Notice2025-19709

Tracy Amerson-Rivers, A.P.R.N.; Decision and Order

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Published
October 30, 2025

Issuing agencies

Justice DepartmentDrug Enforcement Administration

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<title>Federal Register, Volume 90 Issue 208 (Thursday, October 30, 2025)</title>
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[Federal Register Volume 90, Number 208 (Thursday, October 30, 2025)]
[Notices]
[Pages 48884-48887]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-19709]


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DEPARTMENT OF JUSTICE

Drug Enforcement Administration


Tracy Amerson-Rivers, A.P.R.N.; Decision and Order

I. Introduction

    On January 30, 2025, the Drug Enforcement Administration (DEA or 
Government) issued an Order to Show Cause and Immediate Suspension of 
Registration (OSC/ISO) to Tracy Amerson-Rivers, A.P.R.N., of Houston, 
Texas (Registrant). Request for Final Agency Action (RFAA), Exhibit 
(RFAAX) 1, at 1. The OSC/ISO informed Registrant of the immediate 
suspension of her DEA Certificate of Registration, No. MA5242792, 
pursuant to 21 U.S.C. 824(d), alleging that Registrant's continued 
registration constitutes ```an imminent danger to the public health or 
safety.' '' Id. (quoting 21 U.S.C. 824(d)). The OSC/ISO also proposed 
the revocation of Registrant's registration, alleging that Registrant's 
continued registration is inconsistent with the public interest. Id. 
(citing 21 U.S.C. 823(g)(1), 824(a)(4)).\1\
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    \1\ According to the OSC/ISO and Agency records, Registrant's 
registration expired on June 30, 2025. RFAAX 1, at 3. The fact that 
a registrant allows her registration to expire during the pendency 
of an administrative enforcement proceeding does not impact the 
Agency's jurisdiction or prerogative under the Controlled Substances 
Act to adjudicate the OSC/ISO to finality. Jeffrey D. Olsen, M.D., 
84 FR 68474, 68476-79 (2019).
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    More specifically, the OSC/ISO alleged that Registrant, an advanced 
practice registered nurse (APRN), issued six controlled substance 
prescriptions, despite lacking a prescriptive authority agreement with 
a licensed physician, which is required in Texas for an APRN to 
prescribe controlled substances. RFAAX 1, at 1-2. The OSC/ISO further 
alleged that Registrant obtained controlled substances by fraud. Id. at 
6.\2\
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    \2\ The Agency need not adjudicate the criminal violations 
alleged in the OSC/ISO. Ruan v. United States, 597 U.S. 450 (2022) 
(decided in the context of criminal proceedings).
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    On May 20, 2025, the Government submitted a RFAA requesting that 
the Agency issue a default final order revoking Registrant's 
registration. RFAA, at 1-5. After carefully reviewing the entire record 
and conducting the analysis as set forth in more detail below, the 
Agency grants the Government's RFAA and revokes Registrant's 
registration.

II. Default Determination

    Under 21 CFR 1301.43, a registrant entitled to a hearing who fails 
to file a timely hearing request ``within 30 days after the date of 
receipt of the [OSC/ISO] . . . shall be deemed to have waived their 
right to a hearing and to be in default'' unless ``good cause'' is 
established for the failure. 21 CFR 1301.43(a), (c)(1). In the absence 
of a demonstration of good cause, a registrant who fails to timely file 
an answer also is ``deemed to have waived their right to a hearing and 
to be in default.'' 21 CFR 1301.43(c)(2). Unless excused, a default is 
deemed to constitute ``an admission of the factual allegations of the 
[OSC/ISO].'' 21 CFR 1301.43(e).
    The OSC/ISO notified Registrant of her right to file a written 
request for hearing and answer, and that if she failed to file such a 
request and answer, she would be deemed to have waived her right to a 
hearing and be in default. RFAAX 1, at 7-8. The OSC/ISO further 
notified Registrant that ``[s]hould [she] request a hearing and fail to 
timely file an answer, plead, or otherwise defend, . . . [she] shall be 
deemed to have waived the right to a hearing and to be in default.'' 
Id. at 8 (citing 21 CFR 1301.43(c)(2), (c)(3), (d)).
    Registrant filed a timely hearing request, but did not file an 
answer. RFAA, at 2; RFAAX 3; RFAAX 4, at 1. The matter was assigned to 
Administrative Law Judge (ALJ) Paul Soeffing, who issued an Order for 
Prehearing Statements on March 4, 2025, directing Registrant to file a 
compliant answer by 5:00 p.m. Eastern Time (ET)/4:00 p.m. Central Time 
(CT) on March 7, 2025. RFAA, at 2; RFAAX 4, at 1-2, 5. On March 10, 
2025, the ALJ granted Registrant's request to extend the deadline for 
filing an answer to 5:00 p.m. ET/4:00 p.m. CT on April 21, 2025. RFAA, 
at 2; RFAAX 6, at 1-2.
    On April 21, 2025, Registrant filed a purported answer. RFAA, at 2; 
RFAAX 7. On the same day, the ALJ issued an order notifying Registrant 
of deficiencies that made her purported answer noncompliant. RFAA, at 
2-3; RFAAX 8, at 1-2. The ALJ found that Registrant's purported answer 
failed to ``admit, deny, or state that [she] does not have and is 
unable to obtain sufficient information to admit or deny'' each 
allegation of the OSC/ISO, as required by 21 CFR 1301.37(d)(3). RFAAX 
8, at 2. The ALJ provided Registrant another opportunity to file a 
compliant answer by 5:00 p.m. ET/4:00 p.m. CT on April 24, 2025. RFAA, 
at 2-3; RFAAX 8, at 1-2.
    On April 24, 2025, Registrant filed a second purported answer after 
the filing deadline. RFAA, at 3; RFAAX 9; RFAAX 10, at 1. On April 25, 
2025, the ALJ issued an order notifying Registrant that her second 
purported answer was untimely and remained noncompliant with 21 CFR 
1301.37(d)(3). RFAA, at 3; RFAAX 10, at 1-2. The ALJ directed 
Registrant to submit a filing by 2:00 p.m. ET/1:00 p.m. CT on May 2, 
2025, correcting the deficiencies in her second purported answer and 
showing good cause to accept the untimely second purported answer. 
RFAA, at 3; RFAAX 10, at 2. Registrant did not respond to this order. 
RFAA, at 3; RFAAX 11, at 1-2.
    On May 2, 2025, the ALJ issued an order terminating the proceeding 
based on his finding that Registrant had failed to file a timely and 
compliant answer to the OSC/ISO allegations. Id. The ALJ further found 
that Registrant's failure to submit a timely and compliant answer 
constituted a waiver of her right to a

[[Page 48885]]

hearing and that she was in default.\3\ RFAAX 11, at 2 (citing 21 CFR 
1301.43(c)(1), (e)). The Agency finds that the ALJ did not err in 
finding Registrant to be in default due to her untimely second 
purported answer, failure to show good cause to excuse the untimely 
second purported answer and correct the deficiencies in her purported 
answers, and failure to respond to the ALJ's April 25 order.
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    \3\ The ALJ's numerous orders repeatedly reminded Registrant 
that failure to file a timely and compliant answer could result in a 
finding of default under DEA rules. See RFAA, at 2-3; RFAAX 4, at 2 
(March 4, 2025 order); RFAAX 6, at n.3 (March 10, 2025 order); RFAAX 
8, at 2 n.2 (April 21, 2025 order); RFAAX 10, at 2 n.4 (April 25, 
2025 order). In addition, the OSC/ISO itself notified Registrant 
that if she ``fail[ed] to file . . . [an] answer, [she] shall be 
deemed to have waived [her] right to a hearing and to be in 
default.'' RFAAX 1, at 7 (citing 21 CFR 1301.43(c)(1)).
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    ``A default, unless excused, shall be deemed to constitute a waiver 
of the [registrant's] right to a hearing and an admission of the 
factual allegations of the [OSC/ISO].'' 21 CFR 1301.43(e). Because 
Registrant is in default, the Agency finds that Registrant has admitted 
to the factual allegations in the OSC/ISO. 21 CFR 1301.43(c)(1), (e), 
(f)(1).
    Further, ``[i]n the event that [a registrant] . . . is deemed to be 
in default . . . DEA may then file a request for final agency action 
with the Administrator, along with a record to support its request. In 
such circumstances, the Administrator may enter a default final order 
pursuant to [21 CFR] 1316.67.'' 21 CFR 1301.43(f)(1). Here, the 
Government has requested final agency action based on Registrant's 
default pursuant to 21 CFR 1301.43(c), (f), and 1301.46. RFAA, at 1, 5; 
see also 21 CFR 1316.67.

III. Findings of Fact

    In light of Registrant's default, the Agency finds that the factual 
allegations in the OSC/ISO are deemed admitted.\4\ 21 CFR 1301.43(e). 
Accordingly, Registrant is deemed to have admitted to each of the 
following facts.
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    \4\ According to the Controlled Substances Act (CSA), 
``[f]indings of fact by the [DEA Administrator], if supported by 
substantial evidence, shall be conclusive.'' 21 U.S.C. 877. Here, 
where Registrant is found to be in default, all the factual 
allegations in the OSC/ISO are deemed to be admitted. These 
uncontested and deemed admitted facts constitute evidence that 
exceeds the ``substantial evidence'' standard of 21 U.S.C. 877; it 
is unrebutted evidence.
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A. Dispensing Controlled Substances Without Authority

    In Texas, an APRN, such as Registrant, may only ``order or 
prescribe'' drugs that are ``authorized by a prescriptive authority 
agreement.'' 22 Tex. Admin. Code Sec.  222.4(a)(1)(A); RFAAX 1, at 3. 
``A physician may delegate to an [APRN] . . . the act of prescribing or 
ordering a drug or device as authorized through a prescriptive 
authority agreement between the physician and the [APRN].'' 22 Tex. 
Admin. Code Sec.  193.7(a); \5\ RFAAX 1, at 3. ``The prescriptive 
authority agreement is a mechanism by which an APRN is delegated the 
authority to order or prescribe drugs or devices by a physician.'' 22 
Tex. Admin. Code Sec.  222.5(a); RFAAX 1, at 3. An APRN must also 
possess valid state authority under state law to qualify as a 
practitioner for purposes of the Controlled Substances Act (CSA) and to 
issue controlled substance prescriptions. 21 U.S.C. 802(21), 823(g)(1), 
824(a)(3); RFAAX 1, at 4.
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    \5\ This version of 22 Texas Administrative Code Sec.  193.7(a) 
was in effect during all periods relevant to the OSC/ISO 
allegations.
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    On February 1, 2022, pursuant to a prescriptive authority 
agreement, Registrant was granted prescriptive authority in Texas by 
Dr. R.K.Y. RFAAX 1, at 4. Dr. R.K.Y. died on March 5, 2023. Id. The 
prescriptive authority agreement, and therefore Registrant's 
prescriptive authority, terminated by operation of law upon the death 
of Dr. R.K.Y. Id. On April 20, 2023, Registrant was granted 
prescriptive authority by Dr. A.E.G. pursuant to a prescriptive 
authority agreement, which was terminated on June 9, 2023. Id.
    Thus, Registrant lacked prescriptive authority in Texas from March 
5, 2023, to April 20, 2023. Id. Nevertheless, between March 5, 2023, 
and April 20, 2023, Registrant issued six prescriptions for controlled 
substances. Id. Each controlled substance prescription listed Dr. 
R.K.Y. as Registrant's supervising physician, even though he was 
deceased when the prescription was issued. Id. Accordingly, the Agency 
finds unrebutted record evidence, and Registrant is deemed to have 
admitted, that she issued six prescriptions for controlled substances 
without possessing the requisite prescriptive authority in Texas.

B. Obtaining Controlled Substances by Fraud

    Under Texas law, it is an offense to knowingly obtain and possess a 
controlled substance ``by misrepresentation, fraud, forgery, [or] 
deception.'' Tex. Health & Safety Code Sec.  481.129(a)(5)(A).
    On March 15, 2023, a prescription for alprazolam \6\ was issued to 
individual D.R. in the name of Dr. R.K.Y., even though Dr. R.K.Y. died 
on March 5, 2023. RFAAX 1, at 4, 6. On the day the prescription was 
issued, Registrant used the prescription to personally obtain 
alprazolam by claiming that she was filling the prescription for 
individual D.R. Id. Registrant knew this claim was false because she 
knew that D.R. was incarcerated at the time. Id.
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    \6\ Alprazolam is a schedule IV depressant. 21 CFR 
1308.14(c)(2).
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IV. Public Interest Determination

A. Legal Background

    As discussed above, the OSC/ISO alleges that Registrant violated 
provisions of the CSA and its implementing regulations. As the Supreme 
Court stated in Gonzales v. Raich, 545 U.S. 1 (2005), ``the main 
objectives of the CSA were to conquer drug abuse and control the 
legitimate and illegitimate traffic in controlled substances.'' Id. at 
12. Gonzales explained that:

    Congress was particularly concerned with the need to prevent the 
diversion of drugs from legitimate to illicit channels. To 
effectuate these goals, Congress devised a closed regulatory system 
making it unlawful to manufacture, distribute, dispense, or possess 
any controlled substance except in a manner authorized by the CSA . 
. . . The CSA and its implementing regulations set forth strict 
requirements regarding registration, labeling and packaging, 
production quotas, drug security, and recordkeeping.

Id. at 12-14.
    Here, the OSC/ISO's allegations concern the CSA's ``strict 
requirements regarding registration'' and ``the need to prevent the 
diversion of drugs from legitimate to illicit channels.'' Id. 
Therefore, the allegations go to the heart of the CSA's ``closed 
regulatory system'' specifically designed ``to conquer drug abuse and 
to control the legitimate and illegitimate traffic in controlled 
substances.'' Id. at 12-14.
    When the CSA's requirements are not met, the Agency \7\ ``may deny, 
suspend, or revoke [a] registration if . . . the [registrant's] 
registration would be `inconsistent with the public interest.''' 
Gonzales v. Oregon, 546 U.S. 243, 251 (2006) (quoting 21 U.S.C. 
824(a)(4)).\8\ In the case of a ``practitioner,'' the Agency is 
directed to consider five factors in making the public interest 
determination. Id.; 21 U.S.C. 823(g)(1)(A)-(E).\9\
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    \7\ The CSA delegates power to the Attorney General, who has 
delegated authority to the Administrator of DEA (the Agency). 28 CFR 
0.100.
    \8\ The Government has the burden of proof in this proceeding. 
21 CFR 1301.44(e).
    \9\ The five factors are:
    (A) The recommendation of the appropriate State licensing board 
or professional disciplinary authority.
    (B) The [registrant's] experience in dispensing, or conducting 
research with respect to controlled substances.
    (C) The [registrant's] conviction record under Federal or State 
laws relating to the manufacture, distribution, or dispensing of 
controlled substances.
    (D) Compliance with applicable State, Federal, or local laws 
relating to controlled substances.
    (E) Such other conduct which may threaten the public health and 
safety.
    21 U.S.C. 823(g)(1)(A)-(E).

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[[Page 48886]]

    The five factors are considered in the disjunctive. Gonzales v. 
Oregon, 546 U.S. at 292-93 (Scalia, J., dissenting) (``It is well 
established that these factors are to be considered in the 
disjunctive'' (quoting In re Arora, 60 FR 4447, 4448 (1995))); Robert 
A. Leslie, M.D., 68 FR 15227, 15230 (2003). Each factor is weighed on a 
case-by-case basis. David H. Gillis, M.D., 58 FR 37507, 37508 (1993). 
Any one factor, or combination of factors, may be decisive, Gillis, 58 
FR at 37508, and the Agency ``may give each factor the weight . . . 
deem[ed] appropriate in determining whether a registration should be 
revoked or an application for registration denied.'' Morall v. Drug 
Enf't Admin., 412 F.3d 165, 185 n.2 (D.C. Cir. 2005) (Henderson, J., 
concurring) (quoting Robert A. Smith, M.D., 70 FR 33207, 33208 (2007)); 
see also Penick Corp. v. Drug Enf't Admin., 491 F.3d 483, 490 (D.C. 
Cir. 2007).
    Moreover, while the Agency is required to consider each of the 
factors, it ``need not make explicit findings as to each one.'' MacKay 
v. Drug Enf't Admin., 664 F.3d 808, 816 (10th Cir. 2011) (quoting 
Volkman v. U.S. Drug Enf't Admin., 567 F.3d 215, 222 (6th Cir. 2009)); 
Jones Total Health Care Pharmacy, LLC v. Drug Enf't Admin., 881 F.3d 
823, 830 (11th Cir. 2018); Hoxie v. Drug Enf't Admin., 419 F.3d 477, 
482 (6th Cir. 2005). ``In short, . . . the Agency is not required to 
mechanically count up the factors and determine how many favor the 
Government and how many favor the registrant. Rather, it is an inquiry 
which focuses on protecting the public interest; what matters is the 
seriousness of the registrant's misconduct.'' Jayam Krishna-Iyer, M.D., 
74 FR 459, 462 (2009). Accordingly, as the Eleventh Circuit has 
recognized, Agency decisions have explained that findings under a 
single factor can support the revocation of a registration. Jones Total 
Health Care Pharmacy, 881 F.3d at 830.

B. Registrant's Registration Is Inconsistent With the Public Interest

    While the Agency has considered all the public interest factors of 
21 U.S.C. 823(g)(1),\10\ the Government's evidence in support of its 
prima facie case is confined to Factors B and D. RFAA, at 4; RFAAX 1, 
at 7. Evidence is considered under Factors B and D when it reflects 
experience dispensing controlled substances and compliance or non-
compliance with laws related to controlled substances. Kareem Hubbard, 
M.D., 87 FR 21156, 21162 (2022).
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    \10\ As to Factor A, there is no record evidence of disciplinary 
action against Registrant's state medical license. 21 U.S.C. 
823(g)(1)(A). However, ``[t]he fact that the record contains no 
evidence of a recommendation by a state licensing board does not 
weigh for or against a determination as to whether continuation of 
[Registrant's] DEA certification is consistent with the public 
interest.'' Roni Dreszer, M.D., 76 FR 19434, 19444 (2011). As to 
Factor C, there is no evidence in the record that Registrant has 
been convicted of any federal or state law offense ``relating to the 
manufacture, distribution, or dispensing of controlled substances.'' 
21 U.S.C. 823(g)(1)(C). However, as Agency cases have noted, ``the 
absence of such a conviction is of considerably less consequence in 
the public interest inquiry'' and is therefore not dispositive. 
Dewey C. Mackay, M.D., 75 FR 49956, 49973 (2010). As to Factor E, 
the Government's evidence fits squarely within the parameters of 
Factors B and D and does not raise ``other conduct which may 
threaten the public health and safety.'' 21 U.S.C. 823(g)(1)(E). 
Accordingly, Factor E does not weigh for or against Registrant.
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    Here, the Agency finds unrebutted record evidence, and Registrant 
is deemed to have admitted, that between March 5, 2023, and April 10, 
2023, Registrant issued six prescriptions for controlled substances 
without a prescriptive authority agreement outside the usual course of 
professional practice and in violation of federal and Texas law. 21 CFR 
1306.04; 22 Tex. Admin. Code Sec. Sec.  222.4(a)(1)(A), 222.5(a); see 
also Stephen McCarthy, P.A., 89 FR 71427, 71430 (2024) (``Respondent 
repeatedly issued controlled substance prescriptions outside the usual 
course of professional practice by issuing such prescriptions while 
lacking an active agreement with a supervisory physician as required by 
state law.''); Richard J. Settles, D.O., 81 FR 64940, 64947 (2016) 
(finding registrant ``violated the CSA and DEA regulations'' when he 
issued controlled substance prescriptions without ``the requisite state 
authority to dispense controlled substances''). Such non-compliance 
with laws related to controlled substances reflects on Registrant's 
experience handling controlled substances. 21 U.S.C. 823(g)(1)(B), (D).
    Furthermore, the Agency finds unrebutted record evidence, and 
Registrant is deemed to have admitted, that on March 15, 2023, 
Registrant used a prescription issued to another individual to obtain a 
controlled substance for herself by fraudulently claiming that she was 
filling the prescription for someone else, in violation of Texas law. 
Tex. Health & Safety Code Sec.  481.129(a)(5)(A). Such non-compliance 
with laws related to controlled substances reflects on Registrant's 
experience handling controlled substances. 21 U.S.C. 823(g)(1)(B), (D).
    After considering the factors of 21 U.S.C. 823(g)(1), the Agency 
finds that the Government satisfied its prima facie burden of showing 
that Registrant's registration would be ``inconsistent with the public 
interest.'' \11\ 21 U.S.C. 824(a)(4). The Agency also finds that there 
is no mitigating evidence to rebut the Government's prima facie case, 
and therefore, finds that Registrant's registration is ``inconsistent 
with the public interest.'' Id. Thus, the only remaining issue is 
whether, in light of the Agency's finding that Registrant violated the 
law, Registrant can be trusted with a DEA registration.
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    \11\ Given the violations of law proven by unrebutted record 
evidence as discussed herein, the Agency need not reach the 
remaining allegations related to the inadequacy of Registrant's 
medical records and the issuance of controlled substance 
prescriptions outside the usual course of professional practice. 
RFAAX 1, at 4-6. Registrant's prescribing controlled substances 
without authority and obtaining a controlled substance by fraud are 
sufficient to revoke.
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V. Sanction

    Where, as here, the Government has presented a prima facie case 
showing that a registrant's registration is inconsistent with the 
public interest, the burden shifts to Registrant to show why she can be 
trusted with a registration. Morall, 412 F.3d at 181; Jones Total 
Health Care Pharmacy, 881 F.3d at 830; Garrett Howard Smith, M.D., 83 
FR 18882, 18904 (2018). The issue of trust is a fact-dependent 
determination based on the circumstances presented by the individual 
practitioner. Jeffrey Stein, M.D., 84 FR 46968, 46972 (2019); see also 
Jones Total Health Care Pharmacy, 881 F.3d at 833. Historically, the 
Agency has considered acceptance of responsibility, egregiousness, and 
deterrence when making this assessment.
    Specifically, the Agency requires the practitioner to accept 
responsibility for his or her violation. Jones Total Health Care 
Pharmacy, 881 F.3d at 833; ALRA Labs, Inc. v. Drug Enf't Admin., 54 
F.3d 450, 452 (7th Cir. 1995). Acceptance of responsibility must be 
unequivocal. Janet S. Pettyjohn, D.O., 89 FR 82639, 82641 (2024); 
Mohammed Asgar, M.D., 83 FR 29569, 29573 (2018); see also Jones Total 
Health Care Pharmacy, 881 F.3d at 830-31. In addition, the Agency 
considers the egregiousness and extent of the misconduct in determining 
the appropriate sanction. Jones Total Health Care Pharmacy, 881 F.3d at 
834 & n.4. The Agency also considers the need to

[[Page 48887]]

deter similar acts by Registrant, the registrant community, and by 
future applicants for registration. Stein, 84 FR at 46972-73.
    Here, Registrant did not timely or properly answer the allegations, 
and was therefore deemed to be in default. 21 CFR 1301.43(c), (e), (f); 
RFAA, at 1-4. To date, Registrant has not filed a motion with the 
Office of the Administrator to excuse the default. 21 CFR 
1301.43(c)(1). Registrant has thus failed to timely or properly answer 
the allegations contained in the OSC/ISO and has not otherwise availed 
herself of the opportunity to refute the Government's case. As such, 
Registrant has not accepted responsibility for the proven violations, 
has made no representations regarding her future compliance with the 
CSA, and has not made any demonstration that she can be trusted with a 
registration.\12\
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    \12\ Even if the Agency were to consider Registrant's purported 
answers, which were deemed noncompliant by the ALJ, the Agency would 
still find that Registrant has failed to accept responsibility. In 
this regard, in her April 21 and April 24 purported answers, 
Registrant characterized the OSC/ISO factual allegations as the 
result of ``administrative oversight,'' and not ``diversion'' or 
``abuse of prescribing authority.'' Registrant's inability or 
unwillingness to accept that the proven violations constitute 
diversion of controlled substances undermines any attempt on her 
part to accept responsibility for the misconduct. See Gonzales v. 
Raich, 545 U.S. at 12-14 (``Congress was particularly concerned with 
the need to prevent the diversion of drugs from legitimate to 
illicit channels.''); Phong H. Tran, M.D., 90 FR 14383, 14385 (2025) 
(``Respondent's attempts to minimize this egregious misconduct 
undermine any purported acceptance of responsibility.'').
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    Further, the interests of specific and general deterrence weigh in 
favor of revocation. Registrant's misconduct in this matter concerns 
the CSA's ``strict requirements regarding registration'' and ``the need 
to prevent the diversion of drugs from legitimate to illicit 
channels,'' and, therefore, goes to the heart of the CSA's ``closed 
regulatory system'' specifically designed ``to conquer drug abuse and 
to control the legitimate and illegitimate traffic in controlled 
substances.'' Gonzales v. Raich, 545 U.S. at 12-14. Registrant's 
egregious misconduct involved issuing controlled substance 
prescriptions without state authority to so do and obtaining a 
controlled substance by fraud. Supra Section IV.B. If the Agency were 
to allow Registrant to keep her registration under these circumstances, 
it would send a dangerous message that compliance with the law and 
preventing diversion are not essential to maintaining a registration.
    In sum, Registrant has not offered any evidence on the record that 
rebuts the Government's case for revocation of her registration, and 
Registrant has not demonstrated that she can be entrusted with the 
responsibility of a registration. Accordingly, the Agency will order 
the revocation of Registrant's registration.

Order

    Pursuant to 28 CFR 0.100(b) and the authority vested in me by 21 
U.S.C. 823(g)(1) and 21 U.S.C. 824(a)(4), I hereby revoke DEA 
Certificate of Registration No. MA5242792 issued to Tracy Amerson-
Rivers, A.P.R.N. Further, pursuant to 28 CFR 0.100(b) and the authority 
vested in me by 21 U.S.C. 823(g)(1) and 21 U.S.C. 824(a)(4), I hereby 
deny any pending applications of Tracy Amerson-Rivers, A.P.R.N., to 
renew or modify this registration, as well as any other pending 
application of Tracy Amerson-Rivers, A.P.R.N., for additional 
registration in Texas. This Order is effective December 1, 2025.

Signing Authority

    This document of the Drug Enforcement Administration was signed on 
October 9, 2025, by Administrator Terrance Cole. That document with the 
original signature and date is maintained by DEA. For administrative 
purposes only, and in compliance with requirements of the Office of the 
Federal Register, the undersigned DEA Federal Register Liaison Officer 
has been authorized to sign and submit the document in electronic 
format for publication, as an official document of DEA. This 
administrative process in no way alters the legal effect of this 
document upon publication in the Federal Register.

Heather Achbach,
Federal Register Liaison Officer, Drug Enforcement Administration.
[FR Doc. 2025-19709 Filed 10-29-25; 8:45 am]
BILLING CODE 4410-09-P


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Indexed from Federal Register on October 30, 2025.

This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.