,i #aad? ,,congress #a/ ,session ,h4 ,r4 #bfij ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,june #i1 #bjae ,ms4 ,matsui introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to direct ! ,secret>y ( ,heal? & ,human ,s]vices to promulgate regulations cl>ify+ ! circum/ances "u :i*1 consi/5t ) ! /&>ds gov]n+ ! privacy & security ( individually id5tifiable heal? in=mation promulgat$ by ! ,secret>y "u sections #bfb7;a7 & #bfd ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif1 heal? c>e provid]s & cov]$ entities may disclose ! protect$ heal? in=mation ( pati5ts ) a m5tal illness1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,includ+ ,families 9 ,m5tal ,heal? ,recov]y ,act ( #bjae4 #b4 ,cl>ification ( circum/ances "u :i* disclosure ( protect$ heal? in=mation ( m5tal illness pati5ts is p]mitt$ ,! ,,hite* ,act 7title ,,xiii ( division ,a ( ,public ,law #aaa-e7 is am5d$ by add+ at ! end ( subtitle ,d ( su* ,act 7#db ,u4,s4,c4 #agiba et seq47 ! foll[+3 #c ,improv$ privacy & security provisions = m5tal illness pati5ts #acdca4 ,cl>ification ( circum/ances "u :i* disclosure ( protect$ heal? in=mation is p]mitt$ 7a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( enactm5t ( ! ,includ+ ,families 9 ,m5tal ,heal? ,recov]y ,act ( #bjae1 ! ,secret>y %all promulgate f9al regulations cl>ify+ ! circum/ances "u :i*1 consi/5t ) ! /&>ds gov]n+ ! privacy & security ( individually id5tifiable heal? in=mation promulgat$ by ! ,secret>y "u sections #bfb7;a7 & #bfd ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif1 heal? c>e provid]s & cov]$ entities may disclose ! protect$ heal? in=mation ( pati5ts ) a m5tal illness1 includ+ = purposes (-- 7#a7 communicat+ ) a pati5t's family1 c>egiv]s1 fri5ds1 or o!rs involv$ 9 ! pati5t's c>e1 includ+ communication ab\t treatm5ts1 side effects1 risk factors1 & ! availability ( community res\rces2 7#b7 communicat+ ) family or c>egiv]s :5 ! pati5t is an adult2 7#c7 communicat+ ) ! p>5t or c>egiv] ( a pati5t :o is a m9or2 7#d7 consid]+ ! pati5t's capacity to agree or object to ! %>+ ( _! in=mation2 7#e7 communicat+ & %>+ in=mation ) a pati5t's family or c>egiv]s :5-- 7,a7 ! pati5t cons5ts2 or 7,b7 ! pati5t does n cons5t1 b ! pati5t lacks ! capacity to agree or object & ! communication or %>+ ( in=mation is 9 ! pati5t's be/ int]e/2 7#f7 involv+ a pati5t's family memb]s1 fri5ds1 or c>egiv]s1 or o!rs involv$ 9 ! pati5t's c>e 9 ! pati5t's c>e plan1 includ+ treatm5t & m$ication adh]5ce1 9 deal+ ) pati5t failures to adh]e to m$ication or o!r !rapy2 7#g7 li/5+ to or receiv+ in=mation f family memb]s or c>egiv]s ab\t _! lov$ ones receiv+ m5tal illness treatm5t2 7#h7 communicat+ ) family memb]s1 c>egiv]s1 law en=cem5t1 or o!rs :5 ! pati5t pres5ts a s]i\s & imm95t ?reat ( h>m to self or o!rs2 & 7#i7 communicat+ to law en=cem5t & family memb]s or c>egiv]s ab\t ! admission ( a pati5t to receive c>e at a facility or ! release ( a pati5t :o 0 admitt$ to a facility = an em]g5cy psy*iatric hold or involunt>y treatm5t4 7b7 ,coord9ation ,! ,secret>y %all c>ry out ?is section 9 coord9ation ) ! ,director ( ! ,(fice = ,civil ,rights )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7c7 ,consi/5cy ) guidance ,! ,secret>y %all ensure t ! regulations "u ?is section are consi/5t ) ! guidance entitl$ ,,hipaa ,privacy ,rule & ,%>+ ,in=mation ,relat$ to ,m5tal ,heal?1 issu$ by ! ,dep>tm5t ( ,heal? & ,human ,s]vices on ,febru>y #bj1 #bjad4 4 #c4 ,developm5t & dissem9ation ( model tra9+ programs 7a7 ,initial programs & mat]ials ,n lat] ?an "o ye> aft] promulgat+ f9al regulations "u section #acdca ( ! ,,hite* ,act1 z add$ by section #b1 ! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y7 %all develop & dissem9ate-- 7#a7 a model program & mat]ials = tra9+ heal? c>e provid]s 7includ+ physicians1 em]g5cy m$ical p]sonnel1 psy*ologi/s1 c\nselors1 !rapi/s1 behavioral heal? facilities & cl9ics1 c>e manag]s1 & hospitals7 reg>d+ ! circum/ances "u :i*1 consi/5t ) ! /&>ds gov]n+ ! privacy & security ( individually id5tifiable heal? in=mation promulgat$ by ! ,secret>y "u sections #bfb7;a7 & #bfd ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif1 ! protect$ heal? in=mation ( pati5ts ) a m5tal illness may be disclos$ ) & )\t pati5t cons5t2 7#b7 a model program & mat]ials = tra9+ lawy]s & o!rs 9 ! legal pr(ession on su* circum/ances2 & 7#c7 a model program & mat]ials = tra9+ pati5ts & _! families reg>d+ _! rights to protect & obta9 in=mation "u ! /&>ds specifi$ 9 p>agraph 7#a74 7b7 ,p]iodic updates ,! ,secret>y %all-- 7#a7 p]iodically review & update ! model programs & mat]ials develop$ "u subsection 7a72 & 7#b7 dissem9ate ! updat$ model programs & mat]ials4 7c7 ,cont5ts ,! programs & mat]ials develop$ "u subsection 7a7 %all address ! guidance entitl$ ,,hipaa ,privacy ,rule & ,%>+ ,in=mation ,relat$ to ,m5tal ,heal?1 issu$ by ! ,dep>tm5t ( ,heal? & ,human ,s]vices on ,febru>y #bj1 #bjad4 7d7 ,coord9ation ,! ,secret>y %all c>ry out ?is section 9 coord9ation ) ! ,director ( ! ,(fice = ,civil ,rights )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 ! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 & ! heads ( o!r relevant ag5cies )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7e7 ,input ( c]ta9 entities ,9 develop+ ! model programs & mat]ials requir$ by subsections 7a7 & 7b71 ! ,secret>y %all solicit ! input ( relevant national1 ,/ate1 & local associations1 m$ical societies1 & lic5s+ bo>ds4 7f7 ,fund+ ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #e1jjj1jjj = fiscal ye> #bjaf & #be1jjj1jjj = ! p]iod ( fiscal ye>s #bjag ?r\gh #bjbb4