by Derek Kravitz and Rudi Keller, Missouri Independent

A Missouri lawmaker facing a 23-count federal indictment for allegedly selling fake stem-cell treatments and fraudulently using federal pandemic relief funds has settled a separate issue with the state health department, resulting in a three-year probation of her narcotics license.

The administrative settlement, signed Jan. 28 with the Missouri Department of Health and Senior Services’ Bureau of Narcotics and Dangerous Drugs, says that state Rep. Patricia Derges, R-Nixa, acknowledged possessing and dispensing controlled substances in a manner not authorized by law.

The settlement also includes details about Derges improperly prescribing oxycodone, an opioid, and amphetamines and purchasing and stocking tramadol, an opioid used for pain management, in her Ozark Valley clinics in southwestern Missouri. 

The settlement was obtained by the Documenting COVID-19 project through a Sunshine Law request, as part of an ongoing collaboration with The Missouri Independent. (The full settlement agreement can be found here.)

The settlement does not address some of the other charges Derges faces, which include administering amniotic fluid, which she allegedly claimed contained stem cells, as a treatment for erectile dysfunction, Lyme disease and urinary incontinence, among other ailments. 

Despite acknowledging unauthorized possession and dispensing of the drugs, Derges’s attorney, Albert Watkins of Kodner Watkins in St. Louis, said the purchases and prescriptions “are not criminal,” as Derges didn’t intend to break a law she had little, if any, understanding of.

Derges is still fighting the criminal charges case in U.S. District Court and she has repeatedly professed her innocence in public and on social media. A jury trial has been set for June 2022.

“The settlement is the appropriate action, not a criminal prosecution that requires intent,” Watkins said. “[The prosecution] makes no sense, it’s wrong, it’s inappropriate and it’s an abhorrent waste of taxpayer dollars.”

Derges told investigators with the state health department that controlled substance laws were not taught in her medical school and she could not find a place in a medical residency program. Derges is a licensed assistant physician, which is a mid-level practitioner beneath a board-certified medical doctor, and she received her medical training at the Caribbean Medical University in the Netherland Antilles.

The agreement notes that Derges began “practicing with controlled substances and has been learning as she goes. The violations revealed were not intentional and were because she did not know. Once she learned of the violations, she took prompt corrective measures.”

She also did not document and log prescriptions and did not maintain receipts or transfer records, the settlement states.

Derges, who was elected to represent Christian County for a two-year term in November 2020, did not directly respond to requests for comment.

Shortly after the charges against her were announced a year ago, Derges was called on to resign by House GOP leadershipkicked out of the Republican caucus and stripped of her committee posts. During her first legislative session, she filed 10 bills — four of which deal with medical licensing in ways that could allow her to convert her license as an assistant physician to a physician.

Refusing to resign, she has been relegated to a tiny, windowless room set aside for castoff legislators.

A spokesman for House Speaker Rob Vescovo, R-Arnold, noted that the speaker has called for Derges to resign and hasn’t changed his position on that.

Derges still has no plans to resign from her elected position, her attorney said.

The Independent’s Jason Hancock contributed to this story. 

The Documenting COVID-19 project, supported by Columbia University’s Brown Institute for Media Innovation and MuckRock, collects and shares government documents related to the COVID-19 pandemic and works on investigative journalism projects with partner newsrooms.

Missouri Independent

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