Rachel Kientcha-Tita, M.D.; Decision and Order

Document Headings Document headings vary by document type but may contain the following: the agency or agencies that issued and signed a document the number of the CFR title and the number of each part the document amends, proposes to amend, or is directly related to the agency docket number / agency internal file number the RIN which identifies each regulatory action listed in the Unified Agenda of Federal Regulatory and Deregulatory Actions See the Document Drafting Handbook for more details. Department of Justice Drug Enforcement Administration [Docket No. 25-20] ( printed page 45811) On November 13, 2024, the Drug Enforcement Administration (DEA or Government) issued an Order to Show Cause (OSC) to Rachel Kientcha-Tita, M.D. (Respondent), of Houston, Texas. OSC, at 1, 3. The OSC proposed the revocation of Respondent's DEA Certificate of Registration (registration), No. FK0843462, and denial of her renewal application for the same, alleging that Respondent has been, and continues to be, mandatorily excluded from participation in Medicare, Medicaid, and all federal health care programs pursuant to 42 U.S.C. 1320a-7(a) . Id., at 2 (citing 21 U.S.C. 824(a)(5) ). A hearing was held before DEA Chief Administrative Law Judge (ALJ) John J. Mulrooney, II, who, on May 19, 2025, issued his Recommended Rulings, Findings of Fact, Conclusions of Law, and Decision of the Administrative Law Judge (RD). The RD recommended that Respondent's registration be revoked and her application for renewal be denied. RD, at 19. The Government filed exceptions to the RD. [ 1 2 ] Having reviewed the entire record, the Agency adopts and hereby incorporates by reference the entirety of the Chief ALJ's rulings, credibility findings, [ 3 ] findings of fact, conclusions of law, sanctions analysis, and recommended sanctions in the RD, and clarifies and expands upon portions thereof herein. I. Applicable Law Pursuant to 21 U.S.C. 824(a)(5) , the Agency  [ 4 ] is authorized to suspend o…