Lead Opinion
Plaintiffs were patients at various Atlanta area hospitals. Through their attorney or directly, they requested copies of their medical records from the hospitals. Defendants are corporations engaged in the business of providing photocopying and related services for hospitals. They had business relationships with the hospitals under which they were given access to patients’ records in order to provide copies of the records to authorized persons requesting them. Defendants did so for plaintiffs and submitted invoices to them imposing charges ranging from $1.04 to $7.60 per page.
After paying the invoices, plaintiffs brought these class action complaints, asserting that the charges were imposed in violation of the Health Records Act in that they exceeded the statutory limit of the reasonable costs of copying and mailing the records. OCGA § 31-33-3 (a). Both individually and on behalf of the proposed class, plaintiffs sought partial refunds under theories of breach of statutory duty, unjust enrichment/restitution, and breach of implied contract. They also sought injunctive relief.
Defendants filed motions to dismiss. They argued, among other things, that the Health Records Act does not impose any duty on them and that any recovery by plaintiffs is barred by the voluntary payment doctrine. In an effort to avoid application of this doctrine, plaintiffs amended their complaints by adding allegations that defendants practiced an artifice on them and that they made the payments as a result of misplaced confidence, mistake, and/or neglect.
The cases were consolidated and, after hearing, the trial court accepted defendants’ arguments and granted the motions. The court did find, however, that their charges for copying and mailing plaintiffs’ medical records were unreasonable and thus excessive.
Appeals were taken to the Supreme Court of Georgia and transferred to this Court pursuant to order stating that the equity issues were ancillary to the legal issues and that the constitutionality issues involved “the construction of well-settled principles of law.”
In Case Nos. A96A0850, A96A0852, A96A0854, and A96A0856, plaintiffs appealed the dismissal of their complaints. In Case Nos. A96A0851, A96A0853, A96A0855, and A96A0857, defendants cross-appealed the court’s finding that the charges were excessive. We dis
In Division 1, we conclude that the court did err in holding that the Health Records Acts does not apply to the defendants. In Division 2, we hold that the trial court did not err in dismissing plaintiffs’ complaints under the voluntary-payment doctrine. The remaining issues in the main appeals are moot, as are the cross-appeals, which are dismissed.
1. In the order appealed from, the trial court determined on the basis of the pleadings that plaintiffs’ complaints are subject to dismissal for failure to state a claim upon which relief can be granted. See OCGA § 9-11-12 (b) (6); Yates v. Trust Co. Bank &c.,
“[W]hen the sufficiency of a complaint is questioned, the pleadings must be construed in the light most favorable to the plaintiff. . . . But ... a complaint will be dismissed where no claim is stated, or where the facts alleged show that plaintiff cannot recover. [Cits.]” Massey v. Perkerson,
The Health Records Act governs the furnishing of the record of a patient by a “provider.” OCGA § 31-33-1 et seq. Under the Act, a “provider” is defined as meaning all hospitals and other specified entities providing health care services. OCGA § 31-33-1 (2). Upon written request from the patient, the provider having custody and control of the patient’s record is required to furnish a copy of that record to the patient or to any other person or provider designated by the patient. OCGA § 31-33-2 (a), (b). OCGA § 31-33-3 (a) states that the party requesting the patient’s records shall be responsible to the provider for the “reasonable costs of copying and mailing the patient’s record.”
The trial court held that the Act by its plain language applies only to health care providers and not to entities such as defendants which supply photocopying services for such providers even though such entities may be acting as the providers’ agents. This holding was error under principles of statutory construction and agency law.
“It is, of course, fundamental that ‘the cardinal rule to guide the construction of laws is, first, to ascertain the legislative intent and purpose in enacting the law, and then to give it that construction which will effectuate the legislative intent and purpose.’ [Cit.]” City
As we interpret the Health Records Act, the intent of the legislature was to ensure that patients have access to medical records in the custody and control of health care providers without being charged more than the reasonable costs of copying and mailing them. This intent would be completely defeated through a construction of the Act that would allow patients to be charged more than the reasonable copying and mailing costs if the providers hire others to perform the task of supplying the records.
Moreover, “the [defendants], being [agents] of the [hospitals], could not be clothed with greater power or authority than [their] principalis]. The [hospitals] cannot do by indirection that which [they] could not do directly, for there can be conferred upon an agent no greater power than that possessed by the principal. [Cits.]” Tippins v. Cobb County Parking Auth.,
2. The voluntary payment doctrine is codified at OCGA § 13-1-13: “Payments of claims made through ignorance of the law or where all the facts are known and there is no misplaced confidence and no artifice, deception, or fraudulent practice used by the other party are deemed voluntary and cannot be recovered unless made under an urgent and immediate necessity therefor or to release person or property from detention or to prevent an immediate seizure of person or property. Filing a protest at the time of payment does not change the rule prescribed in this Code section.”
Essentially three conditions must be met before recovery of a payment is barred by the doctrine. First, the payment must have been made through ignorance of the law or where all the facts are known. “ ‘(T)he party seeking recovery must prove that the payment was not voluntarily made because certain material facts were not known at the time of payment or a valid reason existed for failure to determine the truth. (Cit.)’ [Cit.]” Rod’s Auto Finance v. The Finance Co.,
It is uncontested that when plaintiffs made the payments, all material facts were known by them. At most, they made the payments through an unexcused ignorance of law.
They maintain that defendants practiced an artifice on them by
The plaintiffs have also alleged that they made the payments through misplaced confidence, mistake, and/or neglect. Again, however, plaintiffs have alleged no facts from which any of these excuses could be found. Compare Gulf Life Ins. Co. v. Folsom,
Plaintiffs also claim they made the payments because they would have otherwise risked collection action and impairment of their credit. This does not constitute an urgent necessity within the meaning of the voluntary payment doctrine. See Strachan Shipping, supra. It does not escape the bar of the doctrine.
Nor is it avoided by reason of the fact that the charges were imposed on plaintiffs by defendants in contravention of a statute. See Henson v. Columbus Bank &c. Co.,
For the foregoing reasons, the court did not err in dismissing the various counts of plaintiffs’ complaints, as well as their requests for injunctive relief. It follows that it was not error to refuse to grant class action certification to these cases. See Williams v. Cox Enterprises,
3. Although we dismiss defendants’ cross-appeals as moot, we note that, for the purpose of ruling on defendants’ motions to dismiss, the trial court was required to accept as true plaintiffs’ allegations concerning the unreasonableness of defendants’ charges. See Yates, supra.
Judgments in Case Nos. A96A0850, A96A0852, A96A0854, and A96A0856 affirmed. Appeals in Case Nos. A96A0853, A96A0855, and A96A0857 dismissed.
Concurrence Opinion
concurring specially.
I agree with the majority that plaintiffs failed to allege sufficient facts in their complaints to avoid the voluntary payment doctrine. See OCGA § 13-1-13. However, the fact that plaintiffs were provided with the requested documents prior to making the complained-of payments is essential to the application of the voluntary payment doctrine. Had the defendants withheld the requested documents until payment was made, plaintiffs might have shown that their payments were made pursuant to an urgent necessity. I further note that the trial court was correct in determining that the defendants’ copying charges were unreasonable.