[Med-privacy] roundup

[Peter Marshall]

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=A0


Policy and law roundup

The reality of a  National Health Information Network is getting=20
closer, but the fight  between advocates for privacy and those wanting=20=

more access to medical  records is likely to be a big hurdle to its=20
implementation. Here is a list  of recently introduced and pending=20
congressional bills and lawsuits that address health information=20
technology privacy issues.
	=95 	21st  Century Health Information Act (H.R. 2234)
  This bill proposes creating health information networks that allow=20
seamless transfer of health data while guaranteeing patient privacy =20
through compliance with the Health Insurance Portability and=20
Accountability  Act (HIPAA) and a patient=92s ability to opt out of=20
participation.
	=95 	Health  IT Promotion Act (H.R. 4157)
  This bill corrects obstacles that have slowed progress toward adoption=20=

  of a national, interoperable electronic health record system and=20
directs  the secretary of Health and Human Services to recommend to=20
Congress a  single privacy standard that consolidates existing state=20
and federal  privacy laws.
	=95 	Electronic  Health Information Privacy Act
  Lawmakers are expected to introduce a bill that would close current=20
gaps in HIPAA by giving patients the right to decide who will see =20
their medical information and for what purposes. It would also enable =20=

patients to opt out of any health information network; extend privacy =20=

rules to include any organization or individual who sees, handles or=20
exchanges medical records; mandate the use of audit trails; and=20
strengthen criminal enforcement of privacy violations.
	=95 	Health  Technology to Enhance Quality Act (S. 1262)
  This bill proposes a nationwide interoperable health IT system, strict=20=

adherence to HIPAA privacy standards and the provision of grants to =20
harmonize the various state and federal privacy laws.
	=95 	Wired  for Health Care Quality Act (S. 1418)
  This bill adopts standard-setting processes outlined by the newly=20
established American Health Information Collaborative and offers =20
federal grants to health care providers in need of financial =20
assistance and training in incorporating IT.
	=95 	Better  Healthcare through IT Act (S. 1355)
  This bill establishes a national health information network and calls =20=

for privacy measures through compliance with the current HIPAA privacy =20=

rule.
	=95 	Citizens for Health et al v. Leavitt
  First filed in U.S. District Court in Philadelphia, this lawsuit =20
challenges HIPAA=92s amended privacy law as being unconstitutional under=20=

the First, Fourth and Fifth amendments and seeks to restore the=20
patient=92s right to consent.
	=95 	Cincinnati Enquirer v. Daniels
  The newspaper wanted to obtain copies from the Cincinnati Health=20
Department of lead-contamination violation reports involving children.=20=

The agency said the reports were health information protected by=20
HIPAA=92s privacy rule. The Ohio Supreme Court ruled that the  =
Cincinnati=20
Health Department was not a covered entity under HIPAA, and  even if it=20=

was, the state=92s public records law supersedes HIPAA=92s privacy=20
protection for medical records. An appeal is  expected.
=A0
=A0
Monday, June 12, 2006=

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