BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 681
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          Date of Hearing:  May 5, 2009

                           ASSEMBLY COMMITTEE ON JUDICIARY
                                  Mike Feuer, Chair
                AB 681 (Hernandez) - As Introduced:  February 26, 2009
           
                                   PROPOSED CONSENT
           
          SUBJECT  :  CONFIDENTIAL Medical Information: PSYCHOTHERAPY 

           KEY ISSUE  :  Should a provider of health care, health care  
          service plan, OR contractor be ALLOWED TO DISCLOSE INFORMATION  
          ABOUT A PATIENT's PARTICIPATION in outpatient psychotherapy,  
          WITHOUT REQUIRING A SIGNED REQUEST BY THE ENTITY REQUESTING THE  
          INFORMATION THAT IS FURNISHED TO BOTH PATIENT AND PROVIDER, WHEN  
          the PATIENT's PSYCHOTHERAPIST believes that the patient poses a  
          serious danger to reasonably foreseeable victims, and THAT the  
          disclosure is necessary to prevent the threatened danger?

           FISCAL EFFECT  :  As currently in print this bill is keyed  
          non-fiscal.

                                      SYNOPSIS

          Existing law prohibits providers of health care, health care  
          service plans, and contractors from releasing medical  
          information to persons authorized by law to receive that  
          information if the information specifically relates to a  
          patient's participation in outpatient treatment with a  
          psychotherapist, unless the requester of the information submits  
          a specified written request for the information to the patient  
          and to the provider of health care, health care service plan, or  
          contractor.  However, existing law exempts from those provisions  
          specified disclosures, including those that are made for the  
          purpose of diagnosis or treatment of a patient.  Consistent with  
          the  Tarasoff  decision, existing law also permits  
          psychotherapists to disclose medical information when they have  
          a good faith belief that such disclosure is necessary to prevent  
          or lessen a serious and imminent threat to the health or safety  
          of a reasonably foreseeable victim or victims, and the  
          disclosure is made to persons reasonably able to prevent or  
          lessen the threat, including the target of the threat.  This  
          bill would, similar to the general medical information  
          exemption, exempt from the outpatient psychotherapy provisions  
          those disclosures that are made to prevent or lessen a serious  








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          and imminent threat to the health or safety of a reasonably  
          foreseeable victim or victims, so that such disclosures can be  
          made to a requesting entity without requiring that entity to  
          furnish a signed request to the patient and the provider. 

           SUMMARY  :  Allows providers to disclose information about a  
          patient's participation in outpatient psychotherapy to an entity  
          requesting that information without requiring a written request  
          by that entity under certain circumstances.  Specifically,  this  
          bill  provides that, notwithstanding provisions of the  
          Confidentiality of Medical Information Act (CMIA), a provider of  
          health care, health care service plan, or contractor may  
          disclose information about a patient's participation in  
          outpatient psychotherapy to a requesting entity, without  
          requiring that entity to provide a written and detailed request  
          to the patient and the provider, if the patient's therapist, in  
          good faith, believes that the disclosure is necessary to prevent  
          or lessen a serious and imminent threat to the health or safety  
          of reasonably foreseeable victim or victims; and if the  
          disclosure is made to a person or persons reasonably able to  
          prevent or lessen the threat, including the target of the  
          threat.
           
          EXISTING LAW  : 

          1)Generally prohibits a health care provider, service plan, or  
            contractor from disclosing medical information about a  
            patient, enrollee, or subscriber without first obtaining  
            authorization from the patient, subject to certain mandatory  
            and permissive exceptions.  (Civil Code section 56.10(a).)

          2)Provides, notwithstanding Civil Code section 56.10(a), that a  
            health care provider, service plan, or contractor shall  
            disclose medical information if the disclosure is compelled by  
            law, including any of the following:

             a)   A court order, subpoena, or search warrant; 
             b)   The order of a board, commission, arbitration panel, or  
               administrative agency for purposes of adjudication pursuant  
               to its lawful authority;
             c)   Request of the patient or the patient's representative,  
               pursuant to Health & Safety Code section 123100 et seq.
             d)   Request of a coroner under specified circumstances.   
               (Civil Code section 56.10(b).)









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          3)Provides, notwithstanding Civil Code section 56.10(a), that a  
            health care provider, service plan, or contractor may disclose  
            medical information in a limited manner for specified  
            purposes, including but not limited to the following:
           
             a)   For purposes of diagnosis and treatment; 
             b)   As necessary for billing and payment; 
             c)   For purposes of medical research, medical review,  
               quality control, or facility accreditation; 
             d)   For purposes of organ procurement for transplantation;  
               and 
             e)   For various emergency and public health purposes.  
             f)   Provides generally, however, that the amount of  
               information disclosed must be limited to what is essential  
               for achieving the purpose.  (Civil Code section 56.10(c).) 

          4)Provides, notwithstanding Civil Code section 56.10(a), that a  
            psychotherapist may disclose medical information about a  
            patient if the therapist, in good faith, believes the  
            disclosure is necessary to prevent or lessen a serious and  
            imminent threat to the health or safety of a reasonably  
            foreseeable victim or victims; and that the disclosure is made  
            to a person or persons reasonably able to prevent or lessen  
            the threat, including the target of the threat.  (Civil Code  
            section 56.10(c)(19).)

          5)Provides that providers of health care, health care service  
            plans, or contractors may not release medical information to  
            persons or entities who request such information and are  
            authorized to receive that information under Civil Code  
            section 56.10(c) (see above), except when the disclosure is  
            for the purposes of diagnosis or treatment (Civil Code section  
            56.10(c)(1)), if the requested information specifically  
            relates to the patient's participation in outpatient treatment  
            with a psychotherapist, unless the requesting party submits to  
            both the patient and the information holder a written request  
            that contains all of the following:

             a)   The specific information relating to a patient's  
               participation in outpatient treatment with a  
               psychotherapist being requested and its specific intended  
               use or uses;
             b)   The length of time during which the information will be  
               kept before being destroyed or disposed of (which may be  
               extended if the requesting party notifies the provider,  








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               plan, or contractor of the extension, and includes the  
               specific reason for the extension, the intended use or uses  
               of the information during the extended time, and the  
               expected date of the destruction of the information);
             c)   A statement that the information will not be used for  
               any purpose other than its intended use;
             d)   A statement that the person or entity requesting the  
               information will destroy the information and all copies in  
               the person's or entity's possession or control, will cause  
               it to be destroyed, or will return the information and all  
               copies of it before or immediately after the length of time  
               specified in paragraph (2) has expired.  (Civil Code  
               section 56.104(a).)

          6)Requires the person or entity requesting the information to  
            submit a copy of the written request described above to the  
            patient within 30 days of receipt of the information  
            requested, unless the patient has signed a written waiver of  
            notification, in the form of a letter signed and submitted by  
            the patient to the provider of health care or health care  
            service plan waiving notification.  This notice is not  
            required under the following circumstances:

             a)   If the request is being made by law enforcement in order  
               to investigate unlawful activity, or for regulatory  
               purposes; or 
             b)   If the disclosure is for the purposes of diagnosis or  
               treatment.  (Civil Code section 56.104(b), 56.104(d).)
           
          7)Protects the confidentiality of a psychiatric patient's  
            information and records except under specified circumstances,  
            including when the psychotherapist reasonably believes that  
            the patient presents a serious danger of violence to a  
            reasonably foreseeable victim or victims.  Permits the  
            therapist, in such cases, to release information to the  
            threatened person or persons and to law enforcement, to such  
            an extent that the therapist determines is necessary to  
            protect the threatened person or persons.  (Civil Code section  
            43.92.)

          8)Provides, under California case law, that a psychotherapist  
            has a duty not only to his or her patients, but to any person  
            or persons threatened by the patient, and holds that the  
            general public policy favoring the privileged nature of the  
            patient-psychotherapist communications must yield to the  








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            extent that disclosure is necessary to avert danger to others.  
             (Tarasoff v. Regents of the University of California (1976)  
            17 Cal.3d 425.)

          9)Provides, as to admissibility of evidence, an exemption to the  
            patient-psychotherapist privilege if the psychotherapist has  
            reasonable cause to believe that the patient is in such a  
            mental or emotional state as to be dangerous to himself or to  
            the person or property of another and the disclosure is  
            necessary to prevent the threatened disclosure.  (Evidence  
            Code section 1024.) 

          10)Imposes, under federal HIPAA regulations, certain  
            restrictions on the disclosure of medical information and  
            provides further that any entity covered under HIPAA must  
            provide patients or subscribers with certain information about  
            its privacy policies, including a description of how the  
            entity uses and discloses patient information.  (42 U.S.C.  
            1320d et seq.; 45 C.F.R. 164.500 et seq.) 

          11)Provides that, while HIPAA privacy rules preempt contrary  
            state laws, states may impose more stringent laws relating to  
            the privacy of individual health information.  (45 C.F.R.  
            160.203.)

          12)Provides, under federal HIPAA regulations, that a patient's  
            authorization is required for use or disclosure of a patient's  
            psychotherapy notes, except where required by law or permitted  
            under 45 C.F.R. 164.512.  (45 C.F.R. 164.508(b)(2), 1614.512.)

          13)Provides, under federal HIPAA regulations, that a covered  
            entity may disclose or use protected health information if the  
            entity has a good faith belief that the use or disclosure is  
            necessary to prevent or lessen a serious and imminent threat  
            to the health or safety of a person or the public and the  
            disclosure is made to a person or persons reasonably able to  
            prevent or lessen the threat, including the target of the  
            threat.  (45 C.F.R. 164.512(j).)

          14)Provides, under federal HIPAA regulations, that for certain  
            permitted disclosures, such as disclosures about an individual  
            reasonably believed to be a victim of abuse, the entity must  
            "promptly inform" the individual that such a disclosure has  
            been made, unless it would place the individual at serious  
            risk of harm or if the entity would have to inform a personal  








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            representative of the individual that the entity reasonably  
            believes to be the abuser.  (45 C.F.R. 164.512(c)(2).)

          15)Under federal HIPAA regulations, does not require that if  
            health information is disclosed to prevent or lessen a serious  
            and imminent threat (as described above), any notice be given  
            to the individual whose information was disclosed.  (45 C.F.R.  
            164.512.)

           COMMENTS  :  This bill is sponsored by the California Association  
          of Marriage and Family Therapists (CAMFT).  According to the  
          author, the purpose of this bill is to create an exemption to  
          the California Confidentiality of Medical Information Act (CMIA)  
          that would allow providers of health care, health care service  
          plans, or contractors to disclose confidential information about  
          a patient's participation in outpatient psychotherapy, without  
          requiring the requesting party to provide a written request to  
          the provider and the patient containing specific details about  
          their intended use of the information, if the patient's  
          therapist reasonably believes that the patient poses a serious  
          and imminent threat to the health or safety of a reasonably  
          foreseeable victim or victims, and the disclosure is made to a  
          person or persons reasonably able to prevent or lessen the  
          threat, including the target of the threat.  

          The author states that the bill will allow psychotherapists to  
          disclose medical information in a more timely fashion when a  
          patient presents a serious or imminent threat to health and  
          safety.  The author points out that, on the one hand, the CMIA  
          permits otherwise confidential medical information to be  
          disclosed by a psychotherapist if the therapist in good faith  
          believes the disclosure is necessary to prevent or lessen a  
          serious and imminent threat to the healthy of safety of a  
          reasonably foreseeable victim or victims (Civil Code section  
          43.92), but on the other hand prevents a psychotherapist from  
          disclosing information to a requesting entity unless the entity  
          provides a detailed written request to the patient and provider.  
           This bill would resolve the conflict between these two  
          statutes, providing an exception to the request and notification  
          requirements under the same circumstances as the exception to  
          the disclosure requirements.  CAMFT argues that an exception to  
          the request and notification requirement is warranted where  
          quick action is required, when a disclosure is made to prevent  
          or lessen a serious and imminent threat.









                                                                  AB 681
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           Background: The Tarasoff Decision  :  In Tarasoff v. University of  
          California (1976) 17 Cal.3d 425, the California Supreme Court  
          found that a psychologist has a duty not only to his patient,  
          but to any person threatened by the patient.  The court reached  
          its conclusion in part by finding a "duty to control" in the  
          "special relationship" inherent in the patient-therapist  
          relationship.  For example, the court refused to find that the  
          campus police had a duty because, unlike the therapist, the  
          police had no "special relationship" with the patient.  The  
          court also supported its reasoning by pointing out that  
          California Evidence Code Section 1024 (first enacted in 1965)  
          permitted a therapist to testify about patient communications  
          where it was necessary to prevent a threatened danger.  Four  
          years later, the court clarified that the patient's threat  
          cannot be a generalized threat, but must be a specific threat to  
          an identifiable person or persons.  (Thompson v County of  
          Alameda (1980) 27 Cal 3d 741 (refusing to impose a duty where a  
          juvenile defendant made a generalized threat to kill an  
          unidentified child in his neighborhood.))  

           Current Law Allows Disclosures To Prevent or Lessen a Serious  
          and Imminent Threat  :  The Tarasoff principle was codified in  
          California Civil Code, which appears to limit Tarasoff liability  
          to instances in which "the patient has communicated to the  
          psychotherapist a serious threat of physical violence against a  
          reasonably identifiable victim or victims."  (Civil Code Section  
          43.92.)  More recent court opinions have narrowed the reach of  
          this provision even further, by specifying that a "serious"  
          threat means "a serious risk of grave bodily injury to another."  
           (Calderon v. Glick (2005) 131 Cal.App.4th 224; Ewing v.  
          Goldstein (2004) 120 Cal.App.4th 807.)  Since current law  
          provides an exception to confidentiality requirements so that  
          disclosures can be made to prevent serious threats to reasonably  
          foreseeable victims, it appears reasonable to provide this same  
          exception to the request and notification requirements.

           Federal HIPAA Regulations Do Not Require Notice to the Patient  
          for Similar Disclosures  . Under federal HIPAA regulations, when  
          certain permitted disclosures are made, such as disclosures  
          about an individual reasonably believed to be a victim of abuse,  
          the entity must "promptly inform" the individual that such a  
          disclosure has been made, unless it would place the individual  
          at serious risk of harm or if the entity would have to inform a  
          personal representative of the individual whom the entity  
          reasonably believes to be the abuser.  (45 C.F.R.  








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          164.512(c)(2).)  Federal HIPAA regulations do not require notice  
          to be given to an individual whose health information was  
          disclosed in order to prevent or lessen a serious and imminent  
          threat (as described above).  Exempting disclosures about  
          psychotherapy from the request and notification requirements  
          would therefore appear to be consistent with federal privacy  
          law.

           Prior Related Legislation  :  AB 733 (Nation, Chapter 136, Stats.  
          of 2006) clarified the existing law by specifying that a  
          therapist may discharge his duty to warn the intended victim of  
          a communicated threat by making reasonable efforts to notify  
          both the potential victim and law enforcement.  

          AB 1178 (Hernandez, Chapter 506, Stats. of 2007) amended Civil  
          Code section 56.10, consistent with the Tarasoff decision, to  
          allow psychotherapists to disclose medical information about a  
          patient if the therapist, in good faith, believes the disclosure  
          is necessary to prevent or lessen a serious and imminent threat  
          to the health or safety of a person or persons; and that the  
          disclosure is made to a person or persons reasonably able to  
          prevent or lessen the threat, including the target of the  
          threat.

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          California Association of Marriage and Family Therapists  
          (sponsor)
          American Association for Marriage and Family Therapy, California  
          Division
          American Federation of State, County, and Municipal Employees,  
          AFL-CIO
          California Psychiatric Association
          California Society for Clinical Social Work 

           Opposition
           
          None on file

           Analysis Prepared by  :   Drew Liebert and Rachel Anderson / JUD.  
          / (916) 319-2334