IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA
TONDALAYA DAVIS, CIVIL ACTION
Plaintiff, NO. 2:20-cv-05798-KSM v.
ELWYN, INC.
Defendant.
MEMORANDUM Marston, J. October 20, 2021
Before the Court is Defendant Elwyn’s Second Renewed Motion for Leave to File Defendant’s Exhibits to Its Reply Brief in Further Support of Its Motion for Summary Judgment Under Seal, which is attached to this Memorandum. (See Mot. to Seal.) Because we write for the benefit of the parties, who are intimately familiar with the documents and issues before us, we include only a brief recitation of the facts. I. Background Plaintiff Tondalaya Davis, a former Mental Health Program Specialist for Defendant, claims to have been subjected to a series of offensive sexual remarks and racial slurs by Patient X, an individual receiving treatment for mental illness at Defendant’s psychological care facility. (Doc. No. 1 at 3.) In July 2019, Patient X was “very aggressive” toward Plaintiff, but Plaintiff’s supervisor required her to continue working with Patient X. (Id. at 3–4.) Plaintiff refused to assist Patient X and was terminated shortly thereafter. (Id. at 4.) Plaintiff brought suit against her former employer, alleging that she was subjected to a hostile work environment and that she was “terminated on the basis of her race and/or gender and in retaliation for her complaints in connection thereto.” (Id.) Defendant moved for summary judgment on August 6, 2021, (Doc. No. 23), and filed a reply brief on August 30, 2021.1 (Doc. No. 29.) Defendant seeks to seal four exhibits attached to its reply brief: (1) a video depicting Plaintiff, Patient X, and other nonparty employees and
patients (Ex. P); (2) incident reports recording Patient X’s behavior (Ex. Q); (3) Patient X’s treatment plan, which reveals Patient X’s diagnoses, symptoms, and short- and long-term treatment goals (Ex. R); and (4) daily treatment notes recorded by Defendant’s employees who cared for Patient X and other patients (Ex. S).2 (Mot. to Seal.) Plaintiff does not oppose Defendant’s motion to seal. The Court has conducted an in camera review of the exhibits and finds that a sealing order is warranted as to some, but not all. II. Legal Standard When a party seeks to seal judicial records, the common law presumption of the right of public access applies. See Leucadia, Inc. v. Applied Extrusion Techs., Inc., 998 F.2d 157, 164
(3d Cir. 1993) (“We believe that our earlier decisions and those in other courts lead ineluctably
1 On September 7, 2021, the Court issued an Order (Doc. No. 32) denying without prejudice Defendant’s original Motion for Leave to File Defendant’s Reply Brief in Further Support of its Motion for Summary Judgment and Exhibits Under Seal (Doc. No. 27). The Court explained that if Defendant sought to renew its Motion, it must “explain[] for each document” it sought to seal “[w]hy the common law presumption of access is overcome; [w]hether the First Amendment right of public access is implicated by the use of these documents in the context of a motion for summary judgment; and [t]o the extent the First Amendment is implicated, whether sealing is warranted under a constitutional inquiry.” (Doc. No. 32 at 2.) On September 23, 2021, Defendant renewed its motion and included a document-by- document analysis explaining why sealing is justified, which is attached to this Memorandum. (See Mot. to Seal; Ex. A.)
2 Defendant’s initial motion to seal asked the Court to seal an additional document, Exhibit T, but Defendant’s renewed motion does not include this exhibit. For the reasons stated herein, Exhibit T may include redactions of nonparty Patient names and other personal identifying information (as allowed by Local Rule 12(b)). To the extent Exhibit T includes other redactions, Defendant must unredact and refile Exhibit T. to the conclusion that there is a presumptive right of public access to pretrial motions of a nondiscovery nature, whether preliminary or dispositive, and the material filed in connection therewith.”). “This right antedates the Constitution and promotes public confidence in the judicial system by enhancing testimonial trustworthiness and the quality of justice dispensed by the court.” Wartluft v. Milton Hershey Sch., 1:16-CV-2145, 2019 WL 5394575, at *4 (M.D. Pa.
Oct. 22, 2019) (cleaned up). Because the documents will be filed as part of Defendant’s summary judgment materials, they are “judicial records” to which the common law right of public access attaches. In re Avandia Mktg., Sales Practices & Prods. Liab. Litig., 924 F.3d 662, 672 (3d Cir. 2019) (“A judicial record is a document that has been filed with the court or otherwise somehow incorporated or integrated into a district court’s adjudicatory proceedings.” (quotation marks omitted)). This right is not absolute and may be rebutted where an “interest in secrecy outweighs the presumption.” Id. To meet this burden, the party requesting the sealing order must demonstrate that the “material is the kind of information that courts will protect and that disclosure will work
a clearly defined and serious injury to the party seeking closure.” Id. (quotation marks omitted). In addition to the common law right of access, which attaches to all judicial records, the public also has a First Amendment right of access to civil trials, which attaches to certain judicial documents. Id. at 673. The First Amendment right of access presents an even higher burden than the common law right of access, and the party requesting that trial documents be sealed must overcome strict scrutiny. Id. Specifically, the party must demonstrate “an overriding interest in excluding the public based on findings that closure is essential to preserve higher values and is narrowly tailored to serve that interest.” Id. (cleaned up). It is unclear whether the First Amendment standard applies to a motion to seal summary judgment materials. See id. (“It remains an open question in this Circuit whether the First Amendment right of access applies to records of summary judgment proceedings.”). The majority in In re Avandia limited its analysis to the common law test and did not analyze whether a motion to seal summary judgment materials is also subject to First Amendment
scrutiny. Id. at 680 (following other Third Circuit cases that declined to reach the First Amendment analysis because the proponent had not overcome the common law right of access). However, the Third Circuit advised that we use “a two-prong test to assess whether the right of access attaches: (1) the experience prong asks whether the place and process have historically been open to the press; and (2) the logic prong evaluates whether public access plays a significant positive role in the functioning of the particular process in question.” Id. Although the majority did not reach this question, Judge Restrepo, concurring in part and dissenting in part, opined that the First Amendment right of access attaches to summary judgment briefs. See id. at 681–84 (Restrepo, J., concurring in part and dissenting in part). The Second and Fourth
Circuits have also held that the First Amendment right of public access extends to summary judgment materials. See Lugosch v. Pyramid Co. of Onondaga, 435 F.3d 110, 124 (2d Cir. 2006) (“[T]here exists a qualified First Amendment right of access to documents submitted to the court in connection with a summary judgment motion.”); Rushford v. New Yorker Magazine, Inc., 846 F.2d 249, 253 (4th Cir. 1988) (“We believe that the more rigorous First Amendment standard should also apply to documents filed in connection with a summary judgment motion in a civil case.”). Under either the common law or First Amendment standard, when a court analyzes a request for a sealing order, it must do so on a document-by-document basis, and the proponent of the sealing order must articulate with specificity the injury that would result if the particular document or parts of it were made public. In re Avandia, 924 F.3d at 673. Merely reciting the Pansy factors in seeking a sealing order is insufficient.3 Id. at 676–77 (“[T]he Pansy factors are not a substitute for the common law right of access standard—which begins with the presumption of access.”).
III. Document-by-Document Analysis Defendant has moved to wholesale seal four categories of documents included in its summary judgment materials: a video, certain incident reports concerning Patient X, Patient X’s treatment plan, and daily treatment notes. (Mot. to Seal.) Conscious that we must perform a document-by-document review, the Court directed Defendant to prepare a chart that identifies each document sought to be sealed, the nature of the information contained therein, and the
3 In analyzing a motion for protective order under Rule 26(c), the Court considers the Pansy factors, which ask whether: 1. Disclosure of the information will violate any private interests; 2. Disclosure will cause a party embarrassment; 3. The information is being sought for a legitimate purpose or for an improper purpose; 4. The sharing of information among the litigants will promote fairness and efficiency; 5. Confidentiality is being sought over information important to public health and safety; 6. A party benefitting from the order of confidentiality is a public entity or official; and 7. The case involves issues important to the public. In re Avandia, 924 F.3d at 671. Although they provide useful guidance when the court balances the public versus private interests under Rule 26(c), the Pansy factors “are not sufficiently robust for assessing the public’s right to access judicial records.” Id. at 676–77; see also In re Application of Storag Etzel GmbH, Misc. C.A. No. 19-mc-209-CFC, 2020 WL 2949742, at *9 (D. Del. Mar. 25, 2020) (“In both substance and procedure, the burdens that must be overcome to justify the sealing of judicial records under the common law are dramatically less pliant than the factors to be weighed under Pansy in deciding whether a protective order is warranted.”). And neither the second Pansy factor nor the third factor are relevant in deciding whether to enter a sealing order. In re Avandia, 924 F.3d at 676. justification for the redaction under both the common law and First Amendment standards. (Doc. Nos. 32, 33). We consider each category of materials in turn. A. Video First, Defendant moves to seal a video that shows Plaintiff and Patient X, as well as
additional employees and patients who are not parties to this litigation. (Ex. A at 2–4.) Although taken from a surveillance camera, the video clearly depicts Plaintiff, Patient X, approximately five other patients, and approximately five nonparty employees. (Doc. No. 29-5.) Defendant argues that this video should be sealed to protect the patients’ “important privacy interest in their own medical and mental health records.” (Ex. A at 2.) Allowing access to the video would enable the public to identify Patient X and other nonparty patients and reveal that they are suffering from mental illness and receiving treatment at a psychological institution. The Court finds this video contains “the kind of information that courts will protect and that disclosure will work a clearly defined and serious injury,” such that
the common law presumption of access is overcome. Nonparties’ medical information is precisely “the kind of information that courts will protect.” See Moore v. CVS Rx Servs., Inc., 660 F. App’x 149, 153 n.4 (3d Cir. 2016) (granting motion to file medical information under seal “because . . . the right to privacy outweighs the public’s right of access to materials filed in litigation”); United States v. McGill, No. 12-cr-112, 2016 WL 8716240, at *5 n.3 (E.D. Pa. May 13, 2016) (granting motion to seal document containing nonparty “patients’ names and medical information”); Hicks v. Wegmans Food Mkt., No. 09-cv-0624, 2011 WL 499368, at *1 n.2 (D.N.J. Feb. 10, 2011) (granting motion to seal references to nonparty’s medical history because “there is . . . a legitimate interest in maintaining the confidentiality of this personal information in order to protect the non-party’s privacy”). Second, disclosure of the video “will work a clearly defined and serious injury” to the privacy interests of nonparties. See Prall v. Ricci, No. 10-cv-1228, 2014 WL 12803521, at *2 (D.N.J. Mar. 13, 2014) (“[B]ecause the disclosure of Plaintiff’s medical history is a clearly
defined serious injury sufficient to support the sealing of the documents, the Court grants the County Defendants’ motion to seal.” (cleaned up)). The video depicts Plaintiff and several other of Defendant’s employees tending to Patient X and other patients under Defendant’s care. (Doc. No. 29-5.) Were this video disclosed, the public would learn that the patients featured were receiving treatment in a psychological care institution, a fact which those patients have an interest in keeping private. Accordingly, we find that Defendant has overcome the common law presumption of access as to the video. But that does not end the analysis. We must also determine whether Defendant has overcome its constitutional burden.
Assuming that the First Amendment is implicated at summary judgment, we find that the sealing of the video satisfies strict scrutiny. To overcome the First Amendment hurdle, Defendant must demonstrate “an overriding interest in excluding the public based on findings that closure is essential to preserve higher values and is narrowly tailored to serve that interest.” In re Avandia, 924 F.3d at 673 (cleaned up). Sealing is essential to protecting the patients’ right to privacy. The video depicts Plaintiff’s interactions with nonlitigants, and disclosure of the video would reveal the patients’ sensitive medical information—namely, the fact of their treatment in a psychological facility. Wholesale sealing is the least restrictive way to protect the nonparties’ privacy interests. The video does not have audio but shows Plaintiff, other staff members, and patients interacting in a narrow corridor. (Doc. No. 29-5.) Because there is no audio and, at times, the patients and staff get close to one another, manipulating the video to cover the nonparty patients’ images would make the video unintelligible. Courts have recognized that wholesale sealing is an
appropriate way to protect private or sensitive information contained in a video where it is not feasible to redact or otherwise hide the protected information. See, e.g., McFadden v. Dalmasi, 837 F. App’x 135, 138 (3d Cir. 2020) (granting motion to seal, in its entirety, video taken immediately following incident that was subject of litigation); Asmar v. BNSF Ry. Co., No. 19- cv-1810, 2021 WL 536465, at *2 (E.D. Cal. Jan. 8, 2021) (finding that sealing video wholesale was “narrowly tailored in that it relates only to the subject video and images from the video” and that “[t]here are no less restrictive means to maintain the video as confidential while at the same time using it for the purpose of a motion for summary judgment”). For these reasons, the motion to seal the video is granted.
B. Incident Reports Defendant also asks that we seal three reports detailing behavioral incidents involving Patient X. (Ex. A at 4–5.) These reports describe the events leading up to the incidents, the incidents themselves (in all three instances, physical and/or verbal altercations with other patients or staff), and staff members’ responses thereto. (Doc. No. 29-4.) The reports also contain Patient X’s name, social security number, and date of birth and the names of several of Defendant’s employees. For the reasons below, the Court denies Defendant’s motion to seal these reports wholesale but will allow Defendant to redact Patient X’s personal identifying information. The Court finds that the common law presumption of access is overcome as to Patient X’s personal identifying information in the incident reports.4 This is “the kind of information that courts will protect.” See Wartluft, 2019 WL 5394575, at *3 (granting intervenor’s motion to unseal medical records, “subject to the redaction of names and/or identifying information of third parties in order to protect [nonparty] individuals’ privacy interests”); Johnson v. Hastings, No.
13-cv-6974, 2018 WL 621289, at *3 (D.N.J. Jan. 30, 2018) (“Plaintiff’s right to privacy in his medical records outweighs the public right to access documents containing intimate facts of a personal nature.” (internal citations and quotations omitted)). Disclosure of the Patient X’s personal identifying information will also “work a clearly defined and serious injury.” Such disclosure would reveal that he is receiving treatment in a psychological care facility and would allow the public to know that he instigated at least three incidents of verbal and/or physical harassment while in Defendant’s care. Briglia v. Ameritas Life Ins. Corp., No. 14-cv-7968, 2015 WL 4314062, at *3 (D.N.J. July 4, 2015) (holding that disclosure of plaintiff’s medical information would “work a clearly defined and serious injury”
where the plaintiff claimed that he would “be embarrassed, and potential employment opportunities compromised, if his condition were publicly disclosed”). The Court also finds that Patient X’s right to privacy overcomes the public’s First Amendment right to access the incident reports. As discussed above, closure of Patient X’s personal identifying information in the context of these reports is “essential to preserve higher values.” Patient X is not party to this litigation, and, if this information is disclosed, the public
4 The reports also contain staff members’ identifying information; however, Defendant has not overcome the common law presumption of access with respect to that information. Even though this is the kind of information courts protect, Defendant has failed to identify—and the Court is unable to ascertain—how disclosure of the staff members’ identifying information in connection with these reports would “work a clearly defined and serious injury.” will learn about Patient X’s treatment for mental illness, including Patient X’s sensitive (and potentially embarrassing) behavioral outbursts. Moreover, Patient X’s identity is irrelevant to the substance of these reports, which Defendant relies on to show Patient X’s history of aggression towards male and female staff members, not just Plaintiff. (Doc. No. 29 at 7.) Given the collateral nature of Patient X’s personal identifying information, closure only marginally and
immaterially affects the public’s right to access the materials filed in connection with this judicial proceeding. See Mosaid Techs. Inc. v. LSI Corp., 878 F. Supp. 2d 503, 510 (D. Del. 2012) (allowing redactions of confidential financial and licensing information that was “largely incidental to the substantive issues in th[e] case”). Redactions are the most narrowly tailored way to protect Patient X’s privacy interest while allowing the public to access these judicial records. Defendant has requested the Court seal these reports wholesale because, even if Patient X’s identifying information is redacted, “the surrounding details and circumstances included in the reports would enable members of the public to potentially identify the individuals involved in the incidents.” (Ex. A at 4.) The Court
disagrees. Other than Patient X’s name, date of birth, and social security number, the incident reports do not include any information by which the public could identify Patient X. Detail on the location of the incident or staff’s response is not enough for the public to identify Patient X. Where, as here, redactions adequately protect a nonparty’s interest in privacy, wholesale sealing is not the least restrictive means to protect the interests at stake. See Del Nero v. NCO Fin. Sys., Inc., No. 06-cv-4823, 2021 WL 2375892, at *2 (E.D. Pa. June 10, 2021) (“[W]here possible, parties should propose redactions, rather than placing a whole document under seal.”); Wartluft v. Milton Hershey Sch. & Sch. Trust, No. 16-cv-21454, 2020 WL 1124771 (M.D. Pa. Mar. 6, 2020) (granting motion to unseal medical records of nonparty patients “subject to the redaction of the names and/or identifying information of third-parties in order to protect those individuals’ privacy interests”); Costa v. County of Burlington, No. 07-cv-904, 2010 WL 11566091, at *2 (D.N.J. July 7, 2011) (“Finally, by redacting the documents—as opposed to sealing the exhibits wholesale—Costa has used the least restrictive means available.”). Redactions will protect Patient X’s privacy while allowing the public access to incident reports
that explain the behavior Patient X directed at staff members other than Plaintiff. For these reasons, Defendant’s motion to seal the incident reports is denied, and Defendant is directed to redact Patient X’s personal identifying information. C. Patient X’s Behavior Plan Next, Plaintiff asks the Court to seal Patient X’s behavior plan. (Ex. A at 5–6.) The behavior plan lists Patient X’s diagnoses, describes his behavioral tendencies (including negative tendencies, such as bouts of aggression), and recommends a plan to treat Patient X’s mental illnesses. (Doc. No. 29-3.) The behavior plan identifies Patient X’s name and date of birth. (Id.) For the reasons discussed below, the Court denies Defendant’s motion to seal Patient X’s
behavior plan in its entirety but again will direct Defendant to redact Patient X’s identifying information throughout the plan. The Court finds that Patient X’s interest in keeping the personal information included in the behavior plan private overcomes the common law presumption of access.5 As discussed above, medical information, such as information regarding Patient X’s mental illnesses, is exactly “the kind of information that courts will protect.” See Pahlavan v. Drexel Univ. College
5 The behavior plan also lists one staff member’s name; however, Defendant again has not overcome the common law presumption of access with respect to that information. Even though this is the kind of information courts protect, Defendant has failed to identify—and the Court is unable to ascertain—how disclosure of that staff member’s name would “work a clearly defined and serious injury.” of Medicine, 438 F. Supp. 3d 404, 407 n.1 (E.D. Pa. 2020) (granting plaintiff’s request to redact certain portions of an opinion “that reflect communications with and impressions by Plaintiff’s therapists”); Johnson, 2018 WL 621289, at *3 (“Plaintiff’s right to privacy in his medical records outweighs the public right to access documents containing intimate facts of a personal nature.” (internal citations and quotations omitted)).
Disclosure of Patient X’s personal identifying information in the behavior plan will also “work a clearly defined and serious injury.” Disclosure would reveal that Patient X is receiving treatment in a psychological care facility, his diagnoses, and his treatment plan, and could potentially cause him embarrassment. Briglia, 2015 WL 4314062, at *3 (holding that disclosure of plaintiff’s medical information would “work a clearly defined and serious injury” where plaintiff claimed that he would “be embarrassed, and potential employment opportunities compromised, if his condition were publicly disclosed”). The Court also finds that the interests associated with sealing Patient X’s name and date of birth in the behavior plan overcome the First Amendment right to access. As discussed above,
Patient X is not a party to this litigation, and disclosure of his name in connection with these reports would reveal his mental health diagnoses and treatment plan. Further, Defendant relies on the behavior plan to prove that Patient X suffered from mental illnesses and regularly confronted members of Defendant’s staff. (Doc. No. 29 at 9.) Patient X’s name is merely collateral information, the redaction of which will not materially affect the public’s access to these materials. McCowan v. City of Philadelphia, No. 19-cv-3326, 2021 WL 3737204, at *4 (E.D. Pa. Aug. 24, 2021) (“Given the collateral nature of [personal identifying information included in a police report], its redaction only marginally affects the public’s right to access materials filed in relation to judicial proceedings.”). Defendant has asked the Court to seal the behavior plan in its entirety because, “[e]ven with redactions, [it] contains specific personal information which members of the public could use to determine the identity of Patient X.” (Ex. A at 6.) But wholesale sealing is not narrowly tailored in this instance. Although the behavior plan includes notes about Patient X’s diagnoses and behavioral outbursts, nothing in the behavior plan other than Patient X’s name and date of
birth would allow the public to learn Patient X’s identity. Redacting Patient X’s identifying information is the least restrictive means available to protect Patient X’s privacy interests. See Del Nero, 2021 WL 2375892, at *2 (“[W]here possible, parties should propose redactions, rather than placing a whole document under seal.”); Wartluft, 2020 WL 1124771, at *2 (granting motion to unseal medical records of nonparty patients “subject to the redaction of the names and/or identifying information of third-parties in order to protect those individuals’ privacy interests”); Costa, 2010 WL 11566091, at *2 (“Finally, by redacting the documents—as opposed to sealing the exhibits wholesale—Costa has used the least restrictive means available.”). Redactions will protect Patient X’s identity while
allowing the public to review the behavior plan and understand the nature of Patient X’s mental illnesses.6
6 Defendant also argues that wholesale sealing is appropriate because it “is charged with protecting Patient X’s confidential information, as well as all their patients’ medical information from dissemination to the public by [the] Health Insurance Portability and Accountability Act of 1996 (‘HIPAA’).” (Ex. A at 5–6.) Under HIPAA, however, medical providers are permitted to disclose patients’ medical records so long as they redact individually identifiable information. See Orchestrate HR, Inc. v. Blue Cross & Blue Shield of Kan., Inc., No. 19-cv-4007, 2021 WL 1339084, at * 1–2 (D. Kan. Apr. 9, 2021) (denying plaintiff’s motion to seal nonparty medical records which contained “Protected Health Information protected by HIPAA” in their entirety but ordering defendant to redact patient names and other identifying information in those records); cf. Haynes v. Smith, No. 03-cv-3080, 2005 WL 8174793, at *2 (D.N.J. Apr. 5, 2005) (“To the extent F.P.’s records do not contain . . . individual identifiers or such identifiers may be redacted, then, HIPAA would not preclude Defendants from producing the medical records absent F.P.’s consent.”). For these reasons, Defendant’s motion to seal the behavior plan in its entirety is denied, and Defendant is directed to redact Patient X’s personal identifying information. D. Employee Notes Finally, Defendant asks the Court to seal notes taken by nonparty employees who treated Patient X and other mentally ill patients in Defendant’s care. (Ex. A at 6–7.) The notes include
detail on medications, treatment plans, and behavioral concerns pertaining to many of the patients under Defendant’s care, not just Patient X. (Doc. No. 29-2.) For the reasons below, the Court denies Defendant’s motion to seal the notes wholesale but directs Defendant to redact patient names and initials from the notes. The nonparty patients’ right to privacy in connection with the notes overcomes the common law presumption of access.7 Courts will protect nonparties’ medical information. See Wartluft, 2019 WL 5394575, at *3 (granting intervenor’s motion to unseal medical records, “subject to the redaction of names and/or identifying information of third parties in order to protect [nonparty] individuals’ privacy interests”); Johnson, 2018 WL 621289, at *3 (“Plaintiff’s
right to privacy in his medical records outweighs the public right to access documents containing intimate facts of a personal nature.” (internal citations and quotations omitted)). There is nonparty patient medical information on almost every page of the notes, including records of their medication intake, behavior, and daily treatment plans. (Doc. No. 29-2.) Disclosure of the notes, and, in turn, nonparty patients’ medical information, will “work a clearly defined and serious injury.” If this information is disclosed, the public could identify the patients and would learn that they are suffering from and being treated for mental illnesses.
7 The notes also include staff members’ names; however, as with the prior two categories of documents, Defendant has not overcome the common law presumption of access with respect to that information. See supra n.4, 5. Disclosure of this sensitive and potentially embarrassing information would cause serious injury to the patients. Briglia, 2015 WL 4313062, at *3 (holding that disclosure of plaintiff’s medical information would “work a clearly defined and serious injury” where plaintiff claimed that he would “be embarrassed, and potential employment opportunities compromised, if his condition were publicly disclosed”).
The patients’ right to privacy also overcomes the right to access afforded by the First Amendment. Defendant cites the notes to demonstrate that patients other than Patient X had behavioral issues and refused their medication. (Doc. No. 29 at 4.) The patients’ identifying information is collateral to the substance of the notes, and even if the patients’ names are redacted, the public will still have access to the germane portions of these notes. See Mosaid Tech. Inc., 878 F. Supp. 2d at 510 (allowing redactions of confidential financial and licensing information that was “largely incidental to the substantive issues in th[e] case”). Defendant has asked the Court to seal these documents in their entirety, arguing that “redactions do not fully protect Elwyn patients from identification because of the surrounding
details and identifying information.” (Ex. A at 7.) But, other than the patients’ names and initials, the notes do not contain information that would allow the public to identify the patients. (Doc. No, 29-2.) The notes do not discuss the patients’ physical appearances or biographical information; they simply list the patients who refused their medicine, describe behavioral outbursts, and include the schedule for the day. (Id.) Accordingly, wholesale sealing is not the least restrictive way to ensure the patients’ privacy—redactions are. See Del Nero, 2021 WL 2375892, at *2 (“[W]here possible, parties should propose redactions, rather than placing a whole document under seal.”); Wartluft, 2020 WL 1124771, at *2 (granting motion to unseal medical records of nonparty patients “subject to the redaction of the names and/or identifying information of third-parties in order to protect those individuals’ privacy interests”). For these reasons, Defendant’s motion to seal the notes is denied, and Defendant is directed to redact the patient’s names, initials, and any other personal identifying information included therein.
IV. Conclusion For the reasons discussed above, the motion to seal is granted in part and denied in part. An appropriate order follows. IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA TONDALAYA DAVIS, : Plaintiff, : : NO.: 20-CV-5798 : vs. : CIVIL ACTION - LAW : ELWYN, INC. : Defendant. : ORDER AND NOW, this day of , 2021, upon consideration of Defendant, Elwyn’s Renewed Motion for Leave to File Defendant’s Exhibits to its Reply Brief in Further Support of Defendant’s Motion for Summary Judgment Under Seal, it is hereby ORDERED and DECREED that Defendant's Motion for Leave to File Under Seal is GRANTED. Defendant’s Exhibits to its Reply Brief in Further Support of Defendant’s Motion for Summary Judgment shall hereby be filed under seal.
J. IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA TONDALAYA DAVIS, : Plaintiff, : : NO.: 20-CV-5798 : vs. : CIVIL ACTION - LAW : ELWYN, INC. : Defendant. : DEFENDANT, ELWYN’S RENEWED MOTION FOR LEAVE TO FILE DEFENDANT’S EXHIBITS TO ITS REPLY BRIEF IN FURTHER SUPPORT OF ITS MOTION FOR SUMMARY JUDGMENT UNDER SEAL Pursuant to Local Rule 5.1.5, Defendant, Elwyn (incorrectly identified as Elwyn, Inc.), respectfully requests that the Court enter an order permitting them to file Defendant’s Exhibits to its Reply Brief in Further Support of Defendant’s Motion for Summary Judgment under seal. In support of this Motion, Defendant states as follows: 1. On August 6, 2021, Defendant, Elwyn (hereinafter referred to as “Elwyn”) filed its Motion for Summary Judgment and Statement of Undisputed Facts, ECF No. 23, in accordance with the Court's Scheduling Order. 2. Plaintiff filed her Response in Opposition to Defendant’s Motion for Summary Judgment and Counterstatement of Undisputed Material Facts, ECF No. 25, (hereinafter referred to as “Plaintiff’s Response”) on August 20, 2021. 3. Elwyn filed its Motion for Leave to File Defendant’s Reply Brief in Further Support of its Motion for Summary Judgment and Exhibits Under Seal, ECF No. 27, on August 27, 2021. 4. Pursuant to a telephonic status conference with Plaintiff’s counsel and the Court on September 7, 2021, this Court denied Defendant’s Motion, but allowed Defendant to renew its Motion to File Under Seal addressing the factors set forth in In re Avandia Mktg., Sales Pracs. & Prods. Liab. Litig., 924 F.3d 662, 672–73 (3d Cir. 2019) and including a chart identifying and analyzing each document to be filed under seal. See Court’s September 7, 2021 Order, ECF No. 32. 5. Elwyn now seeks to renew it’s Motion for Leave to File its Exhibits to its Reply Brief in Further Support of Defendant’s Motion for Summary Judgment Under Seal in order to address
the many misstatements of fact and misapplications of law raised in Plaintiff’s Response in Opposition to Defendants’ Motion for Summary Judgment while also protecting Elwyn’s clients’ private medical information. 6. As stated in its original Motion, in order to fully address and concretely disprove certain novel allegations and arguments asserted in Plaintiff’s Response, Elwyn must now include information in its Reply Brief and Exhibits relating to confidential medical information of non- party Elwyn patients. 7. Elwyn submits that there is good cause for the Court to permit it to file Defendant’s Exhibits to its Reply Brief under seal, as they relate to the identities of Elwyn patients and
confidential medical records and information that is protected by Elwyn’s patients’ constitutional right to privacy, the Health Insurance Portability and Accountability Act, and that would not otherwise be available to the public. 8. The Avandia court distinguished between the factors that the district court must consider when determining protecting discovery materials pursuant to Federal Rule of Civil Procedure 26(c) and the factors that the district court may consider when determining whether to allow documents to be filed on the Court’s docket under seal, implicating “the common law’s presumptive right of access to judicial materials and the First Amendment right of access to civil trials.” Avandia, 924 F.3d at 672–73. 9. A common law right of access—including the right to attend court proceedings, the right to inspect and copy public records, and the right to inspect and copy judicial records— attaches “to judicial proceedings and records” in both criminal and civil cases. Id. (quoting Goldstein v. Forbes (In re Cendant Corp.), 260 F.3d 183, 192 (3d Cir. 2001)). 10.Although there is a “strong presumption of openness,” the court may file judicial
records under seal where there are “compelling, countervailing interests to be protected.” Id. (quoting Miller v. Ind. Hosp., 16 F.3d 549, 551 (3d Cir. 1994)); see also In re Cendant Corp., 260 F.3d at 194. 11.To rebut the presumption of openness, the moving party must show “that the material is the kind of information that courts will protect and that disclosure will work a clearly defined and serious injury to the party seeking closure.” Avandia, 924 F.3d at 672 (quoting Miller, 16 F.3d at 551). 12.In addition, the public and press have the right of access to civil trials as established by the First Amendment of the Constitution of the United States.
13.However, “the right of access to civil trials is not absolute.” Publicker Indus., Inc. v. Cohen, 733 F.2d 1059, 1061 (3d Cir. 1984). 14.To determine whether the right of access attaches to certain documents or proceedings, the court uses a two prong approach: “(1) the experience prong asks whether the place and process have historically been open to the press; and (2) the logic prong evaluates whether public access plays a significant positive role in the functioning of the particular process in question.” Avandia, 924 F.3d at 673 (quoting N. Jersey Media Grp. Inc. v. U.S., 836 F.3d 421, 429 (3d Cir. 2016)) (internal citations omitted). 15. Once the court has determined that the right of access applies, “there is a presumption that the proceedings will be open to the public.” Publicker Indus., 733 F.2d at 1073. 16. “The party seeking to seal judicial records may rebut the presumption of openness mandated by the First Amendment if the party demonstrates “an overriding interest [in excluding the public] based on findings that closure is essential to preserve higher values and is narrowly tailored to serve that interest.” Avandia, 924 F.3d at 673 (quoting Publicker Indus., 733 F.2d at 1073). 17. For the purposes of this motion, Defendant concedes that the First Amendment night of access to civil trials applies to summary judgment filings and proceedings. See id. at 679-80 (declining to “define the parameters of the First Amendment right” in the context of summary judgment documents and proceedings). 18.In balancing the Avandia factors, there is more than sufficient important and countervailing interests to protect the confidential medical information relating to, among other things, diagnoses and medications administered to non-party Elwyn clients included in Elwyn’s Reply Brief and Exhibits. See Defendant’s Document Review of Documents to Be Filed Under Seal, attached hereto as Exhibit “A.” For any and all of the aforementioned reasons, Defendants respectfully request that the Court grant the Defendant’s Motion for Leave to File Defendant’s Exhibits to its Reply Brief in Further Support of its Motion for Summary Judgment Under Seal and issue the proposed Order accompanying this Motion.
Respectfully submitted, MARSHALL DENNEHEY WARNER COLEMAN & GOGGIN
Dated: September 23, 2021 By:_______________________________ JOHN P. GONZALES, ESQUIRE Attorney ID No. 71265 2000 Market Street, Suite 2300 Philadelphia, PA 19103 P: (215) 575-2871 E-mail: jpgonzales@mdwcg.com Attorney for Defendant, Elwyn, Inc. IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA
TONDALAYA DAVIS, : Plaintiff, : : NO.: 20-CV-5798 vs. : CIVIL ACTION - LAW ELWYN, INC. : Defendant. :
CERTIFICATE OF SERVICE
I, JOHN P. GONZALES, ESQUIRE, do hereby certify that on the date listed below, I caused a true and correct copy of Defendant’s Renewed Motion for Leave to File Under Seal, was electronically filed with the Court and available for viewing and downloading from the ECF System.
MARSHALL DENNEHEY WARNER COLEMAN & GOGGIN
Dated: September 15, 2021 By:
JOHN P. GONZALES, ESQUIRE Attorney ID No. 71265 2000 Market Street, Suite 2300 Philadelphia, PA 19103 P: (215) 575-2871/ F: (215) 575- 0856 E-mail: jpgonzales@mdweg.com Attorney for Defendant, Elwyn
Exhibit A
IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA TONDALAYA DAVIS, : Plaintiff, : : NO.: 20-CV-5798 : vs. : CIVIL ACTION - LAW : ELWYN, INC. : Defendant. : DEFENDANT, ELWYN’S DOCUMENT REVIEW PURSUANT TO THIS COURT’S SEPTEMBER 7, 2021 ORDER Bates Range Common Law Analysis First Amendment Analysis Exhibit P (video) Defendant’s Exhibit “P” is a video The First Amendment right of that depicts Patient X and Plaintiff, access to civil trials is not absolute. among other Elwyn non-party See In re Avandia Mktg., Sales employees and patients, and directly Pracs. & Prods. Liab. Litig., 924 contradicts Plaintiff’s testimony F.3d 662, 673 (3d Cir. 2019). relating to Plaintiff’s alleged “sexual Defendant’s Exhibit “P” is the kind assault.” Allowing public access to of information that courts will the video would enable members of protect and disclosure will work the public to be able to identify serious injury on non-party patients clearly visible non-party patients of Elwyn. As previously discussed, who were or are under Elwyn’s care it is well established that and determine that they suffer from individuals hold an important severe mental health issues based on privacy interest in their own other Court filings. Elwyn has a medical records and information, statutory duty to keep its patient’s which fundamentally includes an information confidential. interest in protecting their identities Pennsylvania and Third Circuit as individuals receiving medical or courts have long held that mental health services in the first individuals hold an important place. The Supreme Court of the privacy interest in their own medical United States has long held that the and mental health records. See Doe right to individual privacy is rooted v. Delie, 257 F.3d 309, 314–15 (3d in the Constitution. Whalen v. Roe, Cir. 2001); see, e.g., In re The June 429 U.S. 589, 599-600 (1977); 1979 Allegheny County Griswold v. Connecticut, 381 U.S. Investigating Grand Jury, 490 Pa. 479, 484–86 (1965). The In 143, 415 A.2d 73, 77–78 (1980) addition, the Pennsylvania Supreme (“Disclosure of confidences made by Court has explicitly held that the a patient to a physician, or even of Pennsylvania Constitution protects medical data concerning the an individual’s right to privacy. individual patient could, under See, e.g., Denoncourt v. certain circumstances, pose such a Commonwealth State Ethics serious threat to a patient's right not Commission, 504 Pa. 191, 470 A.2d to have personal matters revealed 945 (1983). that it would be impermissible under either the United States Constitution Public access to the video would or the Pennsylvania Constitution.”). allow individuals unrelated to Plaintiff’s personal employment No interest beyond the presumption discrimination and harassment of openness exists to prevent the claims to peer into Elwyn’s locked video from being filed under seal. wing for patients with severe Plaintiff merely bring claims based mental health diagnosis and enable on her own alleged discrimination the public to identify non-party and harassment in the workplace. Elwyn patients. The identification There are no claims of fraud, of Elwyn’s patients’ would medical malpractice or any other specifically injure those non-party allegations that would weigh in individuals and violate their favor of public access to a non- constitutionally protected rights to party’s private medical information. privacy. Public access to the video would The video is only being used to violate Elwyn’s patients’ compelling demonstrate unbiased and right to privacy and confidentiality uncensored evidence that directly and therefore, Exhibit P of contradicts Plaintiff’s newly raised Defendant’s Reply Brief should be allegations that Patient X “sexually filed under seal. assaulted” her during her shift. As such, the video is essential to supporting Defendant’s Motion for Summary Judgment. Moreover, Elwyn does not possess any technology that would allow it to blur or obscure the faces of individuals depicted in the video, and obtaining such technology would put a large financial burden on Elwyn. Therefore, no less restrictive way exists to protect Elwyn’s patients than filing Exhibit P under seal. Accordingly, Elwyn’s non-party patients’ constitutionally protected interest in their privacy is an overriding interest to public access and Exhibit P of Defendant’s Reply Brief should be filed under seal.
Elwyn 175-181 Defendant’s Exhibit “Q” contains Closure of Defendant’s Exhibit “Q” three separate, but related incident is essential to protect the reports filed at Elwyn relating to constitutionally protected right of Patient X’s behavior. Although the privacy of non-party Elwyn patients names of individuals patients and and is narrowly tailored to protect employees are redacted, the those privacy interests. The surrounding details and incident reports contained in circumstances included in the Exhibit Q are filled with personal reports would enable members of identifiers, private behavioral plan the public to potentially identify the and treatment information related to individuals involved in the incidents. Patient X’s mental illnesses and In each incident, Patient X’s enough information related to the behavior is specifically outlined, circumstances of each incident that including information related to his members of the public could mental illness treatment plan and determine Patient X’s identity or medications. Exhibit Q is being other Elwyn non-party patients’ and offered to specifically rebut employees’ identities. As Plaintiff’s allegations that Patient previously discussed, Pennsylvania X’s behavior was limited or directed and Third Circuit courts have towards her because of her race or consistently acknowledged an gender and demonstrate that Patient individuals important privacy X, was, indeed, severely mentally interest in their medical ill. information. See Westinghouse Elec. Corp., 638 F.2d at 577. Allowing public access to these “[T]here is a recognized privacy incident reports would specifically interest sought to be protected in . . injure Patient X, and other Elwyn . the nature of freedom from patients by enabling members of the disclosure of personal matters; and public to learn their identities, and it is constitutionally based.” Patient X’s treatment plan and Denoncourt, 504 Pa. at 198. medication use. The Third Circuit has held, “[t]here can be no question Like Exhibit P, Exhibit Q is being that ... medical records, which may produced to contradict Plaintiff’s contain intimate facts of a personal specific and novel arguments made nature, are well within the ambit of in her Response in Opposition to materials entitled to privacy Defendant’s Motion for Summary protection. Information about one's Judgment relating to Patient X’s body and state of health is matter diagnosis and whether Patient X’s which the individual is ordinarily behavior was directed towards entitled to retain with the private Plaintiff based on her race or enclave where he may lead a private gender. Elwyn does not consider life.” U.S. v. Westinghouse Elec. Exhibit Q to be responsive or even Corp., 638 F.2d 570, 577 (3d Cir. relevant to Plaintiff’s individual 1980) (internal quotations omitted). claims under Title VII. Again, While these documents are not Elwyn notes that Plaintiff does not strictly “medical records” in the bring any claims of fraud, medical traditional sense, they are records negligence, or medical malpractice maintained by Elwyn in their which might make these documents capacity as care givers to their of public interest. However, mentally ill patients and used to Plaintiff’s baseless and meritless manage patients’ treatment, assertions, made purely in an medications, and diagnosis. attempt to create a genuine dispute of material fact and avoid Summary The risk of Elwyn’s patients’ Judgment, cannot be adequately identities and private medical disproved without Exhibit Q and information becoming public is a Defendant’s other exhibits to its specific injury that countervails the Reply Brief. public’s common law right of access. Therefore, Patient X and Closure of the incident reports is additional Elwyn patients’ essential to preserving the higher constitutionally protected privacy value of Elwyn’s patients’ interests in keeping their identities constitutionally protected privacy and medical information protected interests and therefore, Exhibit Q of outweighs the presumption of Defendant’s Reply Brief should be openness in this case and Exhibit Q filed under seal. of Defendant’s Reply Brief should be filed under seal. Elwyn 165-168 Defendant’s Exhibit “R” contains a As described in Defendant’s relevant portion of Patient X’s “Common Law Access” argument, Behavior Plan, created by an Elwyn Defendant’s Exhibit “R” contains Learning Behavioral Specialist, highly confidential and sensitive which includes Patient X’s multiple personal medical information diagnoses, problem behaviors, related to Patient X, including statements made by Patient X, and diagnoses, treatment, and other other personal indicator information personal identifying information. related to Patient X and his mental Patient X has a right of privacy to health treatment. Even where Patient his own medical information and X’s name, date of birth, family records as protected by the member names, and Elwyn Pennsylvania Constitution and the employee names are redacted, Constitution of the United States of Exhibit R contains specific personal America. In addition, Elwyn is details which risks the public charged with protecting Patient X’s identification of non-party patient, confidential information, as well as Patient X. As with all documents on all their patients’ medical this list, allowing public access to information from dissemination to Patient X’s Behavior Plan would the public by law. See, e.g., Health risk serious injury to Patient X’s Insurance Portability and constitutionally protected right to Accountability Act of 1996 privacy. See Westinghouse Elec. (“HIPAA”), Pub.L. 104–191, 110 Corp., 638 F.2d at 577. “[A]n Stat. 1936. As such, Elwyn and individual has an interest in Patient X have a important and protecting against the compelling privacy interest in the dissemination” of private medical protection and closure of Exhibit R. information, such as diagnoses, See Delie, 257 F.3d at 317. treatment, and medications. Delie, 257 F.3d at 317. Even with redactions, Exhibit R contains specific personal Exhibit R is only being produced to information which members of the directly disprove Plaintiff’s new and public could use to determine the bewildering assertion that Patient X identity of Patient X which would was not actually suffering from cause substantial injury to his mental illness as alleged in constitutionally protected rights. Plaintiff’s Response. In addition, Therefore, filing Exhibit R under Patient X’s Behavior Plan seal is narrowly tailored to protect demonstrates that program Patient X’s countervailing privacy specialists, such as Plaintiff, were interest. responsible for avoiding confrontation and power struggles with Patient X which contradicts Plaintiff’s assertion that she was not responsible for “doing tasks” for Elwyn patients. As previously stated, Elwyn does not consider Exhibit R, or any documents on this list, to be relevant to the instant case but for Plaintiff’s meritless arguments. Accordingly, Exhibit R is the kind of information that the court will protect and disclosure will work serious injury on Patient X and Elwyn. Therefore, countervailing privacy interests exist here and Exhibit Q of Defendant’s Reply Brief should be filed under seal. Elwyn 153-164 Defendant’s Exhibit “S” contains the As described in Defendant’s daily meeting notes of Elwyn “Common Law Access” argument, employees in the New Beginnings Defendant’s Exhibit S contains program, which served Patient X highly confidential and personal and other mentally ill patients. These information pertaining to several notes refer to patients by initials and Elwyn patients suffering from list specific behaviors and mental illnesses, including medication concerns related to the medications, treatment, and patients, among other details. behavioral concerns. Elwyn’s Similarly to the Elwyn’s Exhibits P patients have a protected through R, redactions do not fully constitutional privacy interest in protect Elwyn patients from their own medical information and identification because of the documents. In addition, Elwyn has surrounding details and identifying a duty under the law to protect their information. Allowing public access patients’ medical information from to Exhibit S would not only dissemination. Furthermore, such implicate Patient X’s identity, but personal and confidential medical several Elwyn patients. Not one of information and documents would Elwyn’s patients are parties in this not be accessible to the public case and are protected by their under any other circumstances. As constitutional right to privacy. See such, the privacy interest of Westinghouse Elec. Corp., 638 F.2d Elwyn’s patients is an overriding at 577. interest to the First Amendment right of access to civil trials. Again, Elwyn produced these meeting notes in order to disprove Because redactions are not Plaintiff’s new allegations that sufficient to prevent identification Patient X was the only “difficult” of Elwyn’s patients and their patient to serve at Elwyn. The daily medical information, closure of meeting notes demonstrate that Exhibit S is essential to protect the several patients routinely refused constitutionally protected right of medications and exhibited privacy of non-party Elwyn patients problematic behaviors because all of and is narrowly tailored to protect the New Beginnings program those privacy interests. Therefore, patients suffered from mental health Defendant’s Exhibit S should be issues and were “stepping down” filed under seal. from involuntary institutionalization. Accordingly, the presumption of openness is overcome by the constitutionally protected privacy interests of Elwyn patients and Exhibit S of Defendant’s Reply Brief should be filed under seal.