Police and Hospital in Conflict Over HIPAA Compliance, Blood Draw

Wesley J. Hanson was charged this month with aggravated driving under the influence, disobeying a traffic signal and driving without a valid driver’s license following a fatal car crash in which a 17 year-old girl was killed. Witnesses stated that Hanson ran a red light. Hanson was transported to Rockford Memorial Hospital for treatment. As part of his medical treatment, Hanson had blood drawn, and according to the police, hospital staff informed the patrol officer of the results of the blood draw.

Sgt. Dave Jacobson of the Loves Park police arrived at the hospital about 45 minutes later and requested hospital staff to make another blood draw, sometimes called a DUI kit, for the purposes of the criminal investigation. According to police, the hospital declined to perform the separate blood draw, stating they already performed a blood draw on Hanson and that a court order must be obtained and faxed to risk management for review.

Police informed the hospital that they have a court order signed by a judge allowing them to take a sample of Hanson’s blood for forensic analysis and evidence. However, out of concern over the amount of time involved in having the hospital’s legal counsel review the order, the police instead decided to reroute the court order to the Winnebago County Jail, and transport Hanson to the jail for booking. During the course of booking, the DUI blood draw is performed; nearly two hours after the police initially requested the second blood draw at the hospital. The results of the DUI blood draw were not made public.

According to Rockford Memorial Hospital, the hospital fully complied with the law in that they took a sample of Hanson’s blood for the purpose of determining any drug or alcohol content. Illinois Motor Vehicle Code (625 ILCS 5/11-501.4-1) requires disclosure of the test results to police upon request. The police say that pursuant to section 11-501.6 of the Motor Vehicle Code, they do not need a court order and do not need to wait for legal review in order to obtain a DUI blood sample from a person who has been in a personal injury or fatal motor vehicle crash. Rockford Memorial Hospital and representatives from other hospitals state they do require a court order for a DUI blood draw.

A medical blood draw and a DUI kit blood draw involve different procedures. While hospitals have different procedures in conducting a medical blood draw, the procedures for a DUI kit blood draw are standardized. The DUI kit provides a sample that is preserved for trial and provides physical evidence for state crime lab testing or a sample to be used for independent testing by the defense.

Hospitals cite concern over the Health Insurance Portability and Accountability Act (HIPAA) and whether or not releasing the results to police without a court order is a violation of HIPAA. HIPAA is the privacy rule protecting certain individually identifiable health information. HIPAA regulates how certain entities, including hospitals, use and disclose protected health information. Violations of HIPAA can result in civil and criminal penalties.

The dispute between the Rockford Memorial Hospital and the police on whether or not a court order is required for a DUI kit blood draw is ongoing, with various lawmakers, hospital representatives and others voicing their opinions on the issue in the media.

Thanks for reading my blog. If you have a question or comment, feel free to post it here, but keep in mind your response will not be confidential. If you have been accused of a DUI or traffic violation in the Chicago area or the State of Illinois, contact me for immediate assistance.