Legal News about HIPAA Compliance

Cardiovascular Consultants Pays $3.85M to Settle Data Breach Litigation

Cardiovascular Consultants in Arizona has settled a class action lawsuit stemming from a 2023 data breach involving the protected health information of 484,000 individuals. The data breach was detected on September 29, 2023, and the forensic investigation determined that a hacker had gained access to its network two days previously. Files containing patient information were exfiltrated before ransomware was used to encrypt files.

The compromised files contained patient and guarantor information, including names, mailing addresses, birth dates, emergency contact information, Social Security numbers, driver’s license numbers, state ID numbers, insurance policy and guarantor information, diagnosis and treatment information, and other information from medical or billing records. Notification letters were mailed on December 2, 2023.

A class action complaint was filed in December 2023 by plaintiffs Michele Stroup and Georgios Asimakopoulos, and additional plaintiffs later joined the litigation as class representatives. The defendant denied all claims in the lawsuit and sought to have the lawsuit dismissed. That attempt was only partially successful, with a judge granting and denying the motion to dismiss in part. An amended complaint – Stroup, et al. v. Cardiovascular Consultants Ltd. – was filed, which is pending in the Superior Court of the State of Arizona, County of Maricopa.

The lawsuit alleged that the defendant failed to implement reasonable security protections to safeguard its information systems and databases, and that the handling of the data breach was deficient, with notifications unreasonably delayed. The lawsuit asserted claims for negligence, negligence per se, breach of implied contract, unjust enrichment, breach of fiduciary duty, violation of the Arizona Consumer Fraud Act, and invasion of privacy, all of which were denied by the defendant.

Following mediation, a settlement was agreed that was acceptable to all parties, allowing them to avoid further litigation costs and the uncertainty of a trial. Under the terms of the settlement, Cardiovascular Consultants has agreed to establish a $3,850,000 settlement fund to cover all costs associated with the litigation, including attorneys’ fees and expenses, notice and administration costs, and service awards for the class representatives.

The remainder of the settlement fund will be used to pay benefits to the class members. Class members may claim two years of medical monitoring plus one or two cash payments – a claim for reimbursement of documented, unreimbursed out-of-pocket losses up to a maximum of $5,000 per class member and/or a pro rata cash payment, which is estimated to be $75 per class member, but may be higher or lower depending on the number of valid claims received.

The settlement has received preliminary approval from the court, and the final fairness hearing has been scheduled for August 18, 2026. Individuals wishing to object to the settlement or exclude themselves must do so by June 1, 2026. The deadline for submitting a claim is July 1, 2026.

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Iowa AG Sues Change Healthcare Over 2024 Ransomware Attack

Iowa Attorney General Brenna Bird has filed a lawsuit against Change Healthcare, UnitedHealth Group, and Optum over the February 2024 ransomware attack that resulted in the theft of the electronic protected health information of 192.7 million Americans, including 2.2 million Iowans.

AG Bird accuses the defendants of making false representations about their cybersecurity practices and systems before and after the cyberattack. AG Bird claims the defendants played down the seriousness of the incident in the February 21, 2024, filing with the U.S. Securities and Exchange Commission (SEC), which stated that a suspected nation state actor had gained access to some of its information systems and that the affected systems had been isolated.

AG Bird said what was described as a relatively benign isolation of systems was in fact the largest healthcare data breach in U.S. history, and one of the largest data breaches of any kind in the United States. “The breach and subsequent shutdown of services, without warning and without adequate backup and redundancies, was so great that it sent the entire U.S. healthcare system into a virtual meltdown,” AG Bird stated in the lawsuit.

Cybercriminals have long targeted U.S. healthcare organizations, and given the high volume of attacks, the defendants should have known that they would be a huge target for cybercriminals, given the volume of sensitive data that flowed through Change Healthcare’s systems and the impact a ransomware attack would have. Despite this, AG Bird alleged that the measures implemented were insufficient and did not match the standards claimed by the defendants. AG Bird alleged that the Change Healthcare cyberattack and data breach “occurred because Change’s systems were insecure, outdated, and lacked appropriate segmentation and redundancies—in violation of Change’s advertised practices, company policies, federal privacy requirements, and basic standards of enterprise information security.”

According to the lawsuit, following a Congressional inquiry into the incident, and over the course of many months, “it became clear that defendants materially misrepresented the quality and characteristics of their cybersecurity systems to Iowans and to Iowa healthcare providers, in violation of Iowa law.” In addition to failing to adequately secure its systems and sensitive data, AG Bird took issue with the time taken to notify the affected individuals, some of whom only learned that their data had been compromised 20 months after their data was stolen.

The lawsuit asserts claims of violations of the Iowa Consumer Fraud Act, Iowa Code, and the Personal Information Security Breach Protection Act. The lawsuit seeks civil monetary penalties of $40,000 per violation of Iowa Code § 714.16(7), civil penalties of $5,000 for each violation of the Iowa Consumer Fraud Act, for all moneys or property acquired in violation of the Iowa Consumer Fraud Act to be disgorged to the Attorney General, and awards of damages on behalf of all persons injured due to the violations of the Iowa Personal Information Security Breach Protection Act. Further, the lawsuit seeks to enjoin the defendants from continuing to commit further unlawful practices pursuant to Iowa Code.

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Eye Physicians of Central Florida Data Breach Settlement

Eye Physicians of Central Florida has agreed to settle a class action lawsuit stemming from a 2023 data breach that affected more than 31,000 patients. Eye Physicians of Central Florida identified suspicious activity within its computer network on November 5, 2023, and confirmed access by an unauthorized third party. The data breach affected 31,189 patients, according to the breach notice submitted to the HHS’ Office for Civil Rights (OCR).

The hackers gained access to systems containing names, addresses, dates of birth, medical diagnosis and treatment information, provider names, patient ID numbers, procedure codes, dates of service, treatment cost information, financial account information, state ID, health insurance information, and/or prescription information.

A class action lawsuit – Connell v. Eye Physicians of Central Florida, P.L.C. – was filed in the Circuit Court for Orange County, Florida, by plaintiff Alisa Connell individually and on behalf of similarly situated individuals who had data exposed in the incident. Eye Physicians of Central Florida sought to have the lawsuit dismissed, and was partially successful, although the lawsuit was allowed to proceed, and the plaintiff filed an amended complaint asserting claims for negligence and breach of fiduciary duty.

The lawsuit was actively litigated for 18 months, then all parties engaged in private mediation, resulting in a settlement that was agreeable to all parties. Eye Physicians of Central Florida maintains there was no wrongdoing, believes there is no liability, and denies and continues to deny all claims and allegations in the lawsuit.

The settlement provides multiple benefits for the class members. Class members are entitled to claim two years of credit monitoring and identity theft protection services, which include a $1 million identity theft insurance policy. In addition, a claim may be submitted for reimbursement of documented, unreimbursed losses due to the data breach and attested lost time of up to three hours at $25 per hour. Claims for reimbursement of losses are capped at $2,000 per class member for ordinary losses and $7,500 for extraordinary losses. There is no alternative cash payment.

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Excelsior Orthopaedics; Buffalo Surgery Center Pay $2.4 Million to Settle Data Breach Lawsuit

A settlement has been reached to resolve class action data breach litigation against Excelsior Orthopaedics and Buffalo Surgery Center. The lawsuit was filed in response to a 2024 data breach that affected hundreds of thousands of patients. On or around June 23, 2024, Amherst, New York-based Excelsior Orthopaedics identified suspicious network activity, and its forensic investigation confirmed that an unauthorized third party accessed and copied data from its network. The data breach also affected Northtowns Orthopaedics in Buffalo and Buffalo Surgery Center.

Excelsior Orthopaedics reported the data breach to the HHS’ Office for Civil Rights as affecting 394,752 individuals, and Buffalo Surgery Center reported the breach as affecting 64,000 of its patients. The hackers obtained names, demographic information, driver’s license numbers, Social Security numbers, medical information, health insurance information, and financial information. The affected individuals were notified on December 31, 2024.

Multiple class action lawsuits were filed against Excelsior Orthopaedics and Buffalo Surgery Center over the data breach. The lawsuits were consolidated – Szucs et al. v. Excelsior Orthopaedics, LLP et al. – in the Supreme Court of the State of New York, County of Erie. The consolidated lawsuit alleged that the plaintiffs and class members suffered multiple injuries as a result of the data breach, and that those injuries were caused as a result of the “defendants’ failures to properly secure, safeguard, encrypt, and/or timely and adequately destroy Plaintiffs’ and Class Members’ sensitive personal identifiable and health information.”

The lawsuit alleged that the defendants failed to comply with industry standards for cybersecurity, FTC guidelines, and their obligations under HIPAA. The lawsuit asserted claims for negligence, negligence per se, breach of contract, breach of implied contract, breach of fiduciary duty, unjust enrichment, breach of confidence, and violations of the New York Deceptive Acts and Practices Act.

The defendants deny all claims and contentions in the lawsuit and deny any wrongdoing or liability; however, the defendants and the plaintiffs agreed that a settlement was the best outcome to avoid the costs of protracted litigation and the uncertainty of trial. Under the terms of the settlement, the defendants agreed to pay $2,400,000 to settle the lawsuit, from which attorneys’ fees and expenses, notification and settlement costs, and service awards for the 9 named plaintiffs will be deducted. The remainder of the settlement fund will be used to pay for benefits for the class members.

Those benefits include two years of three-bureau credit monitoring services, the code for which will be automatically sent to the class members, without having to submit a claim. In addition, class members may choose to submit a claim for reimbursement of documented, unreimbursed losses due to the data breach up to a maximum of $5,000 per class member. Alternatively, if a claim for reimbursement of losses is not submitted, class members may claim a cash payment. The cash payments will be paid pro rata, and the value will depend on the remaining settlement funds. The deadline for objection to the settlement and exclusion is May 17, 2026. Claims must be submitted by June 11, 2026, and the final fairness hearing has been scheduled for July 8, 2026.

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Balance Autism Settles Class Action Data Breach Lawsuit

Balance Autism has agreed to settle a class action lawsuit stemming from a security incident that exposed patient information. Altoona, Iowa-based Balance Autism identified a cybersecurity incident on or around March 17, 2025, that resulted in a data breach. Hackers had access to its network from March 11, 2025, to March 17, 2025, and obtained access to data such as names, dates of birth, Social Security numbers, health insurance information, and Medicaid numbers. The data breach was reported to the HHS’ Office for Civil Rights as involving unauthorized access to the protected health information of 1,281 individuals.

A class action lawsuit – Bennett v. Balance Autism – was filed in the Iowa District Court for Polk County by plaintiff Andrea Bennett, individually and on behalf of other similarly affected individuals. The lawsuit alleged that the cybersecurity incident resulted from the defendant’s negligence in failing to implement reasonable and appropriate cybersecurity measures to protect sensitive data on its network. The lawsuit asserted claims for negligence, breach of implied contract, unjust enrichment, breach of fiduciary duty, and invasion of privacy. The defendant denies all claims and contentions in the lawsuit, including allegations of fault, wrongdoing, and liability; however, following mediation, a settlement was agreed that was acceptable to all parties to bring the litigation to an end.

Under the terms of the settlement, Balance Autism has agreed to pay for two years of credit monitoring and identity theft protection services and will accept claims from the affected individuals for up to $400 as reimbursement for out-of-pocket losses due to the data breach, and up to four hours of lost time at $20 per hour. Alternatively, instead of submitting a claim for reimbursement of losses and lost time, class members may submit a claim for a cash payment, which is estimated to be $50, but may be lower, depending on the number of claims received.

The deadline for exclusion and objection is May 1, 2026; the claims deadline is June 1, 2026; and the final approval hearing has been scheduled for June 12, 2026.

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Akeela Data Breach Settlement Gets First Nod from the Court

In June of last year, we reported that a settlement had been agreed to resolve a class action lawsuit against Akeela, Inc., over a June 2023 cybersecurity incident and data breach. The case was stayed until July 18, 2025, and ahead of that date, the plaintiff was required to move for preliminary approval of class certification. Ahead of that date, the plaintiff, Jessica McRorie, dismissed her complaint without prejudice and immediately joined a separate complaint, Batin et al. v. Akeela, Inc., which made substantially similar allegations. The Batin case, filed in the Superior Court for Anchorage, Alaska, has recently been settled, and the settlement has received preliminary approval from the court.

The Batin case lists Jessica McRorie, Elynnie Batin, Jane Doe, Rocky Hawley, Andrew Metcalf, Thomas Maxim, and Kathleet Yarr (Personal Representative for the Estate of Ian Christiansen) as plaintiffs, who allege that their names, Social Security numbers, dates of birth, and medical diagnosis and treatment information were exposed to cybercriminals as a result of the negligence of Akeela. Akeela is alleged to have failed to adequately secure its network, which allowed cybercriminals to access patients’ sensitive data.

The defendant denies the claims and contentions in the lawsuit and disputes the facts, including that any damages have been suffered as a result of the data breach or that the action satisfies the requirements to be certified or tried as a class action. To avoid continuing with the litigation, which would likely be protracted and expensive, and to avoid the uncertainty of a trial, a settlement was agreed.

Compared to most settlement agreements to resolve class action data breach lawsuits, the benefits are limited. Class members may submit a claim for two years of credit monitoring and identity theft protection services, and a pro rata cash payment may be claimed. The cash payments will be paid from the remainder of a $50,000 settlement fund after credit monitoring costs have been deducted.  Attorneys’ fees and other costs and expenses will be paid separately by Akeela. The deadline for objection and exclusion is April 13, 2026; the claims deadline is May 25, 2026, and the final approval hearing has been scheduled for April 13, 2026.

June 4, 2025: Akeela Inc. Agrees to Settlement to Resolve Class Action Data Breach Litigation

Akeela Inc., an Anchorage, AK-based provider of mental health and substance use disorder treatment services, has agreed to settle a class action lawsuit filed in response to a 2023 data breach that exposed the protected health information of more than 284,000 individuals.

On or around June 22, 2023, Akeela experienced a disruption to its IT network. The forensic investigation confirmed there had been unauthorized network access and the exfiltration of administrative files containing patients’ protected health information. The stolen information included names, dates of birth, diagnosis and treatment information, and Social Security numbers.

In August 2024, a class lawsuit – Jessica McRorie v. Akeela Inc. – was filed in the United States District Court for the District of Alaska over the data breach. The lawsuit alleged Akeela was negligent by failing to secure and safeguard patients’ personally identifiable and protected health information and did not comply with industry-standard data security practices, even though there was a known risk that cybercriminals actively target healthcare providers. The lawsuit claims Akeela maintained sensitive data in a reckless manner, and as a direct consequence of its negligence, sensitive patient data is now in the hands of cybercriminals.

Further, when the breach was detected, Akeela delayed issuing notification letters to the affected individuals, who were informed that their sensitive data had been stolen more than a year after the data breach was identified. The lawsuit claims that the delay diminished the plaintiff and class members’ ability to timely and thoroughly mitigate and address the harms resulting from the data breach.

The lawsuit claims the plaintiff and class members have suffered concrete injuries as a result of the data breach, including financial costs from mitigating the risk and imminent threat of identity theft and fraud, lost of time and productivity, actual identity theft and fraud, deprivation of the value of their private information, loss of privacy, and emotional distress, anxiety, and stress. In addition to claims for negligence and negligence per se, the lawsuit asserted claims of breach of implied contract, breach of fiduciary duty, invasion of privacy, and unjust enrichment.

Akeela maintains there was no wrongdoing and denies all of the claims and contentions in the lawsuit; however, the healthcare provider agreed to settle the litigation to avoid further legal costs and the uncertainty of trial. Details of the settlement agreement have yet to be made public; however, the plaintiff and Akeela have reached an agreement in principle on an appropriate settlement. Notices for class members and the motion for preliminary approval from the court are now being prepared.

This post will be updated when the settlement receives preliminary approval from the court.

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Essen Medical Associates Agree to $4 Million Settlement to Resolve Class Action Data Breach Lawsuit

Essen Medical Associates has agreed to pay $4,000,000 to resolve class action litigation over a March 2023 cyberattack and data breach that affected 904,672 current and former patients. Essen Medical, a New York-based healthcare provider, experienced a cyberattack that saw hackers access its network between March 14, 2023, and March 22, 2023.

Data exposed in the incident included personally identifiable information and protected health information such as names, driver’s license numbers/state identification numbers, U.S. alien registration numbers, non-U.S. identification numbers, passport numbers, financial account information, dates of birth, Social Security numbers, medical treatment information, and health insurance information.

The data breach sparked several class action lawsuits, which were consolidated – Rivera, et al. v. Essen Medical Associates, P.C – in the Supreme Court of the State of New York, County of Bronx. The consolidated lawsuit alleged that the cyberattack was preventable and was the result of the defendant’s failure to implement adequate and appropriate cybersecurity procedures and protocols. The lawsuit claimed that the defendants recklessly maintained data on systems vulnerable to cyberattacks.

The lawsuit asserted claims for negligence, breach of implied contract, breach of fiduciary duty, unjust enrichment, and violation of the New York Deceptive Trade Practices Act. Essen Medical denies all charges of wrongdoing or liability, and all claims or contentions alleged against it. All parties agreed that a settlement was the best outcome, and class counsel and the six class representatives believe that the settlement is fair. The settlement has recently received preliminary approval from the court and awaits final approval.

Under the terms of the settlement, Essen Medical will establish a $4,000,000 settlement fund to cover attorneys’ fees and expenses, service awards for the class representatives, and all costs related to the settlement. The attorneys’ fees will be no more than 33.33% of the settlement fund, and the service awards will be no more than $3,000 per class representative. The remainder of the fund will be used to pay for class member benefits.

Class members may submit a claim for documented, unreimbursed losses due to the data breach up to a maximum of $5,000 per class member. In addition, a claim may be submitted for a cash payment of up to $100 per class member. The deadline for objecting to the settlement and exclusion is May 4, 2026. Claims must be submitted by June 1, 2026, and the final fairness hearing has been scheduled for July 7, 2026.

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GuardDog Telehealth Admits Improper Access to Medical Records

A telehealth company has admitted to improperly accessing patients’ medical records. GuardDog Telehealth purported to require access to patients’ medical records for treatment purposes; however, the records were accessed in order to provide data to law firms for potential lawsuits.

GuardDog Telehealth obtained access to patients’ medical records through a Health Information Exchange (HIE) network, using Health Gorilla’s interoperability platform to access the records. Health Gorilla is a Qualified Health Information Network (QHIN) under the Trusted Exchange Framework and Common Agreement (TEFCA), through which many companies access patients’ medical records. The network supports patient care and ensures efficient care coordination between healthcare providers.

Epic Systems, the health IT consultancy firm OCHIN, and three healthcare providers filed a lawsuit against Health Gorilla and others, alleging they were allowing “sham” medical practices to access health information exchanges through their interoperability platforms. After gaining access, the sham companies are alleged to have marketed their access to patient data to law firms, offering to help them find plaintiffs for class action lawsuits. In addition to GuardDog Telehealth, other companies accused of improper access included Mammoth Path Solution, RavillaMed, and Llamalab. According to the lawsuit, the sham companies were given connections to Carequality, TEFCA, and other HIEs, which allowed them to access patient records.

The lawsuit seeks immediate relief for fraud, aiding and abetting fraud, violations of the California Business and Professions Code, and the Federal Computer Fraud and Abuse Act. According to the lawsuit, almost 300,000 patient records were improperly accessed by the sham companies under the guise of treatment. Only GuardDog Telehealth has admitted to any wrongdoing.

Companies such as Health Gorilla are the gatekeepers and control who can access their frameworks and sensitive patient data through HIEs. They must therefore ensure that any participants are vetted before they are onboarded, and are accessing the framework for legitimate purposes. Health Gorilla vehemently denies the allegations and claims that Epic, a rival, is attempting to squash competition.

In a legal filing – stipulated judgment and permanent injunction – on Friday, Epic said it has obtained an admission from Health Gorilla client GuardDog Telehealth that patient records were accessed under the guise of providing chronic care management and remote patient monitoring, when those services were not provided. Instead, records were reviewed, summarized, and the data provided to law firms.

GuardDog Telehealth and Epic have reached an agreement and are seeking a court order permanently barring GuardDog Telehealth from requesting health records via the Carequality and TEFCA interoperability frameworks. GuardDog Telehealth has agreed to delete all patient records obtained from those frameworks within one week and will not use or disclose any patient information obtained from the HIEs. The agreement now awaits approval from the court.

Epic said the legal action against Health Gorilla and the other defendants will continue and that it would welcome discussions with other defendants regarding stipulated judgments and permanent injunctions. Health Gorilla maintains that GuardDog Telehealth did not inform it of any non-treatment uses of patient data and maintains that there has been no wrongdoing by Health Gorilla.

“GuardDog’s consent judgment has no legal impact on Health Gorilla, and is incomplete at best and misleading at worst. If you read carefully, GuardDog does not state it ever informed Health Gorilla of any non-treatment use of patient information, and we are prepared to demonstrate it did not,” explained Health Gorilla in a statement. “In addition, when Health Gorilla sought to investigate GuardDog along with the interoperability networks and several major health providers, GuardDog failed to respond and refused to cooperate. Epic’s lawsuit remains an attack on interoperability that threatens patient safety and efficient healthcare nationwide, made worse by misleading submissions like its agreement with GuardDog. Health Gorilla continues to fully comply with all applicable data-sharing frameworks, and we remain confident as we address these claims through the legal processes.”

Epic is also facing legal action of its own, with multiple class action lawsuits filed against it and other companies for failing to prevent Health Gorilla and its clients from connecting to the Epic Care Everywhere health information exchange. The lawsuits allege that Epic and others were negligent, as they either knew or should have known about the misuse of Care Everywhere to obtain patient information for non-treatment purposes, and that they failed to take timely corrective action.

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Long Island Plastic Surgical Group Settles Class Action Lawsuit Over BlackCat Ransomware Attack

A consolidated class action lawsuit against Long Island Plastic Surgical Group, P.C has been resolved with a $2,600,000 settlement. Legal action was taken by patients of the Garden City, New York-based private, academic plastic surgery practice in response to a January 4, 2024, ransomware attack by the ALPHV/BlackCat ransomware group. The forensic investigation confirmed that the BlackCat group accessed its network between January 4, 2024, and January 8, 2024, and used ransomware to encrypt files. Prior to encrypting files, sensitive data was exfiltrated from the network, including personal identifiable information (PII) and protected health information (PHI).

Data stolen in the incident included full names, Social Security numbers, driver’s license numbers or state identification numbers, dates of birth, biometric information, account numbers, credit or debit card information, medical information, patient photographs, health insurance policy information, and patient account numbers. In total, more than 161,000 current and former patients were affected. The BlackCat ransomware group demanded payment to prevent the publication of the stolen data on its dark web data leak site. Long Island Plastic Surgical Group chose to pay the ransom to prevent the release of the stolen data and received confirmation that the stolen data had been deleted.

On October 4, 2024, the affected individuals were notified by mail. Shortly after issuing notifications, seven putative class action lawsuits were filed by patients over the incident, alleging they had suffered harm as a result of the data breach. The lawsuits were consolidated – Baum et al. v. Long Island Plastic Surgical Group, P.C. – in the Supreme Court of the State of New York, County of Nassau.

The consolidated lawsuit asserted claims for negligence, negligence per se, breach of implied contract, unjust enrichment, breach of fiduciary duty, and violation of the New York Consumer Law for Deceptive Acts and Practices Act. Long Island Plastic Surgical Group denies the allegations and all liability, including claims that the defendants suffered any injury or damage as a result of the incident. To avoid the time, expense, and uncertainties of defending protracted litigation, the defendant agreed to settle the litigation. Class counsel and the class representatives agreed to the settlement as they concluded it was in the best interests of the class members.

Under the terms of the settlement, Long Island Plastic Surgical Group will establish a $2,600,000 settlement fund to cover attorneys’ fees and expenses, settlement administration and notification costs, service awards for the class representatives, and benefits for the class members. Class members may submit a claim for reimbursement of documented, unreimbursed losses due to the data breach up to a maximum of $5,000 per class member, or they may choose to receive an alternative pro rata cash payment. An additional pro rata cash payment of up to $1,000 may be claimed by class members who had clinical photographs compromised in the incident.

The amount paid to class members claiming alternative cash payments will depend on the number of claims received, including claims for the additional cash payments. The additional cash payments may also be reduced depending on the remaining funds after legal costs and expenses, service awards, administration and notification costs, and claims for reimbursement of losses have been paid. The deadline for objection to and exclusion from the settlement is May 4, 2026. Claims must be submitted by May 18, 2026, and the final approval hearing has been scheduled for June 2, 2026.

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