Andrew GLENN v. MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE.
No. 48 Sept. Term 2015.
Court of Appeals of Maryland.
Feb. 22, 2016.
132 A.3d 245
Joshua N. Auerbach, Asst. Atty. Gen. (Sarah W. Rice, Asst. Atty. Gen., Brian E. Frosh, Atty. Gen. of Maryland, Baltimore, MD), on brief, for Respondent.
ARGUED BEFORE: BARBERA, C.J., GREENE, ADKINS, MCDONALD, WATTS, GLENN T. HARRELL, JR. (Retired, Specially Assigned), ALAN M. WILNER (Retired, Specially Assigned), JJ.
GLENN T. HARRELL, JR., J. (Retired, Specially Assigned).
BACKGROUND
An impetus to regulate specifically surgical abortion facilities arose in Maryland following an investigation into the activities in Maryland of a doctor by the name of Steven Brigham, who operated abortion clinics in multiple states. See Erik Eckholm, Maryland‘s Path to an Accord in Abortion Fight, New York Times (July 10, 2013), http://www.nytimes.com/2013/07/11/us/marylands-path-to-an-accord-in-abortion-fight.html?_r=0 [https://perma.cc/BAQ2-57E6]. Dr. Brigham “was not licensed to practice in Maryland [and] had not even been required to notify the state health department when he set up [an] Elkton center to complete late-term abortions, after about the 14th week of pregnancy.” Id.
This lack of specific governmental oversight led to dangerous conditions for women seeking abortions in Maryland and resulted, in 2012, in the Maryland Department of Health and Mental Hygiene (“DHMH“) adopting new procedures regarding the application process for surgical abortion facilities. The regulations required that individuals and other entities must obtain a license from the Secretary of DHMH before establishing or operating such a facility. See COMAR 10.12.01.02. Along with a $1500 application fee, any individual or entity who wishes to operate a facility must be compliant with relevant State and federal laws, file an application with DHMH, and “submit a written description of its quality assurance program” to DHMH. See COMAR 10.12.01.03.
On 12 March 2013, Petitioner Andrew Glenn, pursuant to the Public Information Act (“PIA“),
Glenn appealed timely to the Court of Special Appeals, which affirmed the Circuit Court‘s judgment on 21 April 2015 in an unreported opinion. The intermediate appellate court gave deference to “the agency‘s interpretation of statutes that it administers” and found cases decided under the federal Freedom of Information Act (“FOIA“) to be persuasive. The Court of Special Appeals concluded “that DHMH provided a reasonable and sufficiently supported explanation” for redaction due to the national historical record of violence and harassment towards abortion providers and the potential chilling effect it would have on providers if redaction did not occur.
We granted Glenn‘s Petition for a Writ of Certiorari, Andrew Glenn v. Maryland Department of Health and Mental Hygiene, 444 Md. 638, 120 A.3d 766 (2015), to consider the following questions:
- Did the Court of Special Appeals err in granting deference to DHMH‘s legal conclusion that it was authorized, under
Gen. Prov. § 4-358 of the Maryland PIA, to redact the records in question? - Did the Court of Special Appeals err in substituting for the PIA‘s requirement of proof of “substantial injury to the public interest” the far less demanding standard of mere “greater risk” that disclosure of public information might have a “chilling effect” on owners of regulated businesses?
Although we do not agree completely with some of the reasoning of our intermediate appellate court brethren, we affirm the judgment that redaction and denial of the relevant information in this case was appropriate.
STANDARD OF REVIEW
We review for clear error the decision by an agency to deny disclosure to an individual requesting information under the PIA. We determine whether the “court had an adequate factual basis for the decision it rendered and whether the decision the court reached was clearly erroneous.” Comptroller of Treasury v. Immanuel, 216 Md.App. 259, 266, 85 A.3d 878, 883 (2014)
DISCUSSION
I. Contentions
Glenn contends that the Court of Special Appeals‘s decision undermines the Public Information Act and grants “unbridled discretion to government agencies to keep information hidden from the public scrutiny.” He argues further that the intermediate appellate court misinterpreted the standard set forth in
II. The Maryland Public Information Act
Enacted in 1970, the PIA was created to “provide the public the right to inspect the records of the State government or of a political subdivision within the State.” Haigley, 128 Md.App. at 207, 736 A.2d at 1191 (quoting Faulk v. State‘s Attorney for Harford County, 299 Md. 493, 506, 474 A.2d 880, 887 (1984)). The PIA provides a general right to information “[a]ll persons are entitled to have access to information about the affairs of government and the official acts of public officials and employees.”
There are “well-established general principles governing the interpretation and application of the [PIA which] create a public policy and a general presumption in favor of disclosure of government or public documents.” Maryland Dep‘t of State Police v. Maryland State Conference of NAACP Branches, 430 Md. 179, 190, 59 A.3d 1037, 1043 (2013) (citation and internal quotation marks omitted). Although, the presumption skews heavily the calculus toward disclosure,5 it may be
The ability to rebut the presumption in favor of disclosure is found in the “exceptions to the general rule favoring disclosure,” which are provided in an enumerated list of the records and type of information that is (or may be) excluded from public disclosure. Bowen v. Davison, 135 Md.App. 152, 158, 761 A.2d 1013, 1016 (2000).6 The custodian of a record requested under the PIA “shall deny inspection of a public record” if it is privileged, confidential, or the inspection would be contrary to restrictions in other statutes. See
Under
III. The Factual Record Presented in Support of Redaction, Including Appropriate Judicial Notice of Certain Facts
It is apparent from the numerous exemptions listed in Maryland‘s PIA that there are situations where the Legislature contemplated specific information could be excluded from the public reach. Because there is no specific exception numbered among them that applies directly to the licensing procedures of surgical abortion facilities, the basis of any agency denial would have to fall under
Against the backdrop of this history of violence, abortion providers and women seeking abortions ... live and work in a climate of extreme hostility to the practice of abortion. On a day-to-day basis, a provider or a patient sees this hostility when she opens the newspaper, drives by a group of protesters at a clinic, or learns that another piece of legislation concerning abortion has been enacted. Of course, the court does not imply that such activities are illegal, improper, or morally wrong; indeed, the right to express deeply held beliefs is of the utmost importance. But it is nonetheless necessary to recognize that such actions contribute to the climate surrounding the disputes in this case.
Planned Parenthood Se., Inc. v. Strange, 33 F.Supp.3d 1330, 1334 (M.D.Ala.2014) (applying Alabama law). There are numerous out-of-state cases cataloging an unfortunate and lamentable record of violence towards abortion providers, including murders, harassment, and general violence.8 In Judicial Watch, Inc. v. Food & Drug Admin., 449 F.3d 141, 153 (D.C.Cir.2006),9 the evidence included:
As its privacy interest, the FDA cited the danger of abortion-related violence to those who developed mifepristone, worked on its FDA approval, and continue to manufacture the drug. The supporting affidavits detail evidence of abortion clinic bombings. They also describe websites that encourage readers to look for mifepristone‘s manufacturing locations and then kill or kidnap employees once found.
This history of violence associated with the provision of abortion services is undeniable.
Much like the Circuit Court and the Court of Special Appeals, we cannot disagree with DHMH‘s conservative approach to disclosure of information about
From my work in the public health field, I am generally aware that persons affiliated with surgical abortion facilities have been targets of threatened and actual violence, including fatal shootings. The National Abortion Federation, a professional association of abortion providers, compiles statistics on violent incidents targeting abortion providers and their facilities. ... At least one website, in listing the names and contact information of physicians who perform abortion procedures, uses strikethrough font to denote those who have been killed in incidents of violence.
The evidence of these threats and actual incidences of violence related to out-of-state occurrences, but Dooley referred also to a few associated events reported in Maryland, for example:
In addition to threats of violence and actual violence, persons who are connected with surgical abortion facilities have experienced unwarranted invasion of personal privacy, such as identification and targeting of spouses and children for protest actions. One recent incident in Maryland involved anti-abortion protestors appearing at the middle school of the child of the landlord of a surgical abortion facility.
Although the protestors in the school demonstration were not apparently in violation of any law, Dooley noted that “[o]ne concern expressed by some stakeholders in the adoption of the regulations governing surgical abortion facilities was that, if compliance with the regulations were burdensome, the enforcement of the regulations could have the practical effect of restricting women‘s access to abortion services.”
Additionally, Dooley pointed out that if revealing this information subjected staff
Dooley concluded ultimately:
In reviewing this request, I therefore concluded that despite the public‘s important interest in the Department‘s licensing procedures for surgical abortion facilities, there would be substantial injury to the public interest if the identities of medical directors, administrators, and owners of surgical abortion facilities were disclosed as part of the response to a request for public inspection of the Department‘s licensure records. First, disclosing these names could result in harassment, threats or actual violent harm to these individuals, as well as unwarranted invasion of their personal privacy and that of their family members. Second, the Depart-ment‘s action in releasing these names could deter others from operating surgical abortion facilities or from applying for licensure, restricting access to legal health services and risking injury to public health.
Glenn argues that these statements from Dooley and DHMH are not sufficient to fulfill the rigorous PIA “catch-all” exception standard. He argued before the Circuit Court that “the whole point of a Public Information Act is that the public doesn‘t have to take the government‘s word for it. That the government is able or willing to do an adequate job.”
What appears lost on Glenn is that DHMH did provide him with all of the basic information about the facilities and business entities, if any, in the applications, as well as any accreditation under which the facility would operate. This information, even with the redaction of the medical director‘s or administrator‘s names, is helpful in “public policing” of the Department‘s action on the applications for the surgical abortion facilities. Furthermore, a woman contemplating a procedure at one of the facilities would be able to review the same information and conduct research on the business entities proposing to operate the facilities. See supra fn. 11. Because of the history nationally of harassment and violence associated with the provision of abortion services, there is a palpable basis for concern that releasing the redacted information would jeopardize medical professionals from practicing within this particular field, which would deter ultimately access to women who seek an abortion in Maryland. The risk of violence is not speculative and is based on the ample evidence presented. The threshold for a denial under
In an attempt to persuade this Court otherwise, Glenn directs us to the public information statutes of other states, including Illinois, Minnesota, and Kansas, and cases decided under them. In Illinois, the public information act “shall be construed to require disclosure of requested information as expediently and efficiently as possible.”
The courts in the three states (Illinois, Kansas, and Minnesota) concluded also that any evidence of harassment or harm that would be directed at the doctors whose information was disclosed was “highly speculative.” The Minnesota statute provides that all archived records “shall be accessible to the public,” unless it is determined by the agency that the information contained in the record “if disclosed, would constitute a clearly unwarranted invasion of personal privacy. Disclosure of an individually identifiable record does not constitute a clearly unwarranted invasion of personal privacy if the public interest in disclosure outweighs the privacy interest of the individual.”
The Illinois court explained that: [T]he feared harassment is highly improbable. In Illinois, the only type of abortions performed under the Medicaid abortion program are restricted to those instances where, “in the opinion of the physician, such procedures are necessary for the preservation of the life of the woman seeking such treatment.” ... Abortions performed under such circumstances are the least likely to provoke public controversy, and therefore physicians who perform such abortions would be the least likely to be harassed. Family Life League, 98 Ill.Dec. 33, 493 N.E.2d at 1058.13 The Kansas court concluded that it could not determine “on the basis of this record, that disclosure would have a ‘legally significant impact’ on the abortion decision or on the physician-patient relationship.” State ex rel. Stephan v. Harder, 230 Kan. 573, 641 P.2d 366, 376 (1982). The court determined further that the state statute gave the custodian of the record “no discretion and no choice; it imposes a duty upon the custodian, and subjects him or her to stringent penalties for noncompliance.” Harder, 641 P.2d at 375.
The major distinctions we perceive between these older cases and the factual predicate of the agency denial decision before us are the differing language of the statutes and the individuals about whom the information was sought.14 As noted by
Here, it was made clear by our questioning at oral argument (and responses) that a woman in Maryland seeking an abortion would be able to research the surgical facilities licensed by DHMH and learn of any deficiency reports, plans of correction, or disciplinary records that have been filed. Any woman seeking treatment would be allowed access to a list of doctors who were licensed in Maryland to provide these services and would be able to check the doctor‘s accreditations, records, and any disciplinary action taken against him or her,15 irrespective of whether the application information at issue in the present case was redacted. We are convinced that the redaction in the present case was necessary to avoid a substantial injury to the public interest. Therefore, we conclude that the requested information was redacted properly under
JUDGMENT OF THE COURT OF SPECIAL APPEALS AFFIRMED. COSTS IN THIS COURT AND THE
McDONALD, J., concurs.
Concurring Opinion by McDONALD, J.
The Public Information Act (“PIA“) reflects a public policy that the operation of government should be open to public scrutiny.
As the Majority opinion explains, the public records at issue in this case are part of a licensing scheme that was created in response to documented malpractice in Maryland facilities operated by Dr. Steven C. Brigham, a physician who had been disciplined in other states and whose activities exposed a gap in State oversight. Majority op. at 380-82, 132 A.3d at 247. The PIA normally would require records relating to such licensing to be open to public inspection. This reflects the general policy that the identities and qualifications of those authorized by the State to provide services to the public in some way should not be secret.1 In particular, the Legislature presumably did not intend for the next Dr. Brigham—or Dr. Brigham himself2—to escape public detection simply through the expedient of setting up an LLC or a corporation.
All of this is not to denigrate the competence or good faith of the State officials who oversee this licensing regime. Public oversight of the regulators’ actions in carrying out that scheme is a healthy thing. It is not uncommon that something slips by an overworked regulator and is only brought to light by the press or a citizen with access to public records. As Justice Brandeis famously said: “Sunlight is said to be the best of disinfectants.”
It is thus an extraordinary thing for a State agency to withhold information relating to the licensing of a business entity—in particular, the identities of those who operate it—in response to a PIA request. In proceeding under the temporary denial provision of
The Court‘s decision to uphold this deviation from the usual principle of public access can be justified by the peculiar
Moreover, the denial of access is very limited in content and time. Only one or two names and email addresses—and only to the extent that an email address discloses those names—have been redacted from the records. While the court order that allows DHMH to continue to withhold the information from this requester does not have an end date, it is by its nature peculiar to this time and circumstance. The justification may dissipate with time and with new facts. It is not a precedent that necessarily forecloses forever the disclosure of such information. Cf. Cranford, 300 Md. at 789, 481 A.2d 221.
Finally, the Court‘s opinion is premised on the understanding—consistent with the law relating to occupational licenses noted above—that the accreditation and disciplinary records of the doctors who work in these facilities is available under the PIA. Majority op. at 394-95, 132 A.3d at 255.
