Rodriguez, Hector L. ( 2015 )


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  •                                                                                  PD-1479-15
    COURT OF CRIMINAL APPEALS
    AUSTIN, TEXAS
    Transmitted 12/16/2015 3:48:24 PM
    Accepted 12/18/2015 12:51:39 PM
    December 18, 2015                                                                ABEL ACOSTA
    NO. PD-1479-15                                             CLERK
    IN THE
    COURT OF CRIMINAL APPEALS
    OF TEXAS
    ______________________________________________________________________________
    NO. 01-12-00970-CR
    IN THE COURT OF APPEALS
    FOR THE
    FIRST JUDICIAL DISTRICT OF TEXAS
    HOUSTON, TEXAS
    THE STATE OF TEXAS                    §         APPELLEE
    §
    V.                                    §
    §
    HECTOR L. RODRIGUEZ                   §         APPELLANT
    APPEAL FROM COUNTY COURT AT LAW NO. 5
    HARRIS COUNTY, TEXAS
    TRIAL COURT NO. 1726063
    APPELLANT'S PETITION FOR DISCRETIONARY REVIEW
    __________________________________________________________________
    W. Troy McKinney                          J. Gary Trichter
    Schneider & McKinney, P.C.                Trichter & Murphy, P.C.
    Texas Bar No. 13725020                    Texas Bar No. 20216500
    440 Louisiana, Suite 800                  420 Heights Blvd.
    Houston, Texas 77002                      Houston, Texas 77007
    (713) 951-9994                            (713) 524-1010
    (713) 224-6008 (FAX)                      (713) 524-1080 (FAX)
    E-mail: wtmhousto2@aol.com                E-mail: gary@texasdwilaw.com
    ATTORNEYS FOR APPELLANT
    APPELLANT REQUESTS ORAL ARGUMENT
    Identity of Parties and Counsel
    The following is a complete list of all parties to the trial court’s judgment,
    and the names and addresses of all trial and appellate counsel:
    Hector L. Rodriguez                    -        Appellant.
    State of Texas                         -        Appellee.
    W. Troy McKinney                       -        Appellant’s retained counsel at trial
    Schneider & McKinney, P.C.                      and on appeal.
    440 Louisiana, Suite 800
    Houston, Texas 77002
    J. Gary Trichter                        -       Appellant’s retained counsel at trial
    Trichter & Murphy, P.C.                         and on appeal.
    420 Heights Blvd.
    Houston, Texas 77007
    George Stuart Tallichet                -        Assistant District Attorneys at trial.
    Lewis Ashton Thomas
    1201 Franklin
    Houston, Texas 77002
    Melissa P. Hervey                      -        Assistant District Attorneys on
    Stuart Tallichet                                appeal.
    1201 Franklin
    Houston, Texas 77002
    Hon. Margaret Harris                   -        Trial Judge.
    i
    Table of Contents
    Identities of Parties and Counsels. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i
    Table of Contents. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ii
    List of Authorities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iii
    Statement Regarding Oral Argument. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
    Statement of the Case. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
    Statement of Procedural History. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
    Grounds for Review – Questions Presented. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
    Statement of Facts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
    Arguments for Granting Review. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
    Grounds One Through Six. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
    Is there a Fourth Amendment expectation of privacy and standing to
    challenge either the acquisition of hospital blood test results or
    medical records generally and did the court of appeals err in failing to
    address the general medical records issue? Should Hardy be
    overruled?
    Grounds Seven Through Ten. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
    Even if there is not Fourth Amendment standing or an expectation of
    privacy, does Hardy preclude exclusion sought under Article 38.23
    for a violation of state or federal law and, Hardy not withstanding,
    does a violation of state or federal law require suppression under
    Article 38.23, without regard to whether there is Fourth Amendment
    standing or an expectation of privacy. Is the court of appeals decision
    contrary to Wilson v. State and are the statutes relating to grand jury
    ii
    subpoenas, the MPA, or the HIPAA regulations a basis for
    suppression under Article 38.23, as a violation of a state or federal
    law related to the acquisition of evidence?
    Conclusion and Prayer.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
    Certificate of Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
    Certificate of Compliance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
    Appendix A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
    Appendix B. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
    Appendix C. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
    Appendix D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
    iii
    List of Authorities
    Cases
    Dickerson v. State,
    
    965 S.W.2d 30
          (Tex. App.--Houston [1st Dist.] 1998,
    pet. dism’d, improvidently granted). . . . . . . . . . . . . . . . . . . . . . . . . . . . 17, 19
    Dickerson v. State,
    
    986 S.W.2d 618
          (Tex. Crim. App. 1999).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17, 19
    Ferguson v. City of Charleston,
    
    532 U.S. 67
    (2001). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12, 14, 15
    Hailey v. State,
    
    50 S.W.3d 636
          (Tex. App.—Waco 2001),
    rev'd on other grounds,
    
    87 S.W.3d 118
          (Tex. Crim. App. 2002) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
    Hardy v. State,
    
    963 S.W.2d 516
         (Tex. Crim. App. 1997). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . passim
    Kennemur v. State,
    
    280 S.W.3d 305
    ,
    (Tex. App.—Amarillo 2008, pet. ref'd),
    cert. denied , 
    556 U.S. 1191
    ,
    
    129 S. Ct. 2005
    ,
    
    173 L. Ed. 2d 1101
    (2009). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
    iv
    Kirsch v. State,
    
    276 S.W.3d 579
          (Tex. App.--Houston [1st Dist]. 2008),
    aff’d on other grounds,
    
    306 S.W.3d 738
          (Tex. Crim. App. 2010). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7, 22
    Maldonado v. State,
    No. 05-09-00383-CR,
    2011 Tex. App. LEXIS 1984,
    
    2011 WL 924352
         (Tex. App.--Dallas, Mar. 18, 2011, no pet.). . . . . . . . . . . . . . . . . . . . . . . . 10
    Murray v. State,
    
    245 S.W.3d 37
         (Tex. App.--Austin 2007, pet. ref'd). . . . . . . . . . . . . . . . . . . . . . . 7, 8, 16, 22
    Owens v. State,
    No. 01-12-00075-CR,
    2013 Tex. App. LEXIS 13767
    
    2013 WL 5947336
        (Tex. App–Houston [1st Dist.],
    Nov. 7, 2013, no pet). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
    Spebar v. State,
    
    121 S.W.3d 61
         (Tex. App.–San Antonio 2003, no pet). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
    State v. Comeaux,
    
    818 S.W.2d 46
          (Tex. Crim. App. 1991). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . passim
    v
    State v. Jewell,
    No. 10-11-00166-CR,
    2013 Tex. App. LEXIS 930,
    
    2013 WL 387800
           (Tex. App.--Waco, Jan. 31, 2013, no pet.) . . . . . . . . . . . . . . . . . . . . . . . 8, 16
    State v. Kelly,
    
    204 S.W.3d 808
           (Tex. Crim. App. 2006).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
    Village of Ridgefield Park v. New York Susquehanna
    & Western Railway Corp.,
    
    163 N.J. 446
    ,
    
    750 A.2d 1104
    , 1111 (1999). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 
    9 Wilson v
    . State,
    
    311 S.W.3d 452
         (Tex. Crim. App. 2010). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . passim
    vi
    Statutes
    42 U.S.C. § 1320d-6(a). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
    45 C.F.R. §
    160.103. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
    160.203. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
    164.512(a). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
    164.512(a)(2). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
    164.512(f). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
    164.512(f)(1)(ii)(B). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
    Tex. R. App. P.
    66.3(a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
    66.3(b). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
    66.3(c). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
    66.3(f). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
    Tex. Code Crim. Pro Art. 38.23. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . passim
    TEX. OCC. CODE
    § 159.001. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
    § 159.002(b).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
    § 159.003(a)(10). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
    § 159.003(b).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
    §159.003(c). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
    Tex Rev.Civ. Stat, Art. 4495b §5.08 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
    vii
    Other
    Emergency Medical Services Act,
    Texas Health and Safety Code Chapter 773. . . . . . . . . . . . . . . . . . . . . . . 7, 18
    Note, Developments in the Law:
    The Law of Media,
    120 HARV. L. REV. 990 (2007). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
    viii
    To the Honorable Judges of the Court of Criminal Appeals:
    Hector L. Rodriguez, Appellant, through his attorneys, W. Troy McKinney and
    J. Gary Trichter, submits this petition for discretionary review.
    Statement Regarding Oral Argument
    Appellant requests oral arguments in this case on the basis that both the legal
    and factual issues involve not only important issues of state and federal law, but also
    because this case presents a compilation of complex issues arising from and following
    this Court’s decision in Hardy v. State and subsequent state and federal laws
    impacting its scope and continued viability. As evidenced by over 100 appellate
    decisions on issues arising from Hardy, the bench and bar of this State need guidance
    from this Court concerning the scope and applicability of Hardy. Oral arguments
    would aid this Court in evaluating and deciding the important issues in this case.
    Statement of the Case
    On September 25, 2010, Appellant was charged by information with driving
    while intoxicated. CR3. Appellant filed a Motion to Suppress evidence and a hearing
    was held on August 10, 2012. 2RR. On August 20, 2012, the court denied Appellant’s
    motion to suppress. CR171. On September 17, 2012, pursuant to a plea bargain, the
    court assessed punishment at 180 days confinement, probated for one year, and a
    $750 fine. CR199. The trial court specifically gave Appellant permission to appeal.
    1
    CR208. A motion for new trial was timely filed on October 12, 2012. CR238. It was
    overruled by operation of law. On October 4, 2012, timely written notice of appeal
    was filed. CR212.
    Statement of Procedural History
    Appellant moved to suppress the introduction of his medical records and blood
    alcohol test results. The trial court conducted an evidentiary hearing consisting of
    live testimony, two witness affidavits, multiple physical exhibits, and several
    stipulations. The factual evidence was undisputed. The trial court entered extensive
    findings of fact and conclusions of law and denied the motion to suppress. 3RR-25.
    Supp CR.1 Following denial of his motion to suppress, Appellant pled guilty and
    appealed the denial of his motion to suppress.
    The Court of Appeals delivered its published opinion on June 25, 2015. A
    copy of the opinion is attached as Appendix A. A motion for rehearing was filed on
    August 10, 2015, and overruled on October 15, 2015. This petition is due not later
    than December 17, 2015.
    1
    A copy of the findings is contained in Appendix C.
    2
    Grounds for Review – Questions Presented
    1.     Is there a Fourth Amendment expectation of privacy in blood test results
    when the blood is drawn and analyzed by a hospital for medical purposes?
    2.     Does a defendant in a criminal case have Fourth Amendment standing
    to challenge the legality of the method of the acquisition of his blood test results
    when the blood is drawn and analyzed by a hospital for medical purposes?
    3.     Is Hardy v. State still valid law in light of intervening legal events and
    should it be overruled?
    4.     Is there a Fourth Amendment expectation of privacy in medical records
    generally (other than blood test results)?
    5.     Does a defendant in a criminal case have Fourth Amendment standing
    to challenge the legality of the method of the acquisition of his medical records
    generally (other than blood test results)?
    6.     Did the Court of Appeals err in only addressing the Fourth Amendment
    standing issue with respect to the blood test results and in failing to address the
    expectation of privacy and standing issues with respect to medical records generally?
    7.     Does a defendant have standing to challenge the legality of the method
    of the acquisition, and thus the admissibility, of his blood test results and medical
    records under Tex. Code Crim. Pro Art. 38.23, when the blood is drawn and analyzed
    3
    for medical purposes and when his medical records relate to his treatment, without
    regard to whether there is Fourth Amendment standing?
    8.     Did the Court of Appeals err in holding that Hardy v. State governed
    and controlled the determination of the Article 38.23 suppression issue when the
    Court in Hardy expressly limited its holding to the Fourth Amendment issue
    presented to it?
    9.     Is the Court of Appeals decision contrary to this Court’s decision in
    Wilson v. State, 
    311 S.W.3d 452
    (Tex. Crim. App. 2010), which held (1) that
    whether evidence is obtained in violation of the United States Constitution is an
    entirely different inquiry – and does not control – whether evidence is subject to
    suppression under Article 38.23; and (2) that suppression under 38.23 is warranted
    when there is a violation of a penal or other law related to the acquisition of evidence
    when that violation is the method used to acquire the evidence and the evidence is
    acquired as a result of a violation of applicable state law?
    10.    Is a violation of the statutes relating to grand jury subpoenas, the
    Medical Practices Act, or the regulations under HIPAA a basis for suppression
    under Article 38.23, as a violation of a state or federal law penal law, a privacy law,
    or a law related to the acquisition of evidence?
    4
    Statement of Facts
    The facts in this case are simple and undisputed. Appellant was arrested and
    taken to the police station. He fell while being escorted into the jail and was taken
    to the hospital where blood was drawn and analyzed for medical purposes.
    A civilian Houston Police Department (HPD) employee requested a grand jury
    subpoena from the District Attorney’s Office (HCDAO) for Appellant’s medical
    records and blood test results. Consistent with its practice and policy, a paralegal with
    the HCDAO, affixed a stamped signature of a HCDAO lawyer to a document labeled
    grand jury subpoena without consulting or obtaining approval from any attorney in
    the HCDAO.
    The purported grand jury subpoena was served on the hospital. The hospital
    provided the records to the paralegal, who forwarded them to the HPD civilian
    employee, where they were retained. The purported grand jury subpoena issued from
    a grand jury whose term had expired at the time the records were produced. The
    records were never delivered to either any grand jury or the District Clerk.2
    Arguments for Granting Review
    In State v. Comeaux, 
    818 S.W.2d 46
    (Tex. Crim. App. 1991), an officer,
    2
    A detailed statement of facts, referencing the trial court’s findings of fact, is attached
    as Appendix B.
    5
    following a traffic accident, requested a hospital nurse who had drawn blood from
    Comeaux on the request of a physician solely for medical purposes to give him a
    portion of the blood draw. When the nurse declined, the officer ordered her to give
    him a portion of the sample and gave her a mandatory blood draw form. The officer
    seized the sample and had it tested by a state lab. The trial court suppressed the blood
    test results and the court of appeals affirmed. A four-judge plurality of this Court
    determined that Comeaux had a reasonable expectation of privacy for Fourth
    Amendment purposes based on the then existing provisions of the Texas Medical
    Practices Act (MPA).3 The concurring judge, who formed the majority for affirming
    suppression, would have decided the case solely on the basis of a violation of the
    MPA and would have suppressed the results under Article 38.23.4
    Six years later, this Court addressed a similar issue in Hardy v. State, 
    963 S.W.2d 516
    (Tex. Crim. App. 1997) where the state obtained records of hospital
    blood test results with a grand jury subpoena. The blood had been drawn and
    analyzed and a report prepared solely for medical purposes. Hardy claimed that his
    3
    The Court noted in its opinion that the portions of the MPA at issue had been
    repealed at the time of its decision in Comeaux, but had been in effect at the time of the seizure
    of Comeaux’s blood. The terms of the MPA that existed at that time were similar to, but not the
    same as, those that exist today. The MPA today appears to be broader that it was at the time of
    Comeaux.
    4
    The plurality declined to review the Article 38.23 claim because it was not an
    issue on which the State had sought discretionary review. Comeaux at n.6.
    6
    blood test results had been unlawfully obtained in violation both of Texas statutory
    provisions5 and in violation of the Fourth Amendment. With respect to the Fourth
    Amendment issue, the Court framed the question to be answered as, “whether the
    government's acquisition of the written report infringed upon a societally-recognized
    expectation of privacy.” 
    Id., at 524.
    This Court, in a 5-4 decision, held:
    We express no opinion concerning whether society recognizes a reasonable
    expectation of privacy in medical records in general, or whether there are
    particular situations in which such an expectation might exist. We note only
    that, given the authorities discussed, whatever interests society may have in
    safeguarding the privacy of medical records, they are not sufficiently strong to
    require protection of blood-alcohol test results from tests taken by hospital
    personnel solely for medical purposes after a traffic accident.
    
    Id., at 527.
    Hardy answered only the very narrow Fourth Amendment expectation of
    privacy question in blood test reports when blood is drawn for medical purposes
    following a traffic accident. Murray v. State, 
    245 S.W.3d 37
    , 41 (Tex. App.--Austin
    2007, pet. ref'd); Kirsch v. State, 
    276 S.W.3d 579
    (Tex. App.--Houston [1st Dist].
    5
    In the trial court, Hardy alleged a violation of the MPA, Tex Rev.Civ. Stat, Art.
    4495b §5.08 (repealed as to criminal law matters 12-18-85), and on discretionary review alleged
    a violation of the Emergency Medical Services Act, Texas Health and Safety Code Chapter 773.
    The Court held that the relevant portions of the MPA had been repealed when the Court adopted
    the Texas Rules of Evidence and did not apply and that there was no violation of the Emergency
    Services Practices Act. The Court never suggested that Hardy lacked standing to raise the claim
    based on state statutes.
    7
    2008), aff’d on other grounds, 
    306 S.W.3d 738
    (Tex. Crim. App. 2010). Unlike
    Comeaux, it did so without considering the provisions of the MPA that had been
    relied on in Comeaux. It did not address, much less answer, any other legal question,
    including (1) whether Article 38.23 requires exclusion of evidence obtained in
    violation of state or federal statutes, (2) whether there was an expectation of privacy
    in medical records generally. 
    Murray, 245 S.W.3d at 41-42
    (recognizing that Hardy
    did not decide any issue with respect to medical records generally); see also State v.
    Jewell, No. 10-11-00166-CR, 2013 Tex. App. LEXIS 930, 
    2013 WL 387800
    (Tex.
    App.--Waco, Jan. 31, 2013, no pet.) (finding an expectation of privacy in medical
    records generally), or (3) whether a person could challenge the use of a grand jury
    subpoena to obtain blood test result records on any legal basis, such as Article 38.23,
    other than when raised as a Fourth Amendment claim.
    Though much has changed since Hardy was decided and though there have
    been over 100 court of appeals decisions deciding issues related to Hardy, this Court
    has not yet weighed in on any of the issues.
    Since Hardy was decided, the Health Insurance Portability and Accountability
    Act (HIPAA) became effective. Federal regulations promulgated pursuant to HIPAA
    regarding privacy and confidentiality of health information became effective on April
    14, 2003. To the extent any state law is less stringent than HIPAA, it is preempted.
    8
    45 C.F.R. § 160.203. While HIPAA expressly preempts any contrary state law, which
    includes state judicial decisions, states are free to adopt more stringent standards than
    those promulgated pursuant to HIPAA.6 See Village of Ridgefield Park v. New
    York Susquehanna & Western Railway Corp., 
    163 N.J. 446
    , 455, 
    750 A.2d 1104
    ,
    1111 (1999).
    Under the HIPAA regulations, a "covered health care provider," rendering
    medical services in a "covered transaction" is prohibited from disclosing "protected
    health information" without the patient's consent, unless it is authorized by 45 C.F.R.
    § 164.512(f). "Health information" includes any information relating to the past,
    present, or future mental or physical condition of an individual, including a person's
    identity. 45 C.F.R. § 160.103.
    While HIPAA generally provides for privacy and confidentiality of protected
    health care information, it does allow for disclosure if the "use or disclosure is
    required by law and the use or disclosure complies with and is limited to the relevant
    requirements of such law." 45 C.F.R. §164.512(a); see also Note, Developments in
    the Law: The Law of Media, 120 HARV. L. REV. 990, 1060 (2007). A “covered entity
    6
    The MPA, infra, appears facially more stringent that HIPAA with respect to the
    privacy of medical information and records: that is, the MPA provides privacy protections greater
    than those provided by HIPAA both in the first instances – as to confidentiality and as a privilege
    -- and in the substantially narrower scope of exceptions, especially with respect to disclosure in
    relationship to criminal proceedings and prosecutions.
    9
    may disclose protected health information for a law enforcement purpose to a law
    enforcement official” when, as applicable to the instant case, it is “ [i]n compliance
    with and as limited by the relevant requirements of . . . a grand jury subpoena.” 45
    C.F.R. § 164.512(f)(1)(ii)(B). Maldonado v. State, No. 05-09-00383-CR, n. 2, 2011
    Tex. App. LEXIS 1984, 
    2011 WL 924352
    (Tex. App.--Dallas, Mar. 18, 2011, no pet.)
    (recognizing that HIPAA requires that a disclosure of protected health information
    may only be made “without the individual's consent to the extent the disclosure is
    required by law and the disclosure is limited to the relevant requirements of the
    applicable law” and that “the disclosure must meet the requirements of 164.512 (c),
    (e), or (f). 45 C.F.R. 164.512(a)(2).”);7 see also Kennemur v. State, 
    280 S.W.3d 305
    ,
    311 n.5 (Tex. App.—Amarillo 2008, pet. ref'd), cert. denied , 
    556 U.S. 1191
    , 129 S.
    Ct. 2005, 
    173 L. Ed. 2d 1101
    (2009)(same).
    42 U.S.C. § 1320d-6(a) makes it a federal crime, and in some instances a
    felony, for a person to knowingly obtain or disclose "individually identifiable health
    information relating to an individual [or another person]."
    HIPAA is widely and uniformly recognized as establishing a nationwide
    minimum level of privacy and confidentiality in health care information.
    7
    The court in Maldonado never reached the merits of the 38.23 issue because trial
    counsel stated “no objection” when the records were offered at trial, thus waiving the pretrial
    ruling denying his motion to suppress.
    10
    Since Hardy was decided, the portions of the Medical Practices Act (MPA)
    that this Court repealed in 1985 when it adopted the Texas Rules of Evidence, Hardy,
    at 519-523, have been reenacted by the Texas Legislature and, since 1999, have been
    codified in the Texas Occupations Code. TEX. OCC. CODE § 159.001, et seq.
    TEX. OCC. CODE § 159.002 (b) provides that a “record of the identify,
    diagnosis, evaluation, or treatment of a patient by a physician that is created or
    maintained by a physician is confidential and privileged and may not be disclosed
    except as provided by this chapter.” Section 159.003 (a)(10) provides an exception
    to the privilege of confidentiality “in a criminal prosecution in which the patient is
    a victim, witness, or defendant.” Despite the general exception to confidentiality in
    criminal prosecutions in (a)(10), § 159.003 (b) expressly provides that § 159 does
    “not authorize the release of confidential information to investigate or substantiate
    criminal charges against a patient,” and § 159.003 (c) expressly provides that
    “[r]ecords or communications are not discoverable under Subsection (a)(10) until the
    court in which the prosecution is pending makes an in camera determination as to the
    relevancy of the records or communications or any portion of the records or
    communications. That determination does not constitute a determination as to the
    admissibility of the information.”
    The MPA recognizes that notwithstanding and despite the lack of a privilege
    11
    in the Rules of Evidence (and notwithstanding and despite this Court’s prior repeal
    of a prior version of the statute) regarding the ultimate admissibility of confidential
    medical information, there nonetheless exists a privilege and confidentiality in those
    records with respect to discovery of them “to investigate or substantiate criminal
    charges against a patient” and a limited privilege requiring a prior in camera
    inspection in all other instances involving a criminal prosecution.
    Since Hardy was decided, the Supreme Court decided Ferguson v. City of
    Charleston, 
    532 U.S. 67
    (2001), in which the Court was asked to decide the
    constitutionality of a program where there was a joint effort by law enforcement,
    prosecutors, and a state hospital to turn over to law enforcement and prosecutors
    urine drug test results conducted on pregnant women and those giving birth when
    test results showed the presence of illegal drugs or those potentially harmful to the
    fetus or newborn child.
    Relying on the amicus briefs of the American Medical Association and the
    American Public Health Association, and in the context of unauthorized disclosure
    of information to third parties, the Court held that "[t]he reasonable expectation of
    privacy enjoyed by the typical patient undergoing diagnostic tests in a hospital is that
    the results of those tests will not be shared with nonmedical personnel without her
    
    consent." 532 U.S. at 79
    . The Court predicated its foregoing statement with its
    12
    observation that unauthorized disclosure of medical test information to third parties
    was a greater privacy intrusion than when the results were used solely for other
    purposes. The Court wrote.
    In the previous four [special needs] cases, there was no
    misunderstanding about the purpose of the test or the potential use of
    the test results, and there were protections against the dissemination of
    the results to third parties. The use of an adverse test result to
    disqualify one from eligibility for a particular benefit, such as a
    promotion or an opportunity to participate in an extracurricular activity,
    involves a less serious intrusion on privacy than the unauthorized
    dissemination of such results to third parties.
    
    Id., at 79.
    It would have been impossible to make a comparison of the degrees of
    intrusion of the expectation of privacy if there was not a general expectation of
    privacy in medical test results and records. If there had been no general expectation
    of privacy in all medical records, it would have been unnecessary to even consider
    whether a disclosure might have been “unauthorized.”
    Importantly, the Court specifically rejected the idea that the purpose of the
    program (the investigation and detection of crime) was sufficient to make the search
    reasonable and it did not come even close to holding that the purpose of the program
    (like the purpose of grand jury subpoenas) would mean that there was no expectation
    of privacy. If the basis for the intrusion – as occurs when one says that those who
    13
    have had blood taken at a hospital for medical purposes have no expectation of
    privacy in the results because they might show evidence of a crime – was sufficient
    to eliminate the expectation of privacy, nothing beyond such a conclusion would
    have been necessary in Ferguson because the results of the urine drug tests in
    Ferguson may be evidence of a crime just as hospital blood-alcohol test results may
    be evidence of DWI.
    Since Hardy was decided, over 100 court of appeals decisions have been
    issued with respect to these and a number of other Hardy related issues. Despite the
    self-limiting holding in Hardy, every court of appeals decision, including the
    decision in this case, has expanded Hardy’s scope beyond its stated holding.
    These issues continued to be litigated and appealed in a significant number of
    cases because of the lack of guidance from this Court. The bench and bar of this
    State need guidance from this Court, which will only occur by this Court granting
    discretionary review.
    Grounds One Through Six
    Is there a Fourth Amendment expectation of privacy and standing to
    challenge either the acquisition of hospital blood test results or medical
    records generally and did the court of appeals err in failing to address
    the general medical records issue? Should Hardy be overruled?
    Though Hardy resolved the important issue of federal law relating to standing
    14
    and an expectation of privacy as of 1997, this Court has not spoken on this issue in
    the intervening 19 years during which much of the legal landscape has changed with
    respect to the basis for this Court’s holding in Hardy.
    Whether Hardy’s expectation of privacy and standing holdings remains viable
    in light of intervening legal events is, pursuant to TEX. R. APP. P. 66.3(b), as it was
    in 1997, an important issue question of state and federal law that has not been, but
    should be, settled by this Court.
    Whether there is an expectation of privacy in medical records generally, and
    whether the Court of Appeals in this case improperly expanded Hardy’s expectation
    of privacy and standing holdings to include all medical records is, pursuant to TEX.
    R. APP. P. 66.3(b), as it was in 1997, an important question of state and federal law
    that has not been, but should be, settled by this Court.
    Whether the court of appeals decision is contrary to the Supreme Court’s
    decision in Ferguson on an important question of federal constitutional law, review
    is proper pursuant to TEX. R. APP. P. 66.3(c).
    Whether the Court of Appeals erred in only addressing the blood test issue and
    in failing to address general medical records issue, despite the issue being raised in
    the trial court, in Appellant’s brief, in the trial court’s findings, and in Appellant’s
    motion for rehearing, warrants review pursuant to TEX. R. APP. P. 66.3(f), because
    15
    the court of appeals has so far departed from the accepted and usual course of
    judicial proceedings as to call for an exercise of this Court’s power of supervision.
    Importantly, while neither Hardy nor the Court of Appeals in this case
    decided whether there was an expectation of privacy in medical records generally,
    other courts of appeals have done so. See Murray v. State, 
    245 S.W.3d 37
    , 41-42
    (Tex. App.--Austin 2007, pet. ref'd) (Hardy did not decide any issue with respect
    to medical records generally); State v. Jewell, No. 10-11-00166-CR (Tex. App.--
    Waco, Jan. 31, 2013, no pet.) (finding an expectation of privacy in medical records
    generally).
    If the Court of Appeals opinion can be read to apply to medical records
    generally, review is warranted pursuant to Tex. R. App. P. 66.3(a), because it
    conflicts with the decisions of the Austin and Waco Court of Appeals’ decisions in
    Murray and Jewell.
    Grounds Seven Through Ten
    Even if there is not Fourth Amendment standing or an expectation of
    privacy, does Hardy preclude exclusion sought under Article 38.23 for
    a violation of state or federal law and, Hardy not withstanding, does
    a violation of state or federal law require suppression under Article
    38.23, without regard to whether there is Fourth Amendment standing
    or an expectation of privacy. Is the court of appeals decision contrary
    to Wilson v. State and are the statutes relating to grand jury
    subpoenas, the MPA, or the HIPAA regulations a basis for suppression
    under Article 38.23, as a violation of a state or federal law related to the
    16
    acquisition of evidence?
    Hardy was a narrow, limited holding. By its terms it decided only whether
    there was an expectation of privacy in the results of a blood test conducted for
    medical purposes: that is, only whether there was standing to raise a Fourth
    Amendment claim.
    Though Hardy never addressed, much less decided, whether exclusion of the
    results of a blood test conducted for medical purposes was independently
    suppressible under Article 38.23 if the results were obtained in violation of state or
    federal law, the court of appeals in this case, and every other court of appeals that
    has decided the issue, relied solely on Hardy for concluding that the absence of an
    expectation of privacy and the lack of Fourth Amendment standing also precluded
    suppression under Article 38.23.
    The first case decided after Hardy was Dickerson v. State, 
    965 S.W.2d 30
    (Tex. App.--Houston [1st Dist.] 1998, pet. dism’d, improvidently granted).8 After
    rejecting the identical constitutional claim raised in Hardy, the court also rejected
    claims of defects in the grand jury subpoena process. It held, “[i]n the absence of
    8
    Dickerson v. State, 
    986 S.W.2d 618
    (Tex. Crim. App. 1999) (Johnson, J,
    dissenting to the dismissal of the petition for discretionary review) (“While the records [obtained
    with a “so called” grand jury subpoena] might have ultimately been discoverable, Deputy
    Swango chose to take an improper shortcut; his actions were both improper and premature. For
    the reasons stated in Judge Price's dissent to Hardy . . . . (Price, J., dissenting), I dissent to the
    improvident grant.”)
    17
    any constitutional or statutory reasonable expectation of privacy, appellant has no
    standing to complain of defects in the grand jury subpoena process. See Comeaux
    v. State, 
    818 S.W.2d 46
    , 51 (Tex. Crim. App. 1991).”
    The court’s reliance on Comeaux for such a broad proposition was misplaced.
    Comeaux did not involve a grand jury subpoena or blood test results. It involved
    an unlawful command by a police officer to a nurse to turn over the actual blood
    drawn. In Comeaux, the Court had no occasion to decide whether the statutes
    regulating grand jury subpoenas created an expectation of privacy or constituted
    violation of a law for purposes of exclusion under Article 38.23. Comeaux did
    recite, as did Hardy, the well established proposition that there had to be an
    expectation of privacy for a Fourth Amendment claim, which was the basis on which
    the court affirmed exclusion of the evidence as unlawfully obtained, but that is as far
    as it went.
    The major difference between Hardy and Comeaux is that in Comeaux the
    MPA was still in effect and by the time of Hardy, the MPA had been repealed.
    Thus, in Comeaux, the Court went no further than the MPA in finding a statutorily
    based expectation of privacy and in Hardy, the court had to look more broadly
    because the MPA no longer applied. Even though the court in Hardy looked more
    broadly, it only considered the Emergency Services Practices Act. The court in
    18
    Hardy did not consider whether a violation of any other statute would provide a
    basis to exclude medical record evidence under Article 38.23 and certainly never
    decided whether a violation of statutes regulating grand jury subpoenas would be a
    basis for exclusion under Article 38.23. Had Dickerson limited its holding to “no
    standing to complain of defects in the grand jury subpoena process for Fourth
    Amendment purposes,” it may have been correct – at least at the time and pursuant
    to Hardy.9 But, it did not do so, and the effect of the overly broad statement in
    Dickerson has been that every other court of appeals to have decided the issue since
    that time has also blindly followed Dickerson or its progeny.10
    The initial misstating or over broadening of the holdings in Comeaux and
    Hardy has led to blind adoption of that standard even though neither case made any
    such pronouncement other than as applicable to a Fourth Amendment claim.
    Texas appellate courts have, however, held that if the blood was drawn at the
    hospital without consent, it would constitute an assault and suppression of the blood
    test results under 38.23 would be proper.11 Not one of these cases suggested that
    9
    Dickerson does not suggest that a claim for exclusion under 38.23 based on
    statutory violations was raised. Either no 38.23 claim was raised or the court did not analyze it
    separately.
    10
    A complete list of these cases is contained in Appendix D.
    11
    Hailey v. State, 
    50 S.W.3d 636
    , 640 (Tex. App.—Waco 2001), rev'd on other
    grounds, 
    87 S.W.3d 118
    (Tex. Crim. App. 2002) (blood drawn by hospital without consent was
    19
    there was no standing to seek suppression under Article 38.23 based on the evidence
    being obtained by a criminal assault (even though the results were later obtained
    with a grand jury subpoena) just because there was no standing to raise a Fourth
    Amendment claim. The merits of these claims were addressed precisely because
    whether there was a valid Fourth Amendment claim was legally irrelevant to whether
    suppression was required under Article 38.23.
    Article 38.23 protects more interests than just those included in the
    constitutional expectation of privacy analysis. Though “[t]he underlying purpose of
    both the federal exclusionary rule and article 38.23 is the same: to protect a suspect’s
    privacy, property, and liberty rights against overzealous law enforcement,” Wilson
    v. State, 
    311 S.W.3d 452
    , 458-59 (Tex. Crim. App. 2010) , the scope and remedies
    under Article 38.23 are much different than Fourth Amendment standing. A Fourth
    Amendment violation requires suppression of evidence only if the federal
    exclusionary rule requires it. However, even if the federal exclusionary rule does not
    an assault and illegally obtained for purposes of 38.23; reversed on basis that there was no lack of
    consent). Compare State v. Kelly, 
    204 S.W.3d 808
    , 820-21 (Tex. Crim. App. 2006) (hospital
    staff did not assault defendant and thus defendant's blood test results were admissible); Owens
    v. State, No. 01-12-00075-CR, 2013 Tex. App. LEXIS 13767; 
    2013 WL 5947336
    (Tex.
    App–Houston [1st Dist.], Nov. 7, 2013, no pet)(published)(no lack of consent and blood draw
    justified to provide emergency care); Spebar v. State, 
    121 S.W.3d 61
    , 64 (Tex. App.—San
    Antonio 2003, no pet.) (distinguishes Hailey because of factual deficiencies in the record and
    factual differences that would not show an abuse of discretion by trial judge in implicitly finding
    no assault); Ramos v. 
    State, 124 S.W.3d at 336
    (evidence supported trial court's implied finding
    of consent for medical treatment).
    20
    require suppression, such as for inevitable discovery, the same Fourth Amendment
    violation would require suppression under Article 38.23.
    In Wilson, this Court held that Article 38.23 may be “invoked for statutory
    violations [...]related to the purpose of the exclusionary rule or to the prevention of
    the illegal procurement of evidence of crime.” 
    Id., at 459.
    “The primary purpose of
    article 38.23(a) is to deter unlawful actions which violate the rights of criminal
    suspects in the acquisition of evidence for prosecution.” 
    Id. It is
    not just privacy
    rights or the expectation of privacy that are within the scope of Article 38.23. “[T]he
    type of law violation that the Texas Legislature intended to prohibit when it enacted
    article 38.23 [is] conduct by overzealous police officers who, despite their laudable
    motives, break the penal laws directly related to gathering and using evidence in
    their investigations.” Id, at 461. Whether evidence is obtained in violation of the
    Constitution is an entirely different inquiry – and does not control – whether
    evidence is subject to suppression under Article 38.23. 
    Id., 463-464. HIPAA,
    the MPA and the grand jury statutes regulate the methods by which
    evidence may be obtained and may have penal consequences. Under Wilson, they
    are within the scope of laws for which a violation requires exclusion under 38.23.
    Even though argued in Appellant’s brief and raised in the motion for rehearing, the
    court of appeals declined to even acknowledge, much less follow, this Court’s
    21
    decision in Wilson. The court of appeals erred in holding that Appellant could not
    seek suppression under 38.23 based on violations of these statutes in the acquisition
    of the evidence of his blood test results and his medical records in general.
    Because the court of appeals decision in this case conflicts with the important
    question of state law decided by this Court in Wilson and Comeaux, review is
    proper pursuant to TEX. R. APP. P. 66.3(c).
    Because the court of appeals has decided that this Court’s decision in Hardy
    applied to standing to seek 38.23 suppression, review is proper pursuant to TEX. R.
    APP. P. 66.3(b) because the court of appeals has decided an important question of
    state law that has not been, but should be settled by this Court.
    Because the court of appeals decision in this case, that Hardy decided the
    38.23 issue, conflicts with the Austin and Houston (First) court of appeals decisions
    in Murray and Kirsch, review is proper pursuant to Tex. R. App. P. 66.3(a).
    .
    22
    Conclusion and Prayer
    Appellant prays that this Court grant discretionary review to decide the
    important issues in this case and either vacate the court of appeals opinion and
    remand this case for consideration of the issues not addressed by the Court of
    Appeals, or, alternatively, decide all of the issues presented and reverse the judgment
    of the Court of Appeals and remand this case to the trial court for a new trial.
    Respectfully submitted,
    /s/ W. Troy McKinney
    W. Troy McKinney
    Schneider & McKinney, P.C.
    Texas Bar NO. 13725020
    440 Louisiana, Suite 800
    Houston, Texas 77002
    (713) 951-9994
    (713) 224-6008 (FAX)
    Email: wtmhousto2@aol.com
    /s/ J. Gary Trichter
    J. Gary Trichter
    Trichter & Murphy, P.C.
    Texas Bar No. 20216500
    420 Heights Blvd.
    Houston, Texas 77002
    (713) 524-1010
    (713) 524-1080 (FAX)
    E-mail: gary@texasdwilaw.com
    Attorneys for Appellant
    23
    Certificate of Service
    This is to certify that a true and correct copy of the attached and foregoing
    document has been served on the Harris County District Attorney’s Office at 1201
    Franklin, Houston, Texas 77002, and on the State Prosecuting Attorney at P.O. Box
    3046, Austin, Texas 78711, by electronic service on this 16th day of December,
    2015.
    /s/ W. Troy McKinney
    W. Troy McKinney
    Certificate of Compliance
    I certify that this document was prepared with Word Perfect X3, and that,
    according to that program’s word-count function, the sections covered by TEX. R.
    APP. P. 9.4(i)(1) contain 4499 words.
    /s/ W. Troy McKinney
    W. Troy McKinney
    24
    Appendix A
    Opinion
    25
    Opinion issued June 25, 2015
    In The
    Court of Appeals
    For The
    First District of Texas
    ————————————
    NO. 01-12-00970-CR
    ———————————
    HECTOR L. RODRIGUEZ, Appellant
    V.
    THE STATE OF TEXAS, Appellee
    On Appeal from the County Criminal Court at Law No. 5
    Harris County, Texas
    Trial Court Case No. 1726063
    OPINION
    The State charged Hector L. Rodriguez by information with Class B
    misdemeanor driving while intoxicated.      See TEX. PENAL CODE ANN. § 49.04
    (West Supp. 2014). Before trial, Rodriguez moved to suppress evidence of his
    blood-test results. After a hearing, the trial court denied the requested relief.
    Pursuant to a plea bargain with the State, Rodriguez pleaded guilty to the charge.
    The trial court accepted the plea and agreed to follow the State’s punishment
    recommendation, sentencing Rodriguez to 180 days’ confinement and suspending
    that sentence conditioned on successful completion of one year of community
    supervision.
    The trial court certified Rodriguez’s right to appeal its ruling on his motion
    to suppress. On appeal, Rodriguez contends that the trial court erred in denying
    the motion because the State obtained his medical records and blood-test results in
    violation of state and federal law and his rights under the Fourth Amendment of
    the United States Constitution. We affirm.
    Background
    The parties do not dispute the facts material to Rodriguez’s motion to
    suppress. Close to 2:00 A.M. in late September 2010, Officer J. Roberts and
    Officer Pitts of the Houston Police Department were in the course of arresting two
    individuals for driving while intoxicated (DWI) in downtown Houston when they
    observed Rodriguez driving toward them, heading the wrong direction down a one-
    way street. The officers instructed Rodriguez to pull over, and Rodriguez came to
    a stop near Officer Pitts’s patrol car.
    After Officer Roberts secured the other two DWI suspects in the back of his
    patrol car, he approached Rodriguez’s car. He noticed that Rodriguez had red,
    2
    glassy eyes and slurred speech, and smelled strongly of alcohol, as did the interior
    of his car. Rodriguez admitted that he had begun drinking beer at 3:00 P.M. the
    previous afternoon and that he had just left a nightclub.
    Officer Roberts administered the horizontal gaze nystagmus (HGN) test on
    Rodriguez and observed all six of the possible clues for intoxication. Rodriguez
    refused to participate in any other field sobriety tests and was placed under arrest
    for suspicion of DWI.       According to protocol, Officer Roberts handcuffed
    Rodriguez’s hands together at the back and placed him in the backseat of Officer
    Pitts’s patrol car.
    When they arrived at the police station, Officer Pitts attempted to escort
    Rodriguez from the patrol car into the station by holding onto Rodriguez’s arm.
    Rodriguez told Officer Pitts, “Don’t touch me. I can do this” and pulled away from
    Officer Pitts’s grasp. Rodriguez then lost his balance and fell face forward onto
    the concrete. He remained on the ground, bleeding heavily from his face, head,
    and nose. Officer Pitts immediately called for an ambulance. Paramedics with the
    Houston Fire Department arrived and transported Rodriguez to a nearby hospital.
    Officer Roberts followed the ambulance to the hospital emergency room,
    where he read Rodriguez his statutory warnings and asked him for a blood
    specimen. Rodriguez refused to provide one. Officer Roberts asked the attending
    nurse whether he would be drawing Rodriguez’s blood for medical purposes. The
    3
    nurse responded that he would. Roberts asked the nurse to use Betadine instead of
    alcohol to disinfect the site of the blood draw, which the nurse did.
    Officer Roberts submitted his “DWI case report” to an HPD civilian
    evidence technician, who in turn contacted a paralegal in the Harris County District
    Attorney’s Office to have a grand jury subpoena issued for Rodriguez’s medical
    records and blood-test results. The day after the incident, the District Attorney’s
    Office issued a grand jury subpoena to the hospital’s custodian of records seeking
    Rodriguez’s medical records.      The hospital’s records custodian responded by
    providing a copy of them.          The records revealed that the blood-alcohol
    concentration in the sample drawn from Rodriguez at 4:21 A.M. was .209.
    Officer Roberts included the blood-alcohol concentration data in his
    probable cause affidavit and contacted the District Attorney’s Office intake
    division about filing a DWI charge against Rodriguez. The District Attorney’s
    Office filed an information charging Rodriguez with DWI on December 16, 2010.
    No grand jury was in session when the subpoena issued and no grand jury
    deliberated whether to bring charges against Rodriguez.
    The trial court made the findings of fact and conclusions of law supporting
    the denial of Rodriguez’s motion to suppress, including:
    • Office Roberts had reasonable articulable suspicion to detain Rodriguez and
    had probable cause to arrest him for DWI;
    4
    • Rodriguez’s blood was drawn and tested solely for the purpose of medical
    treatment.
    • The Fourth Amendment of the United States Constitution does not provide a
    reasonable expectation of privacy in blood-alcohol test results acquired
    through tests performed by hospital personnel on samples or specimens of
    blood drawn solely for medical purposes after a traffic accident.
    • The same privacy concerns related to obtaining medical records in Hardy 1
    apply in this case, where medical personnel drew Rodriguez’s blood for the
    purpose of medical treatment following an accident in the course of a DWI
    investigation.
    • Rodriguez did not have a reasonable expectation of privacy in the results of
    the blood-alcohol test administered on the sample of Rodriguez’s blood that
    was drawn by hospital personnel for a legitimate medical purpose.
    • Because Rodriguez did not have a reasonable expectation of privacy in his
    medical records obtained by grand jury subpoena process following an
    accident, Rodriguez lacks standing under federal or state law to contest the
    process by which the records were acquired.
    Discussion
    I.      Standard of review
    We review a trial court’s ruling on a motion to suppress under a bifurcated
    standard. See Ford v. State, 
    158 S.W.3d 488
    , 493 (Tex. Crim. App. 2005). The
    trial court is the sole trier of fact and judge of the weight and credibility of the
    evidence and testimony. Wiede v. State, 
    214 S.W.3d 17
    , 24–25 (Tex. Crim. App.
    2007). Accordingly, we defer to the trial court’s determination of historical facts if
    1
    State v. Hardy, 
    963 S.W.2d 516
    (Tex. Crim. App. 1997).
    5
    the record supports them. 
    Ford, 158 S.W.3d at 493
    . We review de novo the trial
    court’s application of the law to those facts. 
    Id. “[T]he prevailing
    party is entitled
    to ‘the strongest legitimate view of the evidence and all reasonable inferences that
    may be drawn from that evidence.’” State v. Castleberry, 
    332 S.W.3d 460
    , 465
    (Tex. Crim. App. 2011) (quoting State v. Garcia-Cantu, 
    253 S.W.3d 236
    , 241
    (Tex. Crim. App. 2008)). A trial court’s ruling will be sustained if it is “reasonably
    supported by the record and correct on any theory of law applicable to the case.”
    Laney v. State, 
    117 S.W.3d 854
    , 857 (Tex. Crim. App. 2003) (citing Willover v.
    State, 
    70 S.W.3d 841
    , 845 (Tex. Crim. App. 2002)).
    II.   Reasonable Expectation of Privacy
    Rodriguez claims that the denial of his motion to suppress violates his
    privacy rights under the Fourth Amendment, the federal Health Insurance
    Portability and Accountability Act of 1996 (HIPAA), and the Texas Medical
    Practices Act. He also complains that the State failed to comply with the grand
    jury procedures set forth in Chapter 20 of the Texas Code of Criminal Procedure.
    These violations of state and federal law, Rodriguez contends, require suppression
    pursuant to article 38.23(a) of the Code of Criminal Procedure, which declares that
    “[n]o evidence obtained by an officer or other person in violation of [any state or
    federal law] shall be admitted in evidence against the accused.” TEX. CODE CRIM.
    PROC. ANN. art. 38.23(a) (West 2005).
    6
    The trial court concluded that Rodriguez lacked standing under any of the
    state or federal laws he invokes because he had no reasonable expectation of
    privacy in his blood-test results or medical records. Our primary consideration,
    therefore, is whether the trial court correctly concluded that none of those laws
    affords Rodriguez a reasonable expectation of privacy in his blood-test results,
    which were performed for medical purposes and obtained by the State for
    Rodriguez’s prosecution.
    A. State v. Hardy and the Fourth Amendment
    The trial court relied on the Court of Criminal Appeals’ decision in State v.
    Hardy, 
    963 S.W.2d 516
    (Tex. Crim. App. 1997), to hold that Rodriguez lacked a
    reasonable expectation of privacy in protecting his blood-test results from
    disclosure to the District Attorney’s Office. In Hardy, the Court of Criminal
    Appeals specifically held that the Fourth Amendment does not support a
    reasonable expectation of privacy protecting blood-test results from tests taken by
    hospital personnel solely for medical purposes after a traffic accident. 
    Id. at 527.
    The Fourth Amendment protects an individual from the government’s search
    or seizure of a place or thing and from the government’s physical intrusion into a
    place or thing if the individual has a reasonable expectation of privacy in the place
    searched or item seized. See U.S. CONST. amend. IV; United States v. Jones, ___
    U.S. ___, 
    132 S. Ct. 945
    , 950–51 (2012); Rakas v. Illinois, 
    439 U.S. 128
    , 143, 99
    
    7 S. Ct. 421
    , 430 (1978). A legitimate expectation of privacy exists when the
    individual seeking Fourth Amendment protection maintains a “subjective
    expectation of privacy” in the area searched “that society recognizes as
    reasonable.” Kyllo v. United States, 
    533 U.S. 27
    , 31–33, 
    121 S. Ct. 2038
    , 2041–42
    (2001).
    A defendant has standing to challenge the admission of evidence obtained by
    an unreasonable search or seizure if he proves that he “had a legitimate expectation
    of privacy. . . .” State v. Betts, 
    397 S.W.3d 198
    , 203 (Tex. Crim. App. 2013);
    
    Rakas, 439 U.S. at 143
    , 99 S. Ct. at 430; Castleberry v. State, 
    425 S.W.3d 332
    , 334
    (Tex. App.—Houston [1st Dist.] 2011, pet. ref’d). The trial court found that
    Rodriguez had a subjective expectation of privacy in his medical records, but
    Rodriguez had the further burden to prove that society recognizes his subjective
    expectation as objectively reasonable. See 
    Betts, 397 S.W.3d at 203
    . The trial
    court concluded that Rodriguez did not meet this further burden.
    We agree with the trial court.      Rodriguez contends that circumstances
    surrounding his blood draw differ materially from those in Hardy. Together with
    changes in the legal landscape since Hardy, these differences, he contends, support
    recognition of a privacy right in his blood-test results. He argues that “Hardy
    answered only the very narrow Fourth Amendment expectation of privacy in
    blood-test reports when blood is drawn for medical purposes following a traffic
    8
    accident,” and not whether article 38.23 would require exclusion of evidence
    obtained in violation of state or federal law, or whether a reasonable expectation of
    privacy exists with respect to medical records generally. We examine both the
    factual and legal distinctions in turn.
    Factually, Rodriguez distinguishes Hardy by pointing out that the blood test
    in that case took place after a traffic accident, whereas his did not. Our court did
    not find this to be a meaningful distinction in Fourth Amendment terms in Owens
    v. State, 
    417 S.W.3d 115
    (Tex. App.—Houston [1st Dist.] 2013, no pet.). In that
    case, the defendant suffered an asthma attack shortly after his arrest. 
    Id. at 116.
    The officer called an ambulance. 
    Id. At the
    emergency room, the defendant
    presented with shortness of breath, and his blood pressure and heart rate were
    elevated. 
    Id. Over the
    defendant’s objection, the treating physician ordered a
    blood draw to rule out the possibility of other life-threatening conditions, such as a
    heart attack. 
    Id. We held
    that the evidence supported a reasonable conclusion that
    the hospital staff acted out of medical necessity in drawing his blood and, as a
    result, article 38.23(a) did not bar the admission of his blood-test results that were
    eventually obtained via a grand jury subpoena. 
    Id. at 118.
    The undisputed evidence in this case demonstrates that hospital staff drew
    and tested Rodriguez’s blood for medical purposes.           Officer Roberts listed
    Rodriguez’s fall in the parking lot, which caused his injury, as one of the facts
    9
    supporting his opinion that Rodriguez was intoxicated on September 25, 2010.
    Rodriguez does not identify any policy reason to support his proposed exception
    for the case in which a hospital patient was treated for injuries received in an
    accidental fall as opposed to injuries received in a traffic accident, and we have
    found none. See 
    Owens, 417 S.W.3d at 116
    .
    Legally, according to Rodriguez, Ferguson v. City of Charleston, 
    532 U.S. 67
    , 
    121 S. Ct. 1281
    (2001), recognizes a reasonable expectation of privacy for
    “those who undergo diagnostic tests in hospitals that—absent other considerations
    not present here (like a legal duty to disclose)—the results of their tests will not be
    shared with non-medical third parties.” We do not read Ferguson so broadly.
    There, the public hospital performed diagnostic tests at the State’s behest to obtain
    evidence of a patient’s criminal conduct for law-enforcement purposes without
    first obtaining the patient’s consent. See 
    id. at 84–85,
    121 S. Ct. at 1291–92. Here,
    the blood draw and blood-alcohol content test results were performed for medical
    treatment. This distinction renders Ferguson inapposite. See Murray v. State, 
    245 S.W.3d 37
    , 42 (Tex. App.—Austin 2007, pet. ref’d); see also State v. Villarreal,
    No. PD-0306-14, 
    2014 WL 6734178
    , at *15 (Tex. Crim. App. 2014) (explaining
    that drug-testing policy was invalidated in Ferguson because immediate objective
    of searches was to generate evidence for law enforcement purposes); Garcia v.
    State, 
    95 S.W.3d 522
    , 526–27 n.1 (Tex. App.—Houston [1st Dist.] 2002, no pet.)
    10
    (following Hardy post-Ferguson and applying Hardy to appellant’s challenge
    under Texas Constitution). Ferguson does not support Rodriguez’s contention that
    the Fourth Amendment protects his expectation of privacy in the medical records
    containing the blood-test results.
    B. Texas Medical Practices Act
    The Texas Medical Practice Act (MPA) protects “record[s] of the identity,
    diagnosis, evaluation, or treatment of a patient by a physician that is created or
    maintained by a physician is confidential and privileged and may not be disclosed
    except as provided.” TEX. OCC. CODE ANN. § 159.002(b) (West 2012). When the
    Court of Criminal Appeals adopted the Texas Rules of Evidence in 1985, it
    repealed the confidentiality provision of the MPA’s precursor in Rule 509, which
    abrogates the physician-patient privilege in criminal cases. See 
    Hardy, 963 S.W.2d at 519
    –23 (citing TEX. R. CRIM. EVID. 509 (“There is no physician-patient privilege
    in criminal proceedings.”) (now TEX. R. EVID. 509(b))).
    The Legislature later re-enacted the MPA without reference to Rule of
    Evidence 509.     Rodriguez contends that the MPA’s re-enactment means that,
    despite Rule 509, he retains a limited privilege and confidentiality in his medical
    records with respect to their discovery in criminal proceedings.
    We disagree. The MPA excepts from its general rule of physician-patient
    confidentiality “any criminal prosecution where the patient is a victim, witness or
    11
    defendant” and for response to “a court or a party to an action under a court order
    or subpoena.”     TEX. OCC. CODE ANN. § 159.003(a)(10), (12) (West 2012).
    Rodriguez points to section 159.003(b) of the Occupations Code, which provides:
    “This section does not authorize the release of confidential information to
    investigate or substantiate criminal charges against a patient.” 
    Id. § 159.003(b).
    Like the rest of the chapter, this provision is directed at the physician’s authority or
    lack thereof to disclose a patient’s records; it does not limit the State’s access to
    those records through subpoena.        See 
    id. § 159.003(a)(10),
    (12), see also 
    id. § 159.004(1)
    (West 2012) (excepting to privilege of confidentiality in allowing for
    disclosure of medical records in situation other than court or administrative
    proceeding to “a governmental agency, if the disclosure is required or authorized
    by law”). Under the circumstances here, the MPA does not provide any basis for
    protecting Rodriguez’s medical records or blood-test results from disclosure
    pursuant to subpoena and, as a result, it does not provide Rodriguez with grounds
    to assert a reasonable expectation of privacy.
    C. Grand jury statute
    Rodriguez further contends that the State procured his medical records in
    violation of the Texas grand jury statute because the assistant district attorney
    improperly delegated her authority to issue a subpoena. See TEX. CODE CRIM.
    PROC. ANN. arts. 20.02–20.05, 20.13 (West 2015). The attorney stipulated that she
    12
    routinely delegated the issuance of a subpoena to a member of her clerical staff,
    who, acting under the attorney’s authority, signed the subpoena in the attorney’s
    name with an ink stamp. Rodriguez also observes that the hospital provided the
    records directly to the investigating officer and that the grand jury was not in
    session when the district attorney’s office issued the subpoena. But Rodriguez has
    not shown that he was personally aggrieved by any deviation from the regular
    grand jury subpoena procedure, and the hospital did not challenge the subpoena; it
    simply turned over the records.
    During oral argument, Hernandez relied on Boyle v. State, which involved a
    challenge to the validity of law enforcement’s use of a grand jury material witness
    attachment, to take Boyle, a truck driver, into custody. 
    820 S.W.2d 122
    (Tex.
    Crim. App. 1989), overruled on other grounds by Gordon v. State, 
    801 S.W.2d 899
    (Tex. Crim. App. 1990). The police officers investigating the homicide honed in
    on Boyle as a suspect, but admittedly “lacked sufficient probable cause to conduct
    an investigatory search or to procure the issuance of an arrest warrant” for him. 
    Id. at 125,
    129. The officers nonetheless acquired a grand jury material witness
    attachment, signed by a district judge, to arrest Boyle and take him into custody.
    
    Id. at 125–26.
    The officers read Boyle his Miranda warnings, interrogated him,
    and asked for consent to search his truck, which he gave. 
    Id. at 126.
    An arrest
    13
    warrant charging Boyle with capital murder was issued a short time after the
    officers completed the investigatory search of the truck. 
    Id. Boyle moved
    to suppress the evidence procured during the interrogation and
    search, contending that the officers used his arrest pursuant to the material witness
    attachment to gain his permission to search the truck when they could not have
    done so by following procedures consistent with his rights under the federal and
    state constitutions. 
    Id. at 127.
    The Court of Criminal Appeals examined the
    district attorney’s affidavit supporting the attachment and concluded that it did not
    comply with the Code of Criminal Procedure’s requirements for its issuance. 2 
    Id. at 129.
    The Court held that “the procedure utilized in placing the appellant under
    arrest . . . was a pretext, subterfuge, and deceptive artifice intentionally employed
    to circumvent the principles and tenets of the Fourth and Fourteenth Amendments
    to the United States Constitution and Art. I, Sec. 9 of the Texas Constitution,”
    making his arrest illegal.     
    Id. at 129–30.
         But for the trucking company’s
    independent consent to search the truck Boyle was driving, which the State first
    argued on rehearing, the admission of evidence seized during the truck’s search
    would have amounted to harmful constitutional error. 
    Id. at 136–37,
    143.
    2
    Defects in process included: the violation of a provision restricting issuance to
    county residents, which Boyle was not; the absence of a required sworn statement
    that the district attorney believed that the witness was about to move out of the
    county; an affidavit that set bond without statutory authorization; and no showing
    that the witness failed to obey a properly served subpoena before the attachment
    was issued. Boyle v. State, 
    820 S.W.2d 122
    , 128–29 (Tex. Crim. App. 1989).
    14
    The main distinction that renders Boyle inapposite is the admitted lack of
    probable cause when the attachment issued in Boyle and the admitted existence of
    probable cause when the subpoena issued in this case.            Rodriguez has not
    suggested that the police could not have obtained the medical records other than by
    violating the grand jury subpoena process.
    We consistently have held that, because a defendant does not have any
    constitutional or statutory reasonable expectation of privacy in blood-test results
    obtained for medical purposes while the defendant is under criminal investigation
    for DWI, he does not have standing to complain of any defects in the grand jury
    subpoena process. Kirsch v. State, 
    276 S.W.3d 579
    , 587 (Tex. App.—Houston [1st
    Dist.] 2008), aff’d on other grounds, 
    306 S.W.3d 738
    , 749 (Tex. Crim. App. 2010);
    Garcia v. State, 
    95 S.W.3d 522
    , 526–27 (Tex. App.—Houston [1st Dist.] 2002, no
    pet); Dickerson v. State, 
    965 S.W.2d 30
    , 31 (Tex. App.—Houston [1st Dist.]
    1993), pet. dism’d, improvidently granted, 
    986 S.W.2d 618
    (Tex. Crim. App.
    1999); accord Tapp v. State, 
    108 S.W.3d 459
    , 461 (Tex. App.—Houston [14th
    Dist.] 2003, pet. ref’d). We thus reject his challenge to the admissibility of the
    blood-test results based on any procedural irregularity in the grand jury process.
    D. HIPAA
    Finally, Rodriguez contends that his blood-test results should have been
    suppressed because the grand jury subpoena did not comply with the statutory
    15
    requirements for its issuance, and accordingly, the release in response to the
    subpoena violated HIPAA.       In Kirsch, we agreed with other Texas courts of
    appeals that HIPAA does not protect from disclosure a patient’s medical records
    and blood-test results obtained through lawful process and under circumstances
    that suggest the patient has committed the offense of 
    DWI. 276 S.W.3d at 586
    –87
    (citing Kennemur v. State, 
    280 S.W.3d 305
    , 312 (Tex. App.—Amarillo 2008, pet.
    ref’d), and Murray v. State, 
    245 S.W.3d 37
    , 42 (Tex. App.—Austin 2007, pet.
    ref’d)).
    Rodriguez relies on the following HIPAA regulation:
    (f)   Standard: Disclosures for law enforcement purposes. A covered
    entity may disclose protected health information for a law
    enforcement purpose to a law enforcement official if the
    conditions in paragraphs (f)(1) through (f)(6) of this section are
    met, as applicable.
    (1) Permitted disclosures: Pursuant to process and as
    otherwise required by law. A covered entity may disclose
    protected health information:
    (i)   As required by law including laws that require the
    reporting of certain types of wounds or other
    physical injuries, except for laws subject to
    paragraph (b)(1)(ii) or (c)(1)(i) of this section; or
    (ii) In compliance with and as limited by the relevant
    requirements of:
    (A) A court order or court-ordered warrant, or a
    subpoena or summons issued by a judicial
    officer;
    (B) A grand jury subpoena; or
    16
    (C)   An administrative request, including an
    administrative subpoena or summons, a civil
    or an authorized investigative demand, or
    similar process authorized under law,
    provided that:
    (1) The information sought is relevant
    and material to a legitimate law
    enforcement inquiry;
    (2) The request is specific and limited in
    scope to the extent reasonably
    practicable in light of the purpose for
    which the information is sought; and
    (3) De-identified information could not
    reasonably be used.
    45 C.F.R. § 164.512(f). Specifically, Rodriguez claims that the subpoena failed to
    comply with the statutory requirements for its issuance and thus violates subsection
    (f)(ii)(B).
    Any irregularity in the subpoena’s issuance in this case does not support
    suppression of the blood-test results. When the Department of Health and Human
    Services (DHHS) promulgated the HIPAA regulations, it declared: “We shape the
    rule’s provisions with respect to law enforcement according to the limited scope of
    our regulatory authority under HIPAA, which applies only to the covered entities
    and not to law enforcement officials.” 65 Fed. Reg. 82462, 82679 (Dec. 28, 2000)
    (agency’s response to public comments in connection with promulgation of final
    rule).        HIPAA defines as “covered entities” health plans, health care
    clearinghouses, and health care providers who transmit health information
    17
    electronically. See 45 C.F.R. §§ 160.102(a), 164.104(a).        An individual who
    believes his rights under HIPAA have been violated may file a complaint against a
    covered entity with DHHS’s Office of Civil Rights. 45 C.F.R. § 160.306; see 42
    U.S.C. §§ 1320d-5, 1320d-6 (providing for imposition of monetary fines on a
    covered entity in the event of a violation). But, as DHHS recognized, “under the
    HIPAA statutory authority, [DHHS] cannot impose sanctions on law enforcement
    officials or require suppression of evidence.” 65 Fed. Reg. at 82679.
    The State did not violate HIPAA because it is not a covered entity under
    HIPAA and accordingly, its conduct is not governed by HIPAA. See United States
    v. Elliott, 
    676 F. Supp. 2d 431
    , 440 (D. Md. 2009). Moreover, even if the State
    had violated HIPAA standards, we cannot read the exclusionary rule into a statute
    when its remedial provision is silent on suppression. See, e.g., Sanchez-Llamas v.
    Oregon, 
    548 U.S. 331
    , 346, 
    126 S. Ct. 2669
    , 2679 (2006) (suppression is not
    proper remedy for violation of Article 36 of the Vienna Convention; reading rule
    requiring suppression into Convention would supplement terms and enlarge U.S.
    obligations, which would be “entirely inconsistent with the judicial function”);
    Transam. Mortg. Advisors, Inc. v. Lewis, 
    444 U.S. 11
    , 19, 
    100 S. Ct. 242
    , 247
    (1979) (declaring that “it is an elemental canon of statutory construction that where
    a statute expressly provides a particular remedy or remedies, a court must be chary
    of reading others into it”). “HIPAA was passed to ensure an individual’s right to
    18
    privacy over medical records; it was not intended to be a means for evading
    prosecution in criminal proceedings.” United States v. Zamora, 
    408 F. Supp. 2d 295
    , 298 (S.D. Tex. 2006); accord 
    Elliott, 676 F. Supp. 2d at 437
    –38 (denying
    motion to suppress on basis that government’s interest in obtaining medical records
    with blood-test results and in addressing drunk-driving problem outweighed any
    privacy interest violated through use of improper subpoena).
    We abide by Kirsch and hold that that HIPAA does not provide Rodriguez
    with a reasonable expectation of privacy in his medical records and blood-test
    results in connection with medical treatment for injuries sustained while in custody
    under suspicion of intoxication. 
    See 276 S.W.3d at 587
    . As a result, the trial court
    did not err in denying Rodriguez’s motion to suppress on this ground.
    III.   Article 38.23 Standing
    Article 38.23 provides that “[n]o evidence obtained by an officer or other
    person in violation of any provisions of the Constitution or laws of the State of
    Texas, or of the Constitution or laws of the United States of America, shall be
    admitted in evidence against the accused on the trial of any criminal case.” TEX.
    CODE CRIM. PROC. ANN. art. 38.23. Its purpose is “to protect a suspect’s privacy,
    property, and liberty rights against overzealous law enforcement . . . [and] to deter
    unlawful actions which violate the rights of criminal suspects in the acquisition of
    19
    evidence for prosecution.” Wilson v. State, 
    311 S.W.3d 452
    , 458–59 (Tex. Crim.
    App. 2010).
    We have held that none of the laws that Rodriguez relies on supports his
    claim to a reasonable expectation of privacy in these circumstances, and he does
    not identify any other personal right that the State violated in obtaining the records.
    An accused does not have standing to complain about evidence that is illegally
    obtained unless it was done so in violation of his rights. See Chavez v. State, 
    9 S.W.3d 817
    , 819 (Tex. Crim. App. 2000). Absent a substantive personal right,
    Rodriguez is not entitled to exclusion of the evidence under article 38.23.
    Conclusion
    We hold that the trial court did not err in denying Rodriguez’s motion to
    suppress. We therefore affirm the judgment of the trial court.
    Jane Bland
    Justice
    Panel consists of Justices Keyes, Bland, and Massengale.
    Publish. TEX. R. APP. P. 47.2(b).
    20
    Appendix B
    Statement of Facts
    26
    Appendix B
    Statement of Facts
    On September 25, 2010, Appellant was arrested for driving while intoxicated.
    There was probable cause for the arrest. FOF-6-11.1 COL-1 There was no traffic
    accident. After Appellant arrived at “Central Intox,” and while being escorted into
    the station, Appellant pulled away from the officer, lost his balance, and fell forward
    onto the parking lot, suffering injuries to his head and face that required medical
    attention. FOF-13-14. An ambulance was called and Appellant was transported to
    St. Joseph’s Hospital. FOF-15. Houston Police Department Officer Roberts followed
    the ambulance to the hospital. Appellant remained in custody at the hospital. FOF-
    17-18.     At the hospital, Roberts requested a specimen of Appellant’s blood.
    Appellant refused. FOF-18.
    Appellant’s blood was drawn at the hospital by medical personnel (not as
    agents of law enforcement) for medical purposes. FOF-19,23, COL-2. Because
    Appellant was admitted for treatment, he was released from custody. FOF-24.
    Based on a conversation with Roberts, an assistant district attorney agreed to
    accept charges on a “to be” basis following receipt of the blood alcohol test results
    1
    References in this statement of facts to FOF are to the court’s findings of fact and to
    COL are to the court’s conclusions of law. This is the only document contained in the
    supplemental clerks’ record.
    1
    from the hospital. Roberts completed a “to-be” police report and placed it in the
    designated place at HPD for later processing. FOF-25.
    MacKenzie Gaston-Winne (Winne), a civilian evidence technician at HPD,
    received and processed the “to be” police report. In accordance with HPD policy,
    Winne emailed Rhonda Watson, a paralegal at the Harris County DA’s office, and
    requested a grand jury subpoena for Appellant’s medical records and blood test
    results. When Winne received the paperwork (variously referred to as a grand jury
    subpoena or alleged grand jury subpoena) dated September 28, 2010, from Watson,
    she attached an HPD cover sheet and transmitted it to the hospital. No peace officer
    was involved in this process. The documents obtained by Winne from Watson are
    contained in state’s exhibit 2 and defense exhibit 1. FOF-26.
    The hospital responded to the records request by transmitting Appellant’s
    medical records to Watson on November 9, 2010. On November 10, 2010, Watson
    transmitted them to Winne. The records were never filed with either the District
    Clerk or any grand jury. FOF-50, COL-16.
    A copy of the records were filed with the HPD accident division and the
    original were placed in the original “officer’s packet” for his use. At no time were
    the records sent to the Grand Jury Division of the District Attorney’s office, any
    Grand Jury, or to the District Clerk. FOF-27. Following receipt of the records,
    2
    Roberts prepared a probable cause affidavit that was presented to an assistant district
    attorney and charges were filed. FOF-51.
    Catherine Evans was the Chief of the Vehicular Crimes Section of the DA’s
    office. Watson worked under Evans. FOF-28. Watson had been issued a signature
    stamp by Evans with Evans’ name on it for Watson’s use when officers were seeking
    grand jury subpoenas. Watson was not an attorney or an assistant district attorney.
    FOF-29.
    In a typical case, when a law enforcement officer wanted a grand jury subpoena
    and contacted Watson, she would verify that the records were being sought in
    connection with a pending investigation, would collect the necessary descriptive
    information, prepare a document labeled “grand jury subpoena,” use the stamp
    provided by Evans to affix Evans’ stamped signature to the document, and provide
    the document to the requesting officer. FOF-31. In a typical case, Watson was
    authorised to use the stamp to affix Evans’ signature to a document labeled “grand
    jury subpoena” without obtaining express permission or consent from Evans or any
    other assistant district attorney. Watson could, if she chose to, consult with an
    assistant district attorney, but that decision was solely within her discretion. FOF-32.
    Watson issued more documents labeled “grand jury subpoena” using Evans’
    stamp without obtaining express permission or consent from Evans or any assistant
    3
    district attorney than she did where she was given express permission on a specific
    case. FOF-9. Watson issued more documents labeled “grand jury subpoena” using
    Evans’ stamp than Evans issued. FOF-34. More often than not, Evans was not aware
    when Watson used her signature stamp to issue a document labeled “grand jury
    subpoena.” FOF-35. Watson issued the vast majority of documents labeled “grand
    jury subpoena” in misdemeanor DWI cases without the specific approval of Evans or
    any other assistant district attorney. FOF-37.
    Watson was also given the discretion to choose which of the sitting grand juries
    she would designate as seeking the records sought by the document labeled “grand
    jury subpoena.” FOF-38.
    The District Attorneys’s Office provided no written instructions to officers who
    obtained medical records with a grand jury subpoena or a document labeled “grand
    jury subpoena” as to what was to be done with the records once they were obtained.
    FOF-39. Such officers were not required to turn over the medical records they
    received to either the District Clerk or to the grand jury designated on the document.
    FOF-40. In typical cases, the records were kept at the law enforcement agency that
    obtained the records and in some cases copies were turned over to the district
    attorney’s office, where they would be maintained in the case file for which they had
    been sought. FOF-41.
    4
    Officers who received records obtained with a grand jury subpoena or a
    document labeled “grand jury subpoena” received no instructions on maintaining
    privacy or secrecy of the medical records aside from the language contained within
    the grand jury subpoena or document labeled “grand jury subpoena” and the
    accompanying “HIPAA letter.” FOF-42. The District Attorneys Office had no policy
    or procedure to protect and maintain the secrecy of the records obtained with a grand
    jury subpoena or a document labeled “grand jury subpoena” from other assistant
    district attorneys or other employees of the office not involved in the grand jury
    process. FOF-43.
    Even though the District Attorney’s Office was aware of the HPD standard
    procedure for handling documents obtained with a grand jury subpoena or a
    document labeled “grand jury subpoena” and placing them in files that may have been
    accessible to other police employees, the DA’s office did not issue any instructions
    concerning grand jury secrecy. FOF-44.
    It was the policy of the DA’s office to exempt all law enforcement personnel
    from grand jury secrecy provisions. FOF-46. It was the policy and practice of the
    DA’s Office not to require any witness served with a grand jury subpoena or a
    document labeled “grand jury subpoena” for medical records in misdemeanor DWI
    cases to appear before any grand jury or court so long as the witness produced the
    5
    requested medical records. FOF-47.
    Watson never dealt with any peace officer in relation to this case. FOF-49.
    Upon receipt of the request from Winne, Watson placed Evans’ stamped signature
    on the document labeled “grand jury subpoena” and caused it to be delivered to
    Winne. Watson acted solely in her delegated capacity and never received express
    approval in this case from any assistant district attorney to issue the document labeled
    “grand jury subpoena.” FOF-49.
    No person related to this case ever testified before a grand jury in relation to
    this case. FOF-52. There is no order from any court releasing the records obtained
    from the hospital from grand jury secrecy. FOF-53.
    Appellant had a subjective expectation of privacy in his medical records and
    the blood test results. FOF-54. There is no other process (such as a subpoena, grand
    jury subpoena, summons, or attachment) related to obtaining records in this case other
    than the documents admitted into evidence. FOF-55. The term of the 185th grand
    jury was from August 3, 2010, through October 28, 2010. FOF-56.
    6
    Appendix C
    Court’s Findings of Fact and Conclusions of Law
    27
    Appendix D
    Cases
    28
    Appendix D
    List of Cases Following or Relying on Dickerson
    Sullivan v. State, No. 03-98-00151-CR, 1999 Tex. App. LEXIS 3150, 
    1999 WL 249412
    (Tex. App–Austin, Apr. 29, 1999, pet ref’d)(relying on Dickerson; 38.23
    only mentioned as a remedy for the alleged fourth amendment violation).
    Mazzucco v. State, No. 09-98-513-CR, 1999 Tex. App. LEXIS 6466; 
    1999 WL 650864
    (Tex. App--Beaumont, Aug 25, 1999, no pet.)(relying on Dickerson and
    Comeaux; article 38.23 not mentioned).
    Garcia v. State, 
    95 S.W.3d 522
    , 526-27 (Tex. App.--Houston [1st Dist.] 2002, no
    pet.)(relying on Dickerson; article 38.23 not mentioned).
    Tapp v. State, 
    108 S.W.3d 459
    , 462 (Tex. App.--Houston [14th Dist.] 2003, pet.
    ref’d) (relying on Dickerson and Garcia and without any discussion or additional
    authority, expressly extending them to reject an Article 38.23 claim).
    1
    Harmon v. State, No. 01-02-00035-CR, 2003 Tex. App. LEXIS 6172; 
    2003 WL 21665488
    (Tex. App–Houston [1st Dist.], Jul. 17, 2003, no pet.)(relying on Dickerson
    and Garcia; article 38.23 not mentioned).
    Hicks v. State, No. 01-02-00165-CR, 2003 Tex. App. LEXIS 9280; 
    2003 WL 22456045
    (Tex. App.--Houston [1st Dist], Oct. 30, 2003, no pet)(relying on
    Dickerson and Garcia; article 38.23 not mentioned).
    Ramos v. State, 
    124 S.W.3d 326
    , 339 (Tex. App.—Fort Worth 2003, pet.
    ref'd)(relying on Dickerson, Garcia, and Tapp, and claiming that this was also a
    holding of Hardy; article 38.23 not mentioned with respect to this issue).
    Murray v. State, 
    245 S.W.3d 37
    , 42 (Tex. App.--Austin 2007, pet ref'd)(relied on
    Ramos and Tapp and without any additional analysis applied them to find no
    standing to raise an Article 38.23 claim).
    Kennemur v. 
    State, 280 S.W.3d at 312
    (relying on Ramos and, without discussion
    or analysis, broadened to include no standing to raise a claim that HIPAA was
    violated; article 38.23 not mentioned).
    2
    Mitchell v. State, No. 05-06-01479-CR, 2008 Tex. App. LEXIS 6085; 
    2008 WL 3318883
    (Tex. App--Dallas, Aug 12, 2008, no pet.)(relying on Ramos, generally, and
    Murray and Tapp in relation to no standing in relation to the HIPAA claim; 38.23
    not mentioned).
    Kirsch v. State, 
    276 S.W.3d 879
    (Tex. App.–Houston [1st Dist.] 2008), aff’d on
    other grounds, 
    306 S.W.3d 738
    (Tex. Crim. App. 2010)(relying on Garcia, Tapp,
    Ramos and Murphy; broadened to include no standing to raise a claim that HIPAA
    was violated; article 38.23 not mentioned).
    State v. Jewell, No. 10-11-00166-CR, 2013 Tex. App. LEXIS 930, 
    2013 WL 387800
    (Tex. App.--Waco, Jan. 31, 2013, no pet.)(relying on Murray and citing article 38.23
    to affirm suppression of all medical records other than blood test results).
    3