Bonney v. Stephens Mem'l Hosp.

Decision Date12 April 2011
Docket NumberDocket No. Oxf–10–300.
Citation17 A.3d 123,2011 ME 46
PartiesDwayne BONNEY et al.v.STEPHENS MEMORIAL HOSPITAL et al.
CourtMaine Supreme Court

OPINION TEXT STARTS HERE

Thomas J. Connolly, Esq. (orally), Portland, ME, for Dwayne and Debbie Bonney.Mark G. Lavoie, Esq., Christopher C. Taintor, Esq. (orally), Norman, Hanson & DeTroy, LLC, Portland, ME, for Stephens Memorial Hospital.Panel: SAUFLEY, C.J., and ALEXANDER, LEVY, SILVER, MEAD, GORMAN, and JABAR, JJ.LEVY, J.

[¶ 1] This appeal stems from an incident in which a hospital security guard overheard a conversation between Dwayne and Debbie Bonney and emergency room nurses attending to them and then reported information from that conversation to local law enforcement officials. The report led police to interview the Bonneys and then obtain a warrant authorizing the search of the Bonneys' residence, resulting in the Bonneys' indictment and subsequent conviction for drug trafficking. The Bonneys sued Stephens Memorial Hospital and the unnamed security guard for damages, contending that the security guard's report was an unauthorized disclosure of an individual's confidential health care information in violation of 22 M.R.S. § 1711–C(2) (2010) and the Health Insurance Portability and Accountability Act (HIPAA) of 1996, 42 U.S.C.S. §§ 1320d to 1320d–9 (LexisNexis 2008 & Supp.2010), a violation of their privacy, and constituted the negligent infliction of emotional distress.

[¶ 2] The Superior Court (Oxford County, Clifford, J.) entered a summary judgment in favor of the Hospital, determining that the statutory immunity established in 30–A M.R.S. § 287(3) (2010) applied to the Hospital with respect to the Bonneys' state law claims. The court also dismissed the Bonneys' federal claim because it concluded that no private right of action exists for an alleged violation of HIPAA.

[¶ 3] We affirm the judgment as to the Bonneys' HIPAA-based claim, but because we conclude that the immunity established in 30–A M.R.S. § 287(3) does not apply, we vacate the judgment as to the Bonneys' state law claims and remand for further proceedings.

I. BACKGROUND

[¶ 4] The following facts, viewed in the light most favorable to the Bonneys as the nonmoving party, are established in the summary judgment record. See Kurtz & Perry, P.A. v. Emerson, 2010 ME 107, ¶ 5, 8 A.3d 677, 679.

[¶ 5] On February 1, 2007, Dwayne and Debbie Bonney were victims of a violent assault that occurred during an invasion of their home in South Paris. Both of the Bonneys suffered severe skull fractures. One of Debbie Bonney's fractures, from a hammer blow, resulted in her skull being pushed one-half inch into her brain. The Bonneys drove themselves to Stephens Memorial Hospital in Norway.

[¶ 6] Upon the Bonneys' arrival at the Hospital, several nurses rushed to the Bonneys and asked them what had happened. Dwayne Bonney responded that he and his wife had been assaulted. A hospital security guard overheard the conversation and said that he was going to call the police. Both of the Bonneys told him not to call the police. While the Bonneys continued to receive medical treatment, the security guard called the Norway Police Department and disclosed the information he had learned concerning the Bonneys. The police responded to the Hospital and spoke with the Bonneys about the assault.

[¶ 7] Based in part on information received from the Bonneys at the Hospital, the police obtained a warrant to search the Bonneys' home for evidence pertaining to the invasion and assault. At the residence, the police observed evidence of marijuana cultivation. This evidence eventually resulted in the Bonneys' indictment and subsequent conviction for drug trafficking.

[¶ 8] In January 2009, the Bonneys filed a complaint against the Hospital and the security guard, alleging that the security guard violated their rights under both state and federal law by reporting confidential health care information to the police and that they suffered emotional distress as a result.1

[¶ 9] The Hospital moved for a summary judgment on the Bonneys' state law claims, arguing that 30–A M.R.S. § 287(3) immunizes health care providers who report assaults to law enforcement when serious bodily injury has been inflicted, even when no written authorization from the patients is obtained. The Hospital also moved to dismiss the Bonneys' federal claim, arguing that HIPAA does not authorize a private cause of action.

[¶ 10] The court granted the Hospital's motion for a summary judgment on the state tort claims and its motion to dismiss the HIPAA claim. Interpreting section 287(3), the court concluded that because the Hospital “provided a report of the assault and the resultant serious bodily injuries to law enforcement for the purpose of prosecuting the alleged crime[,] ... [the Hospital] is immune from suit even though the [Bonneys] did not provide written authorization to report the home invasion to the police.” The court also determined that HIPAA “does not provide a private right of action to the individuals it purports to protect.” This appeal followed.

II. DISCUSSION
A. Immunity and 30–A M.R.S. § 287 (2010)

[¶ 11] Because the parties do not dispute the facts, we review the grant of a summary judgment de novo to determine whether the Hospital was entitled to judgment as a matter of law. See M.R. Civ. P. 56(c); Beal v. Allstate Ins. Co., 2010 ME 20, ¶ 11, 989 A.2d 733, 738. Here, the only issue is a question of law—whether the Hospital's unauthorized disclosure of confidential health care information is shielded from liability by statute. We review the interpretation of a statute de novo. Garrison City Broad., Inc. v. York Obstetrics & Gynecology, P.A., 2009 ME 124, ¶ 9, 985 A.2d 465, 468.

[¶ 12] The Bonneys argue that the court erred by concluding that the immunity provision of 30–A M.R.S. § 287 applies to the disclosure of information under the circumstances of this case. Section 287, entitled “Physical examination of crime victims,” provides immunity from damages for certain medical personnel in subsection (3):

3. Medical personnel not liable for furnishing reports, records or testimony. A physician, nurse, hospital, clinic or any other person, firm or corporation attending a victim under subsection 1 is not liable in damages or otherwise for providing reports or records, copies of reports or records or for their testimony relating to any examination performed under this section when those reports, records or testimony are provided to a district attorney, a law enforcement officer or a court for the purpose of prosecuting the alleged crime, whether or not the reports, records or testimony are provided with the written authorization of the victim examined under this section.

30–A M.R.S. § 287(3) (emphasis added). The immunity established in subsection (3) relates to those who “attend[ ] a victim under subsection 1.” That subsection provides

1. Payment of expenses by district attorney .... [I]n all cases reported to a law enforcement officer of sexual crimes against minors or assault when serious bodily injury has been inflicted, the office of the district attorney of the county in which the alleged crime occurred shall pay the expenses of a physical examination of the victim conducted for the purpose of obtaining evidence for the prosecution.

Id. § 287(1) (emphasis added).

[¶ 13] The plain and unambiguous language of subsections (1) and (3), read together, establish immunity for medical personnel who provide information to a district attorney, a law enforcement officer, or a court after having attended a victim by conducting “a physical examination of the victim ... for the purpose of obtaining evidence for the prosecution.” Id. The statute does not establish immunity for medical personnel who provide information regarding a victim who has sought medical treatment and is being examined solely for that purpose. Accordingly, the statute does not immunize the Hospital or its personnel from damages arising from the security guard's unauthorized disclosure of information concerning the Bonneys to law enforcement.

[¶ 14] Because 30–A M.R.S. § 287 does not shield health care providers from liability for the unauthorized reporting of confidential health care information when the reporting involved is not related to an examination of a victim performed to obtain evidence for the prosecution, the court erred in granting summary judgment based on statutory immunity.

B. HIPAA and Private Causes of Action

[¶ 15] The Bonneys also seek damages based on the theory that the security guard's disclosure of information violated HIPAA and that [t]he disclosure caused injury to the [Bonneys] including violation of privacy and mental pain and severe suffering which continues and which has caused economic harm and injury.” The court determined that HIPAA does not provide a private cause of action to the individuals whose privacy it seeks to protect and granted the Hospital's motion to dismiss the Bonneys' HIPAA-based claim.

[¶ 16] In reviewing a judgment granting a motion to dismiss, we consider the facts in the complaint as if they were admitted. Saunders v. Tisher, 2006 ME 94,...

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