surveying constitutional law in evaluating whether prisoner’s right to confidentiality of medical records was clearly established at time
How later courts described this case
- surveying constitutional law in evaluating whether prisoner’s right to confidentiality of medical records was clearly established at time
- noting that immunity defense usualiy depends on facts, and that plaintiff need not plead in anticipation to overcome it
- “[A] litigant effectively abandons the litigation by not responding to alleged deficiencies in a motion to dismiss.”
- reversing judgment for defendants on claim that state hospital’s disclosure of drug test results to law enforcement violated Fourth Amendment
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF ILLINOIS
EASTERN DIVISION
DAVID CALLAHAN, and HEINE )
HEININGER, Individually, and on Behalf)
of All Similarly Situated Persons, )
) No. 18 C 6276
Plaintiffs, )
) Chief Judge Rubén Castillo
v. )
)
CHERYL YORK, ROBERT BERLIN, in _ }
his Official Capacity as DuPage County }
State’s Attorney, and The COUNTY OF )
DUPAGE, }
)
Defendants. )
MEMORANDUM OPINION AND ORDER
Plaintiffs David Callahan (“Callahan”) and Heine Heininger (“Heininger”) filed this
putative class action against the DuPage County State’s Attorney’s Office investigator Cheryl
York, DuPage County State’s Attorney Robert Berlin (“Berlin”) in his official capacity, and the
County of DuPage, following York’s seizure of certain psychotherapy records. Before the Court
is Defendants’ Motion to Dismiss. (R. 10, Defs.’ Mot.) For the reasons stated below, the motion
is granted in part and denied in part.
BACKGROUND
During 2015-16, Callahan and Heininger were patients of psychotherapist Robert
Moylan. (R. 1, Compl. { 8.) Among other things, Moylan provided court-ordered counseling and
therapy services to people who plead guilty to and/or were convicted of alcohol-related driving
offenses. Ud. § 11.) Plaintiffs allege that on or about September 14, 2016, York knowingly,
maliciously, and falsely stated that Moylan’s patients were not attending their mandatory therapy
sessions and that Moylan was falsifying documents claiming otherwise. (/d. §[ 12-14.) Based
upon these false representations, Plaintiffs say, a search warrant was issued, permitting York to
seize certain of Moylan’s business records. (/d. 4 15.) When York executed the warrant,
however, she not only seized Moylan’s business records, but also the confidential therapy notes
and patient files of hundreds of Moylan’s patients. (/d. 4 18.) Defendants allegedly knew that no
notice had been given to Moylan or his patients in advance of the seizure, and that no patient had
consented to disclosure of their confidential patient-therapist communications. (id. J] 20, 22.)
Claiming a violation of their right to privacy in the patient-therapist records, Plaintiffs filed this
action on behalf of all of Moylan’s affected patients. (/d. 17, 27.)
LEGAL STANDARD
On a Rule 12(b)(6) motion to dismiss, the Court accepts as true all well-pleaded factual
allegations of the complaint, drawing all possible inferences in the plaintiff's favor. Vesely v.
Armstlist LLC, 762 F.3d 661, 664 (7th Cir. 2014). “[A] complaint attacked by a Rule 12(b)(6)
motion to dismiss does not need detailed factual allegations,” but it must contain “enough facts
to state a claim for relief that is plausible on its face.” Bell At. Corp. v. Twombly, 550 U.S. 544,
555, 570 (2007). “A claim has facial plausibility when the plaintiff pleads factual content that
allows the court to draw the reasonable inference that the defendant is liable for the misconduct
alleged.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (citing Twombly, 550 U.S. at 556). “In
reviewing the sufficiency of a complaint under the plausibility standard, [courts must] accept the
well-pleaded facts in the complaint as true, but . . . need not accept as true legal conclusions, or
threadbare recitals of the elements of a cause of action, supported by mere conclusory
statements.” Alam v, Miller Brewing Co., 709 F.3d 662, 665-66 (7th Cir, 2013) (internal
quotation omitted).
ANALYSIS
Plaintiffs seek damages against York for claimed violations of the Fourth Amendment
and the Due Process Clause of the Fourteenth Amendment (Count J), injunctive relief against
York and Berlin in the form of return of the records (Count ID), and indemnification from Berlin
and the County of DuPage (Count II). (R. 1, Compl. ff 34-47.) Defendants move to dismiss the
complaint in its entirety, arguing: (1) the Fourth Amendment claim fails because Plaintiffs allege
that the records were not in their possession but in the possession of Moylan; (2) the substantive
Due Process claim fails because it is premised solely on the records seizure for which a Fourth
Amendment analysis controls; (3) qualified immunity protects York because no Fourth
Amendment or Due Process right was violated or had been clearly established as to
psychotherapy records at the time of their seizure; (4) Plaintiffs fail to state the elements of an
official capacity claim against Berlin; (5) the injunctive relief claim fails for lack of standing;
and (6) without the substantive claims, the indemnification claim necessarily fails. (R. 10, Defs.’
Mot.) This Court addresses each argument in turn.
I. Fourth Amendment Claim
Defendants argue that Plaintiffs’ Fourth Amendment claim is precluded by the third-party
doctrine emanating from United States v. Miller, 425 U.S. 435 (1976), and Smith v. Maryland,
442 U.S. 735 (1979), that information voluntarily relinquished to a third party is not protected
under the Fourth Amendment. (R. 10, Defs.’ Mot. at 3-4.) According to Defendants, because
Plaintiffs plead that the records relating to their counseling were seized from Moylan’s
possession and Plaintiffs do not piead they had not consented to his possession, Plaintiffs could
not have had any reasonable expectation of privacy or property interest in them. (/d. at 4.)
Plaintiffs reject application of the third-party doctrine here, arguing it is based on a stale Fourth
Amendment analysis grounded in property rights and not the more currently employed privacy-
based analysis. (R. 16, Pls.’ Resp. at 3-4). According to Plaintiffs, their expectation of privacy in
the records held by Moylan is reasonable, and is protected not only by the Fourth Amendment,
but also by federai and state law. (R. 16, Pls.’ Resp. at 6.) .
As Defendants observe, TA] person has no legitimate expectation of privacy in
information he voluntarily turns over to third parties,” even “if the information is revealed on the
assumption that it will be used for a limited purpose and the confidence placed in the third party
will not be betrayed.” Smith, 442 U.S. at 743-44 (citing Miller, 425 U.S. at 442-44)).
Accordingly, in filler, the Court found no reasonable expectation of privacy in the contents of
checks, deposit slips, and financial statements used in commercial transactions since they
reflected “information voluntarily conveyed to the banks and exposed to their employees in the
ordinary course of business.” Miller, 425 U.S, at 443. Likewise, in Smith, the Court found no
reasonable expectation of privacy in information gathered from a device which recorded
numbers dialed on a telephone but not whether a call was completed or the contents of any
conversation. Smith, 442 U.S. at 736 n.1, 745. Under these authorities, Defendants say, Plaintiffs
could have no reasonable expectation of privacy in the information they voluntarily relinquished
to Moylan, (R. 10, Defs.’ Mot. at 3-4.)
The facts alleged in this case, however, are far different from those at issue in Miller and
Smith, and Defendants overlook a fundamental portion of their analysis. While “the third-party
doctrine partly stems from the notion that an individual has a reduced expectation of privacy in
information knowingly shared with another,” it is clear that the nature of the particular
information sought must also be considered in determining whether there is a legitimate
expectation of privacy. Carpenter v. U.S., 138 S. Ct. 2206, 2219 (2018). In Miller, 425 U.S. at
443, the nature of the records confirmed Miller’s timited expectation of privacy, since checks
and bank statements are used in the ordinary course of business; in Smith, 442 U.S. at 745, the
fact that telephone companies routinely use telephone numbers for various business purposes
assured the Court that any actual expectation of privacy in the numbers people dialed was
doubtful.
To the contrary here, Plaintiffs alleged a property interest in their psychotherapy records,
and the records are not of the sort that suggest a reduced expectation of privacy. As Plaintiffs
allege, they expected their confidential psychotherapy records to remain private and the
reasonableness of that expectation is supported by the protection of such records found both in
federal and state law. (R. 1, Compl. { 10.) Moreover, the U.S. Court of Appeals for the Seventh
Circuit has long since recognized a qualified constitutional right to the confidentiality of medical
records and medical communications. See, e.g., Anderson v. Romero, 72 F.3d 518, 522 (7th Cir.
1995) (surveying constitutional law in evaluating whether prisoner’s right to confidentiality of
medical records was clearly established at time). Further, as Plaintiffs correctly note, the
Supreme Court has found an expectation of privacy in one’s medical records reasonable. See
Ferguson vy. City of Charleston, 532 U.S. 67, 78 (2001) (reversing judgment for defendants on
claim that state hospital’s disclosure of drug test results to law enforcement violated Fourth
Amendment). As the Court explained, “The reasonable expectation of privacy enjoyed by the
typical patient undergoing diagnostic tests in a hospital is that the results of those tests will not
be shared with nonmedical personnel without her consent.” /d., 532 U.S. at 78, This rationale
applies with equal force here.
For these reasons, the motion is denied as to the Fourth Amendment claim contained in
Count I.
IL. Substantive Due Process Claim
Defendants also seek to dismiss Count I to the extent it is premised on a claimed violation
of substantive due process. According to Defendants, such a claim must fail because it is based
solely on the seizure of records for which a Fourth Amendment analysis controls. (R. 10, Defs.’
Mot. at 4-6.) Plaintiffs argue in opposition that they have adequately stated a due process claim
based on their asserted right to privacy in therapy notes, and their interest in avoiding disclosure
of personal matters. (R. 16, Pls.’ Resp. at 8.) Because therapy notes are diagnostic in nature and
relate to medical conditions including alcoholism and drug abuse, Plaintiffs argue, they have
stated a substantive due process claim arising from York’s seizure of that information. (/d.)
It is well settled, however, that “substantive due process may not be called upon when a
specific constitutional provision . . . protects the right allegedly infringed upon.” Doe v. Heck,
327 F.3d 492, 518 n. 23 (7th Cir. 2003) (child’s constitutional claim based on seizure from home
is analyzed under Fourth Amendment not substantive due process unless it is alleged that other
conduct interfered with parent-child relationship); Brokaw v. Mercer Cnty., 235 F.3d 1000,
1017-18 (7th Cir. 2000) (same). The Supreme Court has repeatedly cautioned lower courts
against applying more general due process principles when a specific constitutional provision
applies. See Albright y. Oliver, 510 U.S. 266, 273 (1994) (“Where a particular Amendment
provides an explicit textual source of constitutional protection against a particular sort of
government behavior, that Amendment, not the more generalized notion of
‘substantive due process,’ must be the guide for analyzing these claims.” (citation and internal
quotation marks omitted)). Plaintiffs’ argument notwithstanding, because their claim is based on
the seizure of psychotherapy records and not some additional act alleged to have infringed upon
a claimed privacy right, a Fourth Amendment analysis controls, Accordingly, to the extent Count
1 is based on substantive due process, it is dismissed.
UL = Qualified Immunity
Based largely on their assertion that the seizure violated no constitutional right,
Defendants also argue York is entitled to qualified immunity, (R. 10, Defs.’ Mot. at 6-7.) Even if
a constitutional right had been violated, they continue, qualified immunity nevertheless applies
since any right as it relates to Plaintiffs’ psychotherapy records was not clearly established at the
time of the records seizure. (/d. at 6.) According to Plaintiffs, however, York is not protected by
qualified immunity since a right to privacy in psychotherapy records, like other medical records,
was well established long before the seizure at issue here. (R. 16, Pls.’ Resp. at 8.)
The Seventh Circuit has neted that “a complaint is generally not dismissed under Rule
12(b}(6) on qualified immunity grounds.” Alvarado v. Litscher, 267 F.3d 648, 651 (7th Cir.
2001) (noting that immunity defense usualiy depends on facts, and that plaintiff need not plead in
anticipation to overcome it). In determining whether qualified immunity applies, a court
- considers “(1) whether the plaintiff's allegations make out a deprivation of a constitutional right,
and (2) whether the right at issue was clearly established at the time of the defendant’s alleged
misconduct.” Siliven v. Ind. Dep’t of Child Servs., 635 F.3d 921, 925-26 (7th Cir. 2011)
{citing Pearson v. Callahan, 555 U.S. 223, 232 (2009)). Because the Court has already
determined that Plaintiffs have alleged a deprivation of a constitutional right, the remaining issue
to be decided is whether the right was clearly established.
According to Defendants, the Seventh Circuit’s decision in Young v. Murphy, 90 F. 3d
1225 (7th Cir. 1996), prevents Plaintiffs from making the requisite showing. (R. 10, Defs.’ Mot.
at 6-7.) In Young, the court found that qualified immunity shielded investigators who had
,
searched a patient’s nursing home and hospital records from a Fourth Amendment claim because
the patient had not alleged any possessory interest in the records nor any other basis to conclude
the asserted right had been clearly established at the time. See id. at 1236. To the contrary here,
however, Plaintiffs allege both a possessory interest and an expectation of privacy in their
psychotherapy records, and the reasonableness of that expectation is supported by the Health
Insurance Portability and Accountability Act of 1996, Pub. L. No. 104-191, 110 Stat. 1936
(1996), the Iflinois Mental Health Developmental Disabilities Confidentiality Act, 740 ILL.
Comp. STAT, 110 ef seg., and the Supreme Court’s decision in Ferguson. (R. 1, Compl. { 9-10,
16.)
Accordingly, because it is not clear at this stage that the state of the law was such that
York is entitled to qualified immunity, the motion to dismiss on this basis is denied.
IV. _Injunctive Relief Claim and Official Capacity Claims Against Berlin
Defendants seek dismissal of Plaintiffs’ injunctive relief claim for lack of standing and
Plaintiffs’ official capacity claims against Berlin for failure to plead the requisite elements under
Monell v, Department of Social Services of New York, 436 U.S. 658 (1978). (Defs.’ Mot. at 7-8.)
Plaintiffs do not respond in opposition to either argument and have accordingly forfeited the
claims. See Alioto v. Town of Lisbon, 651 F.3d 715, 721 (7th Cir. 2011) (“[A] litigant effectively
abandons the litigation by not responding to alleged deficiencies in a motion to dismiss.”). In any
event, the Court agrees with Defendants on both points. Plaintiffs’ injunctive relief claim fails
since they have not alleged any real and immediate threatened injury, but only a past one, See
Simic v. City of Chicago, 851 F.3d 734, 738 (7th Cir. 2017). Similarly, Plaintiffs’ official
capacity claims against Berlin fail since Plaintiffs fail to allege Berlin had final policymaking
authority or a “true municipal policy at issue, not a random life event.” (R. 10, Defs.’ Mot. at 7
(citing Liska v. Dart, 60 F. Supp. 3d 889 (N.D. Til. 2014)).) Accordingly, the injunctive relief
claim (Count I) and the claims against Berlin (Counts H and IIT) are dismissed.
Indemnification
Finally, Defendants move to dismiss Plaintiffs’ indemnification claim on the sole basis
that it necessarily fails if the substantive claims fail. (R. 10, Defs.’ Mot. at 9.) Because the
motion is denied as to Plaintiffs’ Fourth Amendment claim therefore, the motion is likewise
denied as to the claim for indemnification (Count Ii).
CONCLUSION
For the foregoing reasons, Defendants’ Motion to Dismiss (R. 10) is GRANTED as to the
substantive due process claim in Count I, the injunctive relief claim in Count II, and the official
capacity claims against Berlin in Counts II and ILI. The motion is DENIED as to the remainder.
Plaintiffs are given until January 29, 2019 to file an amended complaint consistent with this
order. A status hearing is set for January 30, 2019 at 9:45 a.m. The parties are DIRECTED to
exhaust all settlement possibilities prior to the status hearing.
Chief Judge Rubén Castillo
United States District Court
Dated: December 21, 2018