U.S. Department of Health and Human Services

The World Privacy Forum submitted comments to the Centers for Medicare & Medicaid Services requesting that it amend a Systems of Records Notice to address an oversight and address other privacy issues. The Forum requested that CMS add a reference in the system notice to Executive Order 13181 of December 20, 2000, “To Protect the Privacy of Protected Health Information in Oversight Investigations.” The Forum also requested that the routine uses be revised to reflect the HIPAA requirements as appropriate when the disclosures involve HIPAA records.

Medical privacy | HIPAA — Five groups joined the World Privacy Forum in asking for changes to be made to a proposed rule on how medical healthcare claims attachments are handled electronically. The World Privacy Forum and the EFF, EPIC, Privacy Rights Clearinghouse, Privacy Activism and U.S. Public Interest Research Group (U.S. PIRG) asked that physicians be given more control over what parts of health records they send electronically to insurance companies, that psychotherapy notes not be included when sending health records for insurance payment, and that the HIPAA Privacy Rule be rigorously applied to scanned health records.

Five groups joined the World Privacy Forum in asking for changes to be made to a proposed rule on how medical healthcare claims attachments are handled electronically. The World Privacy Forum and the EFF, EPIC, Privacy Rights Clearinghouse, Privacy Activism and U.S. Public Interest Research Group (U.S. PIRG) asked that physicians be given more control over what parts of health records they send electronically to insurance companies, that psychotherapy notes not be included when sending health records for insurance payment, and that the HIPAA Privacy Rule be rigorously applied to scanned health records.

The World Privacy Forum filed comments with Health and Human Services asking the agency to protect patient choice and privacy. The World Privacy Forum asked that patients continue to be able to receive accounting of disclosures under HIPAA, and asked that this important patient right under HIPAA not be removed or weakened. The World Privacy Forum also asked HHS to review how patients’ records can be amended under HIPAA, and recommended that in light of the coming National Health Information Network, that changes to enhance patient choice may be needed in this area.

Medical privacy — The World Privacy Forum testified before the National Committee on Vital Health Statistics in August regarding the importance of patient choice in the area of Electronic Health Records. The testimony stressed the importance of building security, patient privacy, and choice into EHRs and any form of the proposed National Health Information Network (NHIN).