R. S. v. Prime Healthcare Services, Inc.

District Court, C.D. California·Decided January 13, 2025·No. 5:24-cv-00330·Unknown

Opinion

O JS-5 United States District Court Central District of California

R.S., Case № 5:24-cv-00330-ODW (SPx)

Plaintiff, ORDER GRANTING PLAINTIFF’S

v. MOTION FOR RECONSIDERATION AND PRIME HEALTHCARE SERVICES, DENYING DEFENDANT’S MOTION INC., TO DISMISS [26] Defendant.

Plaintiff R.S. brought this putative class action against Defendant Prime Healthcare Services, Inc. (“Prime Healthcare”) alleging violation of the Electronic Communications Privacy Act (“ECPA”), 18 U.S.C. § 2511(1). (Compl., ECF No. 1.) The Court granted Prime Healthcare’s Motion to Dismiss under Federal Rule of Civil Procedure (“Rule”) 12(b)(6) and dismissed this action with prejudice. (Order Granting Mot. Dismiss (“Order”), ECF No. 24.) R.S. now moves for reconsideration of the Order under Rule 59(e) and Local Rule 7-18. (Mot. Recons. (“Mot.” or “Motion”), ECF No. 26.) For the following reasons, the Court GRANTS R.S.’s Motion and, upon reconsideration, DENIES Prime Healthcare’s Motion to Dismiss.1

1 Having carefully considered the papers filed in connection with the Motion, the Court deemed the matter appropriate for decision without oral argument. Fed. R. Civ. P. 78; C.D. Cal. L.R. 7-15. II. BACKGROUND2 Prime Healthcare operates forty-four hospitals in fourteen states, including California, and more than 300 outpatient locations. (Compl. ¶ 1.) Prime Healthcare also owns, controls, and maintains websites and portals (collectively, “Web Properties”) that allow patients to communicate with their healthcare providers. (Id. ¶ 2.) These Web Properties allow patients to, among other things, access lab and test results, manage prescriptions, request refills, schedule and manage appointments, search for medical conditions and treatment options, and find doctors. (Id. ¶ 4.) R.S. alleges that, using tracking technologies, including Facebook pixels (“Pixels”), Prime Healthcare sent her—and other putative class members’—personally identifiable information and protected health information (“Private Information”) to Facebook and other third parties without patients’ knowledge or consent. (E.g., id. ¶¶ 8–14, 49–55, 122, 239.) A. Facebook Pixels Facebook encourages and promotes website owners, like Prime Healthcare, to use its “Business Tools” to market products and services to individuals. (Id. ¶ 97.) These Business Tools, including Pixels, are programming code advertisers can integrate into their webpages, mobile applications, and servers to collect user activity on those platforms. (Id. ¶ 98.) The Pixels send information from users’ browsers to third parties, including Facebook. (Id. ¶¶ 11, 99–100.) Pixels are customizable: the website owner—here, Prime Healthcare—controls which of its web pages contain the Pixels and which events are tracked and sent to Facebook. (Id. ¶ 101.) Facebook configures the Pixels to collect “Standard Events,” such as when a user visits a particular webpage, the webpage’s URL and metadata, and button clicks. (Id. ¶ 106.) Website owners can also build “custom events” to track other user actions. (Id. ¶ 107.) The Pixels prompt users’ web browsers to send 2All factual references derive from Plaintiff’s Complaint, unless otherwise noted, and well-pleaded factual allegations are accepted as true for purposes of this Motion. Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009). users’ communications with the host webpage to Facebook’s servers. (Id. ¶ 108.) This simultaneous transmission contains the electronic communications sent to the host website and the data that the host configures the Pixels to collect. (Id. ¶ 109.) When a Facebook user visits the website, the information the Pixels collect is associated with that user’s Facebook ID. (Id. ¶ 114.) The Facebook ID captures the user’s name and Facebook profile, which contains demographic and other information about the user, including pictures, personal interests, work history, and relationship status. (Id. ¶ 116.) The Pixels collect data even if the user does not have a Facebook account: Facebook keeps “shadow profiles” on users without Facebook accounts. (Id. ¶ 115.) After receiving these transmissions, Facebook processes, analyzes, and assimilates the data into datasets. (Id. ¶ 114.) Pixels allow website owners—like Prime Healthcare—to send targeted advertisements to a user based on that user’s Private Information. (Id. ¶ 19.) A website owner can also target ads to users who have shown interest in its business and measure the success of its marketing campaigns. (Id. ¶¶ 125–31.) The Pixels thus enable “retargeting,” or online marketing that targets users with ads based on prior internet communications and interactions. (Id. ¶ 197.) Facebook also sells the collected information, including Private Information, to third-party marketers who target users’ Facebook accounts based on that information. (Id. ¶ 20.) B. Prime Healthcare’s Use of the Facebook Pixels R.S. alleges that Prime Healthcare installs Pixels on its Web Properties without patients’ knowledge. (Id. ¶ 8.) Using Pixels, Prime Healthcare intercepts patients’ Private Information and discloses this information to Facebook. (Id. ¶ 73.) For example, when a patient searches for a doctor on Prime Healthcare’s Web Properties, the Facebook Pixels send the search information—here, the doctor’s name—directly to Facebook. (Id. ¶¶ 76–77.) Prime Healthcare purchases Facebook’s targeted advertising services to display ads to Facebook users based on their health conditions. (Id. ¶¶ 117, 140.) At the same time, Facebook sells these marketing profiles to third-party marketers to support advertising efforts. (Id. ¶¶ 117, 195.) This financially benefits both Prime Healthcare and Facebook. (Id. ¶ 118.) As R.S. alleges, “Prime Healthcare chose to use the Pixel data for marketing purposes to bolster its revenue.” (Id. ¶ 24.) C. R.S.’s Claims R.S. has been a Prime Healthcare patient since approximately 2012. (Id. ¶ 231.) R.S. began receiving healthcare services from Prime Healthcare and, starting in 2018, accessed its Web Properties. (Id. ¶¶ 230–32.) She has had a Facebook account for at least ten years. (Id. ¶ 234.) Through the Web Properties, R.S. scheduled appointments, found doctors, researched medical treatments and conditions, and provided personal health-related information. (Id. ¶¶ 230–33.) R.S. alleges that Prime Healthcare disclosed her Private Information to Facebook without her knowledge, consent, or written authorization, and in violation of the Health Insurance Portability and Accountability Act (“HIPAA”). (Id. ¶¶ 8–9, 141–59.) On February 8, 2024, R.S. filed this putative class action against Prime Healthcare, asserting a single cause of action for violating the ECPA. (Compl. ¶¶ 223–254, 256.) On April 24, 2024, Prime Healthcare filed a Motion to Dismiss under Rule 12(b)(6), which Prime Healthcare opposed. (Mot. Dismiss, ECF No. 13; Opp’n Mot. Dismiss, ECF No. 16; Reply ISO Mot. Dismiss, ECF No. 17.) On August 7, 2024, the Court issued an Order granting Prime Healthcare’s Motion to Dismiss and dismissed the case. (Order 1.) On August 8, 2024, the Court issued a Judgment. (J., ECF No. 25.) On August 21, 2024, R.S. moved for reconsideration of the Order pursuant to Rule 59(e) and Local Rule 7-18. (Mot. 4–5.) The Motion is fully briefed. (Opp’n Mot. (“Opp’n”), ECF No. 29; Reply ISO Mot. (“Reply”), ECF No. 30.) “Although Rule 59(e) permits a district court to reconsider and amend a previous order, the rule offers an extraordinary remedy, to be used sparingly in the interests of finality and conservation of judicial resources.” Kona Enters., Inc. v. Est. of Bishop, 229 F.3d 877, 890 (9th Cir.

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R. S. v. Prime Healthcare Services, Inc., (C.D. Cal. 2025).

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