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Friday, December 30, 2011

Supreme Court hears case involving medical record disclosure


An HIV-positive pilot claims the government is liable for releasing his medical history during a joint-agency investigation.

By Alicia Gallegos, amednews staff. 
Originally posted Dec. 26, 2011.

The U.S. Supreme Court has heard oral arguments in a case centering on whether the government is liable for disclosing to another agency the medical history of an HIV-positive patient.

The Social Security Administration admits that it violated federal law when it shared a pilot's medical records with the Federal Aviation Administration. But government attorneys say the federal Privacy Act allows recovery for economic damages only, not for emotional distress.

The case emphasizes the importance of adhering to national privacy laws, such as the Health Insurance Portability and Accountability Act, said Alexander Wohl, a law professor at the Washington College of Law and a contributor to the Supreme Court's blog.

"It reinforces the impact of those laws. Doctors have their own legal standards," but they still need to be careful not to violate their patients' privacy, he said.

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Case at a glance

Is the government liable for noneconomic damages for disclosing a person's medical records to another agency?

A federal court said no. The court ruled that the government violated the Privacy Act but is not responsible for noneconomic damages. The 9th U.S. Circuit Court of Appeals disagreed. It ruled that when a federal agency intentionally or willfully fails to uphold its record-keeping obligations under the law, Congress intended that the plaintiff be entitled to recover both pecuniary and nonpecuniary damages. The case is before the U.S. Supreme Court, which heard arguments Nov. 30.

Impact: Attorneys for the plaintiff say a ruling for the government would significantly limit recoveries for people whose privacy is violated by government agencies. In addition, whistle-blowers, including doctors, who report instances of fraud and abuse would face greater disincentives to expose misconduct. A ruling for the plaintiff would lead to more lawsuits against the government for overly broad claims related to the Privacy Act, government attorneys say. A decision is expected in 2012.


The entire story can be read here.