The Final Rule offers significant changes to patient rights and patient protections. (There is much more to the rule, but other aspects are not addressed in this post. Here you may find a link to the HIPAA Omnibus Rule, a Google+ Hangout taking a first look at the rule as a whole, and a bullet-point summary of the hangout; here you may find a piece I wrote on the Breach Notification Rule. Some work remains to be done on other parts of the HIPAA rules, such as the accounting of disclosures provisions.)
Before detailing the patient-focused changes, a bit of broad-brush background is in order. The original HIPAA privacy and security rules are all designed to protect the privacy and security of "protected health information" (PHI) of individual patients. PHI may be shared among health care providers and payors (and health care clearinghouses - a type of claims processor) (collectively, Covered Entities or CEs) for purposes of treatment, payment and operations (TPO) without asking patients for permission. Any other use or disclosure of PHI requires patient consent. Some CE operations require dealings with Business Associates (BAs) -- entities that are not CEs, but that end up using PHI to help CEs carry out their TPO responsibilities (e.g., medical records vendors, billing companies, etc.). Every CE is required to give patients a Notice of Privacy Practices (NPP) and to enter into a Business Associate Agreement (BAA) with each of its BAs, under which the BA agrees to maintain the privacy and security of PHI.
The amendments collected in the Final Rule are promulgated under the HITECH Act (the portion of the 2009 Recovery Act that also funded the Meaningful Use EHR incentive program) and GINA (the Genetic Information Nondiscrimination Act of 2008). The amendments under the HITECH Act added additional privacy and security protections to HIPAA in order to allay concerns that, with the promotion of more widespread use of electronic health records, there would be more opportunities for breaches of the privacy and security of PHI. Amendments under GINA harmonize HIPAA regulations with GINA regulations.
Firefox recommends the PDF Plugin for Mac OS X for viewing PDF documents in your browser.
We can also show you Legal Updates using the Google Viewer; however, you will need to be logged into Google Docs to view them.
Please choose one of the above to proceed!
LOADING PDF: If there are any problems, click here to download the file.