Archive for Wednesday, April 19, 2006

Judge favors youth privacy

AG’s attempt to increase reporting of sex is rebuffed

April 19, 2006

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— In a decision hailed as a victory for adolescent privacy rights, a federal judge ruled Tuesday that health care providers and others are not required to report all underage sexual activity between consenting youths as sexual abuse.

U.S. District Judge J. Thomas Marten granted a permanent injunction in the case filed by the Center for Reproductive Rights, a New York advocacy group, in its constitutional challenge to Atty. Gen. Phill Kline's interpretation of the state's mandatory reporting law.

Marten ruled that a plain reading of the Kansas statute gives mandatory reporters discretion to determine whether to suspect a child has been injured as a result of sexual abuse.

"Contrary to defendants' claims, a prosecutor is not in a better position to make an initial determination of 'injury,' as required by statute, than is a health care professional," Marten wrote.

The lawsuit stems from Kline's 2003 opinion that the state's 1982 mandatory reporting law requires doctors, nurses, counselors, teachers and others to tell authorities about consensual sex by underage youths. In Kansas, the age of consent is 16.

The Center for Reproductive Rights contends that forced reporting discourages adolescents from seeking counseling and medical treatment and violates their right to informational privacy.

The attorney general's office contends the statute requires mandatory reporting because sex is inherently harmful to underage children.

Reaction to ruling

Simon Heller, attorney for the Center for Reproductive Rights, called the ruling an important victory for young people in Kansas and across the United States.

"It is the first ruling recognizing the United States Constitution gives protection - constitutional protection - to the informational privacy rights of young people in health care," Heller said.

Heller said such privacy rights already had been extended to adults seeking health care.

"Few, if any, courts have been asked to address this because no one prior to Phill Kline has ever even suggested that the government should have all information about sexual behavior that is being provided health care providers," Heller said.

Kline said he had not had a chance to read the opinion and had not decided whether to appeal it to the 10th U.S. Circuit Court of Appeals in Denver. Kline was in Washington on Tuesday, preparing for U.S. Supreme Court arguments on Kansas' death penalty law.

But Kline said of Marten's ruling, "It's not unexpected. It's what we've been predicting."

No change to law, policy

The ruling does not change the law or policy as it has been applied in Kansas since 1982, and upholds both, Marten said. Every case in which there is a reasonable suspicion of injury caused by abuse must continue to be reported to SRS. The case is not about whether adult sexual predators will escape detection, the judge said.

"This case certainly is not about promoting sexual promiscuity among underage persons. Each and every witness testified that underage sex should be discouraged. No witness suggested that sexual intercourse under the age of 12 should not be reported," Marten wrote.

"At the same time, a plain language interpretation of the reporting statute acknowledges the importance of the health care professional's ability to obtain and maintain a young patient's confidence in order to treat the patient appropriately," he wrote. "It recognizes that sexual activity among underage persons occurs, and that any such activity that injures the minor will be reported."

The Center for Reproductive Rights sued in 2003 on behalf of a group of obstetricians and gynecologists, registered nurses, psychologists, social workers, a family practice physician and a sex education teacher. Named as defendants were Kline and Sedgwick County District Attorney Nola Foulston, as representative of a class of all county and district attorneys in Kansas.

Kline's objectives

Kline said he's never sought to prosecute children who have consensual sex, only children who are victimized by adults. Without mandatory reporting, he said, law enforcement officials do not get the information they need to pursue cases.

"No one prosecutes consensual activity between children, and somehow claiming children are in jeopardy is nothing but a fear tactic," he said. "What children are in jeopardy of is no one reporting when they've been raped."

Kline noted that legislators last year approved a law requiring doctors who perform abortions on girls under 14 to preserve fetal tissue samples and send them to the Kansas Bureau of Investigation to aid in child rape investigations.

"The Legislature confirmed my opinion that the rape of a child hurts a child," Kline said.

Kansas law defines any sexual intercourse with a child under 14 as rape.

Foulston has not had a chance to read the opinion and will not comment, said Georgia Cole, spokeswoman for the Sedgwick County District Attorney's Office.

Heller said the Center for Reproductive Rights never challenged the appropriate obligation of health care providers to report real child abuse, only Kline's efforts to broaden the reporting statute to make it more restrictive.

"We are of course very pleased with Judge Marten's decision which permanently enjoins Kansas from enforcing this very intrusive invasion of the privacy and confidentiality of adolescents in Kansas," Heller said. "And we are especially pleased that the court recognized that when adolescents seek health care confidentiality ... is critically important."

The ruling also held that the Kansas reporting statute does not make all underage sexual activity inherently injurious and that it requires a person to have reason to suspect that the injury occurred from illegal sexual activity before reporting.

Associated Press writer John Hanna contributed to this report.

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