The World Privacy Forum filed comments last week for the FTC Privacy Roundtables, the first of which will be held December 7, 2009. The WPF comments urged the FTC to consider the Fair Credit Reporting Act as a key privacy model to apply to additional areas, to use the full version of Fair Information Practices, and discussed how a rights-based framework was the key to advancing consumers’ interests. The comments discussed list brokers at length, and explained how even the most informationally cautious consumer will land on numerous marketing lists and databases. The WPF comments noted that not all marketing lists are used to target ads to consumers; some lists and databases are used to deny consumers goods and services. The comments contain a detailed section on privacy frameworks, a section on direct marketing, and an appendix with supporting information.
Under recently issued regulations, the Federal Trade Commission requires financial institutions and creditors to develop and implement written identity theft prevention programs. The broad purpose of these Red Flag and Address Discrepancy Rules  is to require financial institutions and creditors to formally address the risks of identity theft and develop a mitigation plan. Health care providers can be creditors and, therefore, subject to the new rules, which were originally were scheduled to take effect on November 1, 2008. The FTC suspended enforcement until November 1, 2009. 
The Fair Credit Reporting Act (FCRA) as amended in 2003 requires the Federal Trade Commission and bank regulatory agencies to issue joint regulations and guidelines regarding the detection, prevention, and mitigation of identity theft. The requirement includes special regulations directing debit and credit card issuers to validate notifications of changes of address under certain circumstances. 15 U.S.C. § 1681m(e). Another FCRA amendment calls for additional joint regulations offering guidance regarding reasonable policies and procedures that a user of a consumer report (e.g., a credit grantor) should employ when the user receives a Notice of Address Discrepancy. 15 U.S.C. § 1681c(h).
The Red Flag Rule applies broadly to financial institutions, credit grantors, and some others, including some health care providers. A health care provider comes under the Red Flag rule if the provider: 1) meets the definition of creditor under the Fair Credit Reporting Act (15 U.S.C. 1681a(r)(5)). A health care provider comes under the Address Discrepancy Rule if they: 1) use consumer credit reports.
A health care provider that qualifies as a creditor that offers or maintains covered accounts must develop and implement a written Identity Theft Prevention Program. The purpose of the program is to detect, prevent, and mitigate identity theft in connection with new or existing covered accounts. The Program must be appropriate to the size and complexity of the creditor and the nature and scope of its activities. A large hospital will need a more robust program than a two-doctor office.