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Saturday, November 19, 2016

New Health Care Liability Action Opinion: Trial Court's Dismissal Based upon Claim Being Time-barred for Failure to Comply with Onerous Presuit Notice Requirements Upheld on Appeal; Constitutional Challenge of Tenn. Code Ann. sec. 29-26-121 Deemed to Be Without Merit

The Tennessee Court of Appeals recently issued its opinion in J.A.C. ex rel. Lesha Carter v. Methodist Healthcare Memphis Hospitals, No. W2016-00024-COA-R3-CV (Tenn. Ct. App. Nov. 2, 2016).  The syllabus from the opinion states as follows:
In this health care liability action, Defendants moved to dismiss based on the Plaintiffs' failure to provide the Health Insurance Portability and Accountability Act ("HIPAA") medical authorization required by Tennessee Code Annotated section 29-26-121(a)(2)(E). Based on its determination that the Plaintiffs failed to substantially comply with the foregoing statute, the trial court held that the Plaintiffs were not entitled to an extension of the applicable statutes of limitations and repose under Tennessee Code Annotated section 29-26-121(c) and accordingly concluded that the Plaintiffs' claims were time-barred. The trial court also concluded that the Plaintiffs' constitutional challenges to the viability of Tennessee Code Annotated section 29-26-121 were without merit. We affirm and remand for further proceedings consistent with this Opinion.

NOTE: I find it interesting that the courts in Tennessee---and many lawyers---have not picked up on the fact that a defendant (or potential defendant) in a health care liability action does not have to have a HIPAA-compliant authorization to share a patient's or plaintiff's protected health information ("PHI") with other defendants and their legal counsel under 45 C.F.R. sections 164.501, -502(b), -.514(d) to investigate potential medical negligence.  See http://www.hhs.gov/hipaa/for-professionals/faq/705/may-a-covered-entity-in-a-legal-proceeding-use-protected-health-information/index.html (last visited Nov. 19, 2016).  As such, dismissal of a health care liability action because a defendant did not get a HIPAA-compliant authorization for a patient's PHI would be improper because Tenn. Code Ann. sec. 29-26-121's requirement that such an authorization be enclosed as part of a claimant's presuit notice appears to be preempted by HIPAA. 


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