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The Maine Board of Licensure in Medicine on Tuesday voted unanimously to extend the suspension of Dr. Meryl Nass’ medical license to a period of 39 months, saying she had violated rules set by the board in caring for three patients with COVID-19.

The board ruled that Nass, a biological warfare expert and an outspoken critic of federal COVID-19 policies, had “exhibited incompetency” or failed to meet standards of care in her treatment of the patients.

It imposed a fine of $10,000 toward hearing costs and a two-year probationary period during which Nass would be required to personally finance the costs of engaging professional oversight of her work, take courses in ethics and medical recordkeeping and undergo a competency evaluation, among other things.

The board issued its decision in a three-minute hearing during which neither side was permitted to present closing arguments.

Nass wrote on her substack that the hearing was an “anticlimactic finish” to a case that has dragged on since anonymous complaints were first filed against her in October 2021 for making “misleading” statements.

Those complaints were filed soon after the board issued a position statement, stating that licensees could face disciplinary action if they “generate and spread COVID-19 vaccine misinformation or disinformation.”

Nass, a practicing internal medicine physician and member of the Children’s Health Defense scientific advisory board, was subsequently investigated by the Maine board and faced the initial suspension of her license on Jan. 12, 2022, for spreading COVID-19 “misinformation.”

The board also accused her of improperly prescribing hydroxychloroquine and ivermectin for three patients for off-label uses of those drugs and failing to keep proper records and medical documentation.

Just prior to her first October 2022 hearing, the board suddenly dropped the charges of “misinformation,” but her license remained suspended and the board continued to investigate the charges related to her treatment of three patients with COVID-19, even though there were no patient complaints related to that treatment.

The board based their Tuesday decision on this set of charges.

Rather than conducting the hearings about the allegations against Nass over consecutive days, the board held single-day hearings about every other month since October 2022 — with Nass’s ability to practice medicine suspended the entire time.

During its seventh day of hearings in September, the board discussed its decision against her and a series of penalties that would be imposed on her. The six board members present and eligible to vote at the September hearing voted that her actions were grounds for discipline on eight of the 13 counts against her.

However, the board never formally finalized that decision and order, or responded to Nass’s inquiries about the decision until Tuesday’s hearing, Nass told The Defender.

Nass said she does not intend to comply with the conditions imposed by the board to recuperate her license, because “their interpretation of what happened and what I’m guilty of completely ignores all the testimony in the hearing that lasted almost a year.”

That included testimonies from Nass’ patients who, according to Nass’ attorney, all made “glowing comments” about her availability, her medical advice and her handling of their cases and expressed anger that Nass was being targeted by the board for their cases.

In total, Nass said that nine people’s testimonies and hundreds, or even thousands of documents demonstrating the legality and ethics of her practices were ignored by the board.

“What they essentially have done is said that I have to practice according to their way of looking at things, or I will never be able to get an unrestricted license back. So I will not be practicing medicine again, according to their requirements,” Nass said.

Instead, Nass is suing the board and its individual members in federal court, alleging the board violated her First Amendment rights and her rights under the Maine Constitution.

The complaint alleges the board engaged in retaliatory conduct against Nass, and suspended her medical license for publicly expressing her dissenting views on official COVID-19 policies, the COVID-19 vaccine and alternative treatments.

“Because she was outspoken, the board targeted Dr. Nass as someone to silence,” her attorney, Gene Libby told The Defender in August when Nass filed the lawsuit.

CHD President Mary Holland agreed. Speaking to Nass about the board hearings on CHD.TV in September, she said the hearing sounded like a “show trial” that is “really about showing a power dynamic” rather than about seeking justice or finding out what happened.

Holland said it seemed Nass was targeted “to send a message to doctors everywhere that, ‘You don’t get to do what you think is in the patient’s best interest. You do what we tell you to do.’”

The first round of oral arguments in Nass’ lawsuit against the board is scheduled for Jan. 10, 2024, before Judge Jon Levy in Portland, Maine.