Kennedy v. Ramirez CA1/5

CourtCalifornia Court of Appeal
DecidedSeptember 10, 2020
DocketA158770
StatusUnpublished

This text of Kennedy v. Ramirez CA1/5 (Kennedy v. Ramirez CA1/5) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kennedy v. Ramirez CA1/5, (Cal. Ct. App. 2020).

Opinion

Filed 9/10/20 Kennedy v. Ramirez CA1/5 NOT TO BE PUBLISHED IN OFFICIAL REPORTS California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for publication or ordered published, except as specified by rule 8.1115(b). This opinion has not been certified for publication or ordered published for purposes of rule 8.1115.

THE COURT OF APPEAL OF THE STATE OF CALIFORNIA

FIRST APPELLATE DISTRICT

DIVISION FIVE

RON KENNEDY, Plaintiff and Appellant, v. A158770 LOURDES CASTRO RAMÍREZ, as (San Francisco County Secretary, etc., et al., Super. Ct. No. CPF-19-516639) Defendants and Respondents.

The Medical Board of California (the Board) began investigating psychiatrist Ron Kennedy, M.D. after receiving reports he wrote medically unjustified vaccine exemptions for school-aged children. During the investigation, the Board issued administrative subpoenas to school districts where exemptions had been reported (Gov. Code, 11180, et seq.)1 The districts complied, producing 50 vaccine exemptions issued by Kennedy.

Undesignated statutory references are to the Government Code. 1

These subpoenas are also called investigative subpoenas. (See Kennedy v. Superior Court (2019) 36 Cal.App.5th 306, 310 (Kennedy); Pating v. Board of Medical Quality Assurance (1982) 130 Cal.App.3d 608, 617.) We use the terms interchangeably.

1 Kennedy filed a lawsuit against several defendants, including Board employees. He alleged defendants violated the federal and state Constitutions, and several state statutes, by issuing the subpoenas without giving him—or his patients—prior notice. The trial court sustained defendants’ demurrer without leave to amend and dismissed the complaint. We affirm. We conclude Kennedy failed to state a claim for relief against defendants premised on the Board’s issuance of the investigative subpoenas without prior notice to Kennedy or his patients. FACTUAL AND PROCEDURAL BACKGROUND As relevant here, Senate Bill No. 277 (2015–2016 Reg. Sess.) “eliminated the personal beliefs exemption from the requirement that children receive vaccines for specified infectious diseases before being admitted to any . . . elementary or secondary school.” (Brown v. Smith (2018) 24 Cal.App.5th 1135, 1139 (Brown).) The statute retains a medical exemption. “A student is exempt from the requirement if a licensed physician states in writing that ‘the physical condition of the child is such, or medical circumstances relating to the child are such, that immunization is not considered safe.’ ” (Love v. State Dept. of Education (2018) 29 Cal.App.5th 980, 986, quoting Health & Saf. Code, § 120370, subd. (a).) The medical exemption provides: “ ‘If the parent or guardian files with the governing authority a written statement by a licensed physician to the effect that the physical condition of the child is such, or medical circumstances relating to the child are such, that immunization is not considered safe, indicating the specific nature and probable duration of the medical condition or circumstances, including, but not limited to, family

2 medical history, for which the physician does not recommend immunization, that child shall be exempt from the [immunization] requirements . . . to the extent indicated by the physician’s statement.’ ” (Brown supra, 24 Cal.App.5th at p. 1139, fn. 2.) A. The Board Begins an Investigation Kennedy is a psychiatrist who operates an antiaging clinic in Santa Rosa. In 2017, the Board began receiving complaints—including a complaint from at least one county health department—that Kennedy was issuing vaccine exemptions for school-aged children without medical justification. The Board opened an investigation. The Board served Kennedy with investigative subpoenas for medical records of three children for whom he provided vaccination exemptions. Kennedy refused to comply with the subpoenas and the Board petitioned to compel his compliance. The trial court granted the petition. It found good cause for the issuance of the subpoenas and concluded the subpoenas were relevant and material to the Board’s investigation of whether Kennedy was improperly issuing blanket vaccine exemptions in violation of the standard of care. Kennedy petitioned for a writ of supersedeas to stay the order pending appeal. A division of this court denied the petition. (Kennedy, supra, 36 Cal.App.5th 306.) Our colleagues observed the Board’s power to “investigate complaints against physicians . . . would be hamstrung if a physician could force the Board to bring a court action to enforce a subpoena, then obtain an automatic stay of an adverse order pending a subsequent appeal.” (Id. at pp. 309–310.) The court declined to issue a discretionary stay, observing it “would likely conclude that the superior court acted within

3 its discretion in finding the Board’s interest in obtaining records of vaccination exemptions outweighed the patients’ privacy rights, given that the Board must keep the records confidential.” (Id. at p. 310.) Kennedy appealed the trial court’s orders, but later dismissed the appeal. B. Kennedy Files a Lawsuit The Board also issued investigative subpoenas to 12 school districts where exemptions had been reported but where the identities of the children were unknown. The districts complied with the subpoenas, producing 50 vaccine exemptions issued by Kennedy. Most exemptions were written on preprinted forms and provided permanent exemptions for all vaccinations. Kennedy filed a lawsuit against the secretary of the State of California Business, Consumer Services and Housing Agency, two employees of the California Department of Consumer Affairs and several employees of the Board (collectively, defendants) for declaratory and injunctive relief, and for an order quashing the subpoenas. The gist of the operative first amended complaint (complaint) was defendants singled Kennedy out for “selective prosecution” because he is not a pediatrician, and that they issued the subpoenas to harass him “for providing vaccine exemptions.” The complaint alleged defendants violated the Fourth Amendment of the federal Constitution, article I of the state Constitution, and Health and Safety Code section 120440 and Education Code section 49076 by issuing the subpoenas “without notice to [him]” or “to the parents of the children in question.” According to the complaint, the federal and state Constitutions required defendants to provide him with “a copy of every subpoena seeking [the] medical records generated by [him]” so he could exercise his Fourth Amendment rights, and to enable him to challenge the subpoenas based on

4 his patients’ privacy rights under the California Constitution and state statutes. Kennedy sought to enjoin the Board from investigating him—or commencing disciplinary proceedings against him—based on the records obtained in response to the subpoenas.2 He also requested a mandatory injunction ordering defendants to return the immunization exemptions to the school districts. Finally, Kennedy alleged a declaratory relief claim seeking an order declaring the subpoenas “illegal and unconstitutional” and any actions taken by the defendants against him “null and void.” C. The Court Sustains Defendants’ Demurrer Without Leave to Amend Defendants demurred. As relevant here, defendants argued Kennedy could not state a claim for relief because they had no obligation to notify him of the subpoenas. Defendants also contended Kennedy’s constitutional rights were not violated, and that his patients’ privacy rights were protected by statutes governing the confidentiality of the investigation. In opposition, Kennedy argued he was entitled to “intervene and preserve the [p]rivacy of his clients’ medical records.” The court sustained the demurrer without leave to amend, concluding Kennedy failed to state a cause of action against defendants.

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Bluebook (online)
Kennedy v. Ramirez CA1/5, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kennedy-v-ramirez-ca15-calctapp-2020.