{"id":11161,"date":"2017-01-11T09:32:41","date_gmt":"2017-01-11T14:32:41","guid":{"rendered":"https:\/\/healthit-gov.go-vip.net\/buzz-blog\/?p=11161"},"modified":"2026-01-05T21:48:59","modified_gmt":"2026-01-05T21:48:59","slug":"hipaa-supports-electronic-exchange-health-information-federal-state-local-level","status":"publish","type":"post","link":"https:\/\/healthit.gov\/blog\/privacy-and-security\/hipaa-supports-electronic-exchange-health-information-federal-state-local-level\/","title":{"rendered":"HIPAA Supports Electronic Exchange of Health Information at the Federal, State, and Local Level"},"content":{"rendered":"\n<p>Important work to ensure the health system is functioning properly is conducted by a wide variety of entities at the federal, state, and local level. These agencies may license health care professionals or health insurance companies, administer a state Medicaid program, monitor compliance and efficacy of health care programs, and even ensure individual civil rights related to how organizations use patients\u2019 health information. This important work sometimes requires that the oversight agency receive health information about individuals, which often raises questions about the Health Insurance Portability and Accountability Act (HIPAA).<\/p>\n\n\n\n<p>To support these activities and to help make sure that these important oversight activities can benefit from our nation\u2019s digital health infrastructure, the U.S. Department of Health and Human Services\u2019 Office of the National Coordinator for Health Information Technology (ONC) and Office for Civil Rights (OCR) today published a <a href=\"https:\/\/healthit.gov\/wp-content\/uploads\/2018\/05\/phi_permitted_uses_and_disclosures_fact_sheet_012017.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">new fact sheet<\/a>. This fact sheet explains how a key provision of the <a href=\"https:\/\/www.ecfr.gov\/cgi-bin\/text-idx?SID=3df100a43ebbf60bcf885348643aa6c1&amp;mc=true&amp;node=se45.1.164_1512&amp;rgn=div8\">HIPAA Privacy Rule<\/a> permits covered entities to share protected health information (PHI) electronically with health oversight agencies without obtaining written authorization from the individual or patient. For a comprehensive discussion of the HIPAA Privacy Rule and Health Information Technology, see <a href=\"https:\/\/healthit.gov\/privacy-security\/health-it-privacy-and-security-resources-providers\/\">ONC&#8217;s Guide to Privacy and Security of Electronic Health Information.<\/a><\/p>\n\n\n\n<p>The new fact sheet uses illustrated and easy-to-understand examples explaining how this HIPAA provision works across settings where health oversight occurs. These examples include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A health plan that shares beneficiary PHI with the state health insurance commissioner responsible for evaluating insurers\u2019 conduct in the marketplace;<\/li>\n\n\n\n<li>A physician who sends her patients\u2019 PHI to the state medical board investigating patient complaints;<\/li>\n\n\n\n<li>A nursing home that sends PHI to the state Medicaid fraud office in response to its request for data that could validate compliance with Medicaid billing guidelines;<\/li>\n\n\n\n<li>A hospital that shares PHI with the U.S. Food and Drug Administration in connection to an investigation about the safety of certain implantable devices;<\/li>\n\n\n\n<li>A health plan sending beneficiary enrollment PHI to a state insurance department conducting an audit to ensure civil rights compliance; and<\/li>\n\n\n\n<li>Providers disclosing PHI to Centers for Medicare and Medicaid Services (CMS) contractors conducting Medicaid compliance work on behalf of CMS.<\/li>\n<\/ul>\n\n\n\n<p>The health oversight fact sheet also describes how important provisions of the HIPAA <a href=\"https:\/\/www.hhs.gov\/hipaa\/for-professionals\/privacy\/laws-regulations\/index.html\">Privacy<\/a> and <a href=\"https:\/\/www.hhs.gov\/hipaa\/for-professionals\/security\/index.html\">Security<\/a> Rules may apply to exchanges of health information for health oversight, such as the \u2018minimum necessary\u2019 rule or data Security Rule considerations.<\/p>\n\n\n\n<p>The new fact sheet is part of the collection of ONC\/OCR fact sheets and ONC\u2019s blog series explaining how HIPAA not only keeps patient data secure, but also improves the flow of health information. Topics explained in this series include how covered entities are permitted to share PHI for important activities, including <a href=\"https:\/\/healthit.gov\/wp-content\/uploads\/2018\/05\/exchange_treatment.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">treatment<\/a>, <a href=\"https:\/\/healthit.gov\/wp-content\/uploads\/2018\/05\/phi_permitted_uses_and_disclosures_fact_sheet_012017.pdf\">payment<\/a>, <a href=\"https:\/\/healthit.gov\/wp-content\/uploads\/2018\/05\/exchange_health_care_ops.pdf\">health care operations<\/a> and <a href=\"https:\/\/healthit.gov\/wp-content\/uploads\/2018\/05\/12072016_hipaa_and_public_health_fact_sheet.pdf\">public health activities<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Important work to ensure the health system is functioning properly is conducted by a wide [&hellip;]<\/p>\n","protected":false},"author":619,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_selected_menu":"","_show_breadcrumbs":"true","_blog_show_featured_image":false,"footnotes":""},"categories":[45],"archived-category":[709],"featured":[],"topics":[438,436,435],"class_list":["post-11161","post","type-post","status-publish","format-standard","hentry","category-privacy-and-security","archived-category-the-real-hipaa","topics-hipaa-compliance","topics-privacy","topics-security-privacy"],"acf":{"blog_authors":[{"blog_author_profiles":"172875"}],"hp_news_hide":false},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v24.8.1) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>HIPAA Supports Electronic Exchange of Health Information at the Federal, State, and Local Level - ONC Blog<\/title>\n<meta name=\"description\" content=\"Learn how HIPAA lets health oversight agencies access necessary PHI securely without patient consent. 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