Facebook did not violate HIPAA by using data showing users browsed healthcare-related websites

Plaintiffs sued Facebook and other entities, including the American Cancer Society, alleging that Facebook violated numerous federal and state laws by collecting and using plaintiffs’ browsing data from various healthcare-related websites. The district court dismissed the action and plaintiffs sought review with the Ninth Circuit. On appeal, the court affirmed the dismissal.

The appellate court held that the district court properly determined that plaintiffs consented to Facebook’s data tracking and collection practices.

Plaintiffs consented to Facebook’s terms

It noted that in determining consent, courts consider whether the circumstances, considered as a whole, demonstrate that a reasonable person understood that an action would be carried out so that their acquiescence demonstrates knowing authorization.

In this case, plaintiffs did not dispute that their acceptance of Facebook’s Terms and Policies constituted a valid contract. Those Terms and Policies contained numerous disclosures related to information collection on third-party websites, including:

  • “We collect information when you visit or use third-party websites and apps that use our Services …. This includes information about the websites and apps you visit, your use of our Services on those websites and apps, as well as information the developer or publisher of the app or website provides to you or us,” and
  • “[W]e use all of the information we have about you to show you relevant ads.”

The court found that a reasonable person viewing those disclosures would understand that Facebook maintained the practices of (a) collecting its users’ data from third-party sites and (b) later using the data for advertising purposes. This was “knowing authorization”.

“But it’s health-related data”

The court rejected plaintiffs claim that—though they gave general consent to Facebook’s data tracking and collection practices—they did not consent to the collection of health-related data due to its “qualitatively different” and “sensitive” nature.

The court did not agree that the collected data was so different or sensitive. The data showed only that plaintiffs searched and viewed publicly available health information that could not, in and of itself, reveal details of an individual’s health status or medical history.

This notion supported the court’s conclusion that the use of the information did not violate the Health Information Portability and Accountability Act of 1996 (“HIPAA”) and its California counterpart.

The court held that information available on publicly accessible websites stands in stark contrast to the personally identifiable patient records and medical histories protected by HIPAA and other statutes — information that unequivocally provides a window into an individual’s personal medical history.

Smith v. Facebook, Inc., 2018 WL 6432974 (9th Cir. Dec. 6, 2018)

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