OPINION AND ORDER
Plaintiff, the Oregon Prescription Drug Monitoring Program (PDMP) brought this action for declaratory relief against the United States Drug Enforcement Administration (DEA) pursuant to 28 U.S.C. § 2201 to determine its rights and obligations in complying with administrative subpoenas issued by the DEA. The American Civil Liberties Union of Oregon, Inc., John Does 1-4, and Dr. James Roe, M.D. (collectively “ACLU” or “intervenors”), intervened in this matter pursuant to Federal Rule of Civil Procedure 24(a) over the objections of the DEA in order to raise arguments regarding intervenors’ protected health information and Fourth Amendment rights. All parties have moved for summary judgment. For the following reasons, the ACLU’s Motion for Summary Judgment [27] is granted, the PDMP’s Motion for Summary Judgment [24] is denied as moot, and the DEA’s Cross Motions for Summary Judgment [40 and 42] are denied.
BACKGROUND
In 2009, the Oregon legislature created the PDMP, an electronic database maintained by the Oregon Health Authority to record information about prescriptions of drugs classified in Schedules II-IV under the federal Controlled Substances Act (CSA).
Depending on the drug prescribed, the information reported to PDMP can reveal a great deal of information regarding a particular patient including the condition treated by the prescribed drug. Schedule II-IV drugs can be used to treat a multitude of medical conditions including AIDS, psychiatric disorders, chronic pain, drug or alcohol addiction, and gender identity disorder.
Pursuant to Oregon statute, prescription monitoring information uploaded to the PDMP constitutes “protected health information” and is not subject to disclosure except in limited circumstances. ORS 431.966. A physician or pharmacist may access patient records in the PDMP only if they “certif[y] that the requested information is for the purpose of evaluating the need for or providing medical or pharmaceutical treatment for a patient to whom the practitioner or pharmacist anticipates providing, is providing or has provided care.” ORS 431.966(2)(a)(A), Relevant to this case, the PDMP may also disclose patient information “[pjursuant to a valid court order based on probable cause and issued at the request of a federal, state or local law enforcement agency engaged in an authorized drug-related investigation involving a person to whom the requested information pertains.” Id. at 431.966(2)(a)(C). The PDMP’s public website repeatedly references the privacy protections afforded prescription information and informs visitors that law enforcement officials may not obtain information “without a valid court order based on probable cause for an authorized drug-related investigation of an individual.” See, e.g., Oregon PDMP, Frequently Asked Questions, (January 31, 2014, 10:12 AM), http://www. orpdmp.com/faq.htmk
The CSA empowers the Attorney General, and executive agencies acting pursuant to his authority, with broad authority to issue administrative subpoenas to investigate drug crimes. 21 U.S.C. § 876. Pursuant to § 876(a) “the Attorney General may subpoena witnesses, compel the attendance and testimony of witnesses, and require the production of any records (including books, papers, documents, and other tangible things which constitute or contain evidence) which the Attorney General finds relevant or material to” an investigation regarding controlled substances. These administrative subpoenas are not self enforcing, and “[i]n the case of contumacy by or refusal to obey a subpoena issued to any person, the Attorney General may invoke the aid of any court of the United States within the jurisdiction of which the investigation is carried on ... to compel compliance with the subpoena.” Id. at § 876(c). While there is no penalty
The DEA has sought to utilize § 876 subpoenas to obtain prescription records from the PDMP. However, the PDMP has refused to comply with the administrative subpoenas on the basis that to do so would violate Oregon law. In at least one instance, the DEA obtained judicial enforcement of a § 876 subpoena against the PDMP for the production of all Schedule II-IV controlled substance prescriptions issued by a particular physician during the course of approximately seven months. United States v. Oregon Prescription Drug Monitoring Program, 3:12-mc-00298 (D.Or. Aug. 27, 2012). In that matter, the magistrate judge found ORS 431.966’s court order requirement to be preempted by § 876. However, the PDMP was not provided with an opportunity to contest the validity of the subject administrative subpoena. The State of Oregon complied with the court enforced subpoena in that matter, however, additional subpoenas have since been issued to the PDMP and the State of Oregon continues to maintain its position that it cannot comply with such subpoenas absent a court order.
On September 11, 2012, the DEA issued an administrative subpoena to the PDMP demanding the prescription records for an individual patient and on September 17, 2012, the DEA issued another administrative subpoena to the PDMP demanding a summary of all prescription drugs prescribed by two physicians. The PDMP objected to each subpoena on the basis that disclosure of the requested information would violate Oregon law. Shortly thereafter, the PDMP initiated this action for declaratory relief asking this court to determine whether the Supremacy Clause of the United States Constitution and § 876 preempt ORS 431.966.
The ACLU intervened in this matter pursuant to Federal Rule of Civil Procedure 24(a) in order to raise arguments regarding intervenors’ protected health information and Fourth Amendment Rights. The four John Does each utilize prescribed Schedule II-IV substances for the treatment of various medical conditions. John Doe 1 is a retired CEO and currently takes two Schedule II drugs to treat extreme pain caused by recurring kidney stones. John Doe 2, an attorney, and John Doe 4, a medical student, have both been diagnosed with gender identity disorder and utilize prescription testosterone, a Schedule III drug, for hormone replacement therapy. John Doe 3 is a small business owner and takes alprazolam, a Schedule IV drug, to treat anxiety and post-traumatic stress disorders as well as Vicodin, a Schedule III drug, as a pain reliever. Each of the John Does considers his health information to be private and is distressed that the DEA might obtain his prescription information, and by extension information about his medical conditions, without a warrant.
Doctor James Roe, M.D., is an internist who primarily treats geriatric and hospice patients and as a consequence, prescribes more Schedule II-IV drugs than a typical physician, He has been interviewed and investigated by the DEA in the past, and is concerned that his patients’ prescription records have been accessed or may be accessed without a warrant. He asserts that pressure from the DEA has resulted in changes to his prescribing practices. STANDARDS
Summary judgment is appropriate “if the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.” Fed.R.Civ.P. 56(a). In this case,
DISCUSSION
Each of the parties has moved for summary judgment. The DEA contends that § 876 preempts ORS 431.966’s court order requirement pursuant to the Supremacy Clause of the United States Constitution and that the PDMP should be ordered to comply with the DEA’s administrative subpoenas. Additionally, the DEA contends that intervenors do not have standing to present their arguments concerning the Fourth Amendment, that their claims are not ripe, and that they do not have a protected privacy interest in their prescription records. The PDMP’ contends that, at most, only ORS 431.966’s probable cause requirement is preempted as § 876 subpoenas are not self-enforcing. Intervenors contend that the administrative subpoenas are unlawful as they violate the Fourth Amendment.
A. Standing and Ripeness
The DEA contends that intervenors do not have standing to present their arguments related to the Fourth Amendment. Intervenors contend that they do not need Article III standing in accordance with Ninth Circuit precedent, and in any case, do have such standing.
This court previously permitted the ACLU to intervene in this matter pursuant to Federal Rule of Civil Procedure 24(a). There is no basis to reconsider that ruling here. Rather, the question is whether Article III erects any barriers to the justiciability of intervenors’ arguments concerning the Fourth Amendment.
In the Ninth Circuit, courts “resolv[e] intervention questions without making reference to standing doctrine.” Portland Audubon Soc. v. Hodel,
Were intervenors pursuing claims wholly distinct from those of the PDMP, this court might find cause to conduct a standing analysis. See e.g. San Juan County, Utah v. United States,
The court also concludes that intervenors’ claims are ripe for adjudication. “Whether framed as an issue of standing or ripeness, the inquiry is largely the same: whether the issues presented are ‘definite and concrete, not hypothetical or abstract.’ ” Wolfson v. Brammer,
B. Fourth Amendment
The Fourth Amendment provides protection against “unreasonable searches and seizures.” U.S. Const. amend. IV. “[SJearches conducted outside the judicial process, without prior approval by judge or magistrate, are per se unreasonable under the Fourth Amendment— subject only to a few specifically established and well-delineated exceptions.” Katz v. United States,
The Fourth Amendment protects people, not places, and to invoke the protections of the Fourth Amendment, a person must first show that they have “an actual (subjective) expectation of privacy and, second, that the expectation be one that society is prepared to recognize as ‘reasonable.’ ” Katz,
It is clear from the record that each of the patient intervenors has a subjective expectation of privacy in his prescription information, as would nearly any person who has used prescription drugs. Each has a medical condition treated by a Schedule II-IV drag and each considers that information private. Doctor James Roe also has a subjective expectation of privacy in his prescribing information. See Decl. Dr. James Roe (describing his duty of confidentiality to his patients and how law enforcement has made doctors, including himself, reluctant to prescribe schedule II-IV drugs where medically indicated). By reviewing doctors’ prescribing information, the DEA inserts itself into a decision that should ordinarily be left to the doctor and his or her patient. Because each of the individual intervenors has a subjective expectation of privacy, the question becomes whether intervenors’ subjective expectations of privacy are expectations that society is prepared to recognize as reasonable.
There is “no talisman that determines in all cases those privacy expectations that society is prepared to accept as reasonable.” O’Connor v. Ortega,
Medical records, of which prescription records form a not insignificant part, have long been treated with confidentiality. The Hippocratic Oath has contained provisions requiring physicians to maintain patient confidentiality since the Fourth Century B.C.E. The ACLU cites compelling evidence demonstrating that a number of signers of the Declaration of Independence and delegates to the Constitutional Convention were physicians trained at the University of Edinburgh, which required its graduates to sign an oath swearing to preserve patient confidentiality. Baker Deck ¶¶ 4-10. It is not surprising that privacy protections for medical records have not only been placed in Oregon law, but are also enshrined in certain aspects of federal law. See, e.g., Health Insurance Portability and Accountability Act, Privacy Rule, 45 C.F.R. § 164.512 (providing protections for “protected health information”).
In Whalen v. Roe, the Supreme Court had occasion to consider the right to informational privacy in prescription records under the Due Process Clause of the Fourteenth Amendment.
In Ferguson v. City of Charleston, the Supreme Court analyzed medical records under the Fourth Amendment.
The Ninth Circuit has also had occasion to evaluate whether patients and doctors have a reasonable expectation of privacy in medical records protected by the Fourth Amendment, In Tucson Woman’s Clinic v. Eden, the Ninth Circuit evaluated an Arizona regulation that required abortion clinics to submit to warrantless inspections by the Arizona Department of Human Services.
The DEA contends that even if intervenors have a reasonable expectation of privacy in their prescription records, the DEA may still utilize administrative subpoenas to obtain the records and that the “third-party doctrine” undermines any expectation of privacy. The DEA relies on United States v. Golden Valley Elec. Ass’n,
It is sufficient for Fourth Amendment purposes if the inquiry is within the authority of the agency, the demand is not too indefinite and the information sought is reasonably relevant. The gist of the protection is in the requirement, expressed in terms, that the disclosure sought shall not be unreasonable.
Id. (quoting Reich v. Montana Sulphur & Chemical Co.,
Lastly, the DEA contends that intervenor-plaintiffs expectation of privacy is unreasonable pursuant to the “third party doctrine.” Under that theory, an individual does not have a reasonable expectation of privacy in information held by a third party. See e.g., United States v. Miller,
However, this case is markedly different from Miller and Smith for two reasons. The first is that the PDMP’s records are “more inherently personal or private than bank records,” and are entitled to and treated with a heightened expectation of privacy. Golden Valley Elec. Ass’n,
Because the court concludes that the DEA’s use of administrative subpoenas to obtain prescription records from the PDMP violates the Fourth Amendment, the court does not reach the issues raised pursuant to the Supremacy Clause.
CONCLUSION
For the foregoing reasons, the ACLU’s Motion for Summary Judgment [27] is GRANTED, the PDMP’s Motion for Summary Judgment [24] is DENIED AS MOOT, and the DEA’s Cross Motions for
IT IS SO ORDERED.
Notes
. The CSA, 21 U.S.C. § 801 et seq., classifies drugs into five schedules. Schedule I consists
. It is unclear when, if ever, the DEA believes a challenge brought pursuant to the Fourth Amendment would be ripe, The DEA does not notify its targets of its investigations, and even if an individual were prosecuted, it is uncertain whether the DEA would notify that individual regarding the DEA's use of administrative subpoenas to gather evidence.
. Citing Whalen, the Ninth Circuit balanced five factors in weighing the governmental interest in obtaining information against the
. The DEA argues that because there are privacy protocols within the DEA, and risk of public disclosure of prescription information is low, there is no violation of patients’ privacy interests. The Fourth Amendment was not designed to protect public disclosure of individuals’ private information, but to protect people from government intrusion. The DEA also contends that there is no reasonable expectation of privacy because the DEA can request records from individual pharmacies. Whether or not such requests would conform with the Fourth Amendment is not before the court and the DEA’s ability to obtain limited prescription information in a more cumbersome manner is irrelevant to this court’s analysis of the administrative subpoenas at issue.
