Confidentiality of Substance Use Disorder Records Now More Closely Aligned With HIPAA

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Today the U.S. Department of Health & Human Services (HHS) finalized rules published in December of 2022 changing the requirements for handling SUD patient information governed by 45 CFR part 2 (Part 2).

Health care facilities subject to Part 2 often struggled to comply with requirements related to SUD patients and their information that were inconsistent with HIPAA. The new Part 2 rules clean up many of those inconsistencies, while continuing to provide additional protection for Part 2 patient and their records where necessary, such as in legal proceedings brought against an SUD patient.

A few key changes to Part 2:

  • Part 2 records may be disclosed pursuant to the patient’s written consent, which may be a single consent for all future uses and disclosures for treatment, payment, and health care operations (as such terms are defined under HIPAA)
  • Part 2 records may be disclosed to a public health authority without patient consent if the records are de-identified (as defined and set forth under HIPAA)
  • Part 2 records are subject to HIPAA’s breach notification requirements
  • Part 2 SUD providers must provide HIPAA Notice of Privacy Practices-type notices to patients
  • Patients have the right to complain to HHS regarding alleged violations of Part 2

[View source.]

DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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