New York State Department of Health · Office of Professional Medical Conduct

Not medicine in July. Malpractice in November.

The New York State Police had already called the conduct consensual. The state medical board reviewed it and ruled it was not the practice of medicine. Then a New York Times story ran — and that same board reversed itself and filed a 70-page set of charges against Dr. Danielle Roberts that were demonstrably false.

Nothing about the underlying facts changed between July and November 2017. What changed was a headline. What follows is the documented record of how a state medical board was turned into an instrument of the federal prosecution of Keith Raniere — and used to keep a potential defense witness off the stand. Back to the doorway →

Side-by-side comparison: the July 2017 OPMC dismissal letter ruling the procedure not medical misconduct, against the November 2017 Statement of Charges alleging medical malpractice for the same act.
The same agency, 129 days apart — Exhibit A (the July dismissal) beside Exhibit B (the November charges).

1.Not medicine, and not a crime

In July 2017, Sarah Edmondson — a former member of the women’s group DOS — brought a complaint to New York’s Office of Professional Medical Conduct (OPMC) about a personal, consensual procedure performed by Dr. Danielle Roberts, a physician and DOS member. It had nothing to do with the practice of medicine; the New York State Police had already declined a criminal complaint about the same conduct, telling the women it had been consensual. The OPMC reviewed it and, through its Central Intake Unit, closed the matter in writing:

“The issues you describe did not occur within the doctor-patient relationship… are not medical misconduct… should be reported to law enforcement… no further action will be taken.”OPMC #17-07-4422 · July 11, 2017 · Exhibit A

2.The headline

On October 17, 2017, a New York Times article revealed the existence of DOS. It criticized the OPMC for not acting — and noted that a New York State Police investigator had already told Edmondson and two other women that their criminal complaint would not be pursued because the conduct had been “consensual.”

Two days later, the Times followed up, quoting Richard Azzopardi, spokesman for then-Governor Andrew Cuomo, that officials “plan to review why regulators and others did not act.” No new facts had emerged. The pressure was political and public.

3.Malpractice — the smoking gun

Shortly after the Times coverage, the OPMC reversed itself. On or about November 17, 2017, the Bureau of Professional Medical Conduct served an unsigned, undated 70-page Statement of Charges — now treating the same act it had just called non-medical as failed medicine:

Charged with operating in a non-“appropriately sterile environment,” failing to provide “wound care,” failing to refer the patient to a “specialist,” failing to maintain “medical records” — and with having “tortured and physically abused” the patient.Statement of Charges · November 17, 2017 · Exhibit B

Every one of those is a medical duty. They only exist if the act is the practice of medicine — which this office had ruled, in writing, it was not. A tattoo artist keeps no medical records, runs no sterile operating field, and refers no one to a specialist. You cannot commit malpractice performing an act your own agency ruled was not medicine.

The charges were also false on their face. They alleged misconduct toward 25 individuals — including two who had died of natural causes long before the allegations were compiled, and a dozen women it never happened to — among them Nancy Salzman, NXIVM’s 60-plus-year-old president. They claimed Edmondson repeatedly “requested… that Respondent cease” and believed she was getting “only a tattoo” — both contradicted by Edmondson’s own filmed, consented session, which shows no such requests and which she had watched performed on others beforehand.


The rest is confirmation

Everything after November 2017 confirms what the first three beats establish: the proceeding tracked the federal case, not the practice of medicine.

December 1, 2017

Associate Counsel Jeffrey J. Conklin emailed Roberts’ counsel, raising “the possibility of separate criminal investigations ongoing” and asking whether she would voluntarily surrender her license. Exhibit C

January 18, 2018

Conklin subpoenaed seven women — including DOS members Allison Mack and India Oxenberg — commanding them to appear February 14 and produce emails, texts, photos, and videos of the procedure. Mack would be charged by the EDNY months later; Oxenberg was named an unindicted co-conspirator. Exhibit D

February 2, 2018

Counsel for Allison Mack responded to the OPMC subpoena. The subpoenaed women contested them: some it never happened to, some were marked by a tattoo artist rather than Roberts, and all who underwent it had consented. Exhibit F

February 5, 2018

Conklin sent Roberts an interview “offer.” Under New York Public Health Law §230(10)(iii), this started a 90-day clock to bring charges. Roberts declined; the 90 days passed with no charges filed. Exhibit G

March 2018 – June 2019

As the EDNY tried Raniere, Mack, and others, the medical matter sat dormant. Unable to obtain employment or malpractice insurance in New York while the investigation hung open, Roberts lost her hospitalist contract and her livelihood.

June 27, 2019

One week after Raniere’s June 19, 2019 guilty verdict — and 507 days after the February 2018 offer — Conklin re-emerged, emailing counsel to ask whether Roberts would “consider a resolution short of a permanent surrender.” The medical case revived the moment the criminal case was won. Exhibit H

October 2019

Further emails from Conklin pressed for surrender of the license, citing the threat of revocation, “the imposition of maximum monetary fines,” “separate criminal investigations,” and the possibility of “notifying appropriate law enforcement.” Exhibit I

September 29, 2021

After a hearing, a Committee of the State Board for Professional Medical Conduct revoked Dr. Roberts’ medical license (Determination and Order No. 21-206). In 2023 the New York courts declined to disturb it: the Appellate Division denied her appeal and the Court of Appeals declined review. Exhibit J

She was a defense witness

This is why it mattered. Dr. Roberts performed the procedure and was a second-line DOS member — positioned alongside the government’s key accuser, with first-hand evidence that the collateral and the procedure were consensual, not coercion. In her sworn declaration she states she had “key information” that could have “dismantle[d] the Government’s theory of sex trafficking and forced labor” — and that she was “threatened and intimidated into silence” after being told her medical-hearing testimony could be used to build a criminal indictment. The seven women subpoenaed through her case invoked the Fifth Amendment. (Declaration of Danielle Roberts · Exhibit E)

There is no version of this that is about medicine

The same office said the act was not medicine, then charged it as bad medicine — on charges that named dead women and women it never happened to. It ignored its own 90-day deadline, subpoenaed the future federal defendants, and timed its every move to the criminal trial of Keith Raniere.

A state medical board does not behave this way to protect patients. It behaves this way when it has been turned into an instrument of a federal prosecution — and used to intimidate a defense witness into silence.

This is New York State regulatory power, flipped overnight by a press cycle and pointed at a target — the same machinery later asked to be trusted in the cases against President Trump.


The exhibits

Each exhibit below is the source document, split from the OPMC attachment record and OCR’d so the text is searchable.

Ex.DateDocument
AJul 11, 2017OPMC dismissal letter to Edmondson — “not medical misconduct” (OPMC #17-07-4422).
BNov 17, 2017Statement of Charges — the 70-page reversal alleging medical malpractice.
CDec 1, 2017Conklin email — raising “separate criminal investigations” and surrender.
DJan 18, 2018OPMC subpoena for Allison Mack — demanding emails, texts, photos, and videos of the procedure.
EJun 15, 2022Declaration of Danielle Roberts — sworn account of the intimidation.
FFeb 2, 2018Letter on behalf of Allison Mack to the OPMC.
GFeb 5, 2018OPMC interview offer — the document that started the 90-day clock.
HJun 27, 2019Conklin email — one week after the verdict, 507 days after the offer.
IOct 2019Conklin emails — pressing for surrender under threat.
JSep 29, 2021Determination and Order No. 21-206 — the license revocation.