Medical Privacy: The South Dakota Supreme Court Adopts SDCL 19-2-13

By Leach, James D. | South Dakota Law Review, Spring 2012 | Go to article overview
Save to active project

Medical Privacy: The South Dakota Supreme Court Adopts SDCL 19-2-13


Leach, James D., South Dakota Law Review


"The information that may be recorded in a doctor's files is broadranging. The chronology of ailments and treatment is potentially sensitive. Patients may disclose highly personal details of lifestyle and information concerning sources of stress and anxiety. These are matters of great sensitivity going to the core of the concerns for the privacy of information about an individual." (1)

"Effective psychotherapy ... depends upon an atmosphere of confidence and trust in which the patient is willing to make a frank and complete disclosure of facts, emotions, memories, and fears. Because of the sensitive nature of the problems for which individuals consult psychotherapists, disclosure of confidential communications made during counseling sessions may cause embarrassment or disgrace. For this reason, the mere possibility of disclosure may impede development of the confidential relationship necessary for successful treatment." (2)

I. INTRODUCTION

Every day, in every state in this country, lawyers for injured people send their clients' medical records to attorneys for defendants. They do so because their clients, by having sought compensation for their injuries, have put their physical or mental condition in issue. By doing so, their clients have waived the privilege not to disclose confidential medical information. (3) It is implicit in this production that the records will only be used for the purpose for which they are disclosed, which is to help determine liability or damages in the case in which the records are produced. (4) But experience has shown that not all defendants and insurers agree. (5)

In 2010, the South Dakota Supreme Court became the first court in the country to adopt a rule restricting the reproduction, distribution, or use of a medical record for any purpose other than the purpose for which it was produced. As modified by the court on March 2, 2011, SDCL section 19-2-13 states:

   The production of a record of a health care provider, whether in
   litigation or in contemplation of litigation, does not waive any
   privilege which exists with respect to the record, other than for
   the use in which it is produced. Any person or entity receiving
   such a record may not reproduce, distribute, or use it for any
   purpose other than for which it is produced.

   This rule does not bar any person or entity from complying with any
   court order, or state or federal law or regulation authorizing
   disclosure of information that otherwise would be protected by this
   rule. (6)

Why was this rule needed? Why are other protections, including tort remedies and the Health Insurance Portability and Accountability Act (HIPAA), insufficient? How did the South Dakota Supreme Court, which is not considered activist, come to adopt it?

II. NEED FOR THE RULE

A Colorado chiropractor was injured in a motor vehicle accident and sought uninsured motorist and personal injury protection benefits from her insurer, State Farm. As part of the claim process, she provided State Farm with her medical records, which showed that she had been diagnosed with a psychological disorder. Her uninsured motorist benefit claim was arbitrated and she received an award. Her personal injury protection claims were dismissed. (7)

The chiropractor later appeared as an expert medical witness for one of her patients in unrelated litigation between the patient and State Farm. During the chiropractor's voir dire examination, State Farm's attorney asked about her psychological history, treatment, and diagnosis. (8) She sued State Farm for damages, alleging several causes of action, all based on State Farm's allegedly improper use of the medical records that she disclosed in arbitration. (9) The trial court dismissed her claims. The Colorado Court of Appeal affirmed. (10) The Colorado Supreme Court denied review. (11)

In Hawaii and West Virginia, lawyers sought case-by-case protective orders to limit the defense from using their clients' medical records for purposes other than the case in which they were disclosed.

The rest of this article is only available to active members of Questia

Sign up now for a free, 1-day trial and receive full access to:

  • Questia's entire collection
  • Automatic bibliography creation
  • More helpful research tools like notes, citations, and highlights
  • Ad-free environment

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
Loading One moment ...
Project items
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

Cited article

Medical Privacy: The South Dakota Supreme Court Adopts SDCL 19-2-13
Settings

Settings

Typeface
Text size Smaller Larger
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

While we understand printed pages are helpful to our users, this limitation is necessary to help protect our publishers' copyrighted material and prevent its unlawful distribution. We are sorry for any inconvenience.
Full screen

matching results for page

Cited passage

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.

Are you sure you want to delete this highlight?