[Cite as Higbee v. Higbee, 2014-Ohio-954.]
IN THE COURT OF APPEALS OF OHIO SECOND APPELLATE DISTRICT CLARK COUNTY
BALINDA J. HIGBEE : : Appellate Case No. 2013-CA-81 Plaintiff-Appellant : : Trial Court Case No. 2012-DR-758 v. : : (Civil Appeal from Common Pleas RUSSELL E. HIGBEE, JR. : (Court, Domestic Relations) : Defendant-Appellee : : ...........
OPINION
Rendered on the 14th day of March, 2014.
...........
CHERYL R. WASHINGTON, Atty. Reg. #0038012, 130 West Second Street, Suite 450, Dayton, Ohio 45402 Attorney for Plaintiff-Appellant
TERRI L. PARMLEY, Atty. Reg. #0040653, 333 North Limestone Street, Springfield, Ohio 45503 Attorney for Defendant-Appellee
.............
HALL, J.,
{¶ 1} In this divorce action, Balinda Higbee appeals the trial court’s interlocutory
order that she execute HIPAA (Health Insurance Portability and Accountability Act) 2
authorization forms that allow the disclosure of her health information to the appellee, Russell
Higbee. The trial court did not abuse its discretion by finding that the information is relevant to
the spousal-support issues in this action; therefore, the information is not protected by the
physician-patient privilege and may be ordered to be the subject of discovery. We affirm.
I. FACTS
{¶ 2} In August 2012, after 18 years of marriage, Balinda filed for divorce. She
requested spousal support and moved for temporary spousal support. At the hearing on temporary
orders, Balinda testified that she has various health conditions, and she said that she has little
earning ability because she is disabled and therefore unable, or at least limited in her ability, to
work.
{¶ 3} Russell served Balinda with numerous requests for discovery, including a
request that she execute a HIPAA authorization form, provided by Russell, for each doctor who
had diagnosed her with a health condition that she claimed to have. Russell also asked her to
execute an authorization form for each hospital and medical facility in which she underwent
surgery or any other procedures or tests during the last three years. Balinda did not respond to any
discovery requests, nor did she ask the trial court for a protective order.
{¶ 4} Russell moved to compel discovery, and a pretrial conference was had to
address discovery issues. On August 13, the trial court, without giving a rationale, ordered
Balinda to execute 14 HIPAA authorization forms. On August 22, Balinda filed a motion asking
the court to reconsider its order. The court denied her reconsideration motion on September 10
and in its entry explained its rationale for the August order.
{¶ 5} On September 13, Balinda appealed. [Cite as Higbee v. Higbee, 2014-Ohio-954.] II. ANALYSIS
{¶ 6} The sole assignment of error alleges that the trial court erred by ordering Balinda
to execute the HIPAA authorization forms. Before getting to the merits of this appeal, we must
address a jurisdictional issue.
A. The timeliness of the appeal
{¶ 7} Russell contends that we do not have jurisdiction over this appeal because it is
untimely. By rule, a party must file a notice of appeal within 30 days of the “order appealed,”
App.R. 4(A), a period of time that may not be enlarged, App.R. 14(B). Here, the notice of appeal
says that the appeal is from both the August 13 order and the September 10 denial. Since the
notice was filed 31 days after the August order but only three days after the September denial, the
question is whether the September denial may be considered the “order appealed.” Russell says
no. He says that the September denial merely gives the trial court’s rationale for its original
(August) order. Russell says that the August order is the one that requires Balinda to execute the
authorizations and is the order that she is challenging on appeal.
{¶ 8} We have exercised our jurisdiction before in cases like this one. In State v. Lucas,
2d Dist. Montgomery No. 20052, 2004-Ohio-4929, after the defendant was arrested, money that
had been seized from him was ordered forfeited. The defendant filed a motion for return of the
money, and the trial court denied it. About two weeks later, the defendant filed a motion for
reconsideration of the court’s decision, and the court overruled it the next day. The defendant
appealed the denial a couple of weeks later but 39 days after the trial court had denied his original
motion. We said that the defendant had “timely appealed the trial court’s decision to overrule his
motion to reconsider,” though he had not “timely appeal[ed] the trial court’s original decision
denying his motion.” Lucas at ¶ 7. Here, Balinda timely appealed the denial of her motion for 4
reconsideration, which is the one that includes a rationale for the court’s decision; therefore, like
we did in Lucas, we determine that we have jurisdiction.1
B. The Challenged Order
{¶ 9} By statute, in making spousal-support determinations a court must consider,
among other factors, “[t]he relative earning abilities of the parties,” R.C. 3105.18(C)(1)(b), and
their “physical, mental, and emotional conditions,” R.C. 3105.18(C)(1)(c). Here, as the trial court
said in its September entry, by seeking spousal support and claiming a disability that limits her
earning ability, Balinda has made her health an issue in this action. Balinda acknowledges that
some of her health information is relevant and discoverable. But she argues that the authorization
form allows the disclosure of irrelevant information too. Balinda contends that the authorization
should be more narrowly tailored to filter out irrelevant information.
{¶ 10} Parties may obtain discovery of any matter that is relevant to the action and that
is not protected by a privilege. Civ.R. 26(B)(1). Generally, health information is protected from
disclosure by the physician-patient privilege, codified in R.C. 2317.02. Med. Mut. of Ohio v.
Schlotterer, 122 Ohio St.3d 181, 2009-Ohio-2496, 909 N.E.2d 1237, ¶ 14. But a plaintiff in an
action waives the physician-patient privilege with respect to health information “that [is] related
causally or historically to physical or mental injuries that are relevant to issues in the * * * civil
action.” R.C. 2317.02(B)(3)(a); see also R.C. 2317.02(B)(1)(a)(iii).
{¶ 11} Whether particular health information is relevant is a question of fact that we
review for abuse of discretion. See Bogart, 2010-Ohio-4526, at ¶ 24. “It is to be expected that
1 This interlocutory order is a “final order” under R.C. 2505.02(B)(4), since it is “[a]n order that grants or denies a provisional remedy * * *.” Compare Bogart v. Blakely, 2d Dist. Miami No. 2010 CA 13, 2010-Ohio-4526 (a similar interlocutory appeal). 5
most instances of abuse of discretion will result in decisions that are simply unreasonable * * *.”
AAAA Enterprises, Inc. v. River Place Community Redevelopment, 50 Ohio St.3d 157, 161, 553
N.E.2d 597 (1990). “A decision is unreasonable if there is no sound reasoning process that would
support that decision.” Id. The question here, then, is whether the trial court abused its discretion
by finding that the health information that the authorization form allows to be disclosed is
relevant to the issues in this action.
{¶ 12} The authorization form here is directed to the doctors who diagnosed Balinda
Free access — add to your briefcase to read the full text and ask questions with AI
[Cite as Higbee v. Higbee, 2014-Ohio-954.]
IN THE COURT OF APPEALS OF OHIO SECOND APPELLATE DISTRICT CLARK COUNTY
BALINDA J. HIGBEE : : Appellate Case No. 2013-CA-81 Plaintiff-Appellant : : Trial Court Case No. 2012-DR-758 v. : : (Civil Appeal from Common Pleas RUSSELL E. HIGBEE, JR. : (Court, Domestic Relations) : Defendant-Appellee : : ...........
OPINION
Rendered on the 14th day of March, 2014.
...........
CHERYL R. WASHINGTON, Atty. Reg. #0038012, 130 West Second Street, Suite 450, Dayton, Ohio 45402 Attorney for Plaintiff-Appellant
TERRI L. PARMLEY, Atty. Reg. #0040653, 333 North Limestone Street, Springfield, Ohio 45503 Attorney for Defendant-Appellee
.............
HALL, J.,
{¶ 1} In this divorce action, Balinda Higbee appeals the trial court’s interlocutory
order that she execute HIPAA (Health Insurance Portability and Accountability Act) 2
authorization forms that allow the disclosure of her health information to the appellee, Russell
Higbee. The trial court did not abuse its discretion by finding that the information is relevant to
the spousal-support issues in this action; therefore, the information is not protected by the
physician-patient privilege and may be ordered to be the subject of discovery. We affirm.
I. FACTS
{¶ 2} In August 2012, after 18 years of marriage, Balinda filed for divorce. She
requested spousal support and moved for temporary spousal support. At the hearing on temporary
orders, Balinda testified that she has various health conditions, and she said that she has little
earning ability because she is disabled and therefore unable, or at least limited in her ability, to
work.
{¶ 3} Russell served Balinda with numerous requests for discovery, including a
request that she execute a HIPAA authorization form, provided by Russell, for each doctor who
had diagnosed her with a health condition that she claimed to have. Russell also asked her to
execute an authorization form for each hospital and medical facility in which she underwent
surgery or any other procedures or tests during the last three years. Balinda did not respond to any
discovery requests, nor did she ask the trial court for a protective order.
{¶ 4} Russell moved to compel discovery, and a pretrial conference was had to
address discovery issues. On August 13, the trial court, without giving a rationale, ordered
Balinda to execute 14 HIPAA authorization forms. On August 22, Balinda filed a motion asking
the court to reconsider its order. The court denied her reconsideration motion on September 10
and in its entry explained its rationale for the August order.
{¶ 5} On September 13, Balinda appealed. [Cite as Higbee v. Higbee, 2014-Ohio-954.] II. ANALYSIS
{¶ 6} The sole assignment of error alleges that the trial court erred by ordering Balinda
to execute the HIPAA authorization forms. Before getting to the merits of this appeal, we must
address a jurisdictional issue.
A. The timeliness of the appeal
{¶ 7} Russell contends that we do not have jurisdiction over this appeal because it is
untimely. By rule, a party must file a notice of appeal within 30 days of the “order appealed,”
App.R. 4(A), a period of time that may not be enlarged, App.R. 14(B). Here, the notice of appeal
says that the appeal is from both the August 13 order and the September 10 denial. Since the
notice was filed 31 days after the August order but only three days after the September denial, the
question is whether the September denial may be considered the “order appealed.” Russell says
no. He says that the September denial merely gives the trial court’s rationale for its original
(August) order. Russell says that the August order is the one that requires Balinda to execute the
authorizations and is the order that she is challenging on appeal.
{¶ 8} We have exercised our jurisdiction before in cases like this one. In State v. Lucas,
2d Dist. Montgomery No. 20052, 2004-Ohio-4929, after the defendant was arrested, money that
had been seized from him was ordered forfeited. The defendant filed a motion for return of the
money, and the trial court denied it. About two weeks later, the defendant filed a motion for
reconsideration of the court’s decision, and the court overruled it the next day. The defendant
appealed the denial a couple of weeks later but 39 days after the trial court had denied his original
motion. We said that the defendant had “timely appealed the trial court’s decision to overrule his
motion to reconsider,” though he had not “timely appeal[ed] the trial court’s original decision
denying his motion.” Lucas at ¶ 7. Here, Balinda timely appealed the denial of her motion for 4
reconsideration, which is the one that includes a rationale for the court’s decision; therefore, like
we did in Lucas, we determine that we have jurisdiction.1
B. The Challenged Order
{¶ 9} By statute, in making spousal-support determinations a court must consider,
among other factors, “[t]he relative earning abilities of the parties,” R.C. 3105.18(C)(1)(b), and
their “physical, mental, and emotional conditions,” R.C. 3105.18(C)(1)(c). Here, as the trial court
said in its September entry, by seeking spousal support and claiming a disability that limits her
earning ability, Balinda has made her health an issue in this action. Balinda acknowledges that
some of her health information is relevant and discoverable. But she argues that the authorization
form allows the disclosure of irrelevant information too. Balinda contends that the authorization
should be more narrowly tailored to filter out irrelevant information.
{¶ 10} Parties may obtain discovery of any matter that is relevant to the action and that
is not protected by a privilege. Civ.R. 26(B)(1). Generally, health information is protected from
disclosure by the physician-patient privilege, codified in R.C. 2317.02. Med. Mut. of Ohio v.
Schlotterer, 122 Ohio St.3d 181, 2009-Ohio-2496, 909 N.E.2d 1237, ¶ 14. But a plaintiff in an
action waives the physician-patient privilege with respect to health information “that [is] related
causally or historically to physical or mental injuries that are relevant to issues in the * * * civil
action.” R.C. 2317.02(B)(3)(a); see also R.C. 2317.02(B)(1)(a)(iii).
{¶ 11} Whether particular health information is relevant is a question of fact that we
review for abuse of discretion. See Bogart, 2010-Ohio-4526, at ¶ 24. “It is to be expected that
1 This interlocutory order is a “final order” under R.C. 2505.02(B)(4), since it is “[a]n order that grants or denies a provisional remedy * * *.” Compare Bogart v. Blakely, 2d Dist. Miami No. 2010 CA 13, 2010-Ohio-4526 (a similar interlocutory appeal). 5
most instances of abuse of discretion will result in decisions that are simply unreasonable * * *.”
AAAA Enterprises, Inc. v. River Place Community Redevelopment, 50 Ohio St.3d 157, 161, 553
N.E.2d 597 (1990). “A decision is unreasonable if there is no sound reasoning process that would
support that decision.” Id. The question here, then, is whether the trial court abused its discretion
by finding that the health information that the authorization form allows to be disclosed is
relevant to the issues in this action.
{¶ 12} The authorization form here is directed to the doctors who diagnosed Balinda
with a variety of conditions that she claims to have, any one of which may affect her assertion
that she is disabled, and to the hospitals and medical facilities in which she underwent surgery or
any other procedures or tests during the last three years. The form authorizes the disclosure of
“any medication records, medical charts, reports and files, billing information, radiographic
imaging reports and films, pathology slides and other reports and data compilations concerning
office, clinic, hospital, emergency room or outpatient diagnosis, care and treatment rendered to
[Balinda], at any time, and with no limitation.” And “[t]his Authorization permits release * * *
o[f] information, IF such information exists, relating to testing and/or treatment of mental,
behavior and/or psychiatric, alcohol or drug abuse, sexually-transmitted disease, HIV, AIDS, or
AIDS-related conditions, including specifically, but not limited to, records contemplated by 42
U.S.C. § 290 dd-3 and §290 ee-3 [which concern records for alcohol abuse and alcoholism
programs].” (Emphasis sic.).
{¶ 13} Based on the record here, we cannot say that the health information covered by
the authorization form is irrelevant to the spousal-support issues in this action. It was Balinda
who filed this action for divorce, and it is she who seeks spousal support, claiming that her health 6
affects her earning ability. A transcript of the temporary-orders hearing is not in the record, so we
do not know exactly what Balinda said about her health. Neither does the App.R. 9(C) statement
of the evidence or proceeding shed much light on what she said. Nevertheless, as a general
matter, any health information of the parties may be relevant to their “physical, mental, [or]
emotional” health and to their “relative earning abilities.” And we have said that the disclosure of
an item may be ordered if the item “‘might be within the ambit’” of the plaintiff’s
physician-patient-privilege waiver. Bogart at ¶ 34, quoting Horton v. Addy, 2d Dist. Montgomery
No. 13524, 1993 WL 15631 (Jan. 25, 1993). It is reasonable to conclude that the health
information covered by the authorization form is at least “within the ambit” of Balinda’s
privilege waiver. Compare id. at ¶ 62 (saying that “[g]iven [the appellant]’s extensive allegations
[of injuries],” the health information sought might be “within the ambit” of the appellant’s
waiver).2
{¶ 14} We further note that discovery is an issue separate from the question of whether
evidence may be admissible at trial or even if it can be disclosed outside the litigation. Those are
matters properly reserved to the sound discretion of the trial court on appropriate motion which is
not before us at this juncture.
{¶ 15} The sole assignment of error is overruled. The trial court’s judgment is affirmed.
2 Balinda also objects to the authorization form’s statement that her medical information “may be subject to unauthorized re-disclosure, and then may no longer be protected by federal confidentiality rules.” This statement is required by HIPAA regulations. See 45 CFR 164.08(C)(2)(iii) (providing that a valid authorization must contain a statement that adequately notifies the person signing the authorization about “[t]he potential for information disclosed pursuant to the authorization to be subject to redisclosure by the recipient and no longer be protected by this subpart”). 7
FROELICH, P.J., and DONOVAN, J., concur.
Copies mailed to:
Cheryl R. Washington Terri L. Parmley Hon. Thomas J. Capper