United States of America et al v. Judy Azar et al

Filing 109

STIPULATED PROTECTIVE ORDER by Magistrate Judge Margo A. Rocconi re Stipulation for Protective Order 107 (tsn)

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Case 2:20-cv-02538-MEMF-MAR 1 2 3 4 5 6 Document 107 ID #:1001 Filed 11/08/24 Page 1 of 21 Page Charles R. Toomajian III (SBN 302153) Email: charles.toomajian@zimmreed.com ZIMMERMAN REED LLP 1100 IDS Center 80 South 8th Street Minneapolis, Minnesota 55402 Telephone: (612) 341-0400 Facsimile: (612) 341-0844 Counsel for Plaintiff-Relator 7 8 UNITED STATES DISTRICT COURT 9 CENTRAL DISTRICT OF CALIFORNIA 10 11 12 UNITED STATES OF AMERICA and STATE OF CALIFORNIA ex rel. ANTHONY MILLS, M.D., Plaintiff, 13 14 15 16 v. STEPHEN SAMUEL and GOOD HEALTH, INC. d/b/a PREMIER PHARMACY SERVICES, Case No. 2:20-cv-02538-MEMF-MAR Judge: Hon. Maame Ewusi-Mensah Frimpong Magistrate: Hon. Margo A. Rocconi STIPULATED PROTECTVE ORDER Defendants. 17 18 19 1. INTRODUCTION 20 1.1 21 Discovery in this action is likely to involve production of confidential, 22 proprietary, or private information for which special protection from public 23 disclosure and from use for any purpose other than prosecuting this litigation may 24 be warranted. Accordingly, the parties hereby stipulate to and petition the Court to 25 enter the following Stipulated Protective Order. The parties acknowledge that this 26 Order does not confer blanket protections on all disclosures or responses to 27 discovery and that the protection it affords from public disclosure and use extends 28 PURPOSES AND LIMITATIONS Case 2:20-cv-02538-MEMF-MAR Document 107 ID #:1002 Filed 11/08/24 Page 2 of 21 Page 1 only to the limited information or items that are entitled to confidential treatment 2 under the applicable legal principles. The parties further acknowledge, as set forth 3 in Section 12.3, below, that this Stipulated Protective Order does not entitle them to 4 file confidential information under seal; Civil Local Rule 79-5 sets forth the 5 procedures that must be followed and the standards that will be applied when a 6 party seeks permission from the court to file material under seal. 7 1.2 GOOD CAUSE STATEMENT 8 This action is likely to involve sensitive business or personal information, the 9 disclosure of which is highly likely to cause significant harm to an individual or to 10 the business or competitive position of the designating party; and/or protected 11 health information, for which special protection from public disclosure and from 12 use for any purpose other than prosecution of this action is warranted. Such 13 confidential and proprietary materials and information consist of, among other 14 things, confidential business or financial information, information regarding 15 confidential business practices, information implicating privacy rights of third 16 parties, and information otherwise generally unavailable to the public or which may 17 be privileged or otherwise protected from disclosure under state or federal statutes, 18 court rules, case decisions, or common law. Accordingly, to expedite the flow of 19 information, to facilitate the prompt resolution of disputes over confidentiality of 20 discovery materials, to adequately protect information the parties are entitled to 21 keep confidential, to ensure that the parties are permitted reasonable necessary uses 22 of such material in preparation for and in the conduct of trial, to address their 23 handling at the end of the litigation, and serve the ends of justice, a protective order 24 for such information is justified in this matter. It is the intent of the parties that 25 information will not be designated as confidential for tactical reasons and that 26 nothing be so designated without a good faith belief that it has been maintained in a 27 28 STIPULATED PROTECTIVE ORDER 2 Case 2:20-cv-02538-MEMF-MAR Document 107 ID #:1003 Filed 11/08/24 Page 3 of 21 Page 1 confidential, non-public manner, and there is good cause why it should not be part 2 of the public record of this case. 3 2. 4 DEFINITIONS 2.1 Action: United States of America ex rel. Anthony Mills, M.D. v. 5 Stephen Samuel and Good Health, Inc. dba Premier Pharmacy Services, U.S.D.C., 6 C.D. Cal., Case No. 2:20-cv-02538-MEMF-MAR. 7 2.2 “ATTORNEYS’ EYES ONLY” Information or Items: highly sensitive 8 business or personal information, the disclosure of which is highly likely to cause 9 significant harm to an individual or to the business or competitive position of the 10 designating party. 11 2.3 12 13 Challenging Party: a Party or Non-Party that challenges the designation of information or items under this Order. 2.4 “CONFIDENTIAL” Information or Items: information (regardless of 14 how it is generated, stored, or maintained) or tangible things that qualify for 15 protection under Federal Rule of Civil Procedure 26(c), and as specified above in 16 the Good Cause Statement. 17 2.5 Counsel: Outside Counsel of Record (as well as their support staff). 18 2.6 Covered Entity: a “covered entity” as defined in 45 C.F.R. § 160.103. 19 2.7 Designating Party: a Party or Non-Party that designates information or 20 items that it produces in disclosures or in responses to discovery as 21 “CONFIDENTIAL.” 22 2.8 Disclosure or Discovery Material: all items or information, regardless 23 of the medium or manner in which it is generated, stored, or maintained (including, 24 among other things, testimony, transcripts, and tangible things), that are produced 25 or generated in disclosures or responses to discovery in this matter. 26 27 28 STIPULATED PROTECTIVE ORDER 3 Case 2:20-cv-02538-MEMF-MAR 1 2.9 Document 107 ID #:1004 Filed 11/08/24 Page 4 of 21 Page Expert: a person with specialized knowledge or experience in a matter 2 pertinent to the litigation who has been retained by a Party or its counsel to serve as 3 an expert witness or as a consultant in this Action. 4 2.10 “HIGHLY CONFIDENTIAL – PHI” Information or Items: 5 information or items that contain protected health information (“PHI”) as defined 6 by the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), as 7 amended by the Health Information Technology for Economic and Clinical Health 8 Act (the “HITECH Act”), including all applicable regulations and guidance issued 9 by the Secretary of the United States Department of Health and Human Services 10 (collectively, the “HIPAA Rules”), as well as any Disclosure or Discovery Material 11 that would be protected by the Privacy Act of 1974, 5 U.S.C. § 552a, and/or 45 12 C.F.R. Part 5b in the hands of CMS or a state or local agency. 13 14 2.11 Non-Party: any natural person, partnership, corporation, association, or other legal entity not named as a Party to this action. 15 2.12 Outside Counsel of Record: attorneys who are not employees of a 16 party to this Action but are retained to represent or advise a party to this Action and 17 have appeared in this Action on behalf of that party or are affiliated with a law firm 18 which has appeared on behalf of that party, and includes support staff. 19 2.13 Party: any party to this Action, including all of its officers, directors, 20 employees, consultants, retained experts, and Outside Counsel of Record (and their 21 support staffs). 22 23 2.14 Producing Party: a Party or Non-Party that produces Disclosure or Discovery Material in this Action. 24 2.15 Professional Vendors: persons or entities that provide litigation 25 support services (e.g., photocopying, videotaping, translating, preparing exhibits or 26 demonstrations, and organizing, storing, or retrieving data in any form or medium) 27 and their employees and subcontractors. 28 STIPULATED PROTECTIVE ORDER 4 Case 2:20-cv-02538-MEMF-MAR Document 107 ID #:1005 Filed 11/08/24 Page 5 of 21 Page 1 2.16 Protected Material: any Disclosure or Discovery Material that is 2 designated as “CONFIDENTIAL,” “ATTORNEYS’ EYES ONLY” or “HIGHLY 3 CONFIDENTIAL – PHI.” 2.17 Receiving Party: a Party that receives Disclosure or Discovery 4 5 Material from a Producing Party. 6 3. SCOPE 7 The protections conferred by this Stipulation and Order cover not only 8 Protected Material (as defined above), but also (1) any information copied or 9 extracted from Protected Material; (2) all copies, excerpts, summaries, or 10 compilations of Protected Material; and (3) any testimony, conversations, or 11 presentations by Parties or their Counsel that might reveal Protected Material. 12 Any use of Protected Material at trial will be governed by the orders of the trial 13 judge. This Order does not govern the use of Protected Material at trial. 14 4. DURATION Even after final disposition of this litigation, the confidentiality obligations 15 16 imposed by this Order will remain in effect until a Designating Party agrees 17 otherwise in writing or a court order otherwise directs. Final disposition will be 18 deemed to be the later of (1) dismissal of all claims and defenses in this Action, 19 with or without prejudice; and (2) final judgment herein after the completion and 20 exhaustion of all appeals, rehearings, remands, trials, or reviews of this Action, 21 including the time limits for filing any motions or applications for extension of time 22 pursuant to applicable law. 23 5. 24 DESIGNATING PROTECTED MATERIAL 5.1 Exercise of Restraint and Care in Designating Material for Protection. 25 Each Party or Non-Party that designates information or items for protection under 26 this Order must take care to limit any such designation to specific material that 27 qualifies under the appropriate standards. The Designating Party must designate for 28 STIPULATED PROTECTIVE ORDER 5 Case 2:20-cv-02538-MEMF-MAR Document 107 ID #:1006 Filed 11/08/24 Page 6 of 21 Page 1 protection only those parts of material, documents, items, or oral or written 2 communications that qualify so that other portions of the material, documents, 3 items, or communications for which protection is not warranted are not swept 4 unjustifiably within the ambit of this Order. 5 Mass, indiscriminate, or routinized designations are prohibited. Designations 6 that are shown to be clearly unjustified or that have been made for an improper 7 purpose (e.g., to unnecessarily encumber the case development process or to 8 impose unnecessary expenses and burdens on other parties) may expose the 9 Designating Party to sanctions. 10 If it comes to a Designating Party’s attention that information or items that it 11 designated for protection do not qualify for protection, that Designating Party must 12 promptly notify all other Parties that it is withdrawing the inapplicable designation. 13 5.2 Manner and Timing of Designations. Except as otherwise provided in 14 this Order (see, e.g., second paragraph of Section 5.2(a) below), or as otherwise 15 stipulated or ordered, Disclosure or Discovery Material that qualifies for protection 16 under this Order must be clearly so designated before the material is disclosed or 17 produced. 18 Designation in conformity with this Order requires: 19 (a) for information in documentary form (e.g., paper or electronic 20 documents, but excluding transcripts of depositions or other pretrial or trial 21 proceedings), that the Producing Party designate the Disclosure or Discovery 22 Material as “CONFIDENTIAL,” “ATTORNEYS’ EYES ONLY” or “HIGHLY 23 CONFIDENTIAL – PHI”. 24 The Producing Party shall, if practical, designate “CONFIDENTIAL,” 25 “ATTORNEYS’ EYES ONLY” or “HIGHLY CONFIDENTIAL – PHI” on every 26 page of the Disclosure or Discovery Material in the same manner in which every 27 page is Bates stamped. If it is not practical to designate “CONFIDENTIAL,” 28 STIPULATED PROTECTIVE ORDER 6 Case 2:20-cv-02538-MEMF-MAR Document 107 ID #:1007 Filed 11/08/24 Page 7 of 21 Page 1 “ATTORNEYS’ EYES ONLY” or “HIGHLY CONFIDENTIAL – PHI” on the 2 Disclosure or Discovery Material, then the Producing Party shall designate the 3 Disclosure or Discovery Material as “CONFIDENTIAL,” “ATTORNEYS’ EYES 4 ONLY” or “HIGHLY CONFIDENTIAL – PHI” in correspondence or in some 5 other manner reasonably giving notice of the designation, including (but not limited 6 to) affixing a label marked “CONFIDENTIAL,” “ATTORNEYS’ EYES ONLY” or 7 “HIGHLY CONFIDENTIAL – PHI” on the cover of or surface of any electronic 8 media. It is practical to designate “CONFIDENTIAL,” “ATTORNEYS’ EYES 9 ONLY” or “HIGHLY CONFIDENTIAL – PHI” on every page of the Disclosure or 10 Discovery Material if it is produced with a Bates stamp on every page. It is not 11 practical to designate “CONFIDENTIAL,” “ATTORNEYS’ EYES ONLY” or 12 “HIGHLY CONFIDENTIAL – PHI” on every page of the Disclosure or Discovery 13 Material if it is a spreadsheet or presentation file produced in native format (e.g., 14 Microsoft Excel or PowerPoint). 15 A Party or Non-Party that makes original documents available for inspection 16 need not designate them for protection until after the inspecting Party has indicated 17 which documents it would like copied and produced. During the inspection and 18 before the designation, all of the material made available for inspection will be 19 deemed “CONFIDENTIAL,” “ATTORNEYS’ EYES ONLY” or “HIGHLY 20 CONFIDENTIAL – PHI.” After the inspecting Party has identified the documents 21 it wants copied and produced, the Producing Party must determine which 22 documents, or portions thereof, qualify for protection under this Order. Then, 23 before producing the specified documents, the Producing Party must designate the 24 material “CONFIDENTIAL,” “ATTORNEYS’ EYES ONLY” or “HIGHLY 25 CONFIDENTIAL – PHI” as detailed above. 26 27 28 STIPULATED PROTECTIVE ORDER 7 Case 2:20-cv-02538-MEMF-MAR (b) 1 Document 107 ID #:1008 Filed 11/08/24 Page 8 of 21 Page for testimony given in depositions that the Designating Party identify 2 the Disclosure or Discovery Material on the record, before the close of the 3 deposition all protected testimony. (c) 4 for information produced in some form other than documentary and 5 for any other tangible items, that the Producing Party affix in a prominent place on 6 the exterior of the container or containers in which the information is stored the 7 legend “CONFIDENTIAL,” “ATTORNEYS’ EYES ONLY” or “HIGHLY 8 CONFIDENTIAL – PHI.” If only a portion or portions of the information warrants 9 protection, the Producing Party, to the extent practicable, will identify the protected 10 portion(s). 11 5.3 Inadvertent Failures to Designate. If timely corrected, an inadvertent 12 failure to designate qualified information or items does not, standing alone, waive 13 the Designating Party’s right to secure protection under this Order for such 14 material. Upon timely correction of a designation, the Receiving Party must make 15 reasonable efforts to assure that the material is treated in accordance with the 16 provisions of this Order. 17 6. 18 CHALLENGING CONFIDENTIALITY DESIGNATIONS 6.1 Timing of Challenges. Any Party or Non-Party may challenge a 19 designation of confidentiality at any time that is consistent with the Court’s 20 Scheduling Order. 21 6.2 22 23 Meet and Confer. The Challenging Party will initiate the dispute resolution process under Local Rule 37.1 et seq. 6.3 The burden of persuasion in any such challenge proceeding will be on 24 the Designating Party. Frivolous challenges, and those made for an improper 25 purpose (e.g., to harass or impose unnecessary expenses and burdens on other 26 parties) may expose the Challenging Party to sanctions. Unless the Designating 27 Party has waived or withdrawn the confidentiality designation, all parties will 28 STIPULATED PROTECTIVE ORDER 8 Case 2:20-cv-02538-MEMF-MAR Document 107 ID #:1009 Filed 11/08/24 Page 9 of 21 Page 1 continue to afford the material in question the level of protection to which it is 2 entitled under the Producing Party’s designation until the Court rules on the 3 challenge. 4 7. 5 ACCESS TO AND USE OF PROTECTED MATERIAL 7.1 Basic Principles. A Receiving Party may use Protected Material that is 6 disclosed or produced by another Party or by a Non-Party in connection with this 7 Action only for prosecuting, defending, or attempting to settle this Action. Such 8 Protected Material may be disclosed only to the categories of persons and under the 9 conditions described in this Order. When the Action has been terminated, a 10 Receiving Party must comply with the provisions of Section 13 below (FINAL 11 DISPOSITION). 12 Protected Material must be stored and maintained by a Receiving Party at a 13 location and in a secure manner that ensures that access is limited to the persons 14 authorized under this Order. 15 7.2 Disclosure of “CONFIDENTIAL” Information or Items. Unless 16 otherwise ordered by the court or permitted in writing by the Designating Party, a 17 Receiving Party may disclose any information or item designated 18 “CONFIDENTIAL” only to: 19 (a) the Receiving Party’s Outside Counsel of Record in this Action, as 20 well as employees of said Outside Counsel of Record to whom it is reasonably 21 necessary to disclose the information for this Action; 22 (b) Counsel of Record for the United States and State of California; 23 (c) the officers, directors, and employees of the Receiving Party to whom 24 25 disclosure is reasonably necessary for this Action; (d) Experts (as defined in this Order) of the Receiving Party to whom 26 disclosure is reasonably necessary for this Action and who have signed the 27 “Acknowledgment and Agreement to Be Bound” (Exhibit A); 28 STIPULATED PROTECTIVE ORDER 9 Case 2:20-cv-02538-MEMF-MAR Document 107 ID #:1010 Filed 11/08/24 Page 10 of 21 Page 1 (e) the Court and its personnel; 2 (f) court reporters and their staff; 3 (g) professional jury or trial consultants, mock jurors, and Professional 4 Vendors to whom disclosure is reasonably necessary for this Action and who have 5 signed the “Acknowledgment and Agreement to Be Bound” (Exhibit A); 6 7 8 (h) the author or recipient of a document containing the information or a custodian or other person who otherwise possessed or knew the information; (i) during their depositions, witnesses, and attorneys for witnesses, in the 9 Action to whom disclosure is reasonably necessary provided: (1) the deposing party 10 requests that the witness sign the form attached as Exhibit A hereto; and (2) they 11 will not be permitted to keep any confidential information unless they sign the 12 “Acknowledgment and Agreement to Be Bound” (Exhibit A), unless otherwise 13 agreed by the Designating Party or ordered by the court. Pages of transcribed 14 deposition testimony or exhibits to depositions that reveal Protected Material may 15 be separately bound by the court reporter and may not be disclosed to anyone 16 except as permitted under this Stipulated Protective Order; and 17 18 19 (j) any mediator or settlement officer, and their supporting personnel, mutually agreed upon by any of the parties engaged in settlement discussions. 7.3 Disclosure of “ATTORNEYS’ EYES ONLY” Information or Items. 20 Unless otherwise ordered by the court or permitted in writing by the Designating 21 Party, a Receiving Party may disclose any information or item designated 22 “ATTORNEYS’ EYES ONLY” only to: 23 (a) the Receiving Party’s Outside Counsel of Record in this Action, as 24 well as employees of said Outside Counsel of Record to whom it is reasonably 25 necessary to disclose the information for this Action; 26 (b) Counsel of Record for the United States and State of California; 27 28 STIPULATED PROTECTIVE ORDER 10 Case 2:20-cv-02538-MEMF-MAR 1 (c) Document 107 ID #:1011 Filed 11/08/24 Page 11 of 21 Page Experts (as defined in this Order) of the Receiving Party to whom 2 disclosure is reasonably necessary for this Action and who have signed the 3 “Acknowledgment and Agreement to Be Bound” (Exhibit A); 4 (d) the Court and its personnel; 5 (e) court reporters and their staff; 6 (f) professional jury or trial consultants, mock jurors, and Professional 7 Vendors to whom disclosure is reasonably necessary for this Action and who have 8 signed the “Acknowledgment and Agreement to Be Bound” (Exhibit A); 9 10 11 (g) the author or recipient of a document containing the information or a custodian or other person who otherwise possessed or knew the information; (h) during their depositions, witnesses, and attorneys for witnesses, in the 12 Action to whom disclosure is reasonably necessary provided: (1) the deposing party 13 requests that the witness sign the form attached as Exhibit A hereto; and (2) they 14 will not be permitted to keep any confidential information unless they sign the 15 “Acknowledgment and Agreement to Be Bound” (Exhibit A), unless otherwise 16 agreed by the Designating Party or ordered by the court. Pages of transcribed 17 deposition testimony or exhibits to depositions that reveal Protected Material may 18 be separately bound by the court reporter and may not be disclosed to anyone 19 except as permitted under this Stipulated Protective Order; and 20 21 22 (i) any mediator or settlement officer, and their supporting personnel, mutually agreed upon by any of the parties engaged in settlement discussions. 7.4 Disclosure of “HIGHLY CONFIDENTIAL – PHI” Information or 23 Items. Unless otherwise ordered by the court or permitted in writing by the 24 Designating Party, a Receiving Party may disclose any information or item 25 designated “HIGHLY CONFIDENTIAL – PHI” only to: 26 27 28 STIPULATED PROTECTIVE ORDER 11 Case 2:20-cv-02538-MEMF-MAR 1 (a) Document 107 ID #:1012 Filed 11/08/24 Page 12 of 21 Page the Receiving Party’s Outside Counsel of Record in this Action, as 2 well as employees of said Outside Counsel of Record to whom it is reasonably 3 necessary to disclose the information for this Action; 4 (b) Counsel of Record for the United States and State of California; 5 (c) Experts (as defined in this Order) of the Receiving Party to whom 6 disclosure is reasonably necessary for this Action and who have signed the 7 “Acknowledgment and Agreement to Be Bound” (Exhibit A); 8 (d) the Court and its personnel; 9 (e) court reporters and their staff; 10 (f) professional jury or trial consultants, mock jurors, and Professional 11 Vendors to whom disclosure is reasonably necessary for this Action and who have 12 signed the “Acknowledgment and Agreement to Be Bound” (Exhibit A); 13 14 15 (g) the author or recipient of a document containing the information or a custodian or other person who otherwise possessed or knew the information; (h) during their depositions, witnesses, and attorneys for witnesses, in the 16 Action to whom disclosure is reasonably necessary provided: (1) the deposing party 17 requests that the witness sign the form attached as Exhibit A hereto; and (2) they 18 will not be permitted to keep any confidential information unless they sign the 19 “Acknowledgment and Agreement to Be Bound” (Exhibit A), unless otherwise 20 agreed by the Designating Party or ordered by the court. Pages of transcribed 21 deposition testimony or exhibits to depositions that reveal Protected Material may 22 be separately bound by the court reporter and may not be disclosed to anyone 23 except as permitted under this Stipulated Protective Order; and 24 25 (i) any mediator or settlement officer, and their supporting personnel, mutually agreed upon by any of the parties engaged in settlement discussions. 26 27 28 STIPULATED PROTECTIVE ORDER 12 Case 2:20-cv-02538-MEMF-MAR 1 8. Document 107 ID #:1013 Filed 11/08/24 Page 13 of 21 Page TERMS SPECIFIC TO INFORMATION OR ITEMS DESIGNATED AS 2 “HIGHLY CONFIDENTIAL – PHI” 3 In the event any party wishes to use “HIGHLY CONFIDENTIAL – PHI” 4 Information or Items in any affidavits, briefs, memoranda, exhibits, motions, or 5 other papers filed in court in this action, then such party shall file a request to seal 6 documents with the Court. The Parties will use their best efforts to minimize such 7 requests. Information or Items designated as “Highly Confidential – PHI” may not 8 be disclosed or used by any party or any individual or entity designated in Section 9 7.4 for any purpose other than litigating the present Action. 10 Pursuant to 45 C.F.R. § 164.512(e)(1) and for purposes of compliance with 11 the HIPAA, the Parties’ legal counsel in this case, the employees and agents of each 12 party, and all non-party Covered Entities are expressly and specifically authorized 13 to use or disclose PHI in accordance with this order to: 14 (a) Respond to interrogatories, requests for admission, or requests for 15 production of documents served pursuant to the Federal Rules of Civil Procedure in 16 this case seeking PHI; 17 18 19 20 21 22 (b) Request interviews or depositions and interview, depose, or respond in interviews or depositions in which PHI might be disclosed; (c) Prepare briefs and other materials for the court so long as such materials are treated in accordance with this section of the Protective Order; and (d) Disclose PHI to a party’s experts, consultants and their employees and agents, regardless of whether the expert is a consulting or testifying expert. 23 Pursuant to 45 C.F.R. § 164.512(e)(1) and for purposes of HIPAA 24 compliance, each deponent noticed for deposition in this case, including but not 25 limited to a party, a fact witness, a records custodian, an expert, or a Covered Entity 26 of any type, is expressly and specifically authorized to use or to disclose to the 27 Parties’ legal counsel in this case and the employees and agents of each party and 28 STIPULATED PROTECTIVE ORDER 13 Case 2:20-cv-02538-MEMF-MAR Document 107 ID #:1014 Filed 11/08/24 Page 14 of 21 Page 1 each party’s legal counsel in this case, the PHI that is responsive to deposition 2 questions or a valid subpoena duces tecum. 3 Pursuant to 45 C.F.R. § 164.512(e)(1) and for purposes of HIPAA 4 compliance, any person or entity authorized or ordered as described above to use or 5 disclose PHI is expressly and specifically authorized to do so with, to, or before any 6 Professional Vendors designated by a party or a party’s legal counsel in this case. 7 The protections and requirements of Sections 7 and 11 of this Protective Order 8 must be imposed on Professional Vendors as a condition of any Professional 9 Vendor’s receipt of PHI. Each party or the party’s legal counsel is charged with 10 obtaining advance consent of such Professional Vendor to comply with this 11 Section. Upon such consent, the Professional Vendor will be deemed to have 12 voluntarily submitted to this court’s jurisdiction during the pendency of this case 13 for purposes of enforcement of this Section, including but not limited to the 14 imposition of such sanctions as may be appropriate for any non-compliance. 15 To the extent that the uses and disclosures of PHI authorized under this 16 Protective Order may be permitted under other provisions of the HIPAA Privacy 17 Rule, such uses and disclosures are made pursuant to and in accordance with 45 18 C.F.R. § 164.512(e). This section does not apply to uses and disclosures of PHI 19 that are not authorized under this Protective Order. 20 All Information or Items designated as “Highly Confidential – PHI” 21 produced, transmitted, or otherwise received electronically must be maintained in a 22 reasonably secure manner and guarded against re-disclosure for the life of the 23 record. 24 Nothing in this Order is intended to prevent authorized government officials, 25 from having access to “Highly Confidential – PHI” documents to which they would 26 have access in the normal course of their official duties, to the extent such access is 27 permissible under applicable law. 28 STIPULATED PROTECTIVE ORDER 14 Case 2:20-cv-02538-MEMF-MAR 1 9. Document 107 ID #:1015 Filed 11/08/24 Page 15 of 21 Page INFORMATION OR ITEMS DESIGNATED AS “CONFIDENTIAL,” 2 “ATTORNEYS’ EYES ONLY” OR “HIGHLY CONFIDENTIAL – PHI” 3 SUBPOENAED OR ORDERED PRODUCED IN OTHER LITIGATION 4 If a Party is served with a subpoena or a court order issued in other litigation 5 that compels disclosure of any information or items designated in this Action as 6 “CONFIDENTIAL” or “ATTORNEYS’ EYES ONLY,” that Party must: (a) 7 8 promptly notify in writing the Designating Party. Such notification will include a copy of the subpoena or court order; (b) 9 promptly notify in writing the party who caused the subpoena or order 10 to issue in the other litigation that some or all of the material covered by the 11 subpoena or order is subject to this Protective Order. Such notification will include 12 a copy of this Stipulated Protective Order; and (c) 13 14 cooperate with respect to all reasonable procedures sought to be pursued by the Designating Party whose Protected Material may be affected. If the Designating Party timely seeks a protective order, the Party served with 15 16 the subpoena or court order will not produce any information designated in this 17 action as “CONFIDENTIAL” or “ATTORNEYS’ EYES ONLY” before a 18 determination by the court from which the subpoena or order issued, unless the 19 Party has obtained the Designating Party’s permission. The Designating Party will 20 bear the burden and expense of seeking protection in that court of its confidential 21 material, and nothing in these provisions should be construed as authorizing or 22 encouraging a Receiving Party in this Action to disobey a lawful directive from 23 another court. 24 10. A NON-PARTY’S PROTECTED MATERIAL SOUGHT TO BE 25 PRODUCED IN THIS LITIGATION 26 (a) The terms of this Order are applicable to information produced by a 27 Non-Party in this Action and designated as “CONFIDENTIAL,” “ATTORNEYS’ 28 STIPULATED PROTECTIVE ORDER 15 Case 2:20-cv-02538-MEMF-MAR Document 107 ID #:1016 Filed 11/08/24 Page 16 of 21 Page 1 EYES ONLY,” or “HIGHLY CONFIDENTIAL – PHI.” Such information 2 produced by Non-Parties in connection with this litigation is protected by the 3 remedies and relief provided by this Order. Nothing in these provisions should be 4 construed as prohibiting a Non-Party from seeking additional protections. 5 (b) In the event that a Party is required, by a valid discovery request, to 6 produce a Non-Party’s confidential information in its possession, and the Party is 7 subject to an agreement with the Non-Party not to produce the Non-Party’s 8 confidential information, then the Party will: (1) 9 promptly notify in writing the Requesting Party and the Non- 10 Party that some or all of the information requested is subject to a 11 confidentiality agreement with a Non-Party; (2) 12 promptly provide the Non-Party with a copy of the Stipulated 13 Protective Order in this Action, the relevant discovery request(s), and a 14 reasonably specific description of the information requested; and (3) 15 make the information requested available for inspection by the 16 Non-Party, if requested. 17 (c) If the Non-Party fails to seek a protective order from this court within 18 14 days of receiving the notice and accompanying information, the Receiving Party 19 may produce the Non-Party’s confidential information responsive to the discovery 20 request. If the Non-Party timely seeks a protective order, the Receiving Party shall 21 not produce any information in its possession or control that is subject to the 22 confidentiality agreement with the Non-Party before a determination by the court. 23 Absent a court order to the contrary, the Non-Party shall bear the burden and 24 expense of seeking protection in this court of its Protected Material. 25 26 27 28 STIPULATED PROTECTIVE ORDER 16 Case 2:20-cv-02538-MEMF-MAR 1 11. Document 107 ID #:1017 Filed 11/08/24 Page 17 of 21 Page UNAUTHORIZED DISCLOSURE OF PROTECTED MATERIAL If a Receiving Party learns that, by inadvertence or otherwise, it has disclosed 2 3 Protected Material to any person or in any circumstance not authorized under this 4 Stipulated Protective Order, the Receiving Party must immediately (a) notify in 5 writing the Designating Party of the unauthorized disclosures, (b) use its best 6 efforts to retrieve all unauthorized copies of the Protected Material, (c) inform the 7 person or persons to whom unauthorized disclosures were made of all the terms of 8 this Order, and (d) request such person or persons to execute the "Acknowledgment 9 and Agreement to Be Bound” that is attached hereto as Exhibit A. 10 12. INADVERTENT PRODUCTION OF PRIVILEGED OR OTHERWISE 11 PROTECTED MATERIAL 12 When a Producing Party gives notice to Receiving Parties that certain 13 inadvertently produced material is subject to a claim of privilege or other 14 protection, the obligations of the Receiving Parties are those set forth in Federal 15 Rule of Civil Procedure 26(b)(5)(B). This provision is not intended to modify 16 whatever procedure may be established in an e-discovery order that provides for 17 production without prior privilege review. Pursuant to Federal Rule of Evidence 18 502(d) and (e), insofar as the parties reach an agreement on the effect of disclosure 19 of a communication or information covered by the attorney-client privilege or work 20 product protection, the parties may incorporate their agreement in the stipulated 21 protective order submitted to the court. 22 13. 23 24 MISCELLANEOUS 13.1 Right to Further Relief. Nothing in this Order abridges the right of any person to seek its modification by the Court in the future. 25 13.2 Right to Assert Other Objections. By stipulating to the entry of this 26 Protective Order no Party waives any right it otherwise would have to object to 27 disclosing or producing any information or item on any ground not addressed in 28 STIPULATED PROTECTIVE ORDER 17 Case 2:20-cv-02538-MEMF-MAR Document 107 ID #:1018 Filed 11/08/24 Page 18 of 21 Page 1 this Stipulated Protective Order. Similarly, no Party waives any right to object on 2 any ground to use in evidence of any of the material covered by this Protective 3 Order. 4 13.3 Filing Protected Material. A Party that seeks to file under seal any 5 Protected Material must comply with Civil Local Rule 79-5. Protected Material 6 may only be filed under seal pursuant to a court order authorizing the sealing of the 7 specific Protected Material at issue. If a Party’s request to file Protected Material 8 under seal is denied by the court, then the Receiving Party may file the information 9 in the public record unless otherwise instructed by the court. 10 14. 11 FINAL DISPOSITION After the final disposition of this Action, as defined in Section 4, within 60 12 days of a written request by the Designating Party, each Receiving Party must 13 destroy all Protected Material. As used in this subdivision, “all Protected Material” 14 includes all copies, abstracts, compilations, summaries, and any other format 15 reproducing or capturing any of the Protected Material. The Receiving Party must 16 submit a written certification to the Producing Party (and, if not the same person or 17 entity, to the Designating Party) by the 60 day deadline that (1) identifies (by 18 category, where appropriate) all the Protected Material that was destroyed and (2) 19 affirms that the Receiving Party has not retained any copies, abstracts, 20 compilations, summaries or any other format reproducing or capturing any of the 21 Protected Material. Notwithstanding this provision, Counsel are entitled to retain 22 an archival copy of all pleadings, motion papers, trial, deposition, and hearing 23 transcripts, legal memoranda, correspondence, deposition and trial exhibits, expert 24 reports, attorney work product, and consultant and expert work product, even if 25 such materials contain Protected Material, provided that, with respect to “HIGHLY 26 CONFIDENTIAL – PHI” Disclosure or Discovery Materials, Counsel shall not 27 disclose the portions of such materials containing information or items designated 28 STIPULATED PROTECTIVE ORDER 18 Case 2:20-cv-02538-MEMF-MAR Document 107 ID #:1019 Filed 11/08/24 Page 19 of 21 Page 1 “HIGHLY CONFIDENTIAL – PHI” to any person except under court order, 2 pursuant to the consent of all individual(s) whose PHI is contained in the material, 3 or as otherwise permitted in this Protective Order. Any such archival copies that 4 contain or constitute Protected Material remain subject to this Protective Order as 5 set forth in Section 4 (DURATION). 6 7 IT IS SO STIPULATED, THROUGH COUNSEL OF RECORD. 8 DATED: November 8, 2024 9 /s/ Charles R. Toomajian III /s/ Robert Salcido 10 Charles R. Toomajian III (SBN 302153) Email:Charles.Toomajian@zimmreed.com ZIMMERMAN REED LLP 1100 IDS Center 80 South 8th Street Minneapolis, Minnesota 55402 Tel: (612) 341-0400 Robert Salcido (SBN 139138) Email: rsalcido@akingump.com AKIN GUMP STRAUSS HAUER & FELD LLP 4 Park Plaza #1900 Irvine, California 92614 Tel: (202) 887-4095 Emily Gerry (pro hac vice) Email: egerry@akingump.com 2001 K Street NW Washington, DC 20006 Tel: (202) 887-4169 11 12 13 14 15 16 Counsel for Plaintiff-Relator Anthony Mills, M.D. 17 18 Counsel for Defendants Good Health, Inc. d/b/a Premier Pharmacy Services and Stephen Samuel 19 20 21 22 23 24 25 26 27 28 ATTESTATION OF FILER Pursuant to Civil L.R. 5-4.3.4(a)(2)(i), the filer attests that all other signatories listed, and on whose behalf this filing is submitted, concur in the filing’s content and have authorized the filing. /s/ Charles R. Toomajian III Charles R. Toomajian III (SBN 302153) STIPULATED PROTECTIVE ORDER 19 Case 2:20-cv-02538-MEMF-MAR Document 107 ID #:1020 Filed 11/08/24 Page 20 of 21 Page 1 2 FOR GOOD CAUSE SHOWN, IT IS SO ORDERED. 3 4 5 6 November 26, 2024 DATED:_______________ ________ _______________________ __________________________________ HON. MARGO A. ROCCONI United States Magistrate Judge 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 STIPULATED PROTECTIVE ORDER 20 Case 2:20-cv-02538-MEMF-MAR Document 107 ID #:1021 Filed 11/08/24 Page 21 of 21 Page 1 EXHIBIT A 2 ACKNOWLEDGMENT AND AGREEMENT TO BE BOUND 3 I, __________________________ [print or type full name], of 4 ____________________ [print or type full address], declare under penalty of 5 perjury that I have read in its entirety and understand the Stipulated Protective 6 Order that was issued by the United States District Court for the Central District of 7 California on _________ [date] in the case of United States of America ex rel. 8 Anthony Mills, M.D. v. Stephen Samuel and Good Health, Inc. d/b/a Premier 9 Pharmacy Services, U.S.D.C., C.D. Cal., Case No. 2:20-cv-02538-MEMF-MAR. I 10 agree to comply with and to be bound by all the terms of this Stipulated Protective 11 Order and I understand and acknowledge that failure to so comply could expose me 12 to sanctions and punishment in the nature of contempt. I solemnly promise that I 13 will not disclose in any manner any information or item that is subject to this 14 Stipulated Protective Order to any person or entity except in strict compliance with 15 the provisions of this Order. 16 I further agree to submit to the jurisdiction of the United States District Court 17 for the Central District of California for the purpose of enforcing the terms of this 18 Stipulated Protective Order, even if such enforcement proceedings occur after 19 termination of this action. I hereby appoint __________________________ [print 20 or type full name] of _______________________________________ [print or type 21 full address and telephone number] as my California agent for service of process in 22 connection with this action or any proceedings related to enforcement of this 23 Stipulated Protective Order. 24 Date: _____________ 25 City and State where signed: ___________________ 26 Printed name: _______________________________ 27 Signature: __________________________________ 28 STIPULATED PROTECTIVE ORDER 21

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