Mougiannis v. North Shore-Long Island Jewish Health System, Inc.

25 A.D.3d 230, 806 N.Y.S.2d 623
CourtAppellate Division of the Supreme Court of the State of New York
DecidedNovember 21, 2005
StatusPublished
Cited by1 cases

This text of 25 A.D.3d 230 (Mougiannis v. North Shore-Long Island Jewish Health System, Inc.) is published on Counsel Stack Legal Research, covering Appellate Division of the Supreme Court of the State of New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mougiannis v. North Shore-Long Island Jewish Health System, Inc., 25 A.D.3d 230, 806 N.Y.S.2d 623 (N.Y. Ct. App. 2005).

Opinion

OPINION OF THE COURT

Fisher, J.

The question presented on this appeal is whether the health care agent of a discharged patient may compel a hospital to provide her with copies of the patient’s medical records for the purpose of facilitating appropriate treatment by the patient’s subsequent caregivers. The issue appears to be one of first impression.

A health care proxy executed on July 11, 1997, appointed the petitioner as the health care agent of her mother, Domenica Mougiannis, in the event that she became “unable to make [her] own health care decisions.” On December 2, 2002, the petitioner had her mother admitted to the appellant’s health care facility, where she remained until her discharge on October 23, 2003. The appellant concedes that Domenica Mougiannis was unable to render a reasoned decision concerning her own health care, and that the petitioner properly became her health care agent under Public Health Law article 29-C. In that capacity, and for the purpose of making informed treatment decisions, the petitioner was granted access to her mother’s medical records throughout the period of the hospitalization (see Public Health Law § 2982 [3]).

Shortly after her mother’s discharge, the petitioner asked the appellant, inter alia, for complete copies of the medical records so that her mother’s new caregivers could provide her with appropriate treatment. The appellant denied the petitioner’s [232]*232request on the grounds that the petitioner was not a “qualified person” entitled to request access to patient information under Public Health Law § 18, and that her right to have such access as health care agent under Public Health Law § 2982 (3) terminated upon her mother’s discharge on October 23, 2003.

The petitioner then commenced this proceeding pursuant to CPLR article 78. She argued that the appellant’s determination was arbitrary and in violation of applicable law, and she sought, inter alia, to compel the appellant to provide her with complete copies of her mother’s medical records. By order and judgment (one paper) entered May 6, 2004, the Supreme Court determined, inter alia, that the petitioner was a “qualified person” as defined in Public Health Law § 18 (1) (g), and as such was entitled to have her request processed in accordance with the detailed procedures set out in Public Health Law § 18. This appeal followed. Although we disagree with the Supreme Court’s determination that the petitioner is a “qualified person” as defined in Public Health Law § 18 (1) (g), we nevertheless conclude that she does have the right, pursuant to Public Health Law § 2982 (3), to have access to the requested medical records to the extent necessary to make informed decisions regarding her mother’s ongoing health care.

Section 18 of the Public Health Law, enacted in 1986 (see L 1986, ch 497), creates a right in favor of a limited class of “qualified persons” to inspect and obtain copies of records containing patient information, and sets forth detailed procedures governing the manner by which that right may be exercised. At the time of the petitioner’s request for her mother’s medical records, subdivision (1) of the statute contained the following definitions1 which are relevant to this appeal:

“(g) ‘Qualified person’ means any properly identified subject, or a guardian appointed pursuant to article eighty-one of the mental hygiene law, or a parent of an infant, or a guardian of an infant appointed pursuant to article seventeen of the surrogate’s court procedure act or other legally appointed guardian of an infant who may be entitled to request access to a clinical record pursuant to paragraph (c) of subdivision two of this section, or [233]*233an attorney representing or acting on behalf of the subject or the subject’s estate.
“(h) ‘Subject’ means an individual concerning whom patient information is maintained or possessed by a health care provider.” (Public Health Law § 18 [1] [g], [h].)

Subdivision (2) of the same statute separately spells out the right of inspection as conferred upon a “subject” (see Public Health Law § 18 [2] [a]), a “committee for an incompetent appointed pursuant to article seventy-eight of the mental hygiene law” (see Public Health Law § 18 [2] [b]),2 and a “parent or guardian of an infant appointed pursuant to article seventeen of the surrogate’s court procedure act, or any other legally appointed guardian” (see Public Health Law § 18 [2] [c]). The same subdivision sets forth the right to obtain copies of such records, providing in pertinent part that, “upon the written request of any qualified person, a health care provider shall furnish to such person, within a reasonable time, a copy of any patient information requested, . . . which the person is authorized to inspect pursuant to this subdivision” (Public Health Law § 18 [2] [d] [emphasis added]).

“Where a statute describes the particular situations in which it is to apply and no qualifying exception is added, an irrefutable inference must be drawn that what is omitted or not included was intended to be omitted or excluded” (Matter of Alonzo M. v New York City Dept. of Probation, 72 NY2d 662, 665-666 [1988] [citation and internal quotation marks omitted]). Inasmuch as the definition of “qualified person” does not include health care agents appointed pursuant to Public Health Law article 29-C, the “irrefutable inference” is that it was the intent of the Legislature, as revealed by unambiguous statutory language (see Riley v County of Broome, 95 NY2d 455, 463 [2000]; Matter of Alonzo M. v New York City Dept. of Probation, supra), not to include health care agents among those “qualified persons” entitled to obtain copies of their principals’ medical records pursuant to Public Health Law § 18 (2) (d).

[234]*234Nor can a health care agent be found to be included within the definition of “subject” for purposes of a request made under Public Health Law § 18, to inspect or have copies of medical records. The statutory definition of “subject” in Public Health Law § 18 (1) (h) is expressly limited to the “individual” patient, and cannot be read expansively to include personal representatives such as a health care agent (compare with 45 CFR 164.502 [g] [1] [which expressly treats a “personal representative as the individual” for purposes of the federal Health Insurance Portability and Accountability Act of 1996, subject only to a limited number of well-defined exceptions]).

We recognize that the Legislature’s choice to include within the definition of “qualified person” guardians appointed pursuant to Mental Hygiene Law article 81 (see Public Health Law § 18 [1] [g]), but not health care agents appointed pursuant to Public Health Law article 29-C, appears incongruous in that both have similarly broad powers to make health care decisions on behalf of an incapacitated person (see Mental Hygiene Law § 81.22 [a] [8]; Public Health Law § 2982 [1]; cf. Matter of Isadora R., 5 AD3d 494 [2004]; Matter of Albert S., 286 AD2d 684 [2001]; Matter of Crump [Parthe], 230 AD2d 850, 851 [1996]; Matter of Lowe, 180 Misc 2d 404, 406 [Sup Ct, Queens County, Kassoff, J., 1999]).

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Cite This Page — Counsel Stack

Bluebook (online)
25 A.D.3d 230, 806 N.Y.S.2d 623, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mougiannis-v-north-shore-long-island-jewish-health-system-inc-nyappdiv-2005.