Andrew Bailey, Attorney General, State of Missouri, Appellant/Cross- Missouri Cases

Planned Parenthood of the St. Louis Region and Southwest Missouri appealed a trial court's partial enforcement of a Civil Investigative Demand (CID) from the Attorney General, which sought documents related to gender transition services for minors under the Missouri Merchandising Practices Act (MMPA). The trial court had partially enforced the CID but limited disclosure to documents not protected by HIPAA, requiring patient waivers. The appellate court affirmed that the CID was valid and enforceable under the MMPA, finding medical services are covered merchandise and the AG's authority is broad. However, it reversed the HIPAA ruling, clarifying that de-identified health information is not protected and patient waiver is not the sole disclosure method. The case was remanded for the trial court to order PPGR to respond to the CID in compliance with state and federal law.