Case Law Update: Just Because HIPAA Does Not Provide a Private Right of Action, Doesn't Mean that Other Avenues Exist

August 4th, 2017 - NAMAS
Categories:   Audits/Auditing   HIPAA|PHI  
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Case Law Update: Just Because HIPAA Does Not Provide a Private Right of Action, Doesn't Mean that Other Avenues Exist

Simply stated, the Health Information Portability and Accountability Act (HIPAA) does not provide a private cause of action[1]. And, prior to the 2009 passage of the Health Information Technology for Economic and Clinical Health Act (HITECH Act)[2] and the more robust chain of liability (e.g. covered entities, business associates and subcontractors) under the Breach Notification Rule, several courts had held this notion to be true.[3]

Over the past decade, a shift has occurred where state and federal courts are holding that healthcare providers who breach HIPAA and other cybersecurity provisions may be pursued for a variety of common law claims including: negligence, emotional distress, breach of confidentiality, invasion of privacy, contract violations, and punitive damages.[4] The premise for bringing a cause of action for privacy violations stems from the fundamental source of American jurisprudence - the United States Constitution.
In re Columbia Valley Regional Medical Center, 41 S.W.3d 797, 802 (2001) established that, "there is a constitutional right of privacy in this case. Apart from any statutory or evidentiary privileges that apply, the medical records of an individual have been held to be within the zone of privacy protected by the United States Constitution."
See In re Xeller, 6 S.W.3d 618, 625 (Tex. App. - Houston [14th.] 1999, orig. proceeding) (citing Alpha Life Ins. Co. v. Gayle, 796 S.W.2d 834, 836 (Tex. App. - Houston [14th Dist.] 1990 no writ).

Recent cases that uphold this motion include:

These cases underscore the importance of compliance with HIPAA and the HITECH Act. Actions brought by the Federal Trade Commission, class action law suits and Securities and Exchange Commission requirements were not discussed. The take-away is that HIPAA, the HITECH Act, and other cybersecurity violations can and do form the basis of a wide variety of causes of action. Therefore, underscoring the need to be proactive instead of reactive.

This Week's Audit Tip Written By:

Rachel V. Rose, JD, MBA
Rachel V. Rose, Attorney at Law, PLCC

Rachel V. Rose, JD, MBA, is a Houston, TX-based attorney advising on federal and state compliance and areas of liability associated with a variety of healthcare, legal and regulatory issues including: HIPAA, the HITECH Act, the False Claims Act, Medicare issues, women's health as well as corporate and security regulations.


Article Resources:
[1] 42 USC § 1320d (1996).
[2] Pub. L. 111-5, Sec. 13001 (Feb. 17, 2009).
[3]Valentin-Munoz v. Island Fin. Corp., 364F. Supp. 2d 131, 136 (D. Puerto Rico 2005);
Univ. of Co. Hosp. Auth v. Denver Publ'g Co., 340F. Supp. 2d 1142, 1145-46 (D. Colo. 2004).
[4] R.K. v. St. Mary's Medical Center, 2012 WL 5834577 (WV S.Ct. (Nov. 15, 2012), cert. denied.

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