Nienaber v. Overlake Hospital Medical Center

District Court, W.D. Washington·Decided May 13, 2024·No. 2:23-cv-01159·Unknown

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF WASHINGTON JACQ NIENABER, on behalf of herself CASE NO. 2:23-cv-01159-TL and all others similarly situated, ORDER ON MOTION TO DISMISS Plaintiff, v. CENTER, Defendant. This matter is before the Court on Defendant Overlake Hospital Medical Center’s Motion to Dismiss under Rule 12(b)(6). Dkt. No. 17. Having considered Plaintiff’s opposition (Dkt. No. 21) and Defendant’s reply (Dkt. No. 22), and finding oral argument unnecessary, the Court GRANTS the motion with leave for Plaintiff to amend her complaint. The facts alleged in Plaintiff’s Class Action Complaint (“Complaint”), which the Court takes as true for the purposes of this Order, are as follows: Plaintiff Jacq Nienaber is a citizen of Washington State and a current patient of Defendant Overlake Hospital Medical Center (“Overlake”). Dkt. No. 1 ¶¶ 35–36. Overlake is a nonprofit healthcare organization headquartered in Bellevue, Washington. Id. ¶ 43. Defendant owns and controls two separate websites used by Plaintiff: (1) a public website, www.overlakehospital.org (Defendant’s “Public Website”), through which patients can

access information about various conditions and treatments, Overlake’s locations and practitioners, and other general information about Overlake; and (2) the MyChart Patient Portal, https://mychart.overlakehospital.org/MyChart/Authentication/Login (Defendant’s “Private Patient Portal” or “MyChart”), where, among other features, patients can input their real time symptoms and experiences and receive feedback based on the medical information they supply. Dkt. No. 1 ¶ 2. As is evident from the link to the website, a patient must log in to use Defendant’s MyChart, which requires a username and password for access. Id. ¶ 2 n.1. Plaintiff refers to both Defendant’s Public Website and Private Patient Portal collectively as “the ‘Website’” throughout the Complaint. Id. ¶ 2. Through Defendant’s Public Website, patients can access “information about various

conditions and treatments, Overlake’s numerous locations and the practitioners at each location, and other general information about Overlake and the services it offers to its patients.” Id. ¶ 2. Once logged into MyChart, patients can “input their real time symptoms and experiences on the Website and receive feedback based on the medical information they supply.”1 Id. Plaintiff alleges that she used Defendant’s Website “numerous times” since 2019 to “request and schedule appointments, communicate with healthcare professionals, complete medical forms, and request and review healthcare and billing records.” Id. ¶¶ 36–37. 1 While the Complaint generally refers to the Website, Plaintiff specifically footnotes Defendant’s Private Patient Portal for these particular functions. Dkt. No. 1 ¶ 2 n.1. Plaintiff alleges that Defendant installed and implemented browser plugins—including the Facebook Tracking Pixel (“Pixel”) and Conversions Application Programming Interface (“Conversions API”), as well as the Google Tag Manager tool—on “its Website,” which “secretly enabled” the unauthorized transmission and disclosure of information.2 Id. ¶¶ 3–5, 99.

The Pixel tracks the people visiting a website and the types of actions that they take, including “how long a person spends on a particular web page, which buttons the person clicks, which pages they view, [and] the text or phrases they type into various portions of the website (such as a general search bar, chat feature, or text box).” Id. ¶ 9. “These intercepted communications, intended solely for Defendant, are then transmitted to third parties, including Facebook and Google.” Id. ¶ 68. The Conversions API also tracks a website user’s “website interaction, including Private Information, and then transmits this data to Facebook.” Id. ¶ 19. The data transmitted includes Plaintiff’s and Class Members’ “health conditions; [] desired medical treatment or therapies; and [] phrases and search queries (such as searches for symptoms, treatment options, or types of providers.” Id. ¶ 86. Further, the Pixel additionally

transmits website users’ Facebook ID, “thereby allowing individual patients’ communications with Defendant, and the Private Information contained in those communications, to be linked to their unique Facebook accounts and therefore their identity.” Id. ¶ 87. The Google Tag Manager tool transmits search phrases typed into the general search bar located on Defendant’s home page to Google. Id. ¶¶ 99–100. Plaintiff reasonably expected that her online communications with Defendant were solely between herself and Defendant, expected Defendant would safeguard her private information based on Defendant’s privacy policies, and did not consent to the use of her private information 2 Plaintiff asserts, and the Court acknowledges, that “there is no way to confirm with certainty that a Web host like Defendant has implemented workarounds like the Conversions API without access to the host server.” Id. ¶ 71. by third parties. Id. ¶¶ 38–39. Plaintiff is a Facebook user and alleges that “shortly after using Defendant’s Website, Plaintiff has seen numerous targeted advertisements on Facebook related to her medical conditions and treatments sought through Overlake.” Id. ¶¶ 41–42. Plaintiff contends that Defendant’s transmissions of information via the Pixel,

Conversions API, and Google Tag Manager are in violation of its own privacy policies, HIPAA standards, and industry standards. Id. ¶¶ 104–08 (privacy policies), 109–15 (HIPAA standards), 116–20 (industry standards). Defendant’s privacy policies state that “[a]ny information submitted by users of the Sites is for the exclusive use of Overlake Medical Center and Clinics as well as our contractors that are involved in the operation of Overlake Medical Center and Clinics’ activities and website operations” Id. ¶ 106. And the policies purport to enumerate the ways in which Defendant will use and disclose patients’ medical information, none of which, Plaintiff says, cover disclosure to third parties for marketing purposes. Id. ¶ 107. Plaintiff also looks to guidance from the Department of Health and Human Services, which indicates that patient status and other identifying information are protected information under HIPAA. Id. ¶¶

110–13. Finally, Plaintiff points to various AMA Code of Medical Ethics Opinions concerning the privacy of patient data and communications that she alleges Defendant failed to abide by as evidence that Defendant violated industry standards. Id. ¶¶ 118–20. A defendant may seek dismissal when a plaintiff fails to state a claim upon which relief can be granted. Fed. R. Civ. P. 12(b)(6). In reviewing a FRCP 12(b)(6) motion to dismiss, the Court takes all well-pleaded factual allegations as true and considers whether the complaint “state[s] a claim to relief that is plausible on its face.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007)). While “[t]hreadbare

recitals of the elements of a cause of action, supported by mere conclusory statements” are insufficient, a claim has “facial plausibility” when the party seeking relief “pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Iqbal, 556 U.S. at 672. “When reviewing a dismissal pursuant to Rule . . . 12(b)(6), ‘we accept as true all facts alleged in the complaint and construe them in the

Free access — add to your briefcase to read the full text and ask questions with AI

Nienaber v. Overlake Hospital Medical Center, (W.D. Wash. 2024).

Nienaber v. Overlake Hospital Medical Center (Nienaber v. Overlake Hospital Medical Center) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

Bell Atlantic Corp. v. Twombly
550 U.S. 544 (Supreme Court, 2007)
Ashcroft v. Iqbal
556 U.S. 662 (Supreme Court, 2009)
Thomas J. O'DOnnell v. United States
891 F.2d 1079 (Third Circuit, 1989)
Michael Lacey v. Joseph Arpaio
693 F.3d 896 (Ninth Circuit, 2012)
State v. LaMere
2000 MT 45 (Montana Supreme Court, 2000)
Johnson v. Nasi
309 P.2d 380 (Washington Supreme Court, 1957)
Degel v. Majestic Mobile Manor, Inc.
914 P.2d 728 (Washington Supreme Court, 1996)
Reid v. Pierce County
961 P.2d 333 (Washington Supreme Court, 1998)
Hangman Ridge Training Stables, Inc. v. Safeco Title Insurance
719 P.2d 531 (Washington Supreme Court, 1986)
Hansen v. Friend
824 P.2d 483 (Washington Supreme Court, 1992)
Bailie Communications, Ltd. v. Trend Business Systems, Inc.
810 P.2d 12 (Court of Appeals of Washington, 1991)
Channel Master Corp. v. JFD Electronics Corp.
263 F. Supp. 7 (E.D. New York, 1967)
SCHOOL DISTRICTS'ALLIANCE v. State
244 P.3d 1 (Washington Supreme Court, 2010)
Leslie v. Fidelity National Title Insurance
598 F. Supp. 2d 1176 (W.D. Washington, 2009)
America Online, Inc. v. LCGM, Inc.
46 F. Supp. 2d 444 (E.D. Virginia, 1998)
Fisher v. State Ex Rel. Dept. of Health
106 P.3d 836 (Court of Appeals of Washington, 2005)
Coleman v. Thomas
2000 UT 53 (Utah Supreme Court, 2000)
Hoglund v. Meeks
170 P.3d 37 (Court of Appeals of Washington, 2007)
Eastwood v. Cascade Broadcasting Co.
722 P.2d 1295 (Washington Supreme Court, 1986)
Schooley v. Pinch's Deli Market, Inc.
951 P.2d 749 (Washington Supreme Court, 1998)