Estes v. Kapiolani Women's & Children's Medical Center

787 P.2d 216, 71 Haw. 190, 1990 Haw. LEXIS 13
CourtHawaii Supreme Court
DecidedFebruary 20, 1990
DocketNO. 13079
StatusPublished
Cited by9 cases

This text of 787 P.2d 216 (Estes v. Kapiolani Women's & Children's Medical Center) is published on Counsel Stack Legal Research, covering Hawaii Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Estes v. Kapiolani Women's & Children's Medical Center, 787 P.2d 216, 71 Haw. 190, 1990 Haw. LEXIS 13 (haw 1990).

Opinion

*191 OPINION OF THE COURT BY

WAKATSUKI, J.

Appellants, on two occasions, attempted to distribute leaflets and otherwise express anti-abortion views on the interior walkway adjacent to one of the main entrances to Kapiolani Hospital (Hospital). Appellants did not physically block or disrupt the ingress or egress of persons entering or leaving the Hospital. In any event, because Appellants had not obtained permission from the Hospital to be there, security guards asked them to leave. This request was met with refusal, and therefore, the Hospital sought police help in removing Appellants who were deemed trespassers. After being *192 warned by the police that they would be arrested for trespass, Appellants left the premises.

The Appellants, however, were still convinced that they had a constitutional right to conduct their activities at the Hospital entryway under Article 1, Section 4 of the Hawaii constitution, and therefore filed an action to enjoin the Hospital from enforcing a policy of prohibiting solicitation on its hospital grounds. Appellants had earlier filed an action in federal district court raising the same issue, but that action was dismissed as no “state action” was involved which would bring the claim within the purview of the federal constitution.

Our court below dismissed Appellants’ injunctive action. We affirm.

A.

Appellants argue that although Kapiolani Hospital is a private corporation, the Hospital is imbued with a quasi-public character, and therefore, should be deemed a public agency for free speech purposes. In support of this argument, Appellants cite evidence that the Hospital receives large amounts of public funds to cany out various activities and functions; that the Hospital is heavily regulated by the State; that to an extent it enjoys a virtual monopol y status in the community for the provision of some services; and that the University of Hawaii, a state institution, leases several floors of the Hospital building to house one department of the medical school.

Article I, § 4 of the Hawaii constitution provides in pertinent part:

No law shall be enacted . . . abridging the freedom of speech[.]

Although this provision is not so narrowly read as to preclude only legislative enactments which abridge free speech, still, “[i]t is, of course, a commonplace that the constitutional guarantee of free *193 speech is a guarantee only against abridgement by government.” Hudgens v. NLRB, 424 U.S. 507, 513 (1976). This constitutional provision “erects no shield against merely private conduct, however discriminatory or wrongful.” Shelley v. Kraemer, 334 U.S. 1, 13 (1948). The question of abridgement by government is generally addressed as whether “slate action” is involved. “While the principle that private action is immune from the restrictions of [Article I, § 4 of the Hawaii constitution] is well established and easily stated, the question whether particular conduct is ‘private,’ on the one hand, or ‘state action,’ on the other frequently admits of no easy answer.” Jackson v. Metropolitan Edison Co., 419 U.S. 345, 349-50 (1974).

A state “can be held responsible for a private decision only when it has exercised coercive power or has provided such significant encouragement, either overt or covert, that the choice must be deemed that of the State.” Blum v. Yaretsky, 457 U.S. 991, 1004-05 (1982). “[W]hen the state directs, supports, and encourages those private parties to take specific action, that is Stale action.” Blum v. Yaretsky, 457 U.S. at 1028 (Brennan, J., dissenting). In other words, there must be a sufficiently close nexus between the Stale and the challenged action so that the action of the private entity may be fairly treated as that of the State itself. Blum v. Yaretsky, 457 U.S. at 1004; Jackson v. Metropolitan Edison Co., 419 U.S. at 350-51.

Appellants have not met the burden of showing by clear and convincing evidence that the State in any way directed, encouraged, or supported the Hospital’s no-solicitation policy. See, e.g., Rendell-Baker v. Kohn, 457 U.S. 830 (1982) (fact that a private school received more than 90% of its funding from the state did not convert school decisions into state action); Jackson v. Metropolitan Edison Co., supra, (actions of a heavily regulated utility with govemmentally protected monopoly status not treated as actions of state); State v. Marley, 54 Haw. 450, 462, 509 P.2d 1095, 1104 *194 (1973) (“But it has never been held that the carrying on of even massive amounts of business activity with the government converts a private corporation into something called a ‘quasi-public’ corporation.”). Neither have Appellants shown a clear and sufficient nexus between the Hospital’s no-solicitation policy and its funding, regulation, or business relationship between the Hospital and the State.

We, therefore, hold that the Hospital is not a state agency, nor is a state or county statute, ordinance or regulation involved. The Hospital’s no-solicitation policy is not a response to any government law or directive. Further, the police involvement in enforcing the Hospital’s right against trespass does not convert this into a state action. Hernandez v. Schwegmann Bros. Giant Supermkts., Inc., 673 F.2d 771 (5th Cir. 1982); Tauvar v. Bar Harbor Congregation, 633 F. Supp. 741 (D.Me. 1985).

B.

Appellants further argue that notwithstanding the cases decided by the United States Supreme Court, this court’s decision in Silver v. Castle Memorial Hospital, 53 Haw. 475, 497 P.2d 564 (1972), supports the proposition that Kapiolani Hospital is a quasi-public institution. We disagree.

In Silver, this court held that although the hospital was a private hospital, the denial of staff privileges to a physician was subject to judicial review. In so holding, this court emphasized that the hospital’s “powers in the selection of the medical staff ... are deeply imbedded in public aspects, and are rightly viewed, for policy reasons... as fiduciary powers to be exercised reasonably and for the public good.” Id. at 480, 497 P.2d at 568 (quoting Greisman v. Newcomb Hosp.,

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787 P.2d 216, 71 Haw. 190, 1990 Haw. LEXIS 13, Counsel Stack Legal Research, https://law.counselstack.com/opinion/estes-v-kapiolani-womens-childrens-medical-center-haw-1990.