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May 10 Workshop / Medical Privacy - Revised Program



this is the most recent program for the May 10, 1996 Workshop on Medical 
Records Privacy.  jamie

                 Workshop on Medical Records Privacy
                         (revised program)

                          CO-SPONSORED BY:

                      American Civil Liberties Union
                     Consumer Project on Technology
             Computer Professionals for Social Responsibility
                      Coalition for Patient Rights 
              Electronic Privacy Information Center (EPIC)
                         JRI Health Law Center 

                    Friday, May 10, 9 a.m. to 4 p.m.
                      The Carnegie Institution
                  1530 P Street, NW, Washington, DC

The U.S. Senate is considering legislation that would pre-empt 
most state laws on health care privacy, and create a new federal 
system regulating access to medical records.  The proposed 
legislation, S. 1360 is controversial. 

Many privacy groups say that S. 1360 provides far too much access 
to personally identified medical records by insurance companies, 
employers, schools, medical researchers, public health and law 
enforcement officials.  These groups say that technology has 
outpaced policy, that the legislation fails to address the 
radical changes in the way records are stored and disseminated, 
and that the proposed legislation does more to promote access to 
records than to assure patients that their medical records will 
be private.

Supporters of S. 1360 claim that the legislation strikes a 
balance between the needs of industry and government and the 
patient's rights to privacy, and that extensive third party 
access to personal medical records is both inevitable and 
socially desirable.

The May 10 workshop features experts from a number of fields, and 
tackles some of the most thorny controversies.

9:00 am	  Who really controls access to medical records?  What is
          coercive consent?  What proposals would enhance patient
          control over access to records?  

Moderator, John Roberts, MD.  North American Editor, British
     Medical Journal.

Lawrence Gostin, Professor of Law at Georgetown University Law 
     Center and Professor of Public Health at Johns Hopkins
     University School of Hygiene and Public Health.  Editor of
     JAMA's section on Health Law and Ethics, and former Chair of
     President Clinton's Health Care Task Force group on Privacy
     and the Health Care Infrastructure.

Mark Rothstein, Hugh Roy and Lille Cranz Cullen Distinguished 
     Professor of Law and Director of the Health Law and Policy 
     Institute at the University of Houston.  Author of The 
     Genome and the Future of Health Care,  and consultant to 
     several federal agencies.

Respondent, Denise Nagel, MD.  Psychiatrist in private practice, 
     President of the Coalition for Patient Rights of New 
     England, Chair of Medical Privacy Confidentially Project, 
     Coalition for Patient Rights, Chair of the Medical Privacy 
     Coalition.



10:30 am  Non-consensual Access to Medical Records by Civil 
          Litigants, Law Enforcement and Other Government 
          Oversight Officials

Moderator, David Banisar.  Policy Analyst, Electronic Privacy 
     Information Center (EPIC), Deputy Director of Privacy 
     International, and a member of Computer Professionals for 
     Social Responsibility (CPSR).

Don Haines, Attorney,  American Civil Liberties Union.

Andrew Grosso, formerly the head of the first joint federal and 
     state health care fraud task force.  Vice Chair of the ABA 
     Criminal Justice Section's Committee on Science and 
     Technology, member of Association for Computing's Committee 
     on U.S. Pubic Policy (USACM). 

A.G. Breitensten, Director of the JRI Health Law Institute (HLI) 
     in Massachusetts. HLI represents over 20 AIDS Organizations 
     in the Boston area who are suing the Inspector General of 
     Health and Human Services regarding the Inspector General's 
     claimed right to access and disclose the identities of 
     people receiving AIDS services from federally funded 
     organizations.

Noon to 2 p.m.	Lunch.  

Lunch will feature discussions of current policy initiatives.

Representative Jim McDermott (invited).  Representative Jim 
     McDermott (D-WA), who is trained as a psychiatrist, is an 
     important Congressional supporter of efforts to enhance 
     privacy of medical records and to protect the public from 
     discrimination based upon genetic information.  He will be 
     joined by Martha Soto from Representative McDermott's 
     office.

Wendy McGoodwin, Executive Director, Council for Responsible 
     Genetics, will discuss efforts in Congress to address 
     problems of genetic discrimination.

Anthony Kraus and Mimi Azrael will discuss the current 
     controversies over the Maryland Medical Claims Data Base, 
     considered to be the first and most comprehensive 
     centralized, encounter-level database of its kind in the 
     U.S.  Mr. Kraus is a principal with the firm of Miles & 
     Stockbridge, a litigator of invasion of privacy suits, and 
     is active in efforts to preserve medical privacy.   Mimi 
     Azrael is an attorney with the firm Azrael, Gann and Franz, 
     and a specialist in civil rights and consumer protection.



2 p.m. - 4 p.m.	Management of Medical Records.  What types of 
                security are desirable and feasible in 
                computerized health care information systems?

Moderator, James Love.  Director of the Center for Study of
     Responsive Law's Consumer Project on Technology.

Professor Ross Anderson.  Faculty member at Cambridge University 
     Computer Laboratory and Security Adviser to the British 
     Medical Association.  Professor Anderson is a well known 
     specialist in cryptography and computer security who has 
     developed a security policy model for medical records. 
 
Professor James Fackler.  Professor of Anesthesia and Pediatrics 
     at Harvard Medical School, Associate Director of Children's  
     Hospital Informatics Program.  Professor Fackler's research 
     includes explorations of the use of the world-wide-web 
     technologies for medical record integration, and systems and 
     policies for protecting patient privacy.

Respondent.  Kristin Welsh (invited).  Ms. Welsh is a staff 
     person for the Committee on Labor and Human Resources, who
     is on Medical Records Privacy.

Version 2.0


REGISTRATION

Registration isn't required, but it is appreciated (it helps us 
plan).  To register, please send a note to:

Manon Anne Ress
Consumer Project on Technology
P.O. Box 19367, Washington, DC 20036
Voice: 202/387-8030; Fax 202/234-5176
Internet:  mress@essential.org

Name:
Organization:
Telephone:
Fax:
Internet:







~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
James Love / love@tap.org / P.O. Box 19367, Washington, DC 20036
Voice: 202/387-8030; Fax 202/234-5176
Center for Study of Responsive Law
   Consumer Project on Technology; http://www.essential.org/cpt
   Taxpayer Assets Project; http://www.tap.org
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~