ELKINS v. SOUTHEASTERN INDIANA HEALTH MANAGEMENT INC. D/B/A COLUMBUS REGIONAL HEALTH

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF INDIANA INDIANAPOLIS DIVISION BRIAN ELKINS Individually, and on behalf ) of all others similarly situated, ) ANNIE ELKINS Individually, and on ) behalf of all others similarly situated, ) ) Plaintiffs, ) ) v. ) No. 1:23-cv-01117-JRS-TAB ) SOUTHEASTERN INDIANA HEALTH ) MANAGEMENT INC. D/B/A COLUMBUS ) REGIONAL HEALTH, ) ) Defendant. ) Order on Motion to Remand I. Introduction This is a data privacy case. Brian Elkins (alongside Annie Elkins and a putative class) alleges that a website-tracking "pixel" embedded in a hospital's patient portal shared his health data without his consent. The hospital, Columbus Regional Health, removed the case from state court under 28 U.S.C. § 1442 (a)(1), the federal officer removal statute, and 28 U.S.C. § 1331 , the federal question statute. Now before the Court is Elkins' Motion to Remand. (ECF No. 17.) II. Discussion A. Federal Officer Under 28 U.S.C. § 1442 (a), federal officers and their deputies may remove state lawsuits to federal court to vindicate a federal defense. "[R]emoval is appropriate when 'the defendant (1) is a person within the meaning of the statute, (2) is acting under the United States, its agencies, or its officers, (3) is acting under color of federal authority, and (4) has a colorable federal defense.'" Baker v. Atl. Richfield Co., 962 F.3d 937 , 941 (7th Cir. 2020) (quoting Betzner v. Boeing Co., 910 F.3d 1010, 1015 (7th Cir. 2018)). Historically, federal officer removal was intended "to protect the Federal Government from the interference with its operations that would ensue were a State able, for example, to arrest and bring to trial in a State court for an alleged offense against the law of the State, officers and agents of the Federal Government acting within the scope of their authority." Watson v. Philip Morris Companies, Inc., 551 U.S. 142, 150 (2007) (quoting Willingham v. Morgan, 395 U.S. 402, 406 (1969)) (cleaned up). And that purpose applies equally to federal officers' assistants or deputies. Id. at 151. So, for example, a private individual driving prohibition agents to a distillery raid is "acting under" the agents, id. at 150 (citing Maryland v. Soper (No. 1), 270 U.S. 9, 46 (1926)), and an army corporal is "acting under" a revenue agent when he helps the agent besiege a distiller's moonshine operation, id. at 149 (citing Davis v. South Carolina, 107 U.S. 597, 600 (1883)). Here, Columbus Regional asserts that it "act[ed] under" a subdivision of the U.S. Department of Health and Human Services by creating an online patient portal that satisfied the criteria for Medicare incentive payments. That is not the direct deputy relationship that historically allowed for federal officer removal. If one asks, "is a private hospital effectively a government agent when it makes a website to earn incentive payments?" the prima facie answer is "absolutely not." Other district courts to have considered the issue reach the same conclusion. See Martin v. LCMC Health Holdings, Inc., No. CV 23-411, 2023 WL 4540547 , at *4 (E.D. La. July 5, 2023) (discussing emerging consensus view that federal officer removal is not appropriate, independently analyzing issue, and concluding that allowing federal officer removal on these facts "is inconsistent with the constitutional role of the federal courts."). But there is conflicting authority to complicate the issue in the Seventh Circuit. The Supreme Court in Watson held that mere compliance with federal law and regulation is not "acting under" a federal official. Id. at 153 . In dicta, though, the Court went on to say that a private contractor might be "acting under" the federal government when it "is helping the Government to produce an item that it needs." Id. The Court approved the Fifth Circuit's holding in Winters v. Diamond Shamrock Chem. Co., 149 F.3d 387, 398 (5th Cir. 1998), that a manufacturer producing Agent Orange for the government, according to government specifications and under threat of criminal sanctions, was "acting under" the government for federal officer removal purposes. Watson, 551 U.S. at 153–54. The Seventh Circuit picked up the Supreme Court's suggestion that private contractors might sometimes be "acting under" the federal government. In Ruppel v. CBS Corp., the court held that a manufacturer was "acting under" the federal government when it produced turbines for an aircraft carrier according to government specifications. 701 F.3d 1176, 1181 (7th Cir. 2012). The court found that "CBS worked hand-in-hand with the government, assisting the federal government in building warships," and noted that "'[a]cting under' covers situations, like this one, where the federal government uses a private corporation to achieve an end it would have otherwise used its own agents to complete." Id. In Betzner, the court quoted that conclusion from Ruppel and held that a manufacturer was "acting under" federal officers when it "contracted to manufacture heavy bomber aircraft for the United States Air Force." Betzner, 910 F.3d at 1015 . And in Baker, the court held that a wartime manufacturer of raw materials for the government was "acting under" federal authority. Baker, 962 F.3d at 942. The court justified the line of militarycontractor cases by returning to Watson's dicta: "where a private contractor helps 'the Government to produce an item that it needs[,] [t]he assistance that private contractors provide federal officers goes beyond simple compliance with the law and helps officers fulfill other basic governmental tasks.'" Id. (quoting Watson, 551 U.S. at 153 ). At least in some cases, then—in particular, those where a wartime manufacturer is making goods under contract for the U.S. government—"private contractors performing tasks for the government are sometimes covered under section 1442." Panther Brands, LLC v. Indy Racing League, LLC, 827 F.3d 586, 590 (7th Cir. 2016). But it is possible to "take this idea too far." Id. Only those contractor relationships that are "closely monitored and highly regulated" satisfy the "acting under" requirement. Id. Recall that Watson, dicta aside, holds that though a "federal regulatory agency directs, supervises, and monitors a company's activities in considerable detail," that relationship does not mean the company "acts under" the agency. Watson, 551 U.S. at 145 . The Seventh Circuit holds that a nursing home seeking Medicare reimbursement falls into the highly-regulated-but-not-actingunder category. Martin v. Petersen Health Operations, LLC, 37 F.4th 1210, 1213 (7th Cir. 2022) (citing Blum v. Yaretsky, 457 U.S. 991 (1982)). Columbus Regional Health is more like the nursing home in Martin than like the wartime contractors in Ruppel, Betzner, and Baker. Its patient portal is not something the government "needs," Baker, 962 F.3d at 942 (quoting Watson, 551 U.S. at 153 ), nor is the maintenance of electronic health records a "basic governmental task," id. Columbus Regional is exactly what it looks like: a private hospital. And "[p]rivate firms retain their private character even when many aspects of their conduct are controlled by federal statutes and rules." Martin, 37 F.4th at 1213 . Because Columbus Regional is not "acting under" the Department of Health and Human Services by maintaining its patient portal, federal officer removal is not appropriate under 28 U.S.C. § 1442 (a)(1). The Court need not address the other elements of the statutory test. B. Federal Question Elkins advances only state-law theories in his Complaint, (ECF No. 1-2), so, under the usual well-pleaded complaint rule, there is no federal question jurisdiction under 28 U.S.C. § 1331 . Gunn v. Minton, 568 U.S. 251, 257 (2013). Columbus Regional argues that this case fits into the Grable exception to that rule, which admits of federal-question jurisdiction where a federal issue will control an otherwise state-law claim. Under that exception, "federal jurisdiction over a state law claim will lie if a federal issue is: (1) necessarily raised, (2) actually disputed, (3) substantial, and (4) capable of resolution in federal court without disrupting the federal-state balance approved by Congress." Id. at 258 (citing Grable & Sons Metal Prod., Inc. v. Darue Eng'g & Mfg., 545 U.S. 308, 314 (2005)). Columbus Regional argues that there is a "federal issue" at stake here because Elkins might use HIPAA violations to prove liability under his state-law theories. That issue does not fit through Grable's narrow door. The Supreme Court has already rejected the idea that a federal regulatory scheme, itself lacking a private right of action, can provide federal-question jurisdiction when a state-law case uses the regulatory standards as evidence of liability. Merrell Dow Pharms. Inc. v. Thompson, 478 U.S. 804, 817 (1986). And even if it had not, the HIPAA question is not "necessarily raised" by any one of Elkins' state law theories, much less all of them. A jury could, for instance, find that the tracking pixel breached an implied contract of data privacy without regard to the standards of patient health data as defined in HIPAA. The lack of a single Grable element is dispositive; 28 U.S.C. § 1331 jurisdiction is not warranted here. C. Attorney Fees While the Court has the power to award Elkins attorney fees under 28 U.S.C. § 1447 (c) for prevailing on his motion to remand, such an award is only appropriate where "clearly established law" demonstrates there was no basis for removal. Lott v. Pfizer, Inc., 492 F.3d 789, 793 (7th Cir. 2007). The Court thinks Columbus Regional's federal officer argument, while not successful, was at least colorable in light of the Seventh Circuit's military-contractor cases, and so the Court declines to award attorney fees. III. Conclusion Columbus Regional Health was not "acting under" the federal government for the purposes of 28 U.S.C. § 1442 (a)(1) federal officer removal, nor does this case raise a federal issue that permits of 28 U.S.C. § 1331 jurisdiction. Elkins' Motion to Remand, (ECF No. 16), is granted, except as to attorney fees, and the Court remands the case to Marion County Superior Court. The clerk is directed to close the federal case. SO ORDERED. Date: 10/10/2023 JAMES R. SWEENEY II, JUDGE United States District Court Southern District of Indiana Distribution: Matthew Thomas Albaugh Taft Stettinius & Hollister LLP malbaugh@taftlaw.com Mary Kate Dugan Cohen & Malad, LLP mdugan@cohenandmalad.com Peter S. French TAFT STETTINIUS & HOLLISTER LLP (Indianapolis) pfrench@taftlaw.com Vivek Randle Hadley TAFT STETTINIUS & HOLLISTER LLP (Indianapolis) vhadley@taftlaw.com Emily Davin Kopp Cohen & Malad, LLP ekopp@cohenandmalad.com Lynn A. Toops COHEN & MALAD LLP ltoops@cohenandmalad.com