Following the publication of the U.S. Supreme Court opinion in Dobbs v. Jackson Women’s Health Organization, on June 29, 2022, the U.S. Department of Health and Human Services’ Office for Civil Rights (HHS) issued guidance regarding disclosures of protected health information (PHI) concerning reproductive health procedures such as abortion. The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule governs the disclosure of PHI by most health care providers, as well as employer-sponsored health plans, (Covered Entities), generally restricting the use or disclosure of PHI without the individual’s authorization other than in specifically excepted circumstances. Specifically, HIPAA does permit Covered Entities to disclose PHI without a patient’s authorization (or in some instances, notice and an opportunity to object), including 1) Disclosures required by law; 2) Disclosures for law enforcement purposes; and 3) Disclosures to avert a serious threat to health or safety. In the guidance, HHS notes that under each of these exceptions, HIPAA permits but does not require disclosure of PHI by a Covered Entity. HHS further reasserts that any disclosure made pursuant to one of the above permitted disclosures must be limited to the minimum PHI necessary to respond to the permitted disclosure request.
Continue Reading A HIPAA Right to Privacy Remains: Federal Government Issues Guidance and Orders Following Supreme Court Decision in Dobbs

In the wake of the Supreme Court decision in Dobbs v. Jackson Women’s Health Organization, here is a reminder about the protections available for privacy and the confidentiality of health-related information under current law. This bulletin will discuss the Health Insurance Portability and Accountability Act (HIPAA).

First off, it is important to understand that HIPAA, composed of a Privacy Rule, Security Rule, and Data Breach Rule, regulates the use of patient information in the provision of health care in the United States. It only applies to “protected health information” (PHI) that is generated by a “covered entity” — health care provider, payer, or clearing house — in the provision of health care treatment, payment, or operations to a patient. Any other information, even if health-related, does not get the protections of HIPAA.
Continue Reading HIPAA: Its Confidentiality Protections (And Limits)

The town of Westport, Connecticut, is the latest administration to face the challenge of balancing privacy concerns while combating the COVID-19 pandemic. By April 17, 2020, there were 183 confirmed cases of COVID-19 in Westport. For the sake of public health, Westport announced its intent to collaborate with the company Draganfly to use drone technology to monitor social distancing. Draganfly’s drones are allegedly able to detect fevers, heart and respiratory rates, and people sneezing and coughing. The drones would aid in the fight against COVID-19 by alerting officials of any locations where crowds were not properly social distancing, using biometric readings to analyze population patterns.

Photo credit:  Draganfly Screenshot as reported in Hartford Courant, April 23, 2020.  Continue Reading Connecticut Town’s Drone Program Grounded: What Businesses Can Learn from Latest Battle Balancing Privacy and the Public Good

The Office for Civil Rights (OCR) announced a settlement agreement for $5.5 million dollars with Florida’s Memorial Healthcare Systems (MHS) stemming from allegations it failed to protect patient data. The privacy violation arose out of the unauthorized access of 115,143 patients by MHS employees. The information that was compromised consisted of names, dates of birth and social security numbers. A majority of these impermissible actions occurred when a former employee’s login credentials were used from 2011-2012 which affected 80,000 individuals.
Continue Reading HIPAA’S Privacy Rule: Having a Policy – But Not Enforcing It – Costs Provider $5.5 Million

The Office of Civil Rights (OCR) first HIPAA settlement of 2017 is based on a failure to report a breach of health information in a timely manner. The settlement was reached with Presence Health, a large health care network that operates in approximately 150 locations in Illinois. Presence Health has agreed to settle the potential violations by paying a fine of $475,000 and implementing a corrective action plan to deal with this problem in the future.

The settlement stems from
Continue Reading OCR Penalizes Slow Data Breach Response

On Monday, March 21, 2016, the Health and Human Services Office for Civil Rights (“OCR”) began the long-awaited Phase II of OCR’s random audit program to determine compliance with the patient privacy provisions included in the Health Insurance Portability and Accountability Act (“HIPPA”). As we discussed earlier here, these audits will extend beyond simply covered entities and will also include business associates.

Covered entities and business associates will receive an email from OCR entitled “Audit Entity Contact Verification.”  This
Continue Reading HIPAA Phase II Audits Begin

After several months of delay, the Health and Human Services Office for Civil Rights (“OCR”) has selected a vendor to begin Phase II of OCR’s random HIPAA audits mandated by the HITECH Act.  The program’s first phase included over 100 pilot audits, and phase II was to have begun in late 2014. While the first round of audits included only covered entities, OCR will include business associates in the next round.  The audits will assess compliance with the HIPAA privacy,
Continue Reading Are You Prepared for HHS Office of Civil Rights Random HIPAA Audits?

*This is the fifth post in a five-part series on cyber insurance, culminating in a webinar entitled “Insurance Coverage for Privacy and Data Breaches, Hot Topics and Critical Issues” on Wednesday, April 22, 2015, at 12:00-1:00 p.m. Eastern. 

A common question we often hear CEOs, CFOs, and Directors of businesses and public and private institutions ask is “What terms and conditions should I consider when buying cyber insurance?” We have compiled a list of some of the most important
Continue Reading Cyber Insurance: What Terms and Conditions Should I Consider When Buying?

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Today, April 14, 2015, marks the 12th anniversary of the compliance date for the HIPAA Privacy Rules for most “Covered Entities” – healthcare providers who engage in certain electronic transactions, health plans, and healthcare clearing houses. (Small group health plans had 1 extra year, until April 14, 2004, to come into compliance with the Privacy Rules.)

What’s HIPAA?
The HIPAA Privacy Rules were the first comprehensive federal rules to protect the privacy and confidentiality of an Individual’s health and medical
Continue Reading Happy Birthday, HIPAA!

What career could possibly be more exciting than serving as a privacy lawyer for tech start-up companies? This is a question I asked myself a few years back, right after I finished clerking for a couple of terrific federal judges and right as I was considering starting the privacy practice I had envisioned as a law student sitting in Prof. Fred Cate’s classes at the Indiana University Maurer School of Law several years earlier. At that time, my answer was
Continue Reading How To Advise Tech Start-Ups in Practice, Not Theory