If an individual requests that their EHI not be disclosed, is it information blocking if an actor does not disclose the EHI based on the individual’s request?*

No, if the actor’s conduct satisfies the requirements of the information blocking regulations, such as the Privacy Exception (45 CFR 171.202). For example, the sub-exception Respecting an Individual’s Request Not to Share Information permits an actor, unless the disclosure is required by law, to honor an individual’s request not to provide access, exchange, or use of the individual’s EHI, which aligns with the individual’s right to request a restriction on disclosures of their protected health information under the HIPAA Privacy Rule (45 CFR 164.522(a)(1)).

Separately, if an actor has privacy or security concerns about disclosing EHI to an app/app developer with which an individual may choose to share their EHI, an actor may educate the individual about such concerns consistent with the following FAQ: Will educating patients about the privacy and security risks posed by third-party apps that the patient chooses be considered interference?

* For more information on how practices would be evaluated to determine whether the unique facts and circumstances constitute information blocking, please see the following FAQ: How would any claim or report of information blocking be evaluated? (IB.FAQ46.1.2022FEB)

ID:IB.FAQ47.1.2023APR