PA Superior Court Holds Physician-Patient Privilege Does Not Apply to Juvenile Delinquency Proceedings
Criminal Defense Lawyer Zak T. Goldstein, Esquire
Introduction
In a recent decision, In the Interest of J.E., 2025 PA Super 245, the Pennsylvania Superior Court addressed a novel issue of statutory interpretation: whether juvenile delinquency proceedings constitute “civil matters” for the purposes of the physician-patient privilege under 42 Pa.C.S.A. § 5929. The Court ultimately ruled that while juvenile proceedings are not criminal in nature, they are also not "civil matters" as contemplated by the statute, meaning the privilege does not act as a bar to the admission of medical records in delinquency hearings. Under the statute, the physician-patient privilege only applies to civil matters, so it does not apply in juvenile criminal cases.
Facts of the Case
The case arose from an incident that took place in November 2023, where J.E., a minor, was taken to Lankenau Hospital by his family for a gunshot wound to his left hand. During his treatment, J.E. made statements to both an emergency room physician and a surgeon indicating that he had accidentally shot himself with his own gun. These statements were recorded in his medical records.
J.E. was subsequently charged with possession of a firearm by a minor and possession of a firearm prohibited. Prior to his adjudicatory hearing, the defense filed a motion in limine to exclude the medical records, arguing that the statements in the records were protected by the physician-patient privilege. The defense contended that because Pennsylvania law has long held that juvenile proceedings are "civil inquiries" rather than criminal trials, the statutory privilege applicable to "civil matters" should apply. The trial court denied the motion, the records were promptly admitted, and J.E. was adjudicated delinquent. The defendant appealed to the Pennsylvania Superior Court.
The Ruling on Appeal
The Superior Court affirmed the trial court’s decision, relying on a strict statutory interpretation of 42 Pa.C.S.A. § 5929. The statute states that physicians shall not be allowed to disclose information in "any civil matter."
The Court rejected the defendant’s argument, reasoning that:
Distinct Legal System: The Juvenile Act created a unique, separate legal system that is neither wholly civil nor wholly criminal. Although the system aims for rehabilitation rather than punishment, it is a distinct statutory framework designed to hold children accountable. It does not result in a civil case.
Statutory Language: The legislature did not explicitly include juvenile proceedings in the text of § 5929. Furthermore, the Juvenile Act itself distinguishes between "civil matters" and juvenile proceedings, suggesting they are not synonymous.
Precedent: The Court noted that previous caselaw distinguishing juvenile proceedings from criminal ones did not automatically categorize them as "civil matters" for all purposes. The Court cited In re J.B. to show that the judiciary views criminal, civil, and juvenile proceedings as three distinct categories.
Key Takeaway
This decision clarifies that the physician-patient privilege in Pennsylvania is limited strictly to "civil matters" as traditionally defined (e.g., lawsuits for damages or equitable relief). It does not extend to the unique quasi-civil nature of juvenile delinquency court. Accordingly, incriminating statements made by minors to medical personnel for the purpose of treatment may be admissible in subsequent delinquency hearings.
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