Roger M. HILLMAN, Plaintiff-Appellant, v. COLUMBIA COUNTY, Columbia Sheriff‘s Department, James Smith, individually and as sheriff of Columbia County, Robert Zanow, Arthur Anacker, Vern Gove, and Gregg Zimmerman, individually, and in their official capacities as deputies of the Columbia County Sheriff‘s Department, and unknown named persons employed by Columbia County in their individual and official capacities, Defendants-Respondents.†
No. 90-0469
Court of Appeals
August 29, 1991
474 N.W.2d 913
Oral argument December 13, 1990. †Petition to review filed.
For the defendants-respondents the cause was submitted on the brief of Virginia L. Newcomb and David J. Pliner of Bell, Metzner, Gierhart & Moore, S.C. of Madison and oral argument by Virginia L. Newcomb and David J. Pliner.
Before Gartzke, P.J., Dykman and Sundby, JJ.
DYKMAN, J. Roger Hillman, a former inmate of the Columbia County Jail, appeals from a summary judgment dismissing his complaint against Columbia County and county jail employees (defendants). Hillman alleged that the individual defendants disclosed to jail employees and inmates the fact that Hillman had tested HIV positive.1 We conclude that the trial court erred by granting summary judgment dismissing the following claims: (1) public disclosure of private facts,
I. BACKGROUND
Hillman was incarcerated in the Columbia County Jail from September 1987 to February 1988. During that period, Hillman experienced various health problems. He was diabetic, received insulin, and monitored his blood-sugar level daily. He had tested positive for HIV antibodies in July of 1987, and experienced nausea, severe diarrhea and migraine headaches.
Hillman required hospitalization outside of the jail on several occasions. After his first hospitalization in September 1987, Hillman returned to the jail with an envelope containing a medical report. Hillman observed a number of jail employees open the envelope and handle the report.
Shortly thereafter, Hillman became aware that the fact that he was infected with the AIDS virus was general knowledge among jail employees and inmates. Believing that the source of the information was jail employees, Hillman brought this action against defendants alleging: (1) violation of his right to confidentiality of an HIV test result,
Defendants moved to dismiss for failure to state a claim and, subsequently, for summary judgment. The trial court granted summary judgment. Hillman appeals.
II. STANDARD OF REVIEW
III. STATE LAW CLAIMS
A. Violation of Section 146.025, Stats.
Hillman alleges intentional2 and negligent violation of
(5) Confidentiality of Test. (a) The results of a test for the presence of an antibody to
HTLV-IIIHIV or an antibody to HIV may be disclosed only to the following persons or under the following circumstances, except that the person who receives a test may under sub. (2)(b) or (3) authorize disclosure to anyone:. .
- To the subject of the test.
- To
the test subject‘sa health care provider who provides care to the test subject, including those instances in which a health care provider provides emergency care to the subject.- To an agent or employe of
the test subject‘sa health care provider under subd. 2 who prepares or stores patient health care records, as defined in s. 146.81(4), for the purposes of preparation or storage of those records; provides patient care; or handles or processes specimens of body fluids or tissues.- To a blood bank, blood center or plasma center that subjects a person to a test under sub. (2)(a). . .
. .- To a sheriff, jailor or keeper of a prison, jail or house of correction or a person designated with custodial authority by the sheriff, jailer or keeper, for whom disclosure is necessitated in order to permit the assigning of a private cell to a prisoner who has a positive test result.4
(6) Expanded Disclosure of Test Results Prohibited. No person to whom the results of a test for the presence of HIV or an antibody to
HTLV IIIHIV have been disclosed under sub. (5)(a) or (5m)
may disclose the test results except as authorized under sub. (5)(a) or (5m)5
Hillman alleges that jail personnel learned of his HIV test results by reading his medical files. He further alleges that these individuals disclosed his HIV positive status to other jail employees and inmates.
In Van Straten v. Milwaukee Journal Newspaper-Publisher, 151 Wis. 2d 905, 447 N.W.2d 105 (Ct. App. 1989), cert. denied, 110 S. Ct. 2626 (1990), a sheriff informed reporters that an inmate had exposed jailers to AIDS by slashing his wrists. Id. at 909, 447 N.W.2d at 107. The inmate argued that “he was deprived of his right to confidentiality under
The trial court correctly determined that
sec. 146.025 is directed toward health care providers and blood banks, and not toward newspapers.Section 146.025(6) prohibits further disclosure of test results by persons learning of the results from the health care provider or from the blood bank; however, the newspapers did not obtain the test results under either of those subsections. Therefore, summary judgment was appropriate.
Id. at 922, 447 N.W.2d at 112.
Arguing that the discussion of
The cardinal rule in all statutory interpretation is to discern the intent of the legislature. Employers Ins. of Wausau v. Smith, 154 Wis. 2d 199, 226, 453 N.W.2d 856, 867 (1990). The primary source of statutory interpretation is the language of the statute itself. Robert Hansen Trucking, Inc. v. LIRC, 126 Wis. 2d 323, 332, 377 N.W.2d 151, 155 (1985).
If a statute is plain and unambiguous, a court must apply its plain meaning, without resort to rules of construction. Boles v. Milwaukee County, 150 Wis. 2d 801, 813, 443 N.W.2d 679, 683 (Ct. App. 1989). A statute is ambiguous if reasonable persons could disagree as to its meaning. Sonnenburg v. Grohskopf, 144 Wis. 2d 62, 65, 422 N.W.2d 925, 926 (Ct. App. 1988).
Listed below are the points Rep. John Robinson and I would like included in the budget bill relating to confidentiality and the testing for Acquired Immune Deficiency Syndrome (AIDS) antibody. The purpose
of this amendment, which is patterned after the recently enacted California statute, is to guarantee the confidentiality of people whose blood is tested by private or public physicians, clinics or research facilities.
As enacted in 1985,
(b) No person may disclose the results of a test to screen for the existence of an antibody to the human virus HTLV-III causing acquired immunodeficiency syndrome, except that the test results may be disclosed as follows:
- To the subject of the test.
- To the health care provider. . . .6
Similarly,
(a) Any person who negligently discloses results of a blood test to detect antibodies to the probable causative agent of acquired immune deficiency syndrome to any third party, in a manner which identifies or provides identifying characteristics of the person to whom the test results apply, except pursuant to a written authorization ... shall be assessed a civil penalty . . . .
In Urbaniak v. Newton, 277 Cal. Rptr. 354 (Cal. Ct. App. 1991), the California appellate court rejected the argument that
Without questioning the legislative history calling for a broad interpretation of the statute, we
observe that appellant‘s interpretation would give the statute an extraordinarily long reach, affecting the transmittal of information about AIDS victims in a wide variety of social contexts. This sweeping scope is not supported by the statutory language. Liability is limited to any person who “discloses results of a blood test.”
Health and Safety Code section 199.21, subdivision (k) defines the word disclosed as follows: “‘Disclosed,’ as used in this section, means to disclose, release, transfer, disseminate, or otherwise communicate all or any part of any record orally, in writing, or by electronic means to any person or entity.” (Emphasis added.) The word “record” can only refer to the record of a blood test. The statutory language, in short, appears to apply only to disclosures by persons having access to the record of the results of a blood test.Our interpretation is favored by the legislative history. For example, the emergency provision of the statute explains that it was intended “to protect the confidentiality of persons undergoing a blood test for” AIDS and thereby “to encourage individuals who are stricken with the disease to undergo treatment ...” (Stats. 1985, ch. 22, § 4, p. 83). This legislative purpose will be served only to the extent that the statute is applied to persons and institutions that conduct tests for AIDS, assume responsibility for custody or distribution of test results, or use test results in connection with treatment of affected person[s].
Although Urbaniak was decided after the Wisconsin legislature enacted
Hillman neither alleges that the individual defendants conducted the HIV tests nor alleges that they were
B. Invasion of Privacy
1. Intrusion Upon the Privacy of Another
Hillman contends that defendants’ actions give rise to a cause of action for invasion of privacy under
Intrusion upon the privacy of another of a nature highly offensive to a reasonable person, in a place that a reasonable person would consider private or in a manner which is actionable for trespass.
In order to decide if Hillman has stated a cause of action, we must determine whether a file of medical records constitutes “a place” under
Relying on sec. 652B of the Restatement (Second) of Torts (1977), Hillman contends that a file of medical records is “a place.”
One who intentionally intrudes, physically or otherwise, upon the solitude or seclusion of another or his private affairs or concerns, is subject to the other for invasion of his privacy, if the intrusion would be highly offensive to a reasonable person.7
However, the legislature did not use the phrase “solitude or seclusion of another or his private affairs or concerns” to describe the area of invasion under
2. Public Disclosure of Private Facts
Hillman alleges that defendants’ conduct violated
Publicity given to a matter concerning the private life of another, of a kind highly offensive to a reasonable person, if the defendant has acted either unreasonably or recklessly as to whether there was a legitimate public interest in the matter involved, or with actual knowledge that none existed. It is not an invasion of privacy to communicate any information available to the public as a matter of public record.
One who gives publicity to a matter concerning the private life of another is subject to liability to the other for invasion of privacy, if the matter publicized is of a kind that
(a) would be highly offensive to a reasonable person, and
(b) is not of legitimate concern to the public.
In Zinda, the court noted that a plaintiff must prove four elements in order to establish a cause of action for public disclosure of private facts: (1) a public disclosure of facts regarding the plaintiff; (2) the facts disclosed must be private facts; (3) the private matter made public must be one which would be highly offensive to a reasonable person of ordinary sensibilities; and (4) the defendant must act either unreasonably or recklessly as to whether there was a legitimate public interest in the matter, or with actual knowledge that none existed. 149 Wis. 2d at 929-30, 440 N.W.2d at 555.
Comment a. to sec. 652D identifies the degree of “publicity” required to give rise to an action for invasion of privacy:
“Publicity,” as it is used in this Section, differs from “publication,” as that term is used in § 577 in connection with liability for defamation. “Publication,” in that sense, is a word of art, which includes any communication by the defendant to a third person. “Publicity,” on the other hand, means that the matter is made public, by communicating it to the public at large, or to so many persons that the matter must be regarded as substantially certain to become one of public knowledge.
The publicity element has been examined by courts in other jurisdiction with differing results.9
C. Negligent Infliction of Emotional Distress
Hillman alleges negligent infliction of emotional distress. Generally, to recover for negligent infliction of emotional distress, the “plaintiff‘s emotional distress must be manifested by physical injury.” Garrett v. City of New Berlin, 122 Wis. 2d 223, 231, 362 N.W.2d 137, 142 (1985) (citation omitted). In La Fleur v. Mosher, 109 Wis. 2d 112, 116, 325 N.W.2d 314, 318 (1982), the court carved out an exception to the physical injury requirement, where the emotional distress resulted from negligent confinement of a fourteen-year-old girl in a prison cell. Id. at 119, 325 N.W.2d at 317. The court subsequently emphasized that “[o]ur holding in La Fleur was very narrow.” Garrett, 122 Wis. 2d at 235, 362 N.W.2d at 144.
D. Intentional Infliction of Emotional Distress
Hillman also alleges intentional infliction of emotional distress. To establish intentional infliction of emotional distress, a plaintiff must show: (1) that defendants’ conduct was intended to cause emotional distress; (2) that the conduct was extreme and outrageous; (3) that the conduct was the cause of the plaintiff‘s injury; and (4) that the emotional distress was extreme and disabling. Anderson v. Continental Ins. Co., 85 Wis. 2d 675, 695, 271 N.W.2d 368, 378 (1978).
Hillman‘s complaint states that he has “suffered severe mental distress.” We need not address whether the allegation of “severe mental distress” is fatally conclusory, because Hillman nowhere alleges that the distress was disabling. We conclude Hillman has failed to state a claim for intentional infliction of emotional distress.
E. Defendants’ Answer
We next examine defendants’ answer to determine whether a material factual issue is presented. Homa v. East Towne Ford, Inc., 125 Wis. 2d 73, 81, 370 N.W.2d 396, 592, 596 (Ct. App. 1985). Defendants’ answer joined the issue by generally denying Hillman‘s factual allegations that prison employees discussed Hillman‘s HIV positive status with other prison employees and inmates.
Defendants assert that they are immune from suit because decisions made by jail employees regarding disclosure of Hillman‘s HIV positive status were quasi-judicial. Under
“The general rule is that a public officer is not personally liable to one injured as a result of an act performed within the scope of his official authority and in the line of his official duty.” Lister v. Board of Regents, 72 Wis. 2d 282, 300, 240 N.W.2d 610, 621 (1976) (footnote omitted).
Defendant James Smith was the sheriff of Columbia County while Hillman was incarcerated there and was responsible for supervising jail operations. The other individual defendants were employed as deputies and jailers.
Hillman alleges that several of the individual defendants escorted him to and from the hospital when his diabetes was treated. Others were responsible for maintaining Hillman‘s cell and feeding him. None of the individual defendants, Hillman maintains, were medical personnel or were proper recipients of medical information.
F. Defendants’ Proof
We next examine the defendants’ affidavits and other proof to determine whether they have made a prima facie case for summary judgment. Grams v. Boss, 97 Wis. 2d 332, 338, 294 N.W.2d 473, 476-77 (1980). Defendants’ principal contention is that the jail employees never read Hillman‘s medical records and, thus, never disclosed his condition to anyone. They maintain that prison personnel and inmates deduced his condition from his chronic medical problems.
In opposition to the motion, Hillman submitted his deposition testimony. He deposed:
Returning from University Hospital [after] being discharged and sent back to the Columbia County Jail, I was placed in one of the cells that are in the office area, the deputy‘s office . . . .
. . . And you could see through the food chutes . . . the deputy‘s desk where your paper work is handed in . . . . [You] could see them reading your medical charts . . . They were taking it, reading it and then putting it inside of a file cabinet that‘s right there in the office.
Hillman also submitted the deposition of Dr. Mark Cecil, a jail physician, who stated:
A. I told [Hillman] I found these records open in the jail. . . .
Q. Would you please tell me what happened in that incident?
A. I found the records. I put them in his medical chart immediately.
Q. What sort of records were they?
A. Records concerning his hospital stay.
Q. Where did you find them?
A. In the cabinet in the jail‘s office.
“Summary judgment is appropriate when material facts are not in dispute and when inferences which may reasonably be drawn from the facts are not doubtful and lead only to one conclusion.” Radlein v. Industrial Fire & Casualty Ins. Co., 117 Wis. 2d 605, 609, 345 N.W.2d 874, 877 (1984) (citations omitted). The affidavits submitted by the parties give rise to conflicting inferences, each reasonable, regarding whether defendants were the source of the disclosure of Hillman‘s HIV positive condition. We conclude that defendants have not established a
IV. 42 U.S.C. § 1983
A. Constitutional Right to Privacy
Hillman alleges that defendants violated his constitutional right to privacy. We first examine whether Hillman has a constitutionally protected right to nondisclosure of his HIV positive status. If disclosure of Hillman‘s HIV positive status is not constitutionally prohibited, there is no “constitutional violation to support a section 1983 claim.” Doe v. Borough of Barrington, 729 F. Supp. 376, 382 (D.N.J. 1990).
The United States Supreme Court has recognized that the fourteenth amendment extends protection to at least two different types of privacy interests: “One is the individual interest in avoiding disclosure of personal matters, and another is the interest in independence in making certain kinds of important decisions.” Whalen v. Roe, 429 U.S. 589, 599-600 (1977) (footnotes omitted). Cases examining the latter interest have involved “matters relating to marriage, procreation, contraception, family relationships, and child rearing and education.” Paul v. Davis, 424 U.S. 693, 713 (1976). The privacy interest implicated in this case concerns the former interest—“the right not to have an individual‘s private affairs made public by the government.” United States v. Westinghouse Elec. Corp., 638 F.2d 570, 577 (3d Cir. 1980).
In Woods v. White, 689 F. Supp. 874 (W.D. Wis. 1988), aff‘d, 899 F.2d 17 (7th Cir. 1990), the plaintiff
Denying defendants’ motion for judgment on the pleadings, the court concluded:
Given the most publicized aspect of the AIDS disease, namely that it is related more closely than most diseases to sexual activity and intravenous drug use, it is difficult to argue that information about this disease is not information of the most personal kind, or that an individual would not have an interest in protecting against the dissemination of such information. I find that plaintiff has a constitutional right to privacy in his medical records.
Woods, 689 F. Supp. at 876 (citation omitted; footnote omitted).
In Doe v. Coughlin, 697 F. Supp. 1234 (N.D.N.Y. 1988), the district court held that prison inmates’ right to privacy were violated by a policy of involuntarily transferring inmates who had tested HIV positive to a segregated facility. Id. at 1236-37. Citing Woods with approval, the court held that “prisoners subject to this program must be afforded at least some protection against the non-consensual disclosure of their diagno-
B. Individual Defendants Smith, Zanow, Anacker, Gove and Zimmerman—Qualified Immunity
To state a claim against the individual defendants under
We concluded previously that Hillman‘s allegations stated a claim that he has been deprived of a right secured by the United States Constitution. Hillman alleges that during the disclosure, the individual defendants were acting in their capacity as jail employees. Hillman‘s complaint states a claim that defendants were acting under color of law.
Addressing a similar claim, the court in Woods stated:
I think it would have been clear to a competent public official in 1986 that individuals had a constitutional right to privacy in information relating to AIDS. However, defendants’ argument assumes that the conduct in question was part of their discretionary functions. . . . Casual, unjustified dissemination of confidential medical information to non-medical staff and other prisoners can scarcely be said to belong to the sphere of defendants’ discretionary functions. Therefore, the defense of qualified immunity is not available to defendants.
689 F. Supp. at 877 (citations omitted).
We agree. We conclude the individual defendants are not immune from suit under the qualified immunity doctrine. In addition, we conclude that the affidavits submitted by Hillman, discussed previously, are sufficient to raise disputed issues of material fact as to whether the individual defendants disclosed Hillman‘s HIV positive status to jail employees and inmates. We thus conclude that the trial court erred by granting sum-
C. Columbia County
Respondeat superior may not serve as the basis for imposing § 1983 liability. See Monell v. New York City Dep‘t of Social Services, 436 U.S. 658, 691 (1978). To maintain an action against Columbia County, Hillman must show that the actions that are alleged to be unconstitutional implement or were taken pursuant to a municipal policy or custom. Id. at 690-91. Municipal liability will attach only where there is a “direct causal link between a municipal policy or custom and the alleged constitutional deprivation.” City of Canton v. Harris, 489 U.S. 378, 385 (1989).
Hillman alleges that Columbia County “developed and enforced inadequate policies and customs for staff and inmates at the Columbia County Jail, and . . . failed to train and supervise . . . employees of the Columbia County Jail.”12 In City of Canton, the plaintiff was arrested by the Canton Police Department and brought to the police station in a patrol wagon. Although the plaintiff‘s actions evidenced a need for immediate medical treatment, no medical attention was summoned. Id. at 381. Plaintiff alleged that she had been denied proper medical help because the police were not adequately trained. Id. at 382.
[W]hether such inadequate training can justifiably be said to represent “city policy.” It may seem contrary to common sense to assert that a municipality will actually have a policy of not taking reasonable steps to train its employees. But it may happen that in light of the duties assigned to specific officers or employees the need for more or different training is so obvious, and the inadequacy so likely to result in the violation of constitutional rights, that the policymakers of the city can reasonably be said to have been deliberately indifferent to the need.
Id. at 390 (footnote omitted).
In support of its motion for summary judgment, Columbia County submitted a department policy statement, stating that “[m]edical records shall be maintained separately from confinement records, and shall be confidential.” In addition, they submitted a policy article prepared in July 1986 by Dr. Mark Cecil, a jail physician, entitled “Preventing the Spread of the A.I.D.S. Virus in the Jail Setting.” The article states, in part:
C. Guidelines For Inmates Who Are Known Carriers of A.I.D.S. Virus
1. Confidentiality: By law (State Statutes
146.025 ,146.81 ,146.82 ), the diagnosis of A.I.D.S. or that an individual is an A.I.D.S. carrier is to be kept confidential. Jail staff (except for jail medical personnel) and any outside person who request such information may not be informed without the affectedinmate‘s permission or court order. [Emphasis in original.]
Cecil deposed that he made twenty copies of the article and “gave them all to Sheriff Ohnesorge, the previous sheriff here, to distribute them to all the staff and jailers. I also put one in the back of . . . a little booklet that has my orders to the jailers.” In addition, Cecil stated that he personally conducted a training session of all jail employees regarding AIDS.
In opposition, Hillman submitted the affidavit of a jailer who stated that he could not recall receiving any information regarding AIDS. Hillman also submitted the depositional testimony of Cecil, who deposed that his recommendations did not constitute official jail policy.
Only where a failure to train “reflects a ‘deliberate’ or ‘conscious’ choice by a municipality,” can it be held liable for such a failure under § 1983. City of Canton, 489 U.S. at 389. While Hillman‘s submissions may raise a question of whether Columbia County had adopted a policy of nondisclosure, the precise issue is whether Columbia County‘s actions amounted to “deliberate indifference.”
We believe the evidence presented by defendants rebuts any reasonable inference that Columbia County was deliberately indifferent to Hillman‘s rights. The fact that Cecil had promulgated a policy statement evidences the county‘s awareness of the problem and attempt to deal with it. While other actions may have been desirable, failure to take them did not amount to deliberate indifference.
V. SUMMARY
In summary, we conclude the trial court erred by dismissing the following claims on summary judgment: (1) public disclosure of private facts,
By the Court.—Judgment affirmed in part; reversed in part and cause remanded with instructions.
SUNDBY, J. (concurring in part; dissenting in part). I concur in all parts of the decision except, contrary to the majority, I conclude that Hillman states a claim against the defendants for their disclosure of the results of his HIV testing, contrary to
The holding of Van Straten is very narrow. The court held that
If there is ambiguity in
Listed below are the points Rep. John Robinson and I would like included in the budget bill relating to confidentiality and the testing for Acquired Immune Deficiency Syndrome (AIDS) antibody. The purpose of this amendment, which is patterned after the recently enacted California statute, is to guarantee the confidentiality of people whose blood is tested by
private or public physicians, clinics or research facilities. This amendment would: . . .
2. prohibit the disclosure of the results of the blood test in all circumstances except to the subject of the test, and then only if the subject agrees to being informed . . . .
The drafting records of
I note that essentially the same legislative format is used in
Notes
Every person who, under color of any statute, ordinance, regulation, custom, or usage, of any State or Territory or the District of Columbia, subjects, or causes to be subjected, any citizen of the United States or other person within the jurisdiction thereof to the deprivation of any rights, privileges, or immunities secured by the Constitution and laws, shall be liable to the party injured in an action at law, suit in equity, or other proper proceeding for redress.
