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Re: Release of Info on "Terminally Inconvenienced" Persons, Redux (a. k.a. HIPAA) 

>From the archives list. 

At the end of the post, Paul asks, "Does any one know if SAA or 
any other organization plans to submit comments?" 

>>> "Scott, Paul (FPM)" [paul_scott@FPM.CO.HARRIS.TX.US] 08/30/02 09:06AM 
>>>
Nearly three weeks ago there was a flurry of messages on HIPAA's
implications for the archival community.  Two days ago I attended an
introductory seminar on HIPAA given by Harris County's Office of Risk
Management.  (The fact that a large, urban county considers HIPAA a risk to
be managed should give us all pause.)

Before the meeting I submitted questions asking how HIPAA would affect
access to long-open records such as Justice of the Peace Inquest Records,
Medical Examiner Autopsies, welfare records (which often comment upon a
subject's health), and court case files (that often include medical records
proving debts and damages).

Tellingly, the presenter read my questions to the audience and announced
that they would have to be referred to an outside attorney.  She did state
at various points in her presentation that:

1. HIPAA explicitly gives corpses privacy rights.
2. HIPAA does apply to paper-based as well as electronic documents.
3. Neither the Act nor the regulations proposed under it have  any
expiration provision that would permit the release of Protected Health
Information (PHI) when it reaches a certain age.
4. When HIPAA goes into effect on April 14, 2003 it will apply
retroactively.
5. HIPPA regulations closing records will trump state laws that specifically
open the same records.
6. Violators can be fined and/or imprisoned for up to 10 years.
7. The only piece of good news is that there is an exemption for litigation
that will probably keep civil and criminal case files open even if they do
contain medical records.

Since the Proposed Rules will not go in effect until April 14 and are still
open for public comment it is not yet too late to request some commonsense
changes and exemptions.  Does any one know if SAA or any other organization
plans to submit comments?

Paul R. Scott
Records Management Officer
Harris County, TX
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