New York Law Review

Tag: McDermott

  • McDermott v. New York State Board of Professional Medical Conduct, 49 N.Y.2d 134 (1980): Confidentiality of Medical Misconduct Records

    McDermott v. New York State Board of Professional Medical Conduct, 49 N.Y.2d 134 (1980)

    Records and proceedings of the State Board for Professional Medical Conduct relating to disciplinary inquiries are confidential under Public Health Law § 230 and thus exempt from disclosure under the Freedom of Information Law (Public Officers Law § 87(2)(a)).

    Summary

    A doctor under investigation by the State Board for Professional Medical Conduct sought access to medical records, patient interviews, and interviews with other doctors obtained during the investigation through a Freedom of Information Law (FOIL) request. The New York Court of Appeals held that these records are confidential under Public Health Law § 230 and thus exempt from disclosure under FOIL. The Court reasoned that the legislative intent was to protect the confidentiality of all records and proceedings related to medical disciplinary inquiries.

    Facts

    Dr. McDermott was under investigation by the State Board for Professional Medical Conduct. During an adjournment of the hearing on charges against him, Dr. McDermott’s attorney subpoenaed records and sought to examine various individuals. After initially failing to obtain the records via subpoena, Dr. McDermott requested access to medical records, patient interviews, and interviews with other doctors obtained by the commissioner during the investigation, pursuant to the Freedom of Information Law.

    Procedural History

    The agency’s records access officer and appeals officer denied Dr. McDermott’s FOIL request. Dr. McDermott then filed an Article 78 proceeding to review these rulings. Special Term initially dismissed the petition. After the Freedom of Information Law was revised, McDermott made a new request which was again denied at the agency level, leading to a second Article 78 proceeding. Special Term ordered access to the requested materials, but the Appellate Division reversed and dismissed the petition. This appeal to the New York Court of Appeals followed.

    Issue(s)

    Whether records of disciplinary proceedings conducted pursuant to section 230 of the Public Health Law, including patient records and interviews, are exempt from public access under the Freedom of Information Law (Public Officers Law § 87(2)(a)) because they are specifically exempted from disclosure by state statute.

    Holding

    Yes, because Public Health Law § 230 establishes a legislative policy to protect the confidentiality of all records and proceedings of the State Board for Professional Medical Conduct related to disciplinary inquiries or proceedings.

    Court’s Reasoning

    The Court of Appeals reasoned that Public Officers Law § 87(2)(a) exempts records that are specifically exempted from disclosure by state statute. Public Health Law § 230, when read as a whole, demonstrates a clear legislative intent to protect the confidentiality of all records and proceedings of the State Board for Professional Medical Conduct and its committees concerning disciplinary inquiries. The Court emphasized that all parts of § 230 must be read together to understand the scheme of the entire section, citing People v. Mobil Oil Corp., 48 N.Y.2d 192, 199. The court noted that Subdivision 11(a) protects the confidentiality of reports to the board, and Subdivision 10(a) mandates investigation of complaints. Subdivision 10(l) authorizes the board to examine patient records, mandating that unless waived by the patient, any information obtained is confidential. The Court stated, “Any other use or dissemination by any person by any means, unless pursuant to a valid court order or otherwise provided by law, is prohibited.” The court rejected the argument that the FOIL law could be deemed to “otherwise provide by law” since this would render the prohibitory language of subdivision 10(l) meaningless.

    The Court also addressed the argument that since the doctor already knew the contents of patient records related to his own treatment, the records should not be considered confidential. The court held that under FOIL, the standing of one seeking access is that of a member of the public, not enhanced or restricted by being a litigant. Finally, the Court stated that the burden is on the agency to show patient records are involved, but the petitioner can then offer proof of patient waiver of confidentiality, as the privilege is that of the patient. The Court held that requiring the agency to solicit waiver from each patient places an undue burden on the investigative process. Therefore, the Court affirmed the Appellate Division’s order dismissing the petition.