HITECH Act

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The Department of Health and Human Services (“HHS”) has issued a formal request for information from the public about how regulated entities are implementing industry recognized security practices. The request for information represents a chance for the private sector to contribute to HHS regulation. Interested parties have until June 6…

On January 19, 2012, Minnesota Attorney General Lori Swanson exercised her authority under the HITECH Act by filing a lawsuit against a business associate for the failure to protect protected health information (PHI) and for the failure to disclose the extent to which PHI was utilized. The case alleges that Accretive Health, Inc., a debt collection agency, lost a laptop containing unencrypted PHI of approximately 23,500 Minnesota patients. This represents one of the first cases brought by a state attorney general under HIPAA. 

On November 8, 2011, the U.S. Department of Health and Human Services Office for Civil Rights (OCR) announced details of its HIPAA Privacy and Security Audit Program. The OCR pilot program calls for approximately 150 audits of covered entities, which audits are intended to address privacy and security compliance, and assist OCR in assessing and identifying best practices as well as risks and vulnerabilities for health care entities. Although the pilot program is expected to immediately impact a small number of covered entities, it appears that OCR is increasing its efforts to enforce HIPAA and the HITECH Act.
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Last week, the Connecticut Attorney General became the first state attorney general to enter into a settlement agreement for HIPAA violations, as a result of the new authority granted to attorneys general under the Health Information Technology for Economic and Clinical Health Act (HITECH Act).
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Two months after Congress mandated notification for the breach of unsecured protected health information (PHI), the Secretary of Health and Human Services (HHS) defined what it means to be “unsecured.” As required by Section 13402 of the HITECH Act, H.R. 1, 111th Cong. (1st Sess. 2009) (which was part of the American Recovery and Reinvestment Act of 2009), the Secretary issued guidance and a request for comments on the technologies and methodologies rendering information unusable, unreadable or indecipherable. 74 Fed. Reg. 19006 (Apr. 27, 2009) (to be codified at 45 C.F.R. pts. 160, 164).
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By Jeffrey D. Neuburger and Sara Krauss

Congress has been dithering over the adoption of a federal data security breach notice law for the last several years without coming to an agreement on a national standard for reporting breaches in the security of personal and financial data, but on February 17, data breach notice provisions applicable to health information were signed into law as part of the HITECH Act provisions of the massive economic stimulus legislation, H.R. 1 (111th Cong., 1st Sess. Feb. 17, 2009).

Beginning no later than September 16 of this year, “covered entities” under the Health Insurance Portability and Accountability Act (HIPAA) will be required to give notice of breaches in the security of protected health information, and “business associates” of HIPAA-covered entities will be required to report such breaches to the covered entities. §13402(a) & (b). Currently, California and Arkansas are the only states that require that notification be given in the case of a breach in the security of medical or health insurance information.