,,ii  #aae? ,,congress  #a/ ,session    
,s4 #ahej  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #be1 #bjag   
,mr4 ,man*9 7= himself1 ,mrs4 ,capito1  
,mrs4 ,fe9/e91 ,mr4 ,k+1 ,ms4 ,h>ris1 & 
,ms4 ,klobu*>7 introduc$ ! foll[+ bill2 
:i* 0 read twice & ref]r$ to !          
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions  ,a ,,bill  ,to am5d 
! ,public ,heal? ,s]vice ,act to protect
 ! confid5tiality ( sub/ance use disord]
 pati5t records4  #a4 ,%ort title  ,?is 
,act may be cit$ z ! ,protect+ ,jessica 
,grubb's ,legacy ,act 4  #b4            
,confid5tiality ( sub/ance use disord]  
pati5t records ,section #edc ( ! ,public
 ,heal? ,s]vice ,act 7#db ,u4,s4,c4     
#bij;dd-#b7 is am5d$-- 7#a7 9 ! section 
head+1 by ins]t+ sub/ance use disord]   
pati5t be=e records2  7#b7 by r$esignat+
 subsections 7a7 ?r\gh 7h7 z subsection 
7b7 ?r\gh 7i71 respectively2  7#c7 by   
ins]t+ be=e subsection 7b71 z s         
r$esignat$1 ! foll[+3  7a7 ,purpose ,x  
is ! purpose ( ?is section to protect ! 

confid5tiality ( sub/ance use disord]   
pati5t records4 ,except z provid$ 9     
subsection 7f71 su* records %all be     
confid5tial & may be disclos$ only = !  
purposes & "u ! circum/ances expressly  
au?oriz$ "u subsection 7c71 consi/5t ) !
 all[able uses & disclosures to c>ry out
 treatm5t1 paym5t1 or heal? c>e         
op]ations z def9$ 9 regulations         
promulgat$ "u section #bfd7;c7 ( !      
,heal? ,insurance ,portability &        
,acc\ntability ,act ( #aiif4  2  7#d7 9 
subsection 7b71 z s r$esignat$-- 7,a7 9 
! subsection head+1 by /rik+ ,requirem5t
 & ins]t+ ,def9ition2  7,b7 by /rik+    
,records & ins]t+ ,= purposes ( ?is     
section1 ! t]m sub/ance use disord]     
pati5t record means any record2  7,c7 by
 /rik+ :i* are & ins]t+ t is2 &  7,d7 by
 /rik+ %all1 except & all t foll[s ?r\gh
 subsection 7b72  7#e7 9 subsection 7c71
 z s r$esignat$--  7,a7 9 ! subsection  
head+1 by ins]t+ ( sub/ance use disord] 
pati5t records aft] disclosure2  7,b7 9 
p>agraph 7#a7--  7i7 by /rik+ ,! cont5t 

& ins]t+ ,except z describ$ 9 p>agraph  
7#b71 ! cont5t2  7ii7 by /rik+ record   
ref]r$ to 9 subsection 7a7 & ins]t+     
sub/ance use disord] pati5t record2 &   
7iii7 by /rik+ subsection 7g7 & ins]t+  
subsection 7h72 &  7,c7 by am5d+        
p>agraph 7#b7 to read z foll[s3  7#b7   
,p]mitt$ disclosure ,:e!r or n ! pati5t 
) respect to :om any sub/ance use       
disord] pati5t record ref]r$ is ma9ta9$ 
gives writt5 cons5t1 ! cont5t ( su*     
record may be us$ or disclos$ z foll[s3 
7,a7 ,9 connection ) ! provision (      
m$ical s]vices or heal? c>e to sub/ance 
use disord] pati5ts consi/5t ) !        
all[able uses & disclosures to c>ry out 
treatm5t1 paym5t1 or heal? c>e op]ations
 z describ$ 9 section #afd4ejf ( title  
#de1 ,code ( ,f$]al ,regulations1 or any
 successor regulation4  7,b7 ,to        
qualifi$ p]sonnel = ! purpose ( conduct+
 sci5tific rese>*1 managem5t audits1    
f9ancial audits1 or program evaluation1 
b su* p]sonnel may n id5tify1 directly  
or indirectly1 any individual pati5t 9  

any report ( su* rese>*1 audit1 or      
evaluation1 or o!rwise disclose pati5t  
id5tities 9 any mann]4  2  7#f7 9       
subsection 7d71 z s r$esignat$-- 7,a7 by
 /rik+ ,except z au?oriz$ & all t foll[s
 ?r\gh may be us$ & ins]t+ ! foll[+3    
7#a7 ,9 g5]al ,except z au?oriz$ by an  
appropriate ord] ( a c\rt ( compet5t    
jurisdiction grant$ aft] application %[+
 good cause !re=1 includ+ ! ne$ to av]t 
a sub/antial risk ( dea? or s]i\s bodily
 h>m3  7,a7 ,no sub/ance use disord]    
pati5t record may be us$ or disclos$ to 
a law en=cem5t (ficial  2 &  7,b7 by    
add+ at ! end ! foll[+3  7,b7 ,9 ! case 
( a use or disclosure ( ! cont5t ( a    
sub/ance use disord] pati5t record =    
purposes ( treatm5t1 paym5t1 or heal?   
c>e op]ations z provid$ = "u subsection 
7c71 no fur!r disclosure or             
re-disclosure ( su* record is all[$ to  
initiate or sub/antiate any crim9al     
*>ges aga9/ a pati5t or to conduct any  
inve/igation ( a pati5t4  7#b7          
,exclusion>y effect & dismissal ,any    

cont5t ( a sub/ance use disord] pati5t  
record t has be5 mi/ak5ly1 wrongfully1  
or int5tionally us$ or disclos$ to      
initiate or sub/antiate any crim9al     
*>ges aga9/ a pati5t or to conduct any  
inve/igation ( a pati5t 9 violation (   
p>agraph 7#a7--  7,a7 %all be exclud$ f 
evid5ce 9 any propos$ or actual proce$+s
 relat+ to su* crim9al *>ges or         
inve/igation2 &  7,b7 abs5t good cause  
%[n1 %all result 9 ! automatic dismissal
 ( any proce$+s = :i* ! cont5t ( !      
record 0 (f]$4  2  7#g7 9 subsection    
7h71 z s r$esignat$-- 7,a7 by /rik+     
subsection 7h7 & ins]t+ subsection 7i72 
&  7,b7 by /rik+ 1 includ+ proc$ures &  
crit]ia = ! issuance & scope ( ord]s "u 
subsection 7b77#b77;,c712 &  7#h7 9     
subsection 7i71 z s r$esignat$1 by /rik+
 subsection 7g7 & ins]t+ subsection 7h74