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Bush Administration Decides Not to Require Written Patient Consent for Sharing Medical Records
ap ^ | August 9, 2002 | Janelle Carter

Posted on 08/09/2002 3:28:25 PM PDT by TomGuy

Bush Administration Decides Not to Require Written Patient Consent for Sharing Medical Records

By Janelle Carter Associated Press Writer

Published: Aug 9, 2002

WASHINGTON (AP) - Hospitals and physicians can share private information about a patient's health with HMOs and insurance companies without the patient's permission, the Bush administration said Friday in a decision denounced by privacy advocates.

Finalizing rules on the handling of medical records, the Department of Health and Human Services set aside a Clinton administration proposal that would have required a patient's written consent before that information could be released.

However, doctors and other health care providers will have to notify patients of privacy policies and make a "good faith effort" to get written acknowledgment under the new policy. Health care providers had complained that requiring written permission could stall needed treatments.

The Clinton version "would have forced sick or injured patients to run all around town getting signatures before they could get care or medicine," said Health and Human Services Secretary Tommy Thompson.

He said the Bush administration's approach "strikes a common-sense balance by providing consumers with personal privacy protections and access to high quality care."

"Patients now will have a strong foundation of federal protections for the personal medical information that they share with their doctors, hospitals and others who provide their care and help pay for it," Thompson said.

The regulations take effect April 14, 2003.

The Clinton version of the proposal, which was never put into effect, would have required signed consent forms from patients even for routine matters such as billing statements to insurance providers. The Bush administration announced in March that it planned to strip the written consent requirement from the medical privacy regulations.

Sen. Edward Kennedy, D-Mass., chairman of the Senate Health, Education, Labor and Pensions Committee, promised to introduce legislation to reinstate the mandatory consent forms.

"These regulations are a serious setback for medical privacy," Kennedy said Friday. "Insurance companies and HMOs are given broad access to highly sensitive personal medical information. Action by Congress is clearly needed to guarantee all Americans that the privacy of their medical records will not be abused."

The regulations clarify that personal information cannot be sold or given to drug companies or others that want to market a product or service without patient permission. The final version includes more explicit language to ensure that companies don't use business associate agreements to circumvent marketing rules.

--

On the Net:

Health and Human Services regulations: http://www.hhs.gov/ocr/hipaa

AP-ES-08-09-02 1759EDT


TOPICS: Breaking News; Business/Economy; Constitution/Conservatism; Crime/Corruption; Culture/Society; Government; News/Current Events
KEYWORDS: bigbrother; bush; medicalrecords; patientsrights; privacylist
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To: cva66snipe
These regs were/are stupid. Ask anyone who has read them and been to meetings to discuss how to implement them.
21 posted on 08/09/2002 4:19:57 PM PDT by arkfreepdom
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To: AdamSelene235
Some privacy concerns are legitimate but not this sack of s*&$.
22 posted on 08/09/2002 4:21:22 PM PDT by arkfreepdom
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To: arkfreepdom
I totally agree with you. Bump for an honest post.
23 posted on 08/09/2002 4:23:02 PM PDT by GWfan
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To: AdamSelene235
BTW, I argued for 30 min with a United Healthcare rep for one of my patients yesterday. Don't think I'm a friend of HMO's. I am just talking about these crazy HIPA regs.
24 posted on 08/09/2002 4:23:15 PM PDT by arkfreepdom
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To: TomGuy
He's staying consistent with the patient first, which is very good. If you can't trust your health professional with your records, can you really trust him with your life?
25 posted on 08/09/2002 4:23:28 PM PDT by swheats
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To: Howlin; Miss Marple; terilyn
If you know anyone in the DC area alert them to stand clear of the DC District Court building as they maybe endangering themselves when the FIOA of request comes flying in....
26 posted on 08/09/2002 4:27:00 PM PDT by deport
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To: AM2000
""the insurance companies and HMOs) look at my medical records without my consent.""

Yes, that is correct. However, if you want the x-ray technician to know why you are in his office, he needs to see some of your medical records. If you want your insurance company to pay your doctor, they need to know what they are paying for.

Under the regulations that the Clintons wrote, you would have to sign a release form specifically for each case I've noted, and every time.

Try reading what the new regulations actually say, not just what the slime-ball press and Kennedy say about them. You will find that there are many safeguards in them that do not even exist today. Even this misleading articel mentions several new protections.
27 posted on 08/09/2002 4:30:28 PM PDT by jimtorr
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To: TomGuy
Bush Administration Decides Not to Require Written Patient Consent for Sharing Medical Records

Big government/Big Brother bump! Thanks Bush!!!!

28 posted on 08/09/2002 4:31:32 PM PDT by Kobyashi1942
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To: AM2000
Bush is selling out the very people who voted for him, in favor of the people who paid his way...

Is it in your interest to have to run down to your doctor's office to sign a consent form every time you need to have your prescriptions renewed? What about the person who refuses (for some odd reason) to sign a consent form? Under the Clinton version of these regs, a doctor couldn't treat that person. That creates an access to care problem. What these regs say is that doctors must share with their patients how they use their medical records, who has access to them, and what your rights as a patient are. If you disagree with someone having access to your records, you can tell your doctor, and your doctor has to honor your request. The regs revision eliminates an ackward consent requirement, one that actually could have blocked access to health care. This change benefits patients. Doctors are not required to get written consent, but are required to notify patients of privacy policies. So, what's your beef?

29 posted on 08/09/2002 4:31:34 PM PDT by My2Cents
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To: arkfreepdom
Under the regs as written, the neurosurgeon could not even look at the cat scan without the patient's signed permission.

Clarification (which I think you meant): under the PREVIOUSLY written regs this consent was required. Under the new revisions, this it isn't required to get a patient's written consent.

30 posted on 08/09/2002 4:33:37 PM PDT by My2Cents
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To: TomGuy

Now wait a minute!

I thought you all(especially Libertarians) were against Bush implementing the original Clinton EO.

Now that he has discarded it, you all are still up in arms.

HHS MEDICAL-PRIVACY-INVASION RULE: COMMENT DEADLINE THIS WEEK

31 posted on 08/09/2002 4:35:34 PM PDT by Dane
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To: Sungirl
What's going on? Why is this necessary and why in the world would Kennedy try to to help conservatives??

It's an effort to hide pre-existing medical conditions from insurers to fraudulently stick them with the tab.

32 posted on 08/09/2002 4:37:42 PM PDT by Willie Green
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To: caddie
The danger here, in my opinion, is that persons with STDs, depression, etc., which are charged diagnoses, will not be able to protect their privacy.

Not true. The regulations, even as revised, enact stringent privacy protections. What the revisions do is drop the original requirement to get written consent to a doctor's privacy policy before the doctor can give a patient treatment. The regs still require the doctor to inform the patient what the office's privacy policy is, still require stringent protections of confidentiality. And if a patient disagrees with some aspect of the privacy policy, they can request a change for the use of their records, and the doctor must acknowledge that request in the patient's file, and follow their request.

Your objections seem to be unnecessarily hysterical, and overtly partisan.

33 posted on 08/09/2002 4:39:47 PM PDT by My2Cents
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To: AM2000
Details of today's announcement on patient privacy
34 posted on 08/09/2002 4:43:49 PM PDT by Ben Ficklin
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To: AM2000
If you don't want your doctor sharing the fact you have STDs or whatever with the folks they might make your records public to (which are ordinarily going to be third party payers, and I assume you want them to know so they'll pay for your treatment), tell your doctor. Your doctor will have to consider your request, and record in your file not to share information with so-and-so.

This isn't about a sell-out to corporate America. Stop demagoguing the issue. This is about REASONABLE measure to protect privacy, which the revised regs do....protect privacy!

35 posted on 08/09/2002 4:43:55 PM PDT by My2Cents
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To: arkfreepdom
These regs were/are stupid. Ask anyone who has read them and been to meetings to discuss how to implement them.

Not near as stupid as government protections of HMO's and you don't see him trying to do anything to stop that. I prefer my privacy thank you very much.

36 posted on 08/09/2002 4:51:01 PM PDT by cva66snipe
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To: AdamSelene235
Our company just switched medical plans to another provider. They wanted my SSN to use as an ID and I refused. They asked for it later to look up previous records. Then, they gave me an alternate number for my patient ID. It was my SSN, backwards.

WOnderful.

37 posted on 08/09/2002 5:01:04 PM PDT by ImaGraftedBranch
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To: arkfreepdom
BTW, I argued for 30 min with a United Healthcare rep for one of my patients yesterday. Don't think I'm a friend of HMO's. I am just talking about these crazy HIPA regs.

A doctor is an employee hired by patients. I will not hire a doctor who will not respect the Hippocratic oath (which contains basic privacy provisions) any more than I would hire an engineer who insists on selling proprietary information.

As far as I can tell, the medical establishment is determined to deny coverage to those who try to buck the system.

I've been without coverage for a year now because of my refusal to submit my SSN. As an avid motorcyclist and rock climber, this is very disconcerting. Do you know of *any* insurance companies that aren't pre-occupied with hawking my personal information.

38 posted on 08/09/2002 5:13:52 PM PDT by AdamSelene235
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To: deport
ROFLOL...incoming!!!
39 posted on 08/09/2002 5:46:28 PM PDT by terilyn
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To: TomGuy
Gee, I got all excited because I collect biomedical research data for the US Public Health Service, and I thought this was some new information. But this is nothing new; this is the same stuff we've been hearing about for a couple of years.
40 posted on 08/09/2002 5:50:18 PM PDT by Capriole
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