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ABA Section of Litigation
Health Law Litigation
 

Articles

 

Here Comes HIPAA! (and health care privacy litigation too!)

By Ryan D. Meade
The privacy regulations for the Health Insurance Portability & Accountability Act ("HIPAA") become a compliance obligation on April 14, 2003 for all health plans (insurance companies, HMOs, self-insured employer group health plans, etc.), health care clearinghouses and most health care providers (known collectively as "covered entities"). HIPAA's privacy regulations are extensive and onerous. The rules establish the first federal privacy standard for general medical and health insurance information and not only regulate who and when a covered entity may disclose health information, but also how they may us the information inside their own organization.


 

The ABC's of Business Associates

By Lynn S. McGivern, L.LM., JD
It's not what it is, but rather what it does that determines whether a person or entity is a business associate pursuant to the privacy standards under the Health Insurance Portability and Accountability Act of 1996i (HIPAA). The first step in achieving HIPAA compliance with regard to business associates is to properly identify them. The following two-prong test must be satisfied in order to deem a relationship one that involves a business associate and therefore requiring "satisfactory assurance" in the form of a written agreement; (1) the person or organization performs a function for or on behalf of the covered entityii or the organized health care arrangement in which the covered entity participates; and (2) in performing the function, uses or discloses individually identifiable health information as part of performing that function regulated by the HIPAA privacy standards. If the individual or entity is acting independently or on behalf of someone other than the covered entity, no business associate relationship exists.


 

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