Kurowski v. Rush System for Health

CourtDistrict Court, N.D. Illinois
DecidedMarch 3, 2023
Docket1:22-cv-05380
StatusUnknown

This text of Kurowski v. Rush System for Health (Kurowski v. Rush System for Health) is published on Counsel Stack Legal Research, covering District Court, N.D. Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kurowski v. Rush System for Health, (N.D. Ill. 2023).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF ILLINOIS EASTERN DIVISION

MARGUERITE KUROWSKI and ) BRENDA MCCLENDON, on behalf of ) herself and others similarly situated, ) ) Plaintiffs, ) ) vs. ) Case No. 22 C 5380 ) RUSH SYSTEM FOR HEALTH d/b/a ) RUSH UNIVERSITY SYSTEM ) FOR HEALTH, ) ) Defendant. )

MEMORANDUM OPINION AND ORDER

MATTHEW F. KENNELLY, District Judge: Marguerite Kurowski and Brenda McClendon (collectively Kurowski) have filed a complaint against Rush University System for Health (Rush) on behalf of a putative class of similarly situated persons. Kurowski alleges that Rush non-consensually and deceptively embedded third-party source code on its website and its MyChart patient portal. She further alleges that this source code, which is not visible to users of the website and portal, causes transmissions of her personally identifiable patient data to Facebook, Google, and Bidtellect for advertising purposes. Kurowski filed this suit in federal court under the Class Action Fairness Act, 28 U.S.C. § 1332(d). She asserts claims for: (1) violations of the federal Wiretap Act as amended by the Electronic Communications Privacy Act of 1986 (ECPA), 18 U.S.C. §§ 2511(1)(a), (c)-(d) and 18 U.S.C. § 2511(3)(a); (2) breach of an implied duty of confidentiality; (3) violations of the Illinois Consumer Fraud and Deceptive Business Practices Act (ICFA), 815 ILCS 505/2; (4) violations of the Illinois Uniform Deceptive Trade Practices Act (DTPA), 815 ILCS §§ 510/2(a); and (5) intrusion upon seclusion. Rush has moved to dismiss under Fed. R. Civ. P. 12(b)(6) for failure to state a claim

upon which relief may be granted. For the reasons discussed below, the Court dismisses all of Kurowski's claims other than her DTPA claim. Background Rush is a non-profit health system headquartered in Chicago. Kurowski and McClendon are both Illinois residents. The complaint states that Kurowski has been a Rush patient since approximately 2017 and that McClendon has been a Rush patient since approximately 1999. Both allege that they have been MyChart patient portal users since 2017. Rush maintains web properties for its patients to obtain information related to care at Rush and—at least with respect to MyChart—exchange communications about

appointments, billing, test results, prescription refills, and other treatment. For example, the homepage of Rush's website offers tools to patients such as "Find a Doctor," or "Schedule Appointment." Rush's website is publicly available. Rush's MyChart patient portal, however, is available only to Rush patients. On MyChart, patients can, among other functions, access their test results or directly message their provider. The MyChart portal "is a software system designed and licensed to Rush by Epic Software Systems," a privately owned, third-party software company. Compl. ¶ 25. Kurowski alleges that she has a reasonable expectation of privacy "in [her] personally identifiable data and communications exchanged with Rush" that derives from her status as a patient, Rush's common law obligation to maintain patient confidentiality, state and federal laws and regulations, and Rush's express and implied promises of confidentiality. Id. ¶ 20. Kurowski alleges that the latter category, the express and implied promises of confidentiality, came via Rush's "Web Privacy

Statement." The statement, which is linked at the bottom of Rush web properties, declares that "[Rush] do[es] not share information collected through the website with any third-party advertisers." Mot. to Dismiss, Ex. B. It also states: This website uses cookies to track how visitors use the website . . . . Users should be able to change browser settings to disable cookies . . . . Like many websites, www.rush.edu uses Google Analytics to gather information about how visitors use the website. Users may opt out if they do not want their data to be used by Google Analytics. Visit Google to learn how.

Id. Kurowski alleges that her reasonable expectation of privacy was violated by Rush's allegedly secret deployment of "custom analytics scripts"—for example, Google Analytics—within its web pages and within MyChart. Id. ¶ 29. Kurowski alleges that Rush deployed this source code without her knowledge, consent, or authorization. This source code, she alleges, allows for the "contemporaneous unauthorized interception and transmission of personally identifiable patient data and redirection of the precise content of patient communications with Rush" whenever a Rush patient uses a Rush web property. Id. ¶¶ 5, 30. The data Kurowski alleges was transmitted to Facebook, Google, and Bidtellect includes patient IP addresses,1 patient cookie identifiers,2 device

1 An IP address is a number that identifies a computer connected to the Internet. 2 A cookie is a small text file that a web server can place on a person's web browser whenever the browser interacts with the website server. Cookies are often used and identifiers, account numbers, URLs, other "unique identifying numbers, characteristics, or codes," and browser-fingerprints. Id. ¶ 33. According to the complaint, the following is a shorthand description of how Kurowski alleges such patient data is transmitted in the background of Rush patients' day-to-day use of Rush web-properties.3 Web browsers use two basic commands to

communicate with website servers: a GET request (typically used to retrieve data via a search or a click) and a POST request (typically used to send data that is entered onto a website and then submitted). Third parties often acquire the content of user communications through something called a web bug, which is either camouflaged directly on the page or funneled through an invisible tag manager. Kurowski alleges that "Rush deploys Google Tag Manager on its websites through an 'iframe,' a nested 'frame' that exists within the Rush web property that is, in reality, an invisible window through which Rush funnels web bugs for third parties to secretly acquire the content of patient communications without any knowledge, consent, authorization, or further action

of patients." Id. ¶ 53. Thus, when a patient clicks on a button that says "Schedule Your Appointment Now," Rush "causes the transmission of the patient's personally identifiable data and re- directs the content of the patient's click of the 'Schedule Your Appointment Now' button to [third parties such as] Facebook." Id. ¶ 61. The complaint includes screenshots of

sold by data companies to identify and track Internet users to sell advertising that is customized in light of a person's communications and habits. 3 Kurowski alleges that she used a commercially available software application called Fiddler to test how Rush's various applications and source codes operate. This, the complaint states, allowed her to capture and record communications and other data transmissions flowing to and from www.rush.edu. the kinds of data that would hypothetically be disclosed to third parties during this interaction, namely, that "the patient engaged in an event ('ev') labeled 'SubscribedButtonClick,' that the 'buttonText' was 'Schedule Your Appointment Now,' that the button was clicked from https://www.rush.edu, and the details of the first-party

fbp cookie assigned by Rush." Id. ¶ 62.

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Kurowski v. Rush System for Health, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kurowski-v-rush-system-for-health-ilnd-2023.