For background see:
Since this initial blog post, the plaintiff in the Polk County public records request detailed in the above link, Joel Chandler, has made the identical request of information from the Escambia County School Board, i.e. the Disclosure of public records regarding the health insurance policy of the Escambia County School District and the name, addresses, gender, age, title, and telephone number of employees and dependents covered by the policy.
This is a lot of personal information--and people (specifically employees and their dependents) should be aware that there is a possibility that this information may be
To bolster Mr. Chandler’s case, the Assistant Attorney General of Florida has issued an informal opinion on the matter in favor/support of the plaintiff’s position.
My issue with this records request is that to release such information would seem to be a violation of Federal Law; specifically the Protected Health Information (PHI) outlined in detail in the 1996 Health Insurance Portability and Accountability Act (HIPAA). See Privacy provisions of HIPAA here.
I do believe that Federal Law would trump state law if HIPAA is applicable and also if The Escambia County School District meets the definition (as a self insuring institution) of a health care provider under HIPAA. Is the ECSD a health care provider? I've asked the question but have not received an answer as of yet. The issue is being worked.
The previously mentioned AGO from the Assistant Attorney General specifically does not address the applicability of HIPAA to the Chandler issue, which is, in my opinion, weak. The applicability/non-applicability of HIPAA in this case IS the crux of the issue. Sidestepping this vital component is a dodge, a punt. My sense (and hope) is that this request will be held up until a thorough review and analysis can be done to ensure that if the (Escambia County) district were to release this information we would not be in violation of Federal Law. (See the complete AGO on this matter below)
Number: INFORMALDate: November 10, 2008
Subject: Records identifying participants in health insur. plan
The Honorable Paula Dockery
Senator, District 15
Post Office Box 2395Lakeland, Florida 33806-2395
Dear Senator Dockery:
You have asked whether sections 112.08(7) and 119.071(4)(b), Florida Statutes, preclude the release of information that identifies school district employees, their dependents, and their health insurance plans. The issue arises in light of a recent circuit court order requiring the Polk County School District to disclose public records regarding the health insurance policy of the Polk County School District and the name, addresses, gender, age, title, and telephone number of employees and dependents covered by the policy. There is also concern that the release of such information may be inconsistent with the federal Health Insurance Portability and Accountability Act (HIPPA). The following discussion will not comment on the application of HIPPA to this matter, however, as this office does not generally interpret federal law.
Section 112.08(7), Florida Statutes, provides that all medical records and medical claims records of current or former county or municipal employees and eligible dependents enrolled in a county or municipal group insurance plan are confidential and exempt from section 119.07(1), Florida Statutes. Such records may not be furnished to any person other than the employee or his legal representative, except as authorized in the subsection. Public school system employee medical records are also recognized as confidential and exempt from section 119.07(1), Florida Statutes.
In News-Press Publishing Company, Inc. v. Kaune, the court reviewed whether certain medical physical examination reports and related documents pertaining to a city’s firefighters were public records subject to disclosure. The court was primarily concerned with the applicability of the Public Records Law to personnel matters. However, the court also considered the extent of confidentiality provided by section 112.08(7) and (8), Florida Statutes. In Kaune, the newspaper had asked to inspect medical physical examination reports and related documents on city firefighters. These records were requested of the Fort Myers Fire Chief, the doctor who had done examinations of the firefighters, and the City of Fort Myers. The appellant, News-Press, argued that "the exemptions of section 112.08(7) . . . apply solely to medical records filed in conjunction with an employee's participation in a group insurance plan." However, the court determined that the Legislature intended the exemption to extend to all medical records relating to employees enrolled in a group insurance plan. Thus, according to the Kaune court, the exemption in section 112.08(7), Florida Statutes, applies broadly rather than being related solely to medical records filed in conjunction with an employee's participation in a group insurance plan.
Section 119.071(4)(b), Florida Statutes, exempts from disclosure medical information pertaining to a prospective, current, or former officer or employee of an agency which, if disclosed, would identify that officer or employee. Such information may be disclosed if the person or the person's legal representative provides written permission or pursuant to court order. Moreover, every employer who provides or administers health insurance benefits or life insurance benefits to its employees shall maintain the confidentiality of information relating to the medical condition or status of any person covered by such insurance benefits. Such information is exempt from section 119.07(1), Florida Statutes.
Clearly, information relating to an insurance program participant’s medical condition is protected from disclosure. However, there is no clear statement that such protection extends to the name, address, age, or other non-medical information of such participants. When doubt exists as to whether a particular document is exempt from disclosure under Florida’s Public Records Law, the exemption is to be narrowly construed and any doubt resolved in favor of public access.
Due to the lack of clarity in this matter and in light of the recent decision by the Polk County Circuit Court, it may be advisable for the Legislature to clarify its intent on this issue.
Assistant Attorney General
I am one member of a five person board. The opinions I express on this forum are mine only, and do not necessarily reflect the views or opinions of the Escambia County Staff, Administrators, Employees, or anyone else associated with Escambia County Florida. I am interested in establishing this blog as a means of additional transparency to the public, outreach to the community, and information dissemination to all who choose to look. Feedback is welcome, but because public participation is equally encouraged, appropriate language and decorum is mandatory.