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(Appeal denied, People v. Jensen, 595 N.W.2d 850 (Mich. 05/25/1999)
| [1] | Michigan Court of Appeals | 
| [2] | Docket No. 210655. | 
| [3] | 231 Mich.App. 439, 586 N.W.2d 748, 1998.MI.42538 <http://www.versuslaw.com> | 
| [4] | August 28, 1998 | 
| [5] | PEOPLE OF THE STATE OF MICHIGAN, PLAINTIFF-APPELLEE, v. BRENDA LEE JENSEN, DEFENDANT-APPELLANT. | 
| [6] | Muskegon Circuit Court LC No. 94-037564-FH | 
| [7] | Frank J. Kelley, Attorney General, Thomas L. Casey, Solicitor General, 
      Tony Tague, Prosecuting Attorney, and Kevin A. Lynch, Senior Assistant Prosecuting 
      Attorney, for the people. State Appellate Defender (by Gail Rodwan), for 
      the defendant on appeal. Amicus Curiae: Jerrold Schrotenboer, for the Prosecuting 
      Attorneys Association of Michigan. | 
| [8] | Before: Markey, P.j., and Kelly and Talbot, JJ. | 
| [9] | The opinion of the court was delivered by: Markey, P.j. | 
| [10] | 9:15 a.m. | 
| [11] | ON REMAND | 
| [12] | Submitted April 3, 1998, at Lansing. Decided August 28, 1998, at 9:15 
      a.m. | 
| [13] | Following a jury trial, defendant was convicted of three counts of knowing 
      that she tested seropositive for HIV and engaging in sexual penetration 
      without informing her partner that she was HIV infected, MCL 333.5210; MSA 
      14.15(5210). Thereafter, the trial court sentenced defendant to concurrent 
      terms of two years and eight months to four years' imprisonment for each 
      of the three counts. On appeal, this Court affirmed her convictions. People 
      v Jensen, 222 Mich App 575; 564 NW2d 192 (1997). Defendant filed her application 
      for leave to appeal with the Supreme Court. Pursuant to MCR 7.302(F)(1) 
      and in lieu of granting leave, the Supreme Court ordered: | 
| [14] | "[T]he judgment of the Court of Appeals is vacated in part and the 
      case is remanded to the Court of Appeals for further consideration and decision 
      on the merits of the question whether MCL 333.5210; MSA 14.15(5210) is constitutional. 
      MCR 7.302(F)(1). In all other respects, leave to appeal is denied because 
      the Supreme Court is not persuaded that the questions presented should be 
      reviewed. [456 Mich 931 (1998).]" | 
| [15] | On remand, we find that the HIV notice statute is neither constitutionally 
      overbroad nor violative of defendant's rights to privacy or against compelled 
      speech. | 
| [16] | I. | 
| [17] | Initially, we incorporate by reference the extended recitation of facts 
      set forth in the original Jensen, supra at 577-579. | 
| [18] | First, defendant asserts that MCL 333.5210; MSA 14.15(5210), which makes 
      it a crime to fail to inform a sexual partner that one has AIDS *fn1 
      or is HIV infected is unconstitutionally overbroad because it (1) includes 
      both consensual and nonconsensual sexual acts and (2) fails to require an 
      intent to cause harm. We believe that defendant's constitutional challenges 
      on these grounds fail. | 
| [19] | A. | 
| [20] | "MCL 333.5210; MSA 14.15(5210) states as follows:" | 
| [21] | ((1) A person who knows that he or she has or has been diagnosed as having 
      acquired immunodeficiency syndrome or acquired immunodeficiency syndrome 
      related complex, or who knows that he or she is HIV infected, and who engages 
      in sexual penetration with another person without having first informed 
      the other person that he or she has acquired immunodeficiency syndrome or 
      acquired immunodeficiency syndrome related complex or is HIV infected, is 
      guilty of a felony." | 
| [22] | "((2) As used in this section, "sexual penetration" means 
      sexual intercourse, cunnilingus, fellatio, anal intercourse, or any other 
      intrusion, however slight, of any part of a person's body or of any object 
      into the genital or anal openings of another person's body, but emission 
      of semen is not required." | 
| [23] | As we begin our overbreadth analysis, we are mindful that a statute is 
      accorded a strong presumption of validity and that we have a duty to construe 
      it as valid absent a clear showing of unconstitutionality. People v White, 
      212 Mich App 298, 309; 536 NW2d 876 (1995). Moreover, the constitutionality 
      of a statute is a question of law that we review de novo. Mahaffey v Attorney 
      General, 222 Mich App 325, 334-335; 564 NW2d 104 (1997). | 
| [24] | The overbreadth doctrine is primarily applied to First Amendment cases 
      where an overbroad statute prohibits constitutionally protected conduct. 
      People v Cavaiani, 172 Mich App 706, 711; 432 NW2d 409 (1988). The overbreadth 
      of a statute must be real and substantial; it must be Judged in relation 
      to the legitimate sweep of the statute where conduct and not merely speech 
      is involved. Broadrick v Oklahoma, 413 US 601, 614-615; 93 S Ct 2908; 37 
      L Ed 2d 830 (1973). In Broadrick, supra at 610, the United States Supreme 
      Court recognized that a person to whom a statute may be constitutionally 
      applied may not challenge that statute as overbroad on the grounds that 
      it conceivably may be unconstitutional when applied to others in situations 
      not before the court. | 
| [25] | In People v Russell, 158 Ill 2d 23; 196 Ill Dec 629; 630 NE2d 794 (1994), 
      the Illinois Supreme Court was faced with a similar overbreadth argument 
      when the defendant challenged Illinois' criminal statute prohibiting the 
      knowing transmission of HIV to another through intimate contact. *fn2 
      Upholding the statute against the defendant's constitutional challenge, 
      the Illinois Supreme Court observed: | 
| [26] | "In one of the cases before us, the criminal complaint charges that 
      the defendant Caretha Russell knew that she was infected with the HIV virus 
      when she engaged in consensual sexual intercourse with Daren Smith without 
      telling Smith of her infection. In the other case, defendant Timothy Lunsford 
      is charged with raping a woman at a time when he knew he was infected with 
      the HIV virus." | 
| [27] | "Neither the statute nor the cases before us have even the slightest 
      connection with free speech. Consequently, pursuant to constitutional interpretations 
      of the United States Supreme Court, defendants' overbreadth argument and 
      their argument of facial vagueness are inapplicable. Bates v State Bar, 
      433 US 350, 380; 97 S Ct 2691, 2707; 53 L Ed 2d 810, 833 (1977); Smith v 
      Goguen, 415 US 566; 94 S Ct 1242; 37 L Ed 2d 605 (1974); Broadrick, [supra 
      at 611-617]; Grayned v City of Rockford, 408 US 104; 92 S Ct 2294; 33 L 
      Ed 2d 222 (1972). [Russell, supra at 25-26 (emphasis added).]" | 
| [28] | In the case at bar, defendant specifically argues that the statute is 
      overbroad because it fails to limit the offense to consensual sexual acts 
      but instead seemingly also compels victims of nonconsensual sex who happen 
      to be HIV or AIDS carriers to inform their attackers of that status. In 
      formulating her argument, however, defendant fails to differentiate between 
      the speech of a consensual partner versus a nonconsensual partner, other 
      than by suggesting that to compel speech from the latter is unfair. Because 
      defendant does not establish how the statute in question improperly sweeps 
      within its inclusion both protected and unprotected conduct, this facet 
      of the defendant's overbreadth analysis is inappropriate. | 
| [29] | More importantly, however, defendant's conduct, i.e., engaging in sexual 
      intercourse with the victim without previously telling him that she was 
      HIV positive, is clearly encompassed by the language of the statute. Accord 
      State v Gamberella, 633 So 2d 595, 603 (La App, 1993) (upholding the constitutionality 
      of Louisiana's statute criminalizing the intentional exposure of individuals 
      to AIDs or HIV without their informed consent). *fn3 
      Because a person to whom a statute may constitutionally be applied will 
      not be allowed to challenge that statute on the ground that it conceivably 
      may be applied unconstitutionally to others in situations not before the 
      court, Broadrick, supra; Gamberella, supra, we find no merit in defendant's 
      overbreadth claim. | 
| [30] | Moreover, because the present case does not involve a victim of nonconsensual 
      sexual acts, this Court's exploration of any policy arguments regarding 
      whether a sexual assault victim should be held criminally responsible for 
      not informing the attacker is also inappropriate. Although defendant does 
      not question whether the Legislature truly intended to implicate both consensual 
      and nonconsensual sexual partners within the ambit of the statute, defendant's 
      behavior in this case fell squarely within the contemplation of the statute. 
      Moreover, defendant was found competent to stand trial and criminally responsible 
      for her behavior. The evidence established that she understood the dangers 
      of having unprotected sexual relations with another person and that she 
      had a duty to warn them, but she disregarded both. The evidence also established 
      that defendant consensually engaged in sexual relations with the victim 
      and purposefully withheld the fact she was HIV infected because she did 
      not want to "kill the relationship," and wanted people to like 
      her. We therefore believe that because the statute squarely applies to defendant, 
      she is also precluded from engaging in this overbreadth analysis. Broadrick, 
      supra. | 
| [31] | B. | 
| [32] | Defendant further argues that the statute is unconstitutional because 
      it does not contain an intent, or mens rea, requirement. More specifically, 
      defendant asserts that because the statute does not require a specific intent 
      to harm, persons who do not understand or appreciate the consequences of 
      their acts can be found criminally responsible. We disagree. | 
| [33] | In light of defendant's repeated argument that mentally deficient individuals 
      will be prosecuted under this statute, we reiterate and remind defendant 
      that, even though the evidence in the instant case does not support such 
      a factual situation, if a "person lacks substantial capacity either 
      to appreciate the wrongfulness of his conduct or to conform his conduct 
      to the requirements of the law," a finding of criminal responsibility 
      will be precluded under the legal insanity defense statute, MCL 768.21a(1); 
      MSA 28.1044(1)(1). | 
| [34] | With respect to defendant's mens rea argument, we note that fewer than 
      half the states have criminal statutes penalizing the exposure of others 
      to HIV, and only a few of those contain an explicit mens rea requirement. 
      See Idaho Code 39-608 ("Any person who exposes another in any manner 
      with the intent to infect or, knowing that he or she is or has been afflicted 
      with [AIDS, ARC, or HIV], transfers or attempts to transfer any of his or 
      her body fluid, body tissue or organs to another person is guilty of a felony"); 
      Okla Stat tit 21, 1192.1 (it is unlawful for a person who knows he or she 
      has AIDS or HIV "and with intent to infect another" to engage 
      in sexual penetration with another where the other person did not consent 
      to the penetration or had not been informed of the AIDS or HIV); ND Cent 
      Code 12.1-20-17 (a person with HIV or AIDS who "willfully transfers" 
      any of that person's body fluid to another person is guilty of a felony 
      unless the risk was fully disclosed and an "appropriate prophylactic 
      device" was used). The others, including Michigan's statute, are silent 
      on this topic except to make it a crime for a person with a known HIV or 
      AIDS infection to fail to reveal that condition before donating blood, engaging 
      in sexual penetration, or engaging a prostitute. *fn4 
      Unfortunately, neither the court in Russell, supra, nor the courts in any 
      of the other states with similar statutes have resolved this mens rea dispute. | 
| [35] | Notably, however, in People v Lardie, 452 Mich 231, 256; 551 NW2d 656 
      (1996), our Supreme Court recently upheld the constitutionality of the statute 
      that criminalizes causing death by operating a vehicle while intoxicated. 
      The statute was challenged after the trial court held that it unconstitutionally 
      precluded the jury from determining the defendant's mental state or intent, 
      but this Court upheld the statute as creating a "strict liability, 
      public welfare offense" without requiring the prosecutor to prove mens 
      rea. Lardie, supra at 235-236. | 
| [36] | In upholding the constitutionality of that statute, our Supreme Court, 
      id. at 239-241, 246, made the following observations: | 
| [37] | "In order to determine whether a statute imposes strict liability 
      or requires proof of a mens rea, that is, a guilty mind, this Court first 
      examines the statute itself and seeks to determine the Legislature's intent. 
      People v Quinn, 440 Mich 178, 185; 487 NW2d 194 (1992). In interpreting 
      a statute in which the Legislature has not expressly included language indicating 
      that fault is a necessary element of a crime, this Court must focus on whether 
      the Legislature nevertheless intended to require some fault as a predicate 
      to finding guilt. Id. In this statute, the Legislature did not expressly 
      state that a defendant must have a criminal intent to commit this crime." | 
| [38] | "Criminal intent is ordinarily an element of a crime even where the 
      crime is created by statute. People v Rice, 161 Mich 657, 664; 126 NW 981 
      (1910). Statutes that create strict liability for all of their elements 
      are not favored. Quinn, supra at 187. Nevertheless, a state may decide under 
      its police power that certain acts or omissions are to be punished irrespective 
      of the actor's intent. Id. at 186-187; People v Hatinger, 174 Mich 333, 
      335; 140 NW 648 (1913). Many of the crimes that impose strict liability 
      have been termed "public welfare regulation." Quinn, supra at 
      187; see also Morissette v United States, 342 US 246, 255; 72 S Ct 240; 
      96 L Ed 288 (1952) (public-welfare offenses). . . ." | 
| [39] | "Specific intent is defined as a particular criminal intent beyond 
      the act done, whereas general intent is merely the intent to perform the 
      physical act itself. People v Beaudin, 417 Mich 570, 573-574; 339 NW2d 461 
      (1983); People v Langworthy, 416 Mich 630, 639, 644; 331 NW2d 171 (1982). 
      For a strict liability crime, the people need only prove that the act was 
      performed regardless of what the actor knew or did not know. Quinn, supra 
      at 188. On this basis, the distinction between a strict-liability crime 
      and a general-intent crime is that, for a general-intent crime, the people 
      must prove that the defendant purposefully or voluntarily performed the 
      wrongful act, whereas, for a strict-liability crime, the people merely need 
      to prove that the defendant performed the wrongful act, irrespective of 
      whether he intended to perform it. Under MCL 257.625(4); MSA 9.2325(4), 
      the distinction is important only in the rare circumstances where a defendant 
      was driving when he honestly did not know he had consumed alcohol, which 
      subsequently caused him to be intoxicated, or where he was forced to drive 
      for some reason despite his intoxication." | 
| [40] | ". . . Where a statute is a codification of the common law and that 
      common-law crime includes a mens rea as an element, this Court will interpret 
      that statute to require a mens rea even if the statute is silent regarding 
      knowledge as a necessary element. See Quinn, supra at 185-186." | 
| [41] | "* * *" | 
| [42] | "Where the offense in question does not codify the common law and 
      omits reference to the element of intent, this Court will examine the Legislature's 
      intent in enacting the legislation to determine whether there is a mens 
      rea requirement. Quinn, supra at 196." | 
| [43] | Our Supreme Court in Lardie concluded that the Legislature intended to 
      eliminate the gross negligence requirement that attended common-law involuntary 
      manslaughter, the crime with which intoxicated drivers who killed were charged 
      before the statute was enacted. Id. at 250-251. Rather, the Legislature 
      essentially presumed gross negligence as a matter of law from a person's 
      voluntarily driving while knowing of the possibility of being intoxicated. 
      Id. Nevertheless, the Court believed that the Legislature presumably intended 
      to require proof of a criminal intent for the criminal act of intoxicated 
      driving. *fn5 
      Id. "[W]e conclude that the statute requires the people to prove that 
      a defendant, who kills someone by driving while intoxicated, acted knowingly 
      in consuming an intoxicating liquor or a controlled substance, and acted 
      voluntarily in deciding to drive after such consumption." Id. at 256. | 
| [44] | Applying the rationale of Lardie to the case at bar, we believe it likely 
      that the Legislature intended to require some type of intent as a predicate 
      to finding guilt under MCL 333.5210; MSA 14.15(5210), but that here the 
      requisite intent is inherent in the HIV-infected person's socially and morally 
      irresponsible actions. Lardie, supra. Moreover, the Legislature could reasonably 
      have presumed that it is grossly negligent for an HIV-infected person to 
      engage in any sexual penetration with another person without full disclosure 
      of the existence of the HIV infection. What does nondisclosure achieve? 
      Only further dissemination of a lethal, incurable disease in order to gratify 
      the sexual or other physical pleasures of the already infected individual. 
      *fn6 Disclosure 
      would permit the other person to either refuse sexual contact or consent 
      with knowledge of the risks that are being taken. We also believe that the 
      Legislature's primary concern is stemming the spread of HIV and AIDS throughout 
      the population (similar to curtailing people from voluntarily driving while 
      under the influence, as in Lardie, supra). *fn7 
      Failure to disclose not only places the unwitting participant but also that 
      participant's other sexual partners at serious risk of premature death. 
      Indeed, the probable results accompanying nondisclosure are fairly predictable: 
      death to innocent third parties. | 
| [45] | Moreover, in Lardie, supra at 264, 267, our Supreme Court also found that 
      the death caused by intoxicated driving statute required a "causal 
      relationship" between the defendant's culpable state of mind, i.e., 
      intentionally driving while intoxicated, and the other person's resulting 
      death. Here, the same causal connection exists despite the variety of methods 
      by which one may contract AIDS or HIV or a myriad of other diseases that 
      could end one's life. Knowingly engaging in sexual conduct capable of transmitting 
      HIV without informing a partner of being HIV infected is the culpable state 
      of mind that can cause the partner's resulting infection and eventual death. | 
| [46] | Accordingly, although MCL 333.5210; MSA 14.15(5210) contains no express 
      mens rea requirement, we presume that the Legislature intended to require 
      that the prosecution prove that the defendant had a general intent to commit 
      the wrongful act, i.e., to engage in sexual penetration with another person 
      while failing to disclose that the defendant has AIDS of is HIV infected. 
      See Lardie, supra at 267. Thus, the statute does not require strict liability 
      because if a defendant admits being HIV infected and the other person consents 
      to the physical contact despite the risks associated with such contact, 
      there is no criminal liability. Finally, the statute requires that the culpable 
      mental state have a causal relationship to the harm that the statute seeks 
      to prevent, id., i.e., requiring disclosure of being HIV infected will reduce 
      the unwitting spread of AIDS and HIV-related diseases. We therefore find 
      that MCL 333.5210; MSA 14.15(5210) is not constitutionally infirm on the 
      basis that it lacks an explicit mens rea requirement. | 
| [47] | II. | 
| [48] | Finally, defendant asserts that MCL 333.5210; MSA 14.15(5210) violates 
      her constitutional right of privacy and her right to be free from compelled 
      speech by making it a crime to fail to inform a sexual partner of having 
      AIDS or being HIV infected. On review de novo, we disagree. See Mahaffey, 
      supra at 334-335. | 
| [49] | A. | 
| [50] | In Hobbins v Attorney General, 205 Mich App 194, 205-206; 518 NW2d 487 
      (1994), this Court discussed the "right of privacy" founded in 
      the Fourteenth Amendment's concept of personal liberty and restrictions 
      on state action: | 
| [51] | "The Court [in Roe v Wade, 410 US 113; 93 S Ct 705; 35 L Ed 2d 147 
      (1973)], however, expressly stated that this "privacy right . . . cannot 
      be said to be absolute," and noted that it has consistently "refused 
      to recognize an unlimited right of this kind in the past." Id. at 154. 
      Essential to the analysis in the case at bar is the Supreme Court's recognition 
      and affirmation of the state's compelling interest in protecting life . 
      . . . Furthermore, "a State [has] an unqualified interest in the preservation 
      of human life." Cruzan v Director, Dep't of Health, 497 US 261, 282; 
      110 S Ct 2841; 111 L Ed 2d 224 (1990). The constitutionality of legislative 
      enactments to protect life is clearly established in our law." | 
| [52] | "When individuals assert constitutional rights against state regulation, 
      whether encompassed by the "zones of privacy" recognized in Roe 
      or acknowledged as a liberty interest protected by the Due Process Clause 
      of the Fourteenth Amendment, a court must balance the individual interest 
      against the state's interest. It is, of course, necessary that the asserted 
      right be one that is accorded constitutional protection under our law. . 
      . ." | 
| [53] | "Determination of the existence of "rights not readily identifiable 
      in the Constitution's text" sometimes . . . seems merely "the 
      imposition of the [Judges'] own choice of values." Attempting "to 
      identify the nature of the rights qualifying for heightened judicial protection," 
      the Supreme Court has ruled "that this category includes those fundamental 
      liberties that are 'implicit in the concept of ordered liberty,' such that 
      'neither liberty nor Justice would exist if [they] were sacrificed.' [Alternatively,] 
      they are characterized as those liberties that are 'deeply rooted in this 
      Nation's history and tradition.'" . . ." | 
| [54] | ". . . The "guarantee of personal privacy" has been "exten[ded] 
      to activities relating to marriage, procreation, contraception, family relationships, 
      and child rearing and education." [Emphasis added.]" Accord Advisory 
      Opinion on Constitutionality of 1975 PA 227; 396 Mich 465, 481-482; 242 
      NW2d 3 (1976); Const 1963, art 1, § 17; Mahaffey, supra; see also Jensen 
      v Pontiac, 113 Mich App 341, 346; 317 NW2d 619 (1982). | 
| [55] | We believe that defendant's ostensible right to withhold disclosure of 
      her HIV status from her sexual partners is not an absolute right when balanced 
      against the state's "unqualified interest" in preserving human 
      life. Hobbins, supra at 205, quoting Cruzan, supra at 282. Despite the guarantee 
      of personal privacy extended to procreation, contraception, family relationships, 
      child rearing, and child education, we disagree that defendant's asserted 
      right to privacy falls within any of these categories. Defendant has not 
      supported her mere assertions that her actions implicate procreation, contraception, 
      or family relationship issues, and we will not search for authority to support 
      this position. See, e.g., In re Toler, 193 Mich App 474, 477; 484 NW2d 672 
      (1992). Rather, defendant's actions merely involve one individual's decision 
      to have unfettered or unencumbered sexual relations with others. We will 
      not read these constitutional guarantees of personal privacy so broadly 
      as to render them meaningless. To the contrary, we defer to the state's 
      overriding, legitimate, and compelling interest in preserving the life of 
      its citizens, thereby permitting it to preclude defendant from remaining 
      silent and knowingly exposing others to an incurable disease. | 
| [56] | In Gamberella, supra at 603-604, the Louisiana Court of Appeals rejected 
      a similar privacy claim where the defendant argued that the statute interfered 
      with his right as an HIV-infected person to engage in sexual activities. 
      The court recognized that the Louisiana Constitution, like the Michigan 
      Constitution, guarantees every individual has the right to be secure in 
      his person against "unreasonable searches, seizures, or invasions of 
      privacy": | 
| [57] | "The right of privacy is not absolute; it is qualified by other rights. 
      Furthermore, the right of privacy does not shield all private sexual acts 
      from state regulation. No one can seriously doubt that the state has a compelling 
      interest in discouraging the spread of the HIV virus. Forcing an infected 
      person to inform all of his sexual partners so the partner can make an informed 
      decision prior to engaging in sexual activity furthers the state's interest 
      in preventing the spread of the virus. . . . [M]erely because the statute 
      does not go as far as it could to discourage the spread of the virus does 
      not result in the current version's being viewed as an invasion of privacy. 
      Moreover, to the extent the statute criminalizes sexual conduct which might 
      be incapable of spreading the virus, considering the uncertainty of the 
      medical community concerning all aspects of this disease, the statute is 
      narrowly drawn to further the state's compelling interest. [Id. at 604 (citations 
      omitted, emphasis added).]" | 
| [58] | Although we are not bound to follow the reasoning in Gamberella, we agree 
      with the Conclusion that the right of privacy does not shield defendant's 
      private sexual acts from state regulation. Michigan has an undeniable compelling 
      interest in discouraging the spread of HIV. *fn8 
      Requiring an infected person to so inform sexual partners so they can make 
      an informed decision before engaging in sexual penetration is narrowly tailored 
      to further this compelling state interest. Id. | 
| [59] | Defendant's right to privacy argument has been defeated not only in the 
      context of criminal statutes relating to the transmission of AIDS but also 
      in cases where unwitting sexual partners contracted a venereal disease and 
      sued in tort for damages. In a tort action, Kathleen K v Robert B, 150 Cal 
      App 3d 992, 996; 198 Cal Rptr 273 (1984), the defendant argued that his 
      right of privacy would be violated if he were compelled to disclose that 
      he had genital herpes. In that case, Health and Safety Code 3198 made it 
      a misdemeanor to expose any person or to infect any person with any venereal 
      disease. Although the California Court of Appeals recognized that the government 
      may not without warrant intrude into private matters relating to marriage, 
      family, and sex, the court found that the right to privacy is not absolute 
      "and in some cases is subordinate to the state's fundamental right 
      to enact laws which promote public health, welfare and safety, even though 
      such laws may invade the offender's right of privacy." Kathleen K, 
      supra at 996. | 
| [60] | Thus, the Kathleen K court recognized that the right of privacy did not 
      insulate a person from judicial inquiry into the person's sexual relations 
      where one sexual partner intentionally engaged in conduct that causes or 
      could cause serious physical injury to another. Id. The court therefore 
      concluded that the serious and incurable nature of the defendant's ailment, 
      coupled with the state's interest in preventing and controlling the spread 
      of contagious and dangerous diseases, outweighed the defendant's constitutional 
      right of privacy, and it rejected the argument that the right to privacy 
      insulated a defendant who either negligently or deliberately infects someone 
      with a venereal disease. Id. at 996-997. Accord Doe v Roe, 218 Cal App 3d 
      1538, 1546-1547; 267 Cal Rptr 564 (1990) (the duty to disclose to his sexual 
      partner the fact that the defendant had a sexually transmissible contagious 
      disease arises out of a strong public policy to prevent the spread of serious 
      and incurable diseases, and this duty, aimed at protecting the public health, 
      safety, and welfare, was sufficient to overcome the defendant's privacy 
      rights). | 
| [61] | Other states have recognized similar tort causes of action and rejected 
      the defendants' assertions that their privacy interests are superior to 
      the risk of their spreading incurable "social" diseases. See Mussivand 
      v David, 45 Ohio St 3d 314, 319; 544 NE2d 265 (1989) (there is no duty to 
      disclose this private information to everyone); Berner v Caldwell, 543 So 
      2d 686, 688-689 (Ala, 1989) (Ala Code 22-11 21[c] made it a misdemeanor 
      to knowingly transmit or do any act likely to transmit sexually transmitted 
      diseases); Maharam v Maharam, 123 AD2d 165; 510 NYS2d 104 (1986) (NY Pub 
      Health Law 2307 makes it a misdemeanor if you have sex with another knowing 
      that you have a sexually transmissible disease); Long v Adams, 175 Ga App 
      538, 539-541; 333 SE2d 852 (1985); see also Russell, supra at 26 (finding 
      that Illinois' criminal transmission of HIV statute does not infringe on 
      any alleged right of intimate association where the victim did not know 
      that his sexual partner had AIDS). | 
| [62] | In light of the foregoing, we find that despite the constitutional guarantees 
      of liberty that include privacy considerations, defendant's right to privacy 
      is not absolute, and the state's overwhelming need to protect its citizens 
      from an incurable, sexually transmissible disease is a compelling state 
      interest. Moreover, the requirement that infected individuals disclose their 
      status to their potential partners before engaging in sexual penetration 
      is narrowly defined so as to further that compelling interest. The Legislature 
      has properly balanced the privacy rights of HIV-and AIDS-infected persons 
      against the general public's interest and need for protection from a fatal 
      disease. Hobbins, supra at 205-206; Gamberella, supra at 603-604. | 
| [63] | Most notably, the statute neither forbids HIV-infected persons from engaging 
      in sexual penetration nor requires general public disclosure of the person's 
      health status. To the contrary, MCL 333.5210; MSA 14.15(5210) simply acknowledges 
      that an individual who contemplates sexual penetration with an HIV-infected 
      person is entitled to make an informed decision regarding potential health 
      and safety concerns. Thus, while the statute intrudes somewhat on the privacy 
      of an HIV-infected individual, this intrusion is significantly outweighed 
      by the devastating result that could ensue from unwitting participation 
      in unprotected sexual penetration with the infected individual. | 
| [64] | We therefore find that MCL 333.5210; MSA 14.15(5210) does not unconstitutionally 
      deprive defendant of her right to privacy regarding the fact that she was 
      HIV infected, and that any right to privacy involving her HIV infection 
      is subordinate to her sexual partner's right to either avoid sexual penetration 
      or to engage in sexual penetration only after being informed that defendant 
      was HIV infected. | 
| [65] | B. | 
| [66] | With respect to defendant's allegations that the statute violates her 
      right against compelled speech, defendant is asserting a "negative 
      First Amendment right" or one of nonexpression. More specifically, 
      defendant argues that MCL 333.5210; MSA 14.15(5210) violates her First Amendment 
      rights because it compels her to disclose information about which she would 
      otherwise wish to remain silent. The United States Supreme Court has clearly 
      indicated that the state may sometimes curtail freedom of speech when necessary 
      to advance a significant and legitimate state interest. Members of City 
      Council of City of Los Angeles v Taxpayers for Vincent, 466 US 789, 804; 
      104 S Ct 2118; 80 L Ed 2d 772 (1984). While the Supreme Court's decisions 
      exemplify that under certain circumstances a constitutional right to be 
      free from compelled association or expression exists, the Court has yet 
      to completely articulate the extent of that right. Falk v State Bar of Michigan, 
      418 Mich 270, 287; 342 NW2d 504 (1983). | 
| [67] | "However, it is clear that the Supreme Court does not consider the 
      strict scrutiny applied in other First Amendment cases to be appropriate 
      in cases involving negative First Amendment rights." Id. | 
| [68] | "[I]n resolving [such] claims the Court has balanced the severity 
      of the injury to the individual interest against the magnitude of the government 
      interest sought to be served by the requirement or regulation. In this manner, 
      the Court has decided whether the complained-of government action constitutes 
      an impermissible First Amendment infringement." | 
| [69] | ""Whenever a government requirement is challenged on the basis 
      that it compels expression the initial inquiry must be whether the requirement 
      does in fact infringe upon negative First Amendment interests and if so 
      how seriously. The judicial task does not end here, however. It is also 
      necessary to consider what government interests may be served by the requirement 
      in question, and under what circumstances advancement of a government interest 
      might outweigh the concomitant infringement of individual negative First 
      Amendment interests." [Id. at 288, quoting Gaebler, First Amendment 
      Protection Against Government Compelled Expression and Association, 23 BC 
      L R 995, 1014 (1982).]" | 
| [70] | When applying these tests to the instant negative First Amendment interest, 
      MCL 333.5210; MSA 14.15(5210) obviously requires persons to expressly inform 
      their sexual partners that they are HIV infected. Thus, the statute indeed 
      infringes defendant's right against compelled expression. | 
| [71] | Consequently, this Court must next determine the severity of the infringement 
      of defendant's negative First Amendment interest, looking to "the intimacy 
      of the connection between [defendant] and the compelled expression." 
      Falk, supra at 289. Despite an individual's interest in avoiding disclosure 
      of personal matters, Whalen v Roe, 429 US 589, 598 600; 97 S Ct 869; 51 
      L Ed 2d 64 (1977), "a governmental intrusion into medical matters has 
      been permitted after a finding that the societal interest in disclosure 
      outweighs the individual's privacy interest." Swickard v Wayne Co Medical 
      Examiner, 184 Mich App 662, 667; 459 NW2d 92 (1990), aff'd 438 Mich 536; 
      475 NW2d 304 (1991). | 
| [72] | Here, requiring defendant to disclose that she has a sexually communicable 
      disease involves a very personal matter and implicates issues regarding 
      her sexual life; thus, the expression directly relates to defendant. "[T]he 
      more directly the compelled expression relates to the individual, the more 
      important must be the government interest advanced to justify it." 
      Falk, supra at 289. "'The question in each case must be whether the 
      compelled participation in expression infringes unduly upon individual interests.'" 
      Id. at 292, quoting Gaebler, supra, at 1016. | 
| [73] | From the plain language of MCL 333.5210; MSA 14.15(5210), it is evident 
      that the Legislature enacted the statute to stop the spread of AIDS and 
      HIV by punishing the carriers of these illnesses who, with their silence, 
      spread an incurable disease. Considering the ease of transmitting AIDS and 
      HIV through sexual penetration and the absence of any "cure," 
      the state's interest in protecting the public health, safety, and general 
      welfare of its citizenry becomes extremely significant. Although the statute 
      may significantly infringe defendant's individual interests in remaining 
      silent, the state's interest to compel her to disclose that she is HIV infected 
      before engaging in sexual penetration is undeniably overwhelming. Falk, 
      supra at 292. | 
| [74] | We reiterate that MCL 333.5210; MSA 14.15(5210) does not prohibit defendant 
      from engaging in sexual penetration but only requires her to inform her 
      potential sexual partners, individually and privately, that she has this 
      communicable disease. *fn9 
      The statute does not require or imply that she need publicize the fact that 
      she is HIV positive. It merely compels her to privately divulge this health 
      status to those with whom she intends to engage in sexual penetration. Hence, 
      we do not agree that the statute requires public disclosure; rather, it 
      requires private disclosure only to those who are immediately in danger 
      of exposure to the virus because they are contemplating the opportunity 
      to engage in sexual penetration with defendant. See Falk, supra at 292. | 
| [75] | Accordingly, in weighing the infringement of defendant's negative First 
      Amendment right against compelled speech by requiring private disclosure 
      that she is HIV infected against the magnitude of the state's interests 
      in controlling the spread of this currently incurable disease, the state's 
      interests outweigh defendant's right against compelled speech. | 
| [76] | We therefore affirm the constitutionality of MCL 333.5210; MSA 14.15(5210) 
      and defendant's convictions pursuant to the statute. | 
| [77] | Jane E. Markey, Michael J. Kelly, & Michael J. Talbot. | 
|  | |
| Opinion Footnotes | |
|  | |
| [78] | *fn1 AIDS 
      is defined as "a syndrome that involves a compromised immune system 
      that renders the [person] highly susceptible to" communicable diseases. 
      Sanchez v. Lagoudakis (After Remand), 458 Mich 704, 709; 581 NW2d 257 (1998). 
      Also, AIDS occurs "when an individual is seropositive for HIV and has 
      one of certain associated illnesses, and . . . when an individual with HIV 
      contracts any one of a multitude of possible opportunistic infections. Id. 
      at n 4." | 
| [79] | *fn2 Illinois' 
      criminal statute, Ill Comp Stat, Ann ch 720, 5/12 16.2, reads as follows: 
      Criminal Transmission of HIV. (a) A person commits criminal transmission 
      of HIV when he or she, knowing that he or she is infected with HIV: (1) 
      engages in intimate contact with another; (2) transfers, donates, or provides 
      his or her blood, tissue, semen, organs, or other potentially infectious 
      body fluids for transfusion, transplantation, insemination, or other administration 
      to another; or (3) dispenses, delivers, exchanges, sells, or in any other 
      way transfers to another any nonsterile intravenous or intramuscular drug 
      paraphernalia. (b) For purposes of this Section: "HIV" means the 
      human immunodeficiency virus or any other identified causative agent of 
      acquired immunodeficiency syndrome. "Intimate contact with another" 
      means the exposure of the body of one person to a bodily fluid of another 
      person in a manner that could result in the transmission of HIV. "Intravenous 
      or intramuscular drug paraphernalia" means any equipment, product, 
      or material of any kind which is peculiar to and marketed for use in injecting 
      a substance into the human body. (c) Nothing in this Section shall be construed 
      to require that an infection with HIV has occurred in order for a person 
      to have committed criminal transmission of HIV. (d) It shall be an affirmative 
      defense that the person exposed knew that the infected person was infected 
      with HIV, knew that the action could result in infection with HIV, and consented 
      to the action with that knowledge. (e) A person who commits criminal transmission 
      of HIV commits a Class 2 felony. | 
| [80] | *fn3 Louisiana's 
      statute criminalizing the intentional exposure of others to the AIDS virus, 
      La Rev Stat 14:43.5, states as follows in pertinent part: A. No person shall 
      intentionally expose another to any acquired immunodeficiency syndrome (AIDS) 
      virus through sexual contact without the knowing and lawful consent of the 
      victim. B. No person shall intentionally expose another to any acquired 
      immunodeficiency syndrome (AIDS) virus through any means or contact without 
      the knowing and lawful consent of the victim. * * * D. For purposes of this 
      Section, the following words have the following meanings: (1) "Means 
      or contact" is defined as spitting, biting, stabbing with an AIDS contaminated 
      object, or throwing of blood or other bodily substances. . . . E. (1) Whoever 
      commits the crime of intentional exposure to AIDS virus shall be fined not 
      more than five thousand dollars, imprisoned with or without hard labor for 
      not more than ten years, or both. . . . | 
| [81] | *fn4 See Md 
      Health Gen Code Ann 18 601.1; Tenn Code Ann 39 13 109; Ark Code Ann 5 14 
      123; SC Code 44 29 145; Ill Comp Stat Ann, ch 720, 5/12 16.2; Ga Code Ann 
      16 5 60; Mo Rev Stat 191.677; Mont Code Ann 50 18 112. | 
| [82] | *fn5 In Lardie, 
      supra, our Supreme Court specifically concluded, therefore, that (1) the 
      Legislature reasonably may have decided that voluntarily driving while intoxicated 
      was grossly negligent because it "shows a culpable indifference to 
      the safety of others," id. at 252, (2) the presumption of gross negligence 
      is only reasonable if the defendant voluntarily decided to drive and drove 
      knowing he consumed intoxicating liquor or a controlled substance, thereby 
      knowing he could be intoxicated, id. at 251, (3) the Legislature intended 
      to deter drunk driving and intended that the prosecution prove that the 
      driver voluntarily or willingly decided to commit this culpable act, id. 
      at 252 253, (4) the crime did not fit the definition of a public welfare 
      strict liability offense, which places the burden of protecting society 
      on a person "'otherwise innocent but standing in responsible relation 
      to public danger,'" because (a) the driver was not otherwise innocent 
      and (b) public welfare crimes generally have "relatively small" 
      penalties and do not do "grave damage to an offender's reputation, 
      id. at 254 255 and (5) the statute punishes a person's gravely irresponsible 
      act of operating a vehicle while intoxicated and causes another's death, 
      which conduct is malum in se, id. at 255. Accordingly, the Court found that 
      where the prosecutor must prove a mens rea by showing that the defendant 
      purposefully drove while intoxicated (i.e., he had the general intent to 
      perform the wrongful act), the statute did not impose strict liability. 
      Id. at 256. | 
| [83] | *fn6 Although 
      opponents argue that these criminal statutes will dissuade individuals from 
      being tested for AIDS and that they will increase the amount of discrimination 
      that HIV infected individuals already face, we are unpersuaded that these 
      arguments favor nondisclosure. The statute does not prohibit individuals 
      diagnosed with AIDS or infected with HIV from having private physical relations 
      within a marriage or relationship as long as both parties understand and 
      accept the risks. There is no discrimination or criminalization in that 
      context. Where, however, persons with AIDS and HIV become the agents of 
      their own incurable epidemics, we believe that the Legislature has the ability 
      to protect the public health, welfare, and safety through legislation such 
      as MCL 333.5210; MSA 14.15(5210). Thus, we reject defendant's attempts to 
      broaden the scope of this case beyond one woman's desire to have unprotected 
      sex with unwitting participants and, in the process, likely infecting them 
      with HIV. | 
| [84] | *fn7 According 
      to the House Legislative Analysis, HB 5026, January 25, 1989, p 4, which 
      eventually became MCL 333.5210; MSA 14.15(5210), proponents noted that unlike 
      other hazardous communicable diseases where infected people can be quarantined 
      for short periods while they are cured, this is not true with the HIV infection, 
      i.e., once infected, one is infected, and presumably infected for life. 
      There is no vaccine, treatment, or cure. Moreover, even a "few recalcitrant 
      HIV carriers" "can wreak enormous havoc upon society both financially 
      and in terms of sheer physical and emotional suffering on the part of their 
      victims." Further, the bill fairly balanced the legitimate needs of 
      certain people to know the identities of HIV infected people against those 
      people's rights to privacy and provided penalties for unlawful disclosure 
      of confidential AIDS related information. | 
| [85] | *fn8 In Sanchez, 
      supra at 709, our Supreme Court recognized the "need to avoid significant 
      health risks to the public" from the spread of AIDS. | 
| [86] | *fn9 Defendant's 
      argues that if she is forced to disclose that she is HIV infected, no one 
      will become intimate with her or will want to be her friend. This argument 
      is constitutionally unpersuasive, statistically unproved, and, at the very 
      least, exemplifies why full disclosure is necessary. Only those willing 
      to risk HIV transmission, or who know how to take precautions against the 
      virus, will accept defendant's offer of sexual contact. Should her desire 
      to have a unlimited bank of sexual partners overcome the state's interest 
      in ensuring that her partners are fully informed of the risks involved? 
      We believe that the answer to this question must be emphatic: No. | 
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