McMahon v. New York Organ Donor Network, Inc.

56 Misc. 3d 467, 52 N.Y.S.3d 194
CourtNew York Supreme Court
DecidedApril 6, 2017
StatusPublished

This text of 56 Misc. 3d 467 (McMahon v. New York Organ Donor Network, Inc.) is published on Counsel Stack Legal Research, covering New York Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
McMahon v. New York Organ Donor Network, Inc., 56 Misc. 3d 467, 52 N.Y.S.3d 194 (N.Y. Super. Ct. 2017).

Opinion

OPINION OF THE COURT

Arlene P. Bluth, J.

Plaintiff’s motion to compel defendant to provide full and complete responses to demand No. 5 of plaintiffs sixth demand for the production of documents is granted.

Background

This whistleblower action arises out of plaintiff’s termination from his job as a transplant coordinator for defendant. Plaintiff alleges that he was fired after making complaints that defendant’s employees were procuring organs from individuals without performing legally-required tests. Plaintiff further claims that in some instances, organs were taken from individuals who were still showing clear signs of life. Plaintiff claims that he was fired in violation of Labor Law § 740.

Defendant denies plaintiff’s allegations relating to the procurement of organs. Defendant claims that plaintiff was fired for poor performance in November 2011 while he was still a probationary employee.

[469]*469In the instant motion, plaintiff seeks the production of medical records of four specific patients whom plaintiff alleges showed signs of life right before defendant procured these individuals’ organs. The parties attempted to resolve this issue at various court conferences. Defendant provided plaintiff with the last known address for the next of kin for all four individuals in order to allow plaintiff to secure consent to release the patients’ medical records. Plaintiff contends that he was unable to obtain consent from the next of kin despite his diligent efforts. Plaintiff now brings this motion to obtain the medical records from defendant.

Plaintiff argues that defendant is not a covered entity under the Health Insurance Portability and Accountability Act (HIPAA) and, therefore, defendant should turn over the medical records of the four individuals. Plaintiff maintains that these records are material and necessary because plaintiff insists that each person showed signs of brain activity when their organs were harvested, a fact that he must prove in order to prevail on his asserted cause of action. Plaintiff also observes that even if defendant were a covered entity under HIPAA, it could still turn over records pursuant to the parties’ confidentiality agreement.

In opposition, defendant acknowledges that it is not a covered entity under HIPAA but that it must maintain patient confidentiality. Defendant also points out that it has entered into memorandums of understanding (MOUs) with hospitals in which defendant gains access to confidential patient information in order to facilitate the organ donor process. Defendant maintains that it would defeat the purpose of HIPAA if it were required to comply with plaintiff’s requests. Defendant argues that its status as a nonprofit organ procurement organization (OPO) would be at risk if it were required to turn over these records.

Discussion

“CPLR 3101 (a) entitles parties to full disclosure of all matter material and necessary in the prosecution or defense of an action, regardless of the burden of proof” (Andon v 302-304 Mott St. Assoc., 94 NY2d 740, 746 [2000] [internal quotation marks omitted])- “What constitutes material and necessary should be construed liberally to require disclosure of any facts bearing on the controversy which assist by sharpening the issues and reducing delay” (Polygram Holding, Inc. v Cafaro, 42 AD3d 339, 340-341 [1st Dept 2007] [internal quotation marks [470]*470omitted]). “The test is one of usefulness and reason” (id. at 341). “A trial court is vested with broad discretion in its supervision of disclosure” (MSCI Inc. v Jacob, 120 AD3d 1072, 1075 [1st Dept 2014]).

In order to prevail on a claim under Labor Law § 740 (2) (a), a plaintiff must show that an employer took:

“retaliatory personnel action against an employee because such employee . . . discloses, or threatens to disclose to a supervisor or . . . public body an activity, policy or practice of the employer that is in violation of [the] law, rule or regulation which violation creates and presents a substantial and specific danger to the public health or safety.”

Labor Law § 740 (4) (c) provides that “[i]t shall be a defense to any action brought pursuant to this section that the personnel action was predicated upon grounds other than the employee’s exercise of any rights protected by this section.”

As an initial matter, contrary to defendant’s claims, the discovery requested is not “needless.” The medical records of these four individuals is material and necessary because plaintiff asserts that these patients exhibited signs of life or were improperly determined to be brain-dead when their organs were harvested. Plaintiff insists that these records would help prove a violation of law, a requirement in order to prevail in this case. Therefore, the requested information is discoverable.

HIPAA’s Privacy Protections

“Congress enacted HIPAA principally to increase the portability and continuity of health insurance and to simplify administrative procedures so as to reduce health care costs” (Arons v Jutkowitz, 9 NY3d 393, 411 [2007]). “HIPAA mandated national standards for electronic medical data management” and “authorized the Secretary of the United States Department of Health and Human Services (HHS) to promulgate standards governing disclosure of patient health information in the event Congress did not pass privacy legislation” (id. at 412).

When Congress failed to pass legislation,

“HHS proposed and subsequently adopted a Privacy Rule (see 45 CFR parts 160, 164). When devising the Privacy Rule, HHS sought to strike a balance that permits important uses of information, while protecting the privacy of people who seek care and healing; and to fashion a scheme sufficiently flex[471]*471ible and comprehensive to cover the variety of uses and disclosures that need to be addressed” (id. [internal quotations and citations omitted]).

HIPAA provides that “[e]xcept as otherwise permitted or required by this subchapter, a covered entity may not use or disclose protected health information without an authorization that is valid under this section” (45 CFR 164.508 [a] [1]). Health plans, health care clearinghouses and certain health care providers are identified as “covered entities” under HIPAA (45 CFR 160.103). “A covered entity may use or disclose protected health information to organ procurement organizations” (45 CFR 164.512 [h]). A covered entity may also disclose health information protected under HIPAA in a judicial proceeding (45 CFR 164.512 [e]).

The instant motion appears to raise an issue of first impression—whether an OPO that is not covered by HIPAA must produce medical records it obtained from a covered entity because this information is required in order to run its organization. The reason that defendant receives medical records is that it needs the information to process organ donations.

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Related

Arons v. Jutkowitz
880 N.E.2d 831 (New York Court of Appeals, 2007)
Andon v. 302-304 Mott Street Associates
731 N.E.2d 589 (New York Court of Appeals, 2000)
MSCI Inc. v. Jacob
120 A.D.3d 1072 (Appellate Division of the Supreme Court of New York, 2014)
Polygram Holding, Inc. v. Cafaro
42 A.D.3d 339 (Appellate Division of the Supreme Court of New York, 2007)
Liew v. New York University Medical Center
55 A.D.3d 566 (Appellate Division of the Supreme Court of New York, 2008)

Cite This Page — Counsel Stack

Bluebook (online)
56 Misc. 3d 467, 52 N.Y.S.3d 194, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mcmahon-v-new-york-organ-donor-network-inc-nysupct-2017.