2025-1955•Hill v. State of Florida
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DISTRICT COURT OF APPEAL OF FLORIDA SECOND DISTRICT KYLE MATTHEW HILL, Petitioner, v. STATE OF FLORIDA, Respondent. No. 2D2025-1955 March 18, 2026 Petition for Writ of Certiorari to the Circuit Court for Pinellas County; Christopher M. LaBruzzo, Judge. Sara Mollo, Public Defender, and Jonathan Saunders and Julia Seifer- Smith, Assistant Public Defenders, Clearwater, for Petitioner. James Uthmeier, Attorney General, Tallahassee, and Tayna Alexander, Assistant Attorney General, Tampa, for Respondent. LaROSE, Judge. Kyle Matthew Hill petitions for a writ of certiorari. He implores us to quash the trial court's order permitting the State to subpoena his medical records. We deny his petition. Background
2
The State indicted Mr. Hill for first-degree murder, attempted first-
degree murder, DUI manslaughter, and DUI with serious bodily injury.
The State seeks the death penalty.
Allegedly, Mr. Hill purposefully sideswiped another vehicle, causing
it to leave the roadway and crash into a pole. The collision injured the
driver and killed her passenger.
Police suspected that Mr. Hill was driving under the influence of
alcohol. They directed emergency medical services (EMS) personnel to
conduct a blood draw. EMS personnel then took Mr. Hill to the hospital
where staff performed another blood draw.
Shortly after the indictment issued, the State subpoenaed EMS and
the hospital for Mr. Hill's medical records, including the blood draw
results. Mr. Hill objected.
Pertinent to our analysis, Mr. Hill was also injured in the crash.
Supposedly, he sustained a traumatic brain injury. His counsel reported
that Mr. Hill had no recollection of the crash and could not assist in his
defense. Counsel maintained that Mr. Hill was incompetent to proceed.
See generally § 916.12(1), Fla. Stat. (2025) ("A defendant is incompetent
to proceed . . . if the defendant does not have sufficient present ability to
consult with her or his lawyer with a reasonable degree of rational
understanding or if the defendant has no rational, as well as factual,
understanding of the proceedings against her or him.").
The trial court conducted a hearing on Mr. Hill's objection. The
trial court heard argument about the relevancy of the medical records.
See Hunter v. State, 639 So. 2d 72, 74 (Fla. 5th DCA 1994) ("We hold that
the state attorney may use an investigative subpoena to compel
disclosure of a patient's medical records, but the patient must first be
given notice before the subpoena is issued. If the patient objects, the3
[S]tate has the obligation and the burden to show the relevancy of the
records requested; before the subpoena for the patient's medical records
is allowed to issue."). The trial court overruled Mr. Hill's objections and
ordered the subpoenas to issue.
Discussion
Mr. Hill maintains that in two respects the trial court's order
demands certiorari relief.
First, when the trial court issued the order, Mr. Hill's competency
was in doubt. A defendant "who is mentally incompetent to proceed at
any material stage of a criminal proceeding must not be proceeded
against while incompetent." Fla. R. Crim. P. 3.210(a). Mr. Hill tells us
that a confidential defense expert found him incompetent. Consequently,
he maintains, the trial court should have "stay[ed] issuance of the
subpoenas at this material stage until the issue of competency was
adjudicated."
Second, he claims that the State failed to show a nexus between
the medical records and some material issue in the case. He likens the
subpoenas to a "fishing expedition." See Walter v. Page, 638 So. 2d
1030, 1031 (Fla. 2d DCA 1994) ("The subpoena duces tecum . . . should
not be used as a fishing expedition to require a witness to produce broad
categories of [confidential records] which the party can search to find
what may be wanted.").
Certiorari is an extraordinary remedy, granted rarely. See Am.
Prime Title Servs., LLC v. Wang, 317 So. 3d 1183, 1186 (Fla. 3d DCA
2021) (" '[C]ertiorari relief is an "extremely rare" remedy that will be
provided in "very few" ' . . . cases." (quoting Bd. of Trs. of Internal
Improvement Tr. Fund v. Am. Educ. Enters., LLC, 99 So. 3d 450, 455 (Fla.
2012))). The petitioner must "demonstrate that the contested order4
constitutes '(1) a departure from the essential requirements of the law,
(2) resulting in material injury for the remainder of the case[,] (3) that
cannot be corrected on postjudgment appeal.' " Hett v. Barron-Lunde,
290 So. 3d 565, 569 (Fla. 2d DCA 2020) (alteration in original) (quoting
Bd. of Trs. of Internal Improvement Tr. Fund, 99 So. 3d at 454).
"The second and third elements are jurisdictional, and this court
must first analyze the jurisdictional elements before it can consider
whether the lower tribunal departed from the essential requirements of
law. If the petitioner fails to satisfy the jurisdictional elements, this court
dismisses the petition rather than denying it." Plantz v. John, 170 So. 3d
822, 824 (Fla. 2d DCA 2015) (citation omitted); see also Foster v. State,
326 So. 3d 1192, 1196 (Fla. 1st DCA 2021) ("The rule of law is clear:
district courts must first analyze the 'threshold jurisdictional'
requirement of irreparable harm, and if it is not met, then the inquiry
must end there.").
Mr. Hill satisfies the jurisdictional requirements. See Gomillion v.
State, 267 So. 3d 502, 506 (Fla. 2d DCA 2019) ("Mr. Gomillion asserts a
privacy interest under article I, section 23 of the Florida Constitution in
the toxicology records the State seeks to subpoena. If the trial court's
order allowing the disclosure of those records in fact departs from the
essential requirements of law, Mr. Gomillion will have sustained an
immediate injury (the impairment of his legally-recognized privacy
interest) that a postjudgment appeal cannot remedy (an appeal cannot fix
the violation of his privacy rights occasioned by the disclosure). Our
certiorari jurisdiction is thus properly invoked in this case."); Paylan v.
Fitzgerald, 223 So. 3d 431, 434 (Fla. 2d DCA 2017) ("Orders that require
disclosure of confidential medical information meet the irreparable harm
requirement for certiorari review because once such information is5
improperly disclosed, the harm caused by that disclosure cannot be
undone.").
Accordingly, our ensuing analysis focuses on whether the trial
court's order departs from the essential requirements of law.
[T]he departure from the essential requirements of the law
necessary for the issuance of a writ of certiorari is something
more than a simple legal error. A district court should
exercise its discretion to grant certiorari review only when
there has been a violation of a clearly established principle of
law resulting in a miscarriage of justice.
Allstate Ins. v. Kaklamanos, 843 So. 2d 885, 889 (Fla. 2003).
I. Competency to Proceed at a Material Stage of a Criminal
Proceeding
The State may not proceed against a criminal defendant who has
been deemed incompetent. See Dougherty v. State, 149 So. 3d 672, 676
(Fla. 2014) ("[I]t is well-settled that a criminal prosecution may not move
forward at any material stage of a criminal proceeding against a
defendant who is incompetent to proceed." (quoting McCray v. State, 71
So. 3d 848, 862 (Fla. 2011))).
To that end, the Florida Statutes and Florida Rules of Criminal
Procedure set safeguards to avoid such a result. See § 916.12; Fla. R.
Crim. P. 3.210-.212. These protections extend not only to trial, but to
additional, ancillary proceedings. For example, under rule 3.210(a), "[a]
person accused of an offense . . . who is mentally incompetent to proceed
at any material stage of a criminal proceeding must not be proceeded
against while incompetent." Fla. R. Crim. P. 3.210(a) (emphasis added).
Rule 3.210(a)(1) sets forth the "material stage[s] of a criminal
proceeding":
the trial of the case, pretrial hearings involving questions of
fact on which the defendant might be expected to testify,
entry of a plea, violation of probation or violation of6
community control proceedings, sentencing, hearings on
issues regarding a defendant's failure to comply with court
orders or conditions, or other matters where the mental
competence of the defendant is necessary for a just resolution
of the issues being considered.
With that background, we address Mr. Hill's arguments.
(a) Not Yet Incompetent
The trial court has not yet adjudicated Mr. Hill incompetent.
Surely, a single evaluation from his confidential expert is not enough.
Otherwise, it would render irrelevant the requirements outlined in the
statute and rules governing how a competency determination is made.
See § 916.12(2)-(4); Fla. R. Crim. P. 3.211, .212.
Consequently, because Mr. Hill has not been adjudicated
incompetent, rule 3.210(a) does not bar the conduct of any material
stage in his criminal proceeding.
(b) Not a Material Stage
The hearing concerning Mr. Hill's medical records was not a
material stage of the criminal proceedings. Unquestionably, the hearing
was not a trial, pretrial hearing involving questions of fact on which the
defendant might be expected to testify, plea hearing, probation violation
hearing, or a hearing in which Mr. Hill's mental competency was
necessary for a just resolution. See Fla. R. Crim. P. 3.210(a)(1). Rather,
the hearing involved a discovery dispute.1 It did not require Mr. Hill's
1 We do not mean to denigrate an individual's right to privacy in his
medical records. See State v. Johnson, 814 So. 2d 390, 393 (Fla. 2002)
("A patient's medical records enjoy a confidential status by virtue of the
right to privacy contained in [article 1, section 23 of] the Florida
Constitution."); see also Barker v. Barker, 909 So. 2d 333, 337 (Fla. 2d
DCA 2005) ("Court orders compelling discovery of personal medical
records constitute state action that may impinge on the constitutional
right to privacy.").7 participation to reach a just resolution of the issues being considered. In fact, defense counsel waived Mr. Hill's presence at the hearing, thereby undermining Mr. Hill's position. II. The Nexus We dispatch quickly Mr. Hill's argument that the State failed to show a nexus between the medical records and a material issue in his case. We acknowledge that an individual's privacy right in his medical records is guarded fiercely. Yet, the State may encroach on that right in the context of a criminal investigation. Of course, the "invasion of a patient's privacy can only occur after the court finds a compelling state interest and that the information is relevant." Hunter, 639 So. 2d at 74. We have explained that cases where medical records are alleged to be relevant to a substantive issue . . . dictate that the State must at a minimum establish a nexus between the records and the ongoing criminal litigation by identifying a reasonable theory of [the case] and presenting evidence that makes it reasonable to expect that the records will produce evidence that supports the theory. Gomillion, 267 So. 3d at 508-09. The State presented a compelling need for the records. The State posits that Mr. Hill was intoxicated when the crash occurred. Indeed, the complaint/arrest affidavit states that Mr. Hill did drive or [was] in actual physical control of a vehicle while under the influence of alcoholic beverages or any chemical substances . . . or any [controlled] substance . . . to the extent his normal faculties were impaired or had a [BAC] of 0.08 percent or higher and as a result of [his] operation of the vehicle [he] did cause . . . great bodily harm to another person thereby inflicting mortal wounds.
8
Those same documents detail the manner in which the crash occurred.
Allegedly, Mr. Hill was speeding while driving in the middle lane, and he
"failed to maintain his lane and crashed his passenger side into the"
victims' vehicle, "causing the [victims' vehicle]" to leave the roadway and
crash into a pole." Even EMS personnel reported that Mr. Hill's blood
alcohol concentration was more than twice the legal limit. See
§ 316.193(1)(b), Fla. Stat. (2025) ("A person is guilty of the offense of
driving under the influence . . . if the person is driving or in actual
physical control of a vehicle . . . and . . . [t]he person has a blood-alcohol
level of 0.08 or more grams of alcohol per 100 milliliters of blood . . . .").
Thus, the charging documents indicate that Mr. Hill's medical
records will provide evidence of intoxication.
Mr. Hill contends that the State's quantum of evidence was
insufficient to support issuance of the subpoenas. He laments that "[t]he
State advanced a brief argument, and presented no evidence . . . other
than the arrest affidavits." We are unpersuaded.
After all, "[w]hen the State seeks a subpoena for medical records,
the court can rely on the State's argument and the accident report or
probable cause affidavit to establish relevance." State v. Tavenese, 321
So. 3d 252, 255 (Fla. 4th DCA 2021) (alteration in original) (quoting
Guardado v. State, 61 So. 3d 1210, 1213 (Fla. 4th DCA 2011)); see also
Leka v. State, 283 So. 3d 853, 859 (Fla. 2d DCA 2019) ("In considering
the request for a subpoena for medical records, 'the court can rely on the
State's argument and the accident report or probable cause affidavit to
establish relevance.' " (quoting Guardado, 61 So. 3d at 1213)); McAlevy v.
State, 947 So. 2d 525, 530 (Fla. 4th DCA 2006) (holding that, in
determining whether the State has shown a nexus between the medical
records and a pending criminal investigation, the trial court could "rely9 upon the [S]tate's argument and the probable cause affidavit"). The State established the necessary nexus. Conclusion We deny Mr. Hill's petition for certiorari. Denied. NORTHCUTT and SLEET, JJ., Concur. Opinion subject to revision prior to official publication.
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