NCMHPC

National Coalition of Mental Health Professionals and Consumers, Inc.


an educational foundation and advocacy organization serving mental health consumers and professionals

 
 
Sent: Thu, 8 Dec 2005 16:37:17 -0500
Subject: FW: Outline of research on Citizens for Health case

Dear all,

I am attaching for your review, an outline of the research I have done to
date on the possible bases for a rehearing petition and a certiorari
petition for Supreme Court review in the Citizens for Health case. After
carefully reviewing the decision and the case law on which it is based, I am
surprised at how carelessly reasoned and written it is. I am listing below
the points that could be raised in a rehearing petition. The attached
memorandum elaborates on each of these points.

I hope this is helpful.

Potential Points to Raise on Rehearing

1. The Court failed to obtain briefing on the state action issue when it had
the opportunity. The state action issue was not raised by the government or
by the Court, so it was not directly addressed by the Plaintiffs. The Court
could have asked the parties to address the issue when it requested
additional briefing on several points after the oral argument. The errors in
the decision show that additional briefing on this point would have been
beneficial and would have brought recent Supreme Court and Third Circuit
case law to the Court's attention.

2. The Court acknowledges that Plaintiffs have a constitutionally protected
right to medical privacy but then concludes that no such right existed under
federal law prior the Amended Rule. The Court notes that the boundaries of
the constitutional right to privacy have not been exhaustively delineated,
but there is no doubt that it encompasses the right to have some control
over the disclosure of one's health information in routine situations.

3. The Court misstates the Plaintiffs' argument and then applies the wrong
state action test. The Court states that the Plaintiffs' argument is that
private entities have violated their medical privacy, but Plaintiffs
actually alleged that covered entities, including the federal government,
have violated the Plaintiffs' medical privacy through the use of "regulatory
permission" granted by the Amended Rule to use and disclose their health
information without their permission and over their objection. The Court
then uses an "actor-centered" test rather than an "action-centered" test to
determine whether state action is present. This is an action-centered case
where Plaintiffs contest an action that has been taken that injures their
medical privacy. This not an "actor-centered" case where the suit is against
a private actor based on an allegation that he acted on behalf of the
federal government. In action-centered cases like this one, all Plaintiffs
have to show is that the action taken by the government "authorized",
"encouraged", or "supported" the injury to the Plaintiffs and that the
federal government's "fingerprints" are on the action. That is undisputed in
this case. The distinction between "action-centered" and "actor-centered"
state action cases was outlined in a Third Circuit case from a different
panel of judges issued a month and a half before the Citizens case. See
Leshko v. Servis, 423 F.3d 337 (3rd Cir., September 9, 2005).

4. The Court announces an unprecedented and unsupported new state action
test that undermines many constitutional rights and existing case law. The
Court holds that state action cannot exist, and therefore no constitutional
challenge can be made, if the government codifies into federal law action
that private entities might have had the power to take without federal
authorization. So the constitutionality of a federal law authorizing
searches and seizures by private citizens without cause could not be
challenged if the federal government were merely codifying action that
private citizens could have taken on their own. This would appear to allow
the elimination of any constitutional right under federal law as long as the
government could locate some precedent in private conduct.

5. The Court misconstrues cases cited by the Plaintiffs that showed that
state action is can be present in any case where the intent, objective or
effect of a law is to encourage or support private conduct that infringes
individual liberties. The Court finds that state action was found in those
cases only because the law at issue authorized conduct that had previously
been prohibited by state law. Quotes from the cases show that the Court
simply misread the cases.

6. The Court cites no case where state action was not found under the
circumstances of this case. The Court found that the Plaintiffs had suffered
"injury in fact" to their medical privacy, that the injuries were directly
traceable to the the Amended Rule and that enjoining the Rule would redress
Plaintiffs' injuries. The Court found that Plaintiffs sued the appropriate
party in filing their action against the Secretary. The Court also agreed
that all of the facts alleged by the Plaintiffs in their complaint and in
more than 25 affidavits and thousands of pages of exhibits must be taken as
true. The Court found that private entities are using the grant of
"regulatory permission" under the Amended Rule as a "new federal seal of
approval" for the non-consensual use and disclosure of Plaintiffs' health
information, that this practice began on the April 14, 2003 implementation
date of the Rule, and that covered entities are relying on the Amended Rule
to ignore privacy protections under State law.

Under these facts and circumstances, it is difficult to conclude that the
federal government's "fingerprints" are not on the action.

Jim Pyles
James C. Pyles
Powers, Pyles, Sutter and Verville, P.C.
1875 Eye Street, NW
Washington, D.C. 20006
e-mail: jim.pyles@ppsv.com
Telephone (202) 466-6550
Fax (202) 785-1756

And a link to the petition:
http://www.patientprivacyrights.org/site/Ecard?ecard_id=1041
 

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