REARDON, J.—
This action arises out of a letter written by Dr. Ann Kim disclosing her patient Michael McNair's confidential medical history and health conditions. Dr. Kim sent the letter to the Department of Motor Vehicles (DMV) against McNair's wishes due to public safety concerns. As a result, McNair's commercial driver's license was temporarily revoked, and he lost his job as a bus driver. After McNair filed suit alleging injury due to breach of his medical privacy rights, the trial court granted summary adjudication on his intentional tort cause of action and nonsuit on his breach of contract claim. Specifically, the trial court determined that McNair's intentional tort
Michael McNair obtained a commercial driver's license in 2000 and began driving approximately 25 to 30 weeks per year. McNair has a history of diabetes and cognitive deficits. Dr. Ann Kim, a staff physician and primary care internist employed by the San Francisco Department of Public Health (DPH), treated McNair from 2004 to 2006 at the Maxine Hall Health Center (MHHC). In 1996, 1997, and 2003 — while under the care of other DPH physicians — McNair signed three documents generated by the DPH entitled "Consent General Health Care" (Consents). The Consents all stated that his medical records would not be released without his written authorization, absent an articulated exception to this general rule. One such exception was situations in which the DPH was "permitted or required by law" to release the information.
In 2002, McNair saw Dr. Pope for an examination to determine whether he qualified for Social Security insurance (SSI). McNair told Dr. Pope about his prior employment and driving history. Specifically, he reported that, in the past, he had followed his own bus routes rather than those designated by his employer and was unwilling to assist passengers and follow procedures. McNair also stated that he did not like to babysit people. Further, McNair told Dr. Pope that, during one particular instance, he improperly drove a group of children from San Diego, California, to Tijuana, Mexico. McNair stated he made a mistake and "just didn't think." After his examination of McNair, Dr. Pope concluded: "Frankly, given the problems described above, I would advise serious caution in recommending that the patient's professional driving license be renewed. At present, because of his cognitive deficits, impulsivity, and poor judgment and insight, I found Mr. McNair to be unable to seek or maintain even basic employment."
The medical examination report submitted to the DMV required McNair to certify under penalty of perjury that he had provided true and correct information concerning his health. It stated that any false information could invalidate his medical examiner's certificate. However, in the medical examination report McNair provided to the DMV in 2004, McNair did not disclose that Dr. Pope had diagnosed him with reading, personality, and cognitive disorders. McNair claimed that he talked to his doctor about it and didn't think that he needed to disclose the information.
In 2005, the Homeless Advocacy Project arranged for McNair to see Dr. Joanne Keaney, Ph.D., in order for the doctor to determine if McNair would qualify for SSI benefits. Later that year, Dr. Kim asked to see Dr. Keaney's report because she was also trying to help McNair qualify for SSI benefits and believed her report would help him. On June 1, 2005, Dr. Kim wrote a letter to support McNair's application for SSI disability benefits and stated, in her opinion, that he was not able to hold down any type of full-time employment. Dr. Kim understood that the Social Security Administration wanted to know a doctor's opinion regarding whether the patient could work. If the patient could work, no benefits would be awarded. Dr. Kim believed that McNair's SSI application was eventually granted.
Thereafter, on April 20, 2006, Alameda-Contra Costa County Transit District (AC Transit) hired McNair as a bus operator. McNair began a 10-week training program on April 25, 2006, and began driving regular bus routes on July 31, 2006. He told Dr. Kim about his new full-time job driving for AC Transit on August 29, 2006.
On October 18, 2006, Dr. Kim learned from a nurse that McNair needed a doctor's note sent to the DMV explaining his absence from a DMV hearing. The hearing dealt with McNair's application for a school pupils activity bus (SPAB) certificate to drive school busses. Dr. Kim did not write a letter of absence for him because, according to her records, McNair was not at the doctor's office on the day of the hearing. She did, however, call McNair on
Nevertheless, later that day, Dr. Kim wrote a letter to the DMV concerning McNair's diagnosis of cognitive disorder NOS. As stated above, McNair did not give permission to Dr. Kim to send this letter. The letter stated:
Dr. Kim wrote the letter out of concern for McNair's safety and the safety of the public. She based her statements in the letter to the DMV on her own observations made while treating McNair at the MHHC and on the specialists' reports written by Drs. Pope and Keaney. Dr. Kim learned from Dr. Pope's report that McNair had been fired in the past for his unwillingness to assist passengers. Dr. Pope's report also detailed the incident where McNair drove a bus over the Mexican border with children on board. Dr. Kim thought these past events were relevant to his ability to drive a school bus. In his report, Dr. Pope made a recommendation that McNair should not have a license to drive commercial vehicles. Dr. Keaney's report echoed Dr. Pope's opinions regarding McNair's vocational history and his ability to drive. Dr. Kim did not think, however, that either Dr. Pope or Dr. Keaney made any report to the DMV concerning McNair.
The DMV revoked McNair's driver's license on October 23, 2006, but McNair did not learn of the revocation until December 6, 2006, when his supervisor at AC Transit told him. Consequently, McNair stopped driving for AC Transit that day. It was also on that same date that McNair first saw Dr. Kim's letter. McNair's continued employment at AC Transit was contingent on getting his commercial driver's license reinstated by January 17, 2007. McNair had two hearings at the DMV on December 15, 2006, and January 22, 2007, regarding the restoration of his license. After the first hearing, McNair had his regular driver's license restored. After the second hearing on January 22, he had his commercial driver's license reinstated. However, this was five days after the deadline that had been imposed by AC Transit, and McNair therefore lost his job. McNair tried to get his job back through the union, but lost in arbitration in January 2009.
On June 23, 2009, McNair filed a complaint in San Francisco County Superior Court (Complaint), alleging causes of action for intentional tort and breach of contract against the City and County of San Francisco and Dr. Kim (collectively, City), based on Dr. Kim's disclosure of McNair's confidential information to the DMV. The intentional tort cause of action expressly stated that the disclosure of McNair's medical information violated the Confidentiality of Medical Information Act (CMIA), section 52 et seq. With respect to the breach of contract claim, the Complaint stated that the contract at issue was "[p]artly written, partly oral and partly implied" as further described in the pleading. Attached to the Complaint were copies of several privacy
In November 2011, the City moved for summary judgment or, in the alternative, summary adjudication. After hearing, by order dated May 8, 2012, the trial court denied the City's motion for summary judgment and its motion for summary adjudication as to McNair's breach of contract cause of action. However, the trial court granted the City's motion for summary adjudication of McNair's intentional tort cause of action. Specifically, the order stated: "The intentional tort cause of action fails based on the litigation privilege. [Citations.] HIPAA does not preempt the litigation privilege. The purpose of HIPAA is to protect medical confidences, not provide a cause of action."
Before trial on the breach of contract cause of action, the trial court resolved numerous motions in limine filed by both the City and McNair. Thereafter, upon the close of McNair's evidence, the City moved for nonsuit. The court ultimately granted nonsuit on a myriad of grounds, including (1) that the litigation privilege applied to a contract cause of action premised on Dr. Kim's letter; (2) that McNair failed to present evidence that the City intended to enter into a contract with him; (3) that McNair did not present evidence that the contract was approved as to form by the City Attorney's office; (4) that McNair did not present evidence of breach of contract because Dr. Kim was permitted to report someone to the DMV who she believed was a danger to the public; (5) that McNair did not present evidence that any damages were foreseeable at the time of contract formation because he was not employed by AC Transit at that time; and (6) that McNair did not present any evidence of consideration for the contract.
The trial court entered judgment in favor of the City on April 12, 2013, with notice of entry on April 18. McNair's timely notice of appeal now brings the matter before this court.
The trial court granted the City's motion for summary adjudication of McNair's intentional tort cause of action. "A defendant moving for summary judgment has the burden of producing evidence showing that one or more elements of the plaintiff's cause of action cannot be established, or that there is a complete defense to that cause of action." (Garcia v. W&W Community Development, Inc. (2010) 186 Cal.App.4th 1038, 1041 [112 Cal.Rptr.3d 394].) On appeal, we review an order granting summary judgment de novo, viewing the evidence in the light most favorable to the nonmoving party. (Aguilar v. Atlantic Richfield Co. (2001) 25 Cal.4th 826, 860 [107 Cal.Rptr.2d 841, 24 P.3d 493]; In re Automobile Antitrust Cases I & II (2016) 1 Cal.App.5th 127, 150-151 [204 Cal.Rptr.3d 330].) Moreover, "we apply the same three-step analysis as the trial court. First, we identify the issues framed by the pleadings. Next, we determine whether the moving party has established facts justifying judgment in its favor. Finally, if the moving party has carried its initial burden, we decide whether the opposing party has demonstrated the existence of a triable, material fact issue." (Chavez v. Carpenter (2001) 91 Cal.App.4th 1433, 1438 [111 Cal.Rptr.2d 534].)
The purpose of the litigation privilege is to afford litigants and witnesses freedom of access to the courts without the fear of harassment by subsequent
Application of this analytical framework to the present case leads us easily to the conclusion that the litigation privilege bars McNair's cause of action for intentional tort. Under Silberg, Dr. Kim's letter to the DMV was a communication made in a "quasi-judicial proceeding." (See Wise, supra, 83 Cal.App.4th at p. 1303.) Further, Dr. Kim was an individual "authorized by law"
Additionally, in Wang, supra, 203 Cal.App.4th 677, two individuals were critically injured after being struck by a car driven by an individual who suffered an epileptic seizure. The victims subsequently sued the driver's neurologist based on the doctor's prior report to the DMV that the driver's epilepsy did not affect his ability to drive safely. (Id. at p. 679.) The appellate court held that none of the appellants' causes of action could stand because they all relied on the doctor's report to the DMV, which was clearly covered by the litigation privilege as a communication authorized by law submitted to the DMV to aid in determining driver safety. Appellant attempts to distinguish Wang because that case "concerned a report to the DMV that was required to get a license reinstated and that the patient requested the doctor to complete." (See id. at pp. 680-681.) McNair also points out that there was no issue of a CMIA violation in Wang. We do not find either of these distinctions meaningful. Rather, as in Wang, Dr. Kim's letter was an authorized communication to the DMV to aid that quasi-judicial agency in determining McNair's driving capabilities. As such, it was covered by the privilege.
Indeed, McNair does not even argue on appeal that Dr. Kim's letter, as a general matter, fails to meet the criteria for application of the litigation privilege. Rather, he cites authority for an exception to the litigation privilege, under which courts have refused to apply the privilege when its general provisions conflict with a specific statute. Under this line of cases, application of the litigation privilege has been deemed inappropriate where the specific statute "would be significantly or wholly inoperable if its enforcement were barred when in conflict with the privilege." (Action Apartment, supra, 41 Cal.4th at pp. 1237, 1246 [City of Santa Monica tenant harassment ordinance]; see also Komarova v. National Credit Acceptance, Inc. (2009) 175 Cal.App.4th 324, 337-340 [95 Cal.Rptr.3d 880] [Rosenthal Fair Debt
Here, Dr. Kim's disclosure was arguably "specifically authorized" under Health and Safety Code section 103900, subdivision (a), which provides as follows: "Every physician and surgeon shall report immediately to the local health officer in writing, the name, date of birth, and address of every patient at least 14 years of age or older whom the physician and surgeon has diagnosed as having a case of a disorder characterized by lapses of consciousness. However, if a physician and surgeon reasonably and in good faith believes that the reporting of a patient will serve the public interest, he or she may report a patient's condition even if it may not be required under the department's definition of disorders characterized by lapses of consciousness
The Shaddox court's analysis of the applicability of the litigation privilege focused, as does ours in this case, on the need "`"to assure utmost freedom
With respect to the potential violation of the CMIA, the Shaddox court emphasized that "California has a policy of encouraging reports concerning suspected misconduct or unfitness by law enforcement officers." (Shaddox, supra, 110 Cal.App.4th at p. 1412.) Specifically, the court pointed to a local ordinance encouraging citizens to report claims of misconduct and a state statute requiring each law enforcement agency to establish a procedure for investigating such complaints. (Id. at pp. 1412-1413.) Although none of the referenced statutes expressly authorized the disclosure of confidential information, the court concluded that this did not exclude them from the reach of subdivision (c)(14) because they involved a particular type of communication authorized by law. (Shaddox, at pp. 1413-1414, 1418.) The Shaddox court also highlighted the important public safety concerns implicated by the dentist's report and noted that "issues of public safety may be paramount to personal privacy." (Id. at p. 1418.) In this regard, the court quoted the seminal case of Tarasoff v. Regents of University of California (1976) 17 Cal.3d 425 [131 Cal.Rptr. 14, 551 P.2d 334], in which our Supreme Court concluded: "`[T]he public policy favoring protection of the confidential character of patient-psychotherapist communications must yield to the extent to which disclosure is essential to avert danger to others. The protective privilege ends where the public peril begins.'" (Shaddox, supra, 110 Cal.App.4th at p. 1418.) And, the dentist's report was one the importance of which was recognized and immunized by the litigation privilege. (See ibid.) Under all of these circumstances, the Shaddox court determined that the dentist's disclosure in that case was authorized under subdivision (c)(14) and therefore not violative of the CMIA. (Shaddox, at p. 1418.)
A defendant moves for nonsuit in order to test the sufficiency of the plaintiff's evidence before presenting his or her evidence to the trier of fact. (Carson v. Facilities Development Co. (1984) 36 Cal.3d 830, 838, fn. 4 [206 Cal.Rptr. 136, 686 P.2d 656].) "A defendant is entitled to nonsuit if the trial court determines as a matter of law that the plaintiff's evidence, when viewed most favorably to the plaintiff under the substantial evidence test, is insufficient to permit a jury to find in his favor." (Mendoza v. City of West Covina (2012) 206 Cal.App.4th 702, 713 [141 Cal.Rptr.3d 553].) On appeal, we review a grant of nonsuit de novo. (Saunders v. Taylor (1996) 42 Cal.App.4th 1538, 1541-1542 [50 Cal.Rptr.2d 395].) Reversal of a judgment of nonsuit is warranted if there is "some substance to plaintiff's evidence upon which
The City argues that the trial court properly granted nonsuit on McNair's breach of contract cause of action because it is barred by the litigation privilege. McNair, in contrast, asserts that the litigation privilege generally applies only to causes of action in tort and not breach of contract. In Navellier v. Sletten (2003) 106 Cal.App.4th 763 [131 Cal.Rptr.2d 201] (Navellier II), this division noted that, while certain earlier decisions had applied the litigation privilege to bar breach of contract claims, generally the privilege is "described as one that precludes liability in tort, not liability for breach of contract." (Id. at p. 773.) Without deciding the issue, we further remarked that these prior cases did not "discuss whether all breach of contract actions involving privileged communication are necessarily precluded." (Id. at p. 774; see Laborde v. Aronson (2001) 92 Cal.App.4th 459, 461-463 [112 Cal.Rptr.2d 119], disapproved on another point in Musaelian v. Adams (2009) 45 Cal.4th 512, 520 [87 Cal.Rptr.3d 475, 198 P.3d 560]; Pollock v. Superior Court (1991) 229 Cal.App.3d 26, 28-30 [279 Cal.Rptr. 634].)
In contrast, in Feldman v. 1100 Park Lane Associates (2008) 160 Cal.App.4th 1467, 1497 [74 Cal.Rptr.3d 1], the appellate court concluded that
More recently, in Vivian v. Labrucherie (2013) 214 Cal.App.4th 267 [153 Cal.Rptr.3d 707] (Vivian), the appellate court held that the litigation privilege applied to bar a breach of contract claim where an ex-wife made voluntary statements about her ex-husband to a county sheriff's internal affairs department, in alleged violation of a settlement agreement previously negotiated by the parties in the context of litigation over a temporary restraining order. (Id. at pp. 270-271, 276-277.) In that settlement agreement, each party agreed "`not to disparage the other to any other party.'" (Id. at p. 270.) The court concluded that the litigation privilege applied to bar the ex-husband's breach of contract claim for two reasons. First, the settlement agreement did not "clearly prohibit" the conduct that the ex-husband challenged. (Id. at p. 276.) Specifically, the term "`disparage'" was viewed as somewhat ambiguous and thus the language of the agreement did not "expressly prohibit" the ex-wife from making statements to the internal affairs investigators. (Id. at p. 277.) Second, the application of the litigation privilege furthered the policies underlying the privilege. (Id. at p. 277.) In particular, and in contrast to Wentland, the dispute in the case involved "a significant public concern — a governmental investigation into inappropriate conduct by a police officer." (Ibid.) Application of the privilege in such circumstances promoted "full and candid responses to a public agency, which is very much the purpose of the privilege and in the public interest." (Ibid.)
Under the analysis adopted in Vivian, application of the litigation privilege to bar McNair's breach of contract claim is clearly warranted in this case. With respect to the terms of the alleged agreement, for instance, none of the documents even potentially identified by McNair as part of the "[p]artly written, partly oral and partly implied" contract in this matter can be said to "clearly prohibit" Dr. Kim's conduct in this case. (Vivian, supra, 214 Cal.App.4th at p. 276.) Rather, as discussed above, the Consents all stated that McNair's medical records could be released by DPH when "permitted or required by law." And, pursuant to the HIPPA Privacy Notice and the DPH
With respect to the second prong of the Vivian analysis, application of the litigation privilege in this case unequivocally furthers the policies underlying the privilege. In Wang, the court articulated the purpose of the privilege in the context of doctors' communications to the DMV, stating: "The litigation privilege `"exists to protect citizens from the threat of litigation for communications to government agencies whose function it is to investigate and remedy wrongdoing."'" (Wang, supra, 203 Cal.App.4th at p. 684.) Immunizing Dr. Kim from potential liability in this case for disclosing her public safety concerns to the DMV clearly advances this policy. Without such protection, a doctor might hesitate to report suspected harmful conditions or fail to truthfully and completely describe the scope of the potential problem. (See Wentland, supra, 126 Cal.App.4th at p. 1492 [general policies underlying the litigation privilege include ensuring "free access" to the courts and promoting "complete and truthful" testimony]; see also Williams v. Taylor (1982) 129 Cal.App.3d 745, 753-754 [181 Cal.Rptr. 423] [holding defendants' statements to the police regarding their suspicions of plaintiff's criminal activity absolutely privileged; there must be "`an open channel of communication'" between citizens and public authorities where citizens can call attention to suspected wrongdoing].) As the facts in this case satisfy both of the Vivian criteria, we conclude that the litigation privilege not only bars McNair's intentional tort claim, but his breach of contract claim as well.
Indeed, our conclusion in this regard is buttressed by the Supreme Court's determination in Jacob B., supra, 40 Cal.4th at page 962, that common law, statutory, and constitutionally based claims for invasion of privacy are all barred by the litigation privilege. In short, it is the gravamen of the cause of action rather than its designation that is controlling. (Ibid.) Here, both causes of action asserted by McNair are based solely on the propriety of Dr. Kim's
The judgment is affirmed. Each party to bear their own costs.
Ruvolo, P. J., and Rivera, J., concurred.