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Judge Upholds Privacy for Jeb Bush's Daughter

October 1, 2002
By DANA CANEDY






MIAMI, Sept. 30 - A judge ruled today that staff members at
a drug rehabilitation center in Orlando, where Gov. Jeb
Bush's daughter, Noelle, is receiving treatment, cannot be
forced to cooperate with an investigation into an
accusation that she had possessed crack cocaine.

Chief Judge Belvin Perry Jr. of Circuit Court of Orange
County in Orlando wrote in his ruling that patient privacy
outweighed law enforcement interests in cases in which
addicts relapse in treatment.

Forcing the institution, the Center for Drug-Free Living,
to aid in the investigation would mean that "all patients
who suffer relapses could be hauled out of treatment
programs and into criminal courts on the whim of a state
prosecutor or police officer responding to calls from
fellow patients whose motives for reporting the `crimes'
might be questionable," Judge Perry wrote.

His ruling cited federal and state laws that protect
patients' privacy rights.

Ms. Bush, 25, the governor's only daughter, has been in
court-ordered rehabilitation since February, shortly after
being charged with prescription fraud. In January, Ms. Bush
tried to obtain an anti-anxiety drug, Xanax, from a
pharmacy in Tallahassee with a prescription that the police
said she had written for herself.

In July, a judge found her in contempt of court and sent
her to jail for 72 hours, after staff members at her
resident drug-treatment center had found prescription pills
in her possession that a nurse said had been stolen from
the center's medicine cabinet. Ms. Bush said she had found
the pills on the center's grounds, but administrators there
called her explanation a fabrication.

In the latest incident, a fellow patient at the treatment
center told the police on Sept. 9 that Ms. Bush had been
found with crack cocaine in her shoe and suggested that she
was receiving special treatment because of her family
connections. President Bush is her uncle.

Supervisors and employees at the center refused to
cooperate with the authorities in the investigation,
contending that patient confidentiality, and not Ms. Bush's
celebrity, prohibited them from providing statements and
evidence.

Seeking to force cooperation, the Orange County state
attorney's office issued subpoenas to four employees at the
center and argued in court that prosecutors had a duty to
investigate all reports of criminal activity and that
failing to compel employees' testimony would amount to
granting drug patients the license to commit drug offenses,
protected by blanket immunity.

Lawyers for the center argued that state and federal law
upheld the right to privacy related to rehabilitation.
Judge Perry agreed.

"If drug-addicted patients could be taken by the police and
delivered to regular criminal court for the crime of
possession of drugs, the treatment-based intervention
program would be rendered meaningless," he wrote.

The state attorney's office said it would appeal the
ruling.

Ms. Bush's lawyer, Peter Antonacci, did not return calls
for comment. Mr. Bush's office also did not return calls.

Mr. Bush, a Republican, has acknowledged his daughter's
problems with substance abuse on several occasions, calling
it a difficult family matter. The subject has not emerged
as an issue in his campaign for re-election in November.

Legal experts and drug-treatment centers across the country
had been closely watching the case because of its possible
implications not just for Ms. Bush, but also as it relates
to broader patient privacy.

"There is not simply the private interest of a single
patient to be considered," said Kate O'Neill, a lawyer for
the Legal Action Center, an advocacy organization that
specializes in drug issues and has been monitoring the Bush
case. "Treatment providers need real assurances that their
privacy will be protected. People who need treatment will
be afraid to seek treatment if disclosure of that
information is done. It is counterproductive and also
damaging to society's interest."

An assistant state attorney for Orange County, Jeff Ashton,
said that his office disagreed that privacy laws applied to
the case and that it would appeal Judge Perry's ruling to
the Fifth District Court of Appeals in Daytona Beach.

"We respectfully disagree with the court's ruling," Mr.
Ashton said. Keeping a treatment program private is "all
well and good, but it shouldn't be a license to commit
crimes with immunity."

Mr. Ashton said the police wanted to investigate whether
someone had sold crack cocaine to a patient or an employee
at the center. He criticized the ruling's saying the
incident was not a new crime but part of Ms. Bush's
original drug case.

"I don't know where the court gets this from," Mr. Ashton
said. "It clearly is a new crime. No question about it."

Carlos Burruezo, chairman of the board of the Center for
Drug-Free Living and its lawyer, said the decision was
"well reasoned, good and within the requirements of the
law".

Mr. Burruezo said there had been circumstances in which
rehabilitation centers had called the police to retrieve
illegal drugs found in a patient's possession. But there is
"never a revelation about the person who had it," Mr.
Burruezo said.

"The unusual wrinkle in this case," he added, "was that
police wanted to initiate a whole new proceeding based on
allegations it received, which is just not the norm."

http://www.nytimes.com/2002/10/01/national/01REHA.html?ex=1034498374&ei=1&en=30b9f5caaa08159f



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