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Overview of HIPAA

 

Overview of HIPAA

The Health Insurance Portability and Accountability Act (HIPAA) of 1996 was enacted by Congress to create a national standard for protecting the privacy of patients' personal health information. The law requires healthcare entities that use electronic means to process transactions, which include health information, to use standardized forms and a universal code system for illnesses and treatments. The regulation also requires new safeguards to protect the security and confidentiality of an individual's protected health information.

Although the law was passed in 1996, the regulation stated that if Congress had not passed comprehensive privacy legislation within 3 years, it would become the responsibility of the Department of Health and Human Services (HHS) to draft the protections.

Congress never enacted the legislation, and on August 21, 1999 the responsibility was passed on to the HHS. Under support from the Bush administration, Secretary of HHS Tommy Thompson allowed the Privacy Rule to take effect on April 14, 2001.

As required by the new HIPAA legislation, most covered entities (Healthcare Providers, Health Plans, and Healthcare Clearinghouses) have two years to comply with the final privacy regulation. As of today, UTMB has until April 14, 2003 to come into full compliance with the HIPAA privacy standard.

The Office of Institutional Compliance, through our newly created Privacy Office, is currently in the process of creating new policies to be approved by the IHOP (Institutional Handbook of Operating Procedures) committee, which will address all of the privacy regulations. The Privacy Office is developing a privacy-training program for all faculty, employees, and students, which is targeted to begin in September 2002.

The proposed security regulation has yet to be finalized, but UTMB is working to monitor its development and to plan for its implementation. However, HHS has not yet approved the final standards for identifiers and security.

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Penalties for HIPAA Violations

HIPAA calls for civil and criminal penalties for privacy and security violations, including: -- fines up to $25K for multiple violations of the same standard in a calendar year - fines up to $250K and/or imprisonment up to 10 years for knowing misuse of individually identifiable health information.

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