As Passed by the Senate

126th General Assembly
Regular Session
2005-2006
S. B. No. 19


Senators Schuler, Wachtmann, Mumper, Clancy, Hagan, Goodman, Austria, Roberts, Padgett, Niehaus 



A BILL
To amend section 2317.02 and to enact section 1
2305.2341 of the Revised Code to make the 2
testimonial privilege against disclosure of 3
certain communications applicable to critical 4
incident stress management (CISM) team members and 5
to provide CISM team members with immunity against 6
tort or other civil liability arising from actions 7
or omissions during debriefing sessions.8


BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:

       Section 1. That section 2317.02 be amended and section 9
2305.2341 of the Revised Code be enacted to read as follows:10

       Sec. 2305.2341. (A) As used in this section:11

        (1) "Crisis response services" means consultation, risk 12
assessment, referral, and on-site crisis intervention services 13
provided by a critical incident stress management team to 14
individuals affected by crisis or disaster.15

        (2) "Critical incident stress management team member" or 16
"team member" means an individual specially trained to provide 17
crisis response services as a member of an organized community or 18
local crisis response team that holds membership in the Ohio 19
critical incident stress management network.20

        (3) "Debriefing session" means a session at which crisis 21
response services are rendered by a critical incident stress 22
management team member during or after a crisis or disaster.23

        (4) "Tort action" means a civil action for damages for 24
injury, death, or loss to person or property other than a civil 25
action for a breach of contract or another agreement between 26
persons or government entities.27

        (B) A critical incident stress management team member is not 28
liable in damages to any person or government entity in a tort or 29
other civil action, including an action on a physical or mental 30
health-related claim, for injury, death, or loss to person or 31
property that allegedly arises from an action or omission of the 32
team member during a debriefing session, unless the action or 33
omission constitutes willful or wanton misconduct.34

       Sec. 2317.02.  The following persons shall not testify in35
certain respects:36

       (A) An attorney, concerning a communication made to the37
attorney by a client in that relation or the attorney's advice to38
a client, except that the attorney may testify by express consent39
of the client or, if the client is deceased, by the express40
consent of the surviving spouse or the executor or administrator41
of the estate of the deceased client and except that, if the42
client voluntarily testifies or is deemed by section 2151.421 of43
the Revised Code to have waived any testimonial privilege under44
this division, the attorney may be compelled to testify on the45
same subject;46

       (B)(1) A physician or a dentist concerning a communication47
made to the physician or dentist by a patient in that relation or48
the physician's or dentist's advice to a patient, except as49
otherwise provided in this division, division (B)(2), and division50
(B)(3) of this section, and except that, if the patient is deemed51
by section 2151.421 of the Revised Code to have waived any52
testimonial privilege under this division, the physician may be53
compelled to testify on the same subject.54

       The testimonial privilege established under this division55
does not apply, and a physician or dentist may testify or may be56
compelled to testify, in any of the following circumstances:57

       (a) In any civil action, in accordance with the discovery58
provisions of the Rules of Civil Procedure in connection with a59
civil action, or in connection with a claim under Chapter 4123. of60
the Revised Code, under any of the following circumstances:61

       (i) If the patient or the guardian or other legal62
representative of the patient gives express consent;63

       (ii) If the patient is deceased, the spouse of the patient or 64
the executor or administrator of the patient's estate gives65
express consent;66

       (iii) If a medical claim, dental claim, chiropractic claim,67
or optometric claim, as defined in section 2305.113 of the Revised68
Code, an action for wrongful death, any other type of civil69
action, or a claim under Chapter 4123. of the Revised Code is70
filed by the patient, the personal representative of the estate of71
the patient if deceased, or the patient's guardian or other legal72
representative.73

       (b) In any civil action concerning court-ordered treatment or 74
services received by a patient, if the court-ordered treatment or 75
services were ordered as part of a case plan journalized under76
section 2151.412 of the Revised Code or the court-ordered77
treatment or services are necessary or relevant to dependency,78
neglect, or abuse or temporary or permanent custody proceedings79
under Chapter 2151. of the Revised Code.80

       (c) In any criminal action concerning any test or the results 81
of any test that determines the presence or concentration of 82
alcohol, a drug of abuse, or alcohol and a drug of abuse in the83
patient's blood, breath, urine, or other bodily substance at any84
time relevant to the criminal offense in question.85

       (d) In any criminal action against a physician or dentist. In 86
such an action, the testimonial privilege established under this 87
division does not prohibit the admission into evidence, in88
accordance with the Rules of Evidence, of a patient's medical or89
dental records or other communications between a patient and the90
physician or dentist that are related to the action and obtained91
by subpoena, search warrant, or other lawful means. A court that92
permits or compels a physician or dentist to testify in such an93
action or permits the introduction into evidence of patient94
records or other communications in such an action shall require95
that appropriate measures be taken to ensure that the96
confidentiality of any patient named or otherwise identified in97
the records is maintained. Measures to ensure confidentiality that 98
may be taken by the court include sealing its records or deleting 99
specific information from its records.100

       (e) In any will contest action under sections 2107.71 to101
2107.77 of the Revised Code if all of the following apply:102

       (i) The patient is deceased.103

       (ii) A party to the will contest action requests the104
testimony, demonstrates to the court that that party would be an 105
heir of the patient if the patient died without a will, is a106
beneficiary under the will that is the subject of the will contest107
action, or is a beneficiary under another testamentary document108
allegedly executed by the patient, and demonstrates to the court109
that the testimony is necessary to establish the party's rights as110
described in this division.111

       (2)(a) If any law enforcement officer submits a written112
statement to a health care provider that states that an official113
criminal investigation has begun regarding a specified person or114
that a criminal action or proceeding has been commenced against a115
specified person, that requests the provider to supply to the116
officer copies of any records the provider possesses that pertain117
to any test or the results of any test administered to the118
specified person to determine the presence or concentration of119
alcohol, a drug of abuse, or alcohol and a drug of abuse in the120
person's blood, breath, or urine at any time relevant to the121
criminal offense in question, and that conforms to section122
2317.022 of the Revised Code, the provider, except to the extent123
specifically prohibited by any law of this state or of the United124
States, shall supply to the officer a copy of any of the requested125
records the provider possesses. If the health care provider does126
not possess any of the requested records, the provider shall give127
the officer a written statement that indicates that the provider128
does not possess any of the requested records.129

       (b) If a health care provider possesses any records of the130
type described in division (B)(2)(a) of this section regarding the131
person in question at any time relevant to the criminal offense in132
question, in lieu of personally testifying as to the results of133
the test in question, the custodian of the records may submit a134
certified copy of the records, and, upon its submission, the135
certified copy is qualified as authentic evidence and may be136
admitted as evidence in accordance with the Rules of Evidence.137
Division (A) of section 2317.422 of the Revised Code does not138
apply to any certified copy of records submitted in accordance139
with this division. Nothing in this division shall be construed to 140
limit the right of any party to call as a witness the person who141
administered the test to which the records pertain, the person142
under whose supervision the test was administered, the custodian143
of the records, the person who made the records, or the person144
under whose supervision the records were made.145

       (3)(a) If the testimonial privilege described in division146
(B)(1) of this section does not apply as provided in division147
(B)(1)(a)(iii) of this section, a physician or dentist may be148
compelled to testify or to submit to discovery under the Rules of149
Civil Procedure only as to a communication made to the physician150
or dentist by the patient in question in that relation, or the151
physician's or dentist's advice to the patient in question, that152
related causally or historically to physical or mental injuries153
that are relevant to issues in the medical claim, dental claim,154
chiropractic claim, or optometric claim, action for wrongful155
death, other civil action, or claim under Chapter 4123. of the156
Revised Code.157

       (b) If the testimonial privilege described in division (B)(1) 158
of this section does not apply to a physician or dentist as159
provided in division (B)(1)(c) of this section, the physician or160
dentist, in lieu of personally testifying as to the results of the161
test in question, may submit a certified copy of those results,162
and, upon its submission, the certified copy is qualified as163
authentic evidence and may be admitted as evidence in accordance164
with the Rules of Evidence. Division (A) of section 2317.422 of165
the Revised Code does not apply to any certified copy of results166
submitted in accordance with this division. Nothing in this167
division shall be construed to limit the right of any party to168
call as a witness the person who administered the test in169
question, the person under whose supervision the test was170
administered, the custodian of the results of the test, the person171
who compiled the results, or the person under whose supervision172
the results were compiled.173

       (c) If the testimonial privilege described in division (B)(1)174
of this section does not apply as provided in division (B)(1)(e)175
of this section, a physician or dentist may be compelled to176
testify or to submit to discovery in the will contest action under177
sections 2107.71 to 2107.77 of the Revised Code only as to the178
patient in question on issues relevant to the competency of the179
patient at the time of the execution of the will. Testimony or180
discovery conducted pursuant to this division shall be conducted181
in accordance with the Rules of Civil Procedure.182

       (4) The testimonial privilege described in division (B)(1) of 183
this section is not waived when a communication is made by a184
physician to a pharmacist or when there is communication between a185
patient and a pharmacist in furtherance of the physician-patient186
relation.187

       (5)(a) As used in divisions (B)(1) to (4) of this section,188
"communication" means acquiring, recording, or transmitting any189
information, in any manner, concerning any facts, opinions, or190
statements necessary to enable a physician or dentist to diagnose,191
treat, prescribe, or act for a patient. A "communication" may192
include, but is not limited to, any medical or dental, office, or193
hospital communication such as a record, chart, letter,194
memorandum, laboratory test and results, x-ray, photograph,195
financial statement, diagnosis, or prognosis.196

       (b) As used in division (B)(2) of this section, "health care197
provider" means a hospital, ambulatory care facility, long-term198
care facility, pharmacy, emergency facility, or health care199
practitioner.200

       (c) As used in division (B)(5)(b) of this section:201

       (i) "Ambulatory care facility" means a facility that provides202
medical, diagnostic, or surgical treatment to patients who do not203
require hospitalization, including a dialysis center, ambulatory204
surgical facility, cardiac catheterization facility, diagnostic205
imaging center, extracorporeal shock wave lithotripsy center, home206
health agency, inpatient hospice, birthing center, radiation207
therapy center, emergency facility, and an urgent care center.208
"Ambulatory health care facility" does not include the private209
office of a physician or dentist, whether the office is for an210
individual or group practice.211

       (ii) "Emergency facility" means a hospital emergency212
department or any other facility that provides emergency medical213
services.214

       (iii) "Health care practitioner" has the same meaning as in215
section 4769.01 of the Revised Code.216

       (iv) "Hospital" has the same meaning as in section 3727.01 of217
the Revised Code.218

       (v) "Long-term care facility" means a nursing home,219
residential care facility, or home for the aging, as those terms220
are defined in section 3721.01 of the Revised Code; an adult care221
facility, as defined in section 3722.01 of the Revised Code; a222
nursing facility or intermediate care facility for the mentally223
retarded, as those terms are defined in section 5111.20 of the224
Revised Code; a facility or portion of a facility certified as a225
skilled nursing facility under Title XVIII of the "Social Security226
Act," 49 Stat. 286 (1965), 42 U.S.C.A. 1395, as amended.227

       (vi) "Pharmacy" has the same meaning as in section 4729.01 of228
the Revised Code.229

       (6) Divisions (B)(1), (2), (3), (4), and (5) of this section230
apply to doctors of medicine, doctors of osteopathic medicine,231
doctors of podiatry, and dentists.232

       (7) Nothing in divisions (B)(1) to (6) of this section233
affects, or shall be construed as affecting, the immunity from234
civil liability conferred by section 307.628 or 2305.33 of the235
Revised Code upon physicians who report an employee's use of a236
drug of abuse, or a condition of an employee other than one237
involving the use of a drug of abuse, to the employer of the238
employee in accordance with division (B) of that section. As used239
in division (B)(7) of this section, "employee," "employer," and240
"physician" have the same meanings as in section 2305.33 of the241
Revised Code.242

       (C) A member of the clergy, rabbi, priest, or regularly243
ordained, accredited, or licensed minister of an established and244
legally cognizable church, denomination, or sect, when the member245
of the clergy, rabbi, priest, or minister remains accountable to246
the authority of that church, denomination, or sect, concerning a247
confession made, or any information confidentially communicated,248
to the member of the clergy, rabbi, priest, or minister for a249
religious counseling purpose in the member of the clergy's,250
rabbi's, priest's, or minister's professional character; however,251
the member of the clergy, rabbi, priest, or minister may testify252
by express consent of the person making the communication, except253
when the disclosure of the information is in violation of a sacred254
trust;255

       (D) Husband or wife, concerning any communication made by one 256
to the other, or an act done by either in the presence of the257
other, during coverture, unless the communication was made, or act258
done, in the known presence or hearing of a third person competent259
to be a witness; and such rule is the same if the marital relation260
has ceased to exist;261

       (E) A person who assigns a claim or interest, concerning any262
matter in respect to which the person would not, if a party, be263
permitted to testify;264

       (F) A person who, if a party, would be restricted under265
section 2317.03 of the Revised Code, when the property or thing is266
sold or transferred by an executor, administrator, guardian,267
trustee, heir, devisee, or legatee, shall be restricted in the268
same manner in any action or proceeding concerning the property or269
thing.270

       (G)(1) A school guidance counselor who holds a valid educator 271
license from the state board of education as provided for in 272
section 3319.22 of the Revised Code, a person licensed under273
Chapter 4757. of the Revised Code as a professional clinical274
counselor, professional counselor, social worker, independent275
social worker, marriage and family therapist or independent 276
marriage and family therapist, or registered under Chapter 4757. 277
of the Revised Code as a social work assistant concerning a 278
confidential communication received from a client in that relation 279
or the person's advice to a client unless any of the following 280
applies:281

       (a) The communication or advice indicates clear and present282
danger to the client or other persons. For the purposes of this283
division, cases in which there are indications of present or past284
child abuse or neglect of the client constitute a clear and285
present danger.286

       (b) The client gives express consent to the testimony.287

       (c) If the client is deceased, the surviving spouse or the288
executor or administrator of the estate of the deceased client289
gives express consent.290

       (d) The client voluntarily testifies, in which case the291
school guidance counselor or person licensed or registered under292
Chapter 4757. of the Revised Code may be compelled to testify on293
the same subject.294

       (e) The court in camera determines that the information295
communicated by the client is not germane to the counselor-client, 296
marriage and family therapist-client, or social worker-client 297
relationship.298

       (f) A court, in an action brought against a school, its299
administration, or any of its personnel by the client, rules after300
an in-camera inspection that the testimony of the school guidance301
counselor is relevant to that action.302

       (g) The testimony is sought in a civil action and concerns303
court-ordered treatment or services received by a patient as part304
of a case plan journalized under section 2151.412 of the Revised305
Code or the court-ordered treatment or services are necessary or306
relevant to dependency, neglect, or abuse or temporary or307
permanent custody proceedings under Chapter 2151. of the Revised308
Code.309

       (2) Nothing in division (G)(1) of this section shall relieve310
a school guidance counselor or a person licensed or registered311
under Chapter 4757. of the Revised Code from the requirement to312
report information concerning child abuse or neglect under section313
2151.421 of the Revised Code.314

       (H) A mediator acting under a mediation order issued under315
division (A) of section 3109.052 of the Revised Code or otherwise316
issued in any proceeding for divorce, dissolution, legal317
separation, annulment, or the allocation of parental rights and318
responsibilities for the care of children, in any action or319
proceeding, other than a criminal, delinquency, child abuse, child320
neglect, or dependent child action or proceeding, that is brought321
by or against either parent who takes part in mediation in322
accordance with the order and that pertains to the mediation323
process, to any information discussed or presented in the324
mediation process, to the allocation of parental rights and325
responsibilities for the care of the parents' children, or to the326
awarding of parenting time rights in relation to their children;327

       (I) A communications assistant, acting within the scope of328
the communication assistant's authority, when providing329
telecommunications relay service pursuant to section 4931.35 of330
the Revised Code or Title II of the "Communications Act of 1934,"331
104 Stat. 366 (1990), 47 U.S.C. 225, concerning a communication332
made through a telecommunications relay service. Nothing in this333
section shall limit the obligation of a communications assistant334
to divulge information or testify when mandated by federal law or335
regulation or pursuant to subpoena in a criminal proceeding.336

       Nothing in this section shall limit any immunity or privilege337
granted under federal law or regulation.338

       (J)(1) A chiropractor in a civil proceeding concerning a339
communication made to the chiropractor by a patient in that340
relation or the chiropractor's advice to a patient, except as341
otherwise provided in this division. The testimonial privilege342
established under this division does not apply, and a chiropractor343
may testify or may be compelled to testify, in any civil action,344
in accordance with the discovery provisions of the Rules of Civil345
Procedure in connection with a civil action, or in connection with346
a claim under Chapter 4123. of the Revised Code, under any of the347
following circumstances:348

       (a) If the patient or the guardian or other legal349
representative of the patient gives express consent.350

       (b) If the patient is deceased, the spouse of the patient or351
the executor or administrator of the patient's estate gives352
express consent.353

       (c) If a medical claim, dental claim, chiropractic claim, or354
optometric claim, as defined in section 2305.113 of the Revised355
Code, an action for wrongful death, any other type of civil356
action, or a claim under Chapter 4123. of the Revised Code is357
filed by the patient, the personal representative of the estate of358
the patient if deceased, or the patient's guardian or other legal359
representative.360

       (2) If the testimonial privilege described in division (J)(1) 361
of this section does not apply as provided in division (J)(1)(c) 362
of this section, a chiropractor may be compelled to testify or to 363
submit to discovery under the Rules of Civil Procedure only as to 364
a communication made to the chiropractor by the patient in 365
question in that relation, or the chiropractor's advice to the366
patient in question, that related causally or historically to367
physical or mental injuries that are relevant to issues in the368
medical claim, dental claim, chiropractic claim, or optometric369
claim, action for wrongful death, other civil action, or claim370
under Chapter 4123. of the Revised Code.371

       (3) The testimonial privilege established under this division 372
does not apply, and a chiropractor may testify or be compelled to 373
testify, in any criminal action or administrative proceeding.374

       (4) As used in this division, "communication" means375
acquiring, recording, or transmitting any information, in any376
manner, concerning any facts, opinions, or statements necessary to377
enable a chiropractor to diagnose, treat, or act for a patient. A378
communication may include, but is not limited to, any379
chiropractic, office, or hospital communication such as a record,380
chart, letter, memorandum, laboratory test and results, x-ray,381
photograph, financial statement, diagnosis, or prognosis.382

       (K)(1) Except as provided under division (K)(2) of this 383
section, a critical incident stress management team member 384
concerning a communication received from an individual who 385
receives crisis response services from the team member, or the 386
team member's advice to the individual, during a debriefing 387
session.388

        (2) The testimonial privilege established under division 389
(K)(1) of this section does not apply if any of the following are 390
true:391

        (a) The communication or advice indicates clear and present 392
danger to the individual who receives crisis response services or 393
to other persons. For purposes of this division, cases in which 394
there are indications of present or past child abuse or neglect of 395
the individual constitute a clear and present danger.396

        (b) The individual who received crisis response services 397
gives express consent to the testimony.398

       (c) If the individual who received crisis response services 399
is deceased, the surviving spouse or the executor or administrator 400
of the estate of the deceased individual gives express consent.401

        (d) The individual who received crisis response services 402
voluntarily testifies, in which case the team member may be 403
compelled to testify on the same subject.404

        (e) The court in camera determines that the information 405
communicated by the individual who received crisis response 406
services is not germane to the relationship between the individual 407
and the team member.408

       (f) The communication or advice pertains or is related to any 409
criminal act.410

       (3) As used in this division, "critical incident stress 411
management team member" or "team member" and "debriefing session" 412
have the same meanings as in section 2305.2341 of the Revised 413
Code.414

       Section 2. That existing section 2317.02 of the Revised Code 415
is hereby repealed.416

       Section 3.  Section 2317.02 of the Revised Code is presented 417
in this act as a composite of the section as amended by Am. Sub. 418
H.B. 374, Am. H.B. 533, and Am. Sub. S.B. 281, all of the 124th 419
General Assembly. The General Assembly, applying the principle 420
stated in division (B) of section 1.52 of the Revised Code that 421
amendments are to be harmonized if reasonably capable of422
simultaneous operation, finds that the composite is the resulting423
version of the section in effect prior to the effective date of424
the section as presented in this act.425