STEPHEN J. HILLMAN, Magistrate Judge.
WHEREAS, discovery, briefs and other documents filed with the Court in the above-captioned litigation will involve documents containing sensitive, personal information relating to medical services and other protected health information subject to various state and federal privacy laws, including, for example, the Standards for Privacy of Individually Identifiable Health Information, 45 C.F.R. § 164.512, promulgated pursuant to the Health Insurance Portability and Accountability Act of 1996 ("HIPAA"), such that public disclosure may violate patients' privacy rights regarding their personal health and other information.
WHEREAS, discovery, briefs and other documents filed with the Court in the above-captioned litigation may require Defendants to produce proprietary, commercial, private and/or confidential information not otherwise in the public domain, which may contain, among other things, Defendants' trade secrets, rate structures, price lists, pricing data, financial information, business plans, computer software and programs, data technologies, systems, structures, and architectures, such that public disclosure may result in financial damage to Defendants' business relationships or adversely affect Defendants' competitive strategies.
WHEREAS, the parties in the above-captioned litigation have agreed that it is necessary to establish common procedures to limit the necessity for objections or subsequent motions seeking to limit discovery and/or the use of such information, and facilitate the disposition by the Court of any disputes or problems that may arise in connection with discovery, court proceedings, or other use of this information, that it would serve the interests of the parties and any third parties to conduct discovery under this Stipulated Protective Order ("Order").
WHEREAS, the parties do not intend this Order to restrict the dissemination of information gained by means other than through the discovery process.
WHEREAS, this Order provides reasonable restrictions on the disclosure of protected health information and other confidential information and will promote a free exchange of documents and information, facilitate and diminish the Court's involvement in discovery proceedings, and move the case along more rapidly and at less cost.
WHEREAS, the parties acknowledge that this Order does not confer blanket protections on all disclosures or discovery responses, but only extends confidential treatment to the limited information or items defined in this Order. Further, the parties acknowledge that this Order creates no entitlement to file all confidential information under seal. The relevant civil rules and Local Rule 79-5 set forth the procedures that must be followed and the standards that will be applied when a party seeks permission from the Court to file material under seal.
THEREFORE, pursuant to Federal Rule of Civil Procedure 26(c), the Standards for Privacy of Individually Identifiable Health Information, 45 C.F.R. § 164.512, promulgated pursuant to HIPAA, and other laws and regulations, and with the consent of the parties, and for good cause shown as reflected in the above clauses,
IT IS HEREBY ORDERED:
The following definitions shall apply to this Order:
a. "Protected Information" means any document or information supplied in any form designated by a Producing Party, as defined herein, as "CONFIDENTIAL," "HIGHLY CONFIDENTIAL," "PROTECTED HEALTH INFORMATION" or "PROTECTED PSYCHOTHERAPY NOTES" in one or more of the following ways provided in Paragraphs 3 to 6 below.
b. All Protected Information may be designated (and marked accordingly) as "CONFIDENTIAL," "HIGHLY CONFIDENTIAL," "PROTECTED HEALTH INFORMATION" or "PROTECTED PSYCHOTHERAPY NOTES."
c. Information designated as "CONFIDENTIAL" is information that is not in the public domain and contains employee information, financial data and information, and any other information that may reasonably be characterized by a party as intellectual property, trade secrets, or confidential or proprietary information. For purposes of this Order, "trade secret" shall mean any formula, compilation, program, plan, device, design, method, technique, process or other information used in the Producing Party's business and for which confidentiality has been reasonably maintained; "proprietary" information shall mean any information regarding a party's finances, processes, products, services, research and development, sales and marketing, strategies, and technologies.
d. Information designated as "HIGHLY CONFIDENTIAL" is "CONFIDENTIAL" information, such as trade secrets, customer lists, rate structures, price lists, pricing data, market surveys, business plans, and proprietary software, that derives economic value, actual or potential, from not being generally known to competitors and potential competitors, that is the subject of reasonable efforts to maintain its secrecy, that is so competitively sensitive that disclosure of the information justifies imposing the requirement that no other parties or the parties' inside counsel may view the information, and for which the Producing Party reasonably believes that it is entitled to heightened protections from disclosure to competitors or potential competitors under Federal Rule of Civil Procedure 26(c).
e. "PROTECTED HEALTH INFORMATION" means information supplied in any form, or any portion thereof, that identifies an individual or patient in any manner or for which there is a reasonable basis to believe could be used to identify an individual or patient, and (i) relates to the past, present, or future physical or mental health or condition of such individual or patient, (ii) the provision of health care, services or supplies to such individual or patient, or (iii) the past, present, or future payment for the provision of health care to such individual or patient. "PROTECTED HEALTH INFORMATION" includes, but is not limited to, the following information when it identifies an individual or subscriber: dispatch records, physician certification statements ("PCS"), run sheets, medical bills, claim forms, admission forms, intake forms, evaluation forms, Consultation Summary forms, discharge forms, claims data, grievances or appeals, charge sheets, medical records, medical charts, test results, evaluations, notes, dictation, invoices, itemized billing statements, remittance advice forms, explanations of benefits, checks, notices, and requests, as well as any summaries or compilations of the information contained in these documents, to the extent that such summaries or compilations themselves include "PROTECTED HEALTH INFORMATION." "PROTECTED HEALTH INFORMATION" is intended to encompass any patient health information protected by any state or federal law, including, but not limited to, "protected health information" as such term is defined by the Standards of Privacy of Individually Identifiable Health Information, 45 C.F.R. § 160.103, promulgated pursuant to HIPAA, and includes the following subscriber, patient, or member identifiers:
"PROTECTED HEALTH INFORMATION" includes only that information which identifies a patient, member or subscriber. Health information or records that do not identify a patient, member or subscriber and with respect to which there is no reasonable basis to believe that the information can be used to identify a patient, member or subscriber are not considered "PROTECTED HEALTH INFORMATION."
f. "PROTECTED PSYCHOTHERAPY NOTES" means notes recorded, in any medium, by a health care provider who is a mental health professional documenting or analyzing the contents of conversation during a private counseling session or a group, joint, or family counseling session and that are separated from the rest of the individual's medical record. "PROTECTED PSYCHOTHERAPY NOTES"
Unless agreed upon by the Producing Party, authorized by the patient, or otherwise ordered by the Court, a Producing Party shall redact all information qualifying as "PROTECTED PSYCHOTHERAPY NOTES" before producing documents that originally contained "PROTECTED PSYCHOTHERAPY NOTES." Any such redactions shall be limited only to that information within a document that qualifies as "PROTECTED PSYCHOTHERAPY NOTES." To maintain patient confidentiality, "PROTECTED PSYCHOTHERAPY NOTES" in which the Producing Party has redacted qualifying information or has taken other suitable precautions in order to protect the privacy of members, subscribers, or patients will be considered "HIGHLY CONFIDENTIAL" under the terms of this Order.
g. "Covered Entity" shall have the meaning as such term is defined by the Standards for Privacy of Individually Identifiable Health Information, 45 C.F.R. §160.103, promulgated pursuant to HIPAA.
h. "Document" shall have the same full meaning as defined by Federal Rule of Civil Procedure 34(a)(1)(A).
i. "Legend" as used herein shall mean a stamp or similar insignia stating "CONFIDENTIAL," "HIGHLY CONFIDENTIAL," "PROTECTED HEALTH INFORMATION," "PROTECTED PSYCHOTHERAPY NOTES" or other appropriate term or terms connoting the confidentiality of the document. When any document is designated "CONFIDENTIAL," "HIGHLY CONFIDENTIAL," "PROTECTED HEALTH INFORMATION" or "PROTECTED PSYCHOTHERAPY NOTES" pursuant to this Order, the Legend shall be affixed to the cover of such document and to any page therein containing Protected Information.
j. "CONFIDENTIAL," "HIGHLY CONFIDENTIAL," "PROTECTED HEALTH INFORMATION" and "PROTECTED PSYCHOTHERAPY NOTES" may be collectively referred to herein as "Protected Information."
k. "Litigation" shall refer to the above-captioned action, including any appeals of such action through final judgment.
l. "Producing Party" shall mean any Party to this litigation, or any other person or entity producing documents, information, or other materials in the Litigation, including any Covered Entity or Third Party.
m. "Receiving Party" shall mean any Party that receives documents, information, or other materials from a Producing Party in this Litigation, including any Covered Entity.
n. "Parties" collectively shall mean all named parties to the Litigation.
o. "Third Party" shall mean any individual, corporation, entity, association or other natural person or entity that is not one of the Parties.
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a. Parties to the Litigation may designate such documents by sending written notice of such designation, accompanied by copies of the designated document bearing the Legend, to all other Parties in possession or custody of such previously undesignated document or by reference to a Bates number of the document. Within thirty (30) days of receipt of such notice, or such other time as may be agreed upon by the Parties, any Parties receiving such notice and copy of the designated document pursuant to this subparagraph shall return to the designating Party all undesignated copies of such document in their custody or possession, or alternatively shall affix the Legend to all copies of such designated document in their custody or possession.
b. Upon notice of designation pursuant to this Paragraph, the Parties also shall: (i) make no further disclosure of such designated document or information contained therein, except as allowed under this Order; (ii) take reasonable steps to notify any persons who were provided copies of such designated document of the terms of this Order; and (iii) take reasonable steps to reclaim any such designated document in the possession of any person not permitted access to such information under the terms of this Order. No Party shall be deemed to have violated this Order if, prior to notification of any subsequent designation, such information has been disclosed or used in a manner inconsistent with the subsequent designation.
c. The Parties shall serve a copy of this Order simultaneously with any discovery request made to a Third Party.
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The Parties will use their best efforts to limit the number of documents that will be considered for sealed filing. If such a motion is made, no party will object to any other party's request for in camera review of the contested documents. Failure by a party to make such an objection shall not be deemed a waiver of any other objection. The designated document shall maintain its original "CONFIDENTIAL," "HIGHLY CONFIDENTIAL," "PROTECTED HEALTH INFORMATION" or "PROTECTED PSYCHOTHERAPY NOTES" status pending a determination by the Court.
9. The Parties (and their attorneys) are hereby authorized to receive, request, subpoena and transmit Protected Information pursuant to the terms of this Order.
10.
a. the Parties, including their current employees;
b. the Parties' inside counsel, if any, and employees of the Parties' inside counsel who are acting under the direct and control of such counsel and who are necessary to assist such counsel in this Litigation;
c. the Producing Party, including its current employees, and any indicated author or recipient of the material;
d. the Parties' respective outside counsel, and employees of the Parties' outside counsel who are acting under the direction and control of such counsel and who are necessary to assist such counsel in this Litigation;
e. clerical personnel, litigation personnel, and vendors who are acting under the direction of the Parties' counsel and who are necessary to assist such counsel in this Litigation;
f. independent consultants or experts retained in connection with this Litigation by the Parties' or their counsel, but only for the purposes of prosecuting, defending, or settling this Litigation;
g. any person likely to testify as a witness at a deposition, hearing, mediation, trial or other proceeding in this Litigation, but only to the extent necessary for the preparation of testimony or during testimony in a proceeding in this Litigation;
h. stenographers or court reporters, but only to the extent necessary to prepare records of sworn testimony in the Litigation;
i. magistrate judges, judges, clerks, or other members or employees of any court of competent jurisdiction over proceedings in or related to this Litigation; and
j. any other person agreed to in writing by the Producing Party or by further order of the Court.
11.
a. the Producing Party, including its current employees, and any indicated author or recipient of the material;
b. the Parties' respective outside counsel, and employees of the Parties' outside counsel who are acting under the direction and control of such counsel and who are necessary to assist such counsel in this Litigation;
c. clerical personnel, litigation personnel, and vendors who are acting under the direction of the Parties' counsel and who are necessary to assist such counsel in this Litigation;
d. independent consultants or experts retained in connection with this Litigation by the Parties' or their counsel, but only for the purposes of prosecuting, defending, or settling this Litigation;
e. any person likely to testify as a witness at a deposition, hearing, mediation, trial or other proceeding in this Litigation, but only to the extent necessary for the preparation of testimony or during testimony in a proceeding in this Litigation;
f. stenographers or court reporters, but only to the extent necessary to prepare records of sworn testimony in the Litigation;
g. magistrate judges, judges, clerks, or other members or employees of any court of competent jurisdiction over proceedings in or related to this Litigation; and
h. any other person agreed to in writing by the Producing Party or by further order of the Court.
12.
a. the Producing Party and any indicated author or recipient of the material;
b. the Parties' counsel of record, and employees of the Parties' counsel of record, such as paralegals, who are acting under the direction and control of such counsel and who are necessary to assist such counsel in this Litigation;
c. independent consultants or experts retained in connection with this Litigation by the Parties' counsel of record, but only for the purposes of prosecuting, defending, or settling this Litigation;
d. any person likely to testify as a witness at a deposition, hearing, mediation, trial or other proceeding in this Litigation, but only to the extent necessary for the preparation of testimony or during testimony in a proceeding in this Litigation;
e. stenographers or court reporters, but only to the extent necessary to prepare records of sworn testimony in the Litigation;
f. magistrate judges, judges, clerks, and other members or employees of any court of competent jurisdiction over proceedings in or related to this Litigation provided that documents containing "PROTECTED HEALTH INFORMATION" shall be filed under seal or in such other manner as the Court shall order to protect the interests of the Producing Party and the person who is the subject of the "PROTECTED HEALTH INFORMATION."
g. Any Party or Third Party producing "PROTECTED HEALTH INFORMATION" shall ensure that the delivery of those materials to other Parties is done in a safe and secure manner so as to avoid any improper disclosure or loss of such material.
h. Any Party receiving "PROTECTED HEALTH INFORMATION" shall maintain such information and materials in a secure and safe manner, and shall exercise all reasonable standards of due and proper care with respect to the storage, custody, sharing and use of "PROTECTED HEALTH INFORMATION" to ensure that it is disclosed only to persons permitted under this Order. Such due and proper care may include storing the information on an external encrypted hard drive (and not on a shared network), never distributing "PROTECTED HEALTH INFORMATION" over email and limiting access to electronically stored information by password.
13.
a. the Producing Party and any indicated author or recipient of the material;
b. the Parties' counsel of record, and employees of the Parties' outside counsel, such as paralegals, who are acting under the direction and control of such counsel and who are necessary to assist such counsel in this Litigation;
c. independent consultants or experts retained in connection with this Litigation by the Parties' counsel, but only for the purposes of prosecuting, defending, or settling this Litigation;
d. any person likely to testify as a witness at a deposition, hearing, mediation, trial or other proceeding in this Litigation, but only to the extent necessary for the preparation of testimony or during testimony in a proceeding in this Litigation;
e. stenographers or court reporters, but only to the extent necessary to prepare records of sworn testimony in the Litigation;
f. magistrate judges, judges, clerks, and other members or employees of any court of competent jurisdiction over proceedings in or related to this Litigation provided that documents containing "PROTECTED PSYCHOTHERAPY NOTES" shall be filed under seal or in such other manner as the Court shall order to protect the interests of the Producing Party and the person who is the subject of the "PROTECTED PSYCHOTHERAPY NOTES."
g. All information qualifying as "PROTECTED PSYCHOTHERAPY NOTES" or confidential psychologist-patient communications shall be redacted prior to production in accordance with Paragraph 1(f) of this Order.
h. Any Party or Third Party producing "PROTECTED PSYCHOTHERAPY NOTES" shall ensure that the delivery of those materials to other Parties is done in a safe and secure manner so as to avoid any improper disclosure or loss of such material.
i. Any Party receiving "PROTECTED PSYCHOTHERAPY NOTES" shall maintain such information and materials in a secure and safe manner, and shall exercise all reasonable standards of due and proper care with respect to the storage, custody, sharing and use of "PROTECTED PSYCHOTHERAPY NOTES" to ensure that it is disclosed only to persons permitted under this Order. Such due and proper care may include storing the information on an external encrypted hard drive (and not on a shared network), never distributing "PROTECTED PSYCHOTHERAPY NOTES" over email and limiting access to electronically stored information by password.
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16. All information produced in accordance with this Order designated as "PROTECTED HEALTH INFORMATION" or "PROTECTED PSYCHOTHERAPY NOTES" must be kept confidential and used only for purposes of this Litigation and must not be disclosed to anyone except the persons set forth in Paragraphs 12 and 13 of this Order. All persons to whom such information is disclosed, including counsel of record, must sign the attached Agreement To Be Bound By Protective Order agreeing to the terms of this Order and submitting to the jurisdiction of this Court for enforcement of those terms.
17. These signed forms shall be maintained by counsel for the Parties who disclosed the Protected Information to such persons. Copies of signed forms shall be produced to the Court for in camera inspection if a Party requests any such inspection and demonstrates good cause in support of any such request. Nothing in this paragraph is intended to modify the application of Federal Rule of Civil Procedure 26(b)(4)(B) in this Litigation.
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19. Notwithstanding any other provision of this Order:
a. Nothing in this Order shall limit the ability of any Party or Third Party to disclose to any person Protected Information designated by it or that is a business record of that Party or Third Party, subject to the Parties' independent and ongoing obligations under state and federal laws.
b. A Party's use for any purpose of its own documents and information it produces or discloses in this Litigation shall not be considered a violation of this Order.
20. Notwithstanding any other provision of this Order, the Parties shall confer and attempt to agree before any open Court trial or public hearing on the procedures under which "CONFIDENTIAL," "HIGHLY CONFIDENTIAL," "PROTECTED HEALTH INFORMATION" or "PROTECTED PSYCHOTHERAPY NOTES" material may be used or introduced into evidence at such trial or hearing. Upon reaching agreement, the Parties shall give notice of the terms of such agreement to each Third Party producing Protected Information which may be used or introduced at such trial or public hearing. Because it would affect the public availability of material used at a trial or public hearing, any such agreement will be effective only upon Court approval. Absent agreement among the Parties, any Party upon reasonable notice to all Third Parties producing Protected Information that may be used or introduced at such trial or hearing may move the Court to issue an order governing the use of Protected Information at a trial or public hearing.
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23. The Parties and their counsel in this Litigation are hereby authorized to request, receive, subpoena, transmit and disclose Protected Information in accordance with this Order.
24. Nothing in this Order shall affect the rights of the Parties or Third Parties to object to discovery on grounds other than those related to the confidentiality of documents or information, nor shall it relieve a Party or Third Party of its obligations to properly respond or object to discovery requests, nor shall it preclude any Party or Third Party from seeking further relief or protective orders from the Court as may be appropriate under the Federal Rules of Civil Procedure or the Local Rules of the United States District Court for the Central District of California.
25. The Parties to this Litigation reserve all rights to apply to the Court for any order modifying this Order, or seeking further protection against discovery or other use of Protected Information or other information, documents, or transcripts. Nothing in this Order shall affect the rights of any Party to seek protection against the use of Protected Information that was gained by a Party or Third Party by means other than through the discovery process.
30. With respect to the handling of "CONFIDENTIAL" and "HIGHLY CONFIDENTIAL" information by the Court, any document or material introduced at trial will be presumptively available to all members of the public, including the press, unless good cause is shown to the Court to proceed otherwise.
I __________________________________, do hereby state and declare as follows:
[] I have read and I understand the Protective Order that was issued by the United States District Court for the Central District of California in the abovecaptioned case, and I agree to be bound by it.
[] I consent to the exercise of personal jurisdiction over me be the United States District Court for the Central District of California for purposes of enforcing this Agreement.
I declare under penalty of perjury that the foregoing is true and correct and that this Agreement was executed on the _____ day of _____________________ in __________________________________________[city/state].