Allegations Do Not Meet ‘Extraordinary Standard’ For License Suspension

The formal hearing of the California Veterinary Medical Board's petition for the interim suspension of California Horse Racing Board (CHRB) equine medical director Jeff Blea's medical license occurred on Friday, reports the Thoroughbred Daily News. Judge Nana Chin now has 30 days to issue a ruling.

Blea is facing eight causes for discipline, according to formal “accusation” documents issued in late December. Blea's veterinary license was suspended at an emergency meeting held on Christmas Eve. He has not been operating his racetrack practice since taking the job of equine medical director last summer.

Blea has been placed on administrative leave and has also been removed from his role overseeing the investigation into the death of Bob Baffert-trained Medina Spirit, who dropped dead after completing a workout at Santa Anita. The equine medical director is not responsible for actually performing necropsies or testing biological samples on horses who die in racing or training in California or elsewhere. Those responsibilities go to veterinary pathologists and toxicologists — in California, those duties are contracted to UC-Davis, though some samples have been shipped outside California in this particular case. The equine medical director would be responsible for gathering reports and interpreting them for presentation to the board and to the public.

Deputy attorney general Elaine Yan, representing the medical board, argued Friday that the allegations against Blea are violations of the veterinary medical practice act.

Meanwhile, Blea's attorney George Wallace argued that the allegations against the veterinarian do not meet the “extraordinary standard” generally required for the suspension of a veterinary license.

“You've had drunken veterinarians. You've had substance abusing veterinarians who you would not trust in a surgical suite. You have had grossly incompetent veterinarians who keep messing up even after the accusations have been filed,” said Wallace.

“In none of those cases has the veterinary medical board sought in interim suspension order. Dr. Blea is apparently the most dangerous veterinarian in existence in California, and the board has not articulated an actual present remotely likely danger that is posed by letting this disciplinary process go through the process of hearing the merits and a determination.”

Earlier this week, Dr. Gregory Ferraro, chairman of the California Horse Racing Board, called the recent investigation and action by the Veterinary Medical Board to temporarily suspend Blea's license an “unwarranted and unfair vendetta” that is “ill-advised and slanderous.” Ferraro said Blea has become a “pawn in a politically driven effort” to hurt horse racing in California. As a result of Blea having to be put on administrative leave from his post with the CHRB, Ferraro added, “the health and safety of racehorses are being compromised.”

Read more at the Thoroughbred Daily News.

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Blea’s Interim Suspension Hearing Plays Out

In the formal hearing Friday morning of the Veterinary Medical Board's petition for an interim suspension of California Horse Racing Board (CHRB) equine medical director Jeff Blea's medical license, both sides laid out their arguments.

In short, the deputy attorney general Elaine Yan representing the veterinary board took a procedural defense of the petition, arguing that the allegations against Blea amount to violations of standards of practice within the veterinary community as codified in the veterinary medicine practice act.

“These guidelines emphasize the importance of examinations and diagnosis,” said Yan, before zeroing in on what she said is the “most important part” of the clinical guidelines.

“It states, and I quote, 'Documentation of the use of all prescription drugs should conform to the requirements of the applicable state veterinary practice act,'” said Yan.

George Wallace, Blea's attorney, argued that the allegations against Blea don't meet the “extraordinary standard” that is typically required to suspend a veterinary license, and that no formal hearing on the “merit” of the allegations has yet been conducted and thus proven.

“You've had drunken veterinarians. You've had substance abusing veterinarians who you would not trust in a surgical suite. You have had grossly incompetent veterinarians who keep messing up even after the accusations have been filed,” said Wallace.

“In none of those cases has the veterinary medical board sought in interim suspension order. Dr. Blea is apparently the most dangerous veterinarian in existence in California, and the board has not articulated an actual present remotely likely danger that is posed by letting this disciplinary process go through the process of hearing the merits and a determination,” Wallace added.

Administrative law judge Nana Chin has 30 days with which to issue a written ruling on the case. According to Wallace, he expects that ruling to arrive by the end of next week.

Earlier this month, the California Veterinary Medical Board announced that an emergency hearing had resulted in an interim suspension of Blea's veterinary license for a number of alleged offenses, including purportedly administering “dangerous drugs” to racehorses without a prior examination, without forming a diagnosis and without medical necessity.

The veterinary board also claims that Blea presents a “danger to public health, safety and welfare,” due to his oversight as equine medical director of the high-profile investigation into the death of the Bob Baffert-trained Medina Spirit (Protonico), the Kentucky Derby winner who collapsed and died after a scheduled workout on Dec. 6 at Santa Anita.

A TDN investigation into the accusations leveled against Blea found a consensus among veterinary medical experts that the infractions are largely matters of poor record-keeping which rarely, if ever, rise to the level of a suspended license.

The role of equine medical director is first appointed by the dean of UC Davis, who then contracts out the appointee's services to the CHRB.

Last week, UC Davis placed Blea on administrative leave pending a formal review of his veterinary license–this, despite the CHRB's arguments that the position isn't one that has historically required an active license.

At the beginning of Friday's hearing, an attorney representing the CHRB attempted to formally participate in the hearing by arguing that the veterinary board's actions to remove Blea from his equine medical director position constitutes regulatory overreach.

In response, deputy attorney general Michael Yi argued that it did fall within the veterinary board's purview because the statutory definition of the position means that Blea is actively “engaging in veterinary medicine by conducting his duties.”

Judge Chin, however, said that the sole purpose of the hearing was to examine the merits of the allegations against Blea.

“This is something that will have to be dealt with at a full administrative hearing where parties can argue whether that constitutes unauthorized practice of veterinary medicine,” said Chin, about whether the equine medical director position requires an active license.

This left deputy attorney general Yan to argue that an interim suspension of Blea's license was necessary in the event Blea returned to veterinary practice.

In doing so, Yan cited a passage of the veterinary board's petition for an interim suspension against Blea where he's alleged to have administered, from January 2021 through March 2021, medications to 3,225 horses. “This averages out to be 48 horses per day,” the petition states.

“The fact that he can go back to administering drugs to 50 horses a day, thousands of horses a month, at the behest of the trainer and not in the best interest of the horses, truly poses a serious danger to public and equine health if his license is restored,” said Yan.

Wallace argued that Blea, who hasn't practiced veterinary medicine since he took over as CHRB equine medical director last year, has no intention of returning to practice in the near future.

Wallace also suggested that the judge could “fine tune” an order to deny the interim suspension for Blea so that he could resume his equine medical director post, and still prevent him from returning to medical practice.

“But you shouldn't even get to that. You should deny this petition outright,” said Wallace. “And if you could, I would ask you to vacate the original suspension as improvidently granted retroactive to January third.”

Wallace added, “The board has not met the standard for this extraordinary imposition on quite possibly one of the finest veterinarians in America, and I would submit that this must be denied and repudiated in every way possible.”

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