M.R. v. Salem Health Hospitals and Clinics

CourtDistrict Court, D. Oregon
DecidedAugust 28, 2024
Docket6:23-cv-01691
StatusUnknown

This text of M.R. v. Salem Health Hospitals and Clinics (M.R. v. Salem Health Hospitals and Clinics) is published on Counsel Stack Legal Research, covering District Court, D. Oregon primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
M.R. v. Salem Health Hospitals and Clinics, (D. Or. 2024).

Opinion

IN THE UNITED STATES DISTRICT COURT

FOR THE DISTRICT OF OREGON

EUGENE DIVISION

M.R.,1

Civ. No. 6:23-cv-01691-AA Plaintiff, OPINION & ORDER v.

SALEM HEALTH HOSPITALS AND CLINICS,

Defendant. _______________________________________

AIKEN, District Judge.

Plaintiff is a patient of Defendant Salem Health Hospitals and Clinics and brings this putative class action arising out of Defendant’s alleged disclosure of Plaintiff’s confidential personally identifiable information. Before the Court is Defendant’s Motion to Dismiss (“MTD”), ECF No. 9. For the reasons below, the Motion is GRANTED IN PART and COUNT FOUR of the Complaint is DISMISSED. BACKGROUND I. Factual and Procedural Background Plaintiff is a former patient of Salem Health. Compl. at 1. Defendant is a healthcare entity and is subject to applicable HIPAA and Oregon law regulations on

1 Plaintiff brings this lawsuit anonymously out of a desire to protect her personal health information under the Health Insurance Portability and Accountability Act of 1996 and Oregon law. Compl. at 2. disclosing personally identifiable protected health information. Compl. ¶ 10, 13. Defendant owns and controls https://www.salemhealth.org (“Defendant’s Website” or the “Website”), which it encourages patients to use for booking medical appointments,

locating physicians and treatment facilities, communicating medical symptoms, searching medical conditions and treatment options, signing up for events and classes, and more. Compl. ¶ 3. Plaintiff alleges that Defendant used hidden tracking tools embedded on its website, https://www.salemhealth.org, (the “Website”), Defendant Salem Health Hospitals and Clinics (“Salem” or “Defendant”) intercepted Plaintiff’s and Class Members’ communications and forced their web browsers to send confidential and

highly sensitive personally identifiable information (“PII”) and personal health information (“PHI”) (collectively, “Private Information”) to undisclosed third parties such as Meta Platforms, Inc. (“Facebook”) or Google, Inc. (“Google”) without Plaintiffs’ or Class Members’ knowledge or consent. Compl. ¶¶ 5-6, 14, 54-58. According to Plaintiff, the information Defendant intercepted and impermissibly disclosed to those third parties included booking of appointments,

searches for specific medical treatment, particular health conditions, and other sensitive information. Id. Plaintiff asserts that Defendant used “Tracking Tools”— technology including Facebook Tracking Pixel (“Pixel”), Google Analytics, or Conversions API to boost its marketing efforts and profits by sharing Private Information despite protections offered to its patients through state and federal law and industry standards. Id. ¶¶ 44, 52-58. Plaintiff states that she used Defendant’s web portal and their website, https://www.salemhealth.org (“Website”), to research medical symptoms, search for doctors, make appointments, and check medical records. Id. at ¶ 7. Plaintiff maintains that her unique IP address is also PII under

HIPPA. An IP address is a number that identifies the address of a device connected to the Internet. Id. at 146. Plaintiff asserts that Salem Health was compensated for this data and the data was used by Facebook and Google to optimize advertisements targeted to their users. Id. at 55-56, 164-167, 257. In its motion to dismiss, Defendant asserts that Plaintiff consented to the disclosure of information via the Website’s Terms of Service, and by creating

Facebook and Google accounts, which requires agreeing to Facebook and Google’s Terms of Service. MTD at 11; see also ECF No. 10 (Defendant’s request for judicial notice of Facebook and Google’s terms of service.)2 Plaintiff alleges that she had no knowledge of Defendant's Tracking Tools and would not have consented to the disclosure of their information to third parties. Compl. ¶ 15, 59-60, 226. II. HPPA Standards

Under Federal Law, a healthcare provider may not disclose personally identifiable, non-public medical information about a patient, a potential patient, or household member of a patient for marketing purposes without the patients’ express written authorization. See Health Insurance Portability and Accountability Act

2 Federal Rule of Evidence 201(b) allows the Court to “judicially notice a fact that is not subject to reasonable dispute [if] it . . . can be accurately and readily determined from sources whose accuracy cannot reasonably be questioned.” In addition, under the “incorporation by reference” doctrine, the Court may consider “the existence and contents” of documents relied upon or referenced by plaintiffs in their complaint. Knievel v. ESPN, 393 F.3d 1068, 1076 (9th Cir. 2005); In re NVIDIA Corp. Sec. Litig., 768 F.3d 1046, 1058 n. 10 (9th Cir. 2014) (“HIPPA”), 42 U.S.C. § 1320; 45 C.F.R. §§ 164.502; 164.508(a)(3), 164.514(b)(2)(i). The HIPAA Privacy Rule, located at 45 CFR Part 160 and Subparts A and E of Part 164, “establishes national standards to protect individuals’ medical records and other

individually identifiable health information (collectively defined as ‘protected health information’) and applies to health plans, health care clearinghouses, and those health care providers that conduct certain health care transactions electronically.” The Privacy Rule broadly defines “protected health information” (“PHI”) as individually identifiable health information (“IIHI”) that is “transmitted by electronic media; maintained in electronic media; or transmitted or maintained in any other form or medium.” 45 C.F.R. § 160.103. 121. IIHI is defined as “a subset of health

information, including demographic information collected from an individual” that is: (1) “created or received by a health care provider, health plan, employer, or health care clearinghouse”; (2) “[r]elates to the past, present, or future physical or mental health or condition of an individual; the provision of health care to an individual; or the past, present, or future payment for the provision of health care to an individual”; and (3) either (a) “identifies the individual” or (b) “[w]ith respect to which there is a

reasonable basis to believe the information can be used to identify the individual.” 45 C.F.R. § 160.103. Under the HIPPA de-identification rule, “health information is not individually identifiable only if”: (1) an expert “determines that the risk is very small that the information could be used, alone or in combination with other reasonably available information, by an anticipated recipient to identify an individual who is a subject of the information” and “documents the methods and results of the analysis that justify such determination’”; or (2) “the following identifiers of the individual or of relatives, employers, or household members of the individual are removed[:]

a. Names;

* * *

H. Medical record numbers;

J. Account numbers;

M. Device identifiers and serial numbers;
N.

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