Privacy & Health Care Reform - 10 Things Patients & Doctors Need to Know
Informational brochure on the impact of Obamacare on patient privacy.
Medical RecordsPrivacy & Health Care Reform - 10 Things Patients & Doctors Need to KnowInformational brochure on the impact of Obamacare on patient privacy. Maximum Charges for Copies of Patient RecordsProviders may charge for copies of patient records. Minnesota Statute 144.292, subdivision 6 limits the amount of these charges. Maximum charges are computed by applying annual changes in the regional Consumer Price Index (CPI) to the charges set by the legislature for calendar year 1992. Citizens Protest MN Health Department's Medical Records GrabMinnesota citizens filled a meeting room front to back at the Minnesota Department of Health to provide input and comment on the Department’s plan to claim ownership of private medical records data, send the data to a data warehouse in Maine, and use the data rank physicians and hospitals according to the Department’s definition of “quality.” Insurers will then be required by law to steer patients to only those providers who rank as “high quality, low cost.” MN Health Dept Comments on State's Genetic Info ReportSpecifically, a Tennessen Warning requirement [to tell individual how their data would be used by the Dept., whether they have to provide it, etc.] would not be workable for the reporting of communicable diseases or related specimens or for the collection of many other types of public health data or specimens. There may be other privacy protections or some sort of modified Tennessen Warning, but they would have to be tailored to balance MDH's responsibility to protect public health with the individual's privacy. The goal would be to maximize public health protections while minimizing any intrusion on personal privacy. A Critical Analysis of Proposed 'Newborn Screening Saves Lives Act of 2007'Genetic privacy, parent consent and individual self-determination rights are at stake with the U.S. Senate’s recent passage of S. 1858, the ‘Newborn Screening Saves Lives Act of 2007.’ This paper outlines five key issues of concern. Conformance with HIPAA "Privacy" Rule Will Undo MN Medical Privacy Laws and Consent RequirementsThe so-called “Federal Medical Privacy Rule” (45 CFR Parts 160/164) —from the 1996 Health Insurance Portability and Accountability Act (HIPAA)—permits broad use and disclosure of individually-identifiable “protected health information” without patient consent. It is often referred to as the “HIPAA Privacy Rule” or just “HIPAA.” Minnesota’s medical privacy law (M.S. 144.335) more often requires patient consent before use and disclosure (see also M.S. 62J.55). HIPAA Definitions: Treatment, Payment and Health Care Operations![]() The federal HIPAA "Privacy" Rule allows broad use and disclosure of private medical records without patient consent. Specifically, no consent is required for 12 National Priority Purposes, including law enforcement and public health, or for Payment, Treatment and Health Care Operations. The definition of "Health Care Operations" is ~400 words long. Questions to Ask - Mayo/Univ. of Minn. Genetic Research PlanPeople may not understand…that tissue samples they provide may be used for genetic research…They may believe that samples will be discarded after testing, although the law often requires that samples be retained. When samples are obtained as part of medical care, patients may not be told about the possibility that these samples will be stored and used for research. What Consent? - MN's Medical & Genetic Research LawMinnesota state law denies most consent rights for patients regarding use of their individually-identifiable medical records for medical research. UPDATE: Until the Minnesota Genetic Privacy Act passed in 2006, Minnesota law was silent on collection, storage use and dissemination of genetic information for genetic research. States are not preempted by federal law from passing stronger, more privacy-protecting laws. |