,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #ajab  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #c1 #bjai,mr4   
,man*9 7= himself1 ,mrs4 ,capito1 ,mr4  
,:iteh\se1 ,ms4 ,h>ris1 ,ms4 ,klobu*>1  
,mrs4 ,fe9/e91 ,mr4 ,k+1 ,mr4 ,tillis1  
,ms4 ,coll9s1 ,mr4 ,cassidy1 & ,mr4     
,cram]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   
,act4  #b4 ,confid5tiality & disclosure 
( records relat+ to sub/ance use disord]
  7a7 ,con=m+ *anges relat+ to sub/ance 
use disord] ,subsections 7a7 & 7h7 (    
section #edc ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bij;dd-#b7 are ea* 
am5d$ by /rik+ sub/ance abuse & ins]t+  
sub/ance use disord]4  7b7 ,disclosures 
to cov]$ entities consi/5t ) ,,hipaa    
,p>agraph 7#b7 ( section #edc7;b7 ( !   

,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bij;dd-#b7;b77 is am5d$ by   
add+ at ! end ! foll[+3  7,d7 ,to a     
cov]$ entity or to a program or activity
 describ$ 9 subsection 7a71 = ! purposes
 ( treatm5t1 paym5t1 & heal? c>e        
op]ations1 s long z su* disclosure is   
made 9 accordance ) ,,hipaa privacy     
regulation4 ,any r$isclosure ( in=mation
 s disclos$ may only be made 9          
accordance ) ?is section4  4  7c7       
,disclosures ( de-,id5tifi$ heal?       
in=mation to public heal? au?orities    
,p>agraph 7#b7 ( section #edc7;b7 ( !   
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bij;dd-#b7;b771 z am5d$ by   
subsection 7b71 is fur!r am5d$ by add+  
at ! end ! foll[+3  7,e7 ,to a public   
heal? au?ority1 s long z su* cont5t     
meets ! /&>ds e/abli%$ 9 section        
#afd4ead7;b7 ( title #de1 ,code ( ,f$]al
 ,regulations 7or successor regulations7
 = creat+ de-id5tifi$ in=mation4  4  7d7
 ,def9itions ,subsection 7b7 ( section  
#edc ( ! ,public ,heal? ,s]vice ,act    

7#db ,u4,s4,c4 #bij;dd-#b7 is am5d$ by  
add+ at ! end ! foll[+3  7#c7           
,def9itions ,= purposes ( ?is           
subsection3 7,a7 ,cov]$ entity ,! t]m   
cov]$ entity has ! mean+ giv5 su* t]m = 
purposes ( ,,hipaa privacy regulation4  
7,b7 ,heal? c>e op]ations ,! t]m heal?  
c>e op]ations has ! mean+ giv5 su* t]m =
 purposes ( ,,hipaa privacy regulation4 
7,c7 ,,hipaa privacy regulation ,! t]m  
,,hipaa privacy regulation has ! mean+  
giv5 su* t]m "u section #aahj7;b77#c7 ( 
! ,social ,security ,act4  7,d7         
,individually id5tifiable heal?         
in=mation ,! t]m individually           
id5tifiable heal? in=mation has ! mean+ 
giv5 su* t]m = purposes ( ,,hipaa       
privacy regulation4  7,e7 ,paym5t ,! t]m
 paym5t has ! mean+ giv5 su* t]m =      
purposes ( ,,hipaa privacy regulation4  
7,f7 ,public heal? au?ority ,! t]m      
public heal? au?ority has ! mean+ giv5  
su* t]m = purposes ( ,,hipaa privacy    
regulation4  7,g7 ,treatm5t ,! t]m      
treatm5t has ! mean+ giv5 su* t]m =     

purposes ( ,,hipaa privacy regulation4  
4  7e7 ,use ( records 9 crim9al1 civil1 
or adm9i/rative inve/igations1 actions1 
or proce$+s ,subsection 7c7 ( section   
#edc ( ! ,public ,heal? ,s]vice ,act    
7#db ,u4,s4,c4 #bij;dd-#b7 is am5d$ to  
read z foll[s3  7c7 ,use ( records 9    
crim9al1 civil1 or adm9i/rative contexts
 ,except z o!rwise au?oriz$ by a c\rt   
ord] "u subsection 7b77#b77;,c7 or by ! 
cons5t ( ! pati5t1 a record ref]r$ to 9 
subsection 7a7 may n-- 7#a7 be ent]$    
into evid5ce 9 any crim9al prosecution  
or civil action be=e a ,f$]al or ,/ate  
c\rt2  7#b7 =m "p ( ! record = decision 
or o!rwise be tak5 into acc\nt 9 any    
proce$+ be=e a ,f$]al ag5cy2  7#c7 be   
us$ by any ,f$]al1 ,/ate1 or local ag5cy
 = a law en=cem5t purpose or to conduct 
any law en=cem5t inve/igation ( a       
pati5t2 or  7#d7 be us$ 9 any           
application = a w>rant4  4  7f7         
,p5alties ,subsection 7f7 ( section #edc
 ( ! ,public ,heal? ,s]vice ,act 7#db   
,u4,s4,c4 #bij;dd-#b7 is am5d$ to read z

 foll[s3  7f7 ,p5alties ,! provisions ( 
sections #aagf & #aagg ( ! ,social      
,security ,act %all apply to a violation
 ( ?is section to ! ext5t & 9 ! same    
mann] z su* provisions apply to a       
violation ( "p ,c ( title ,,xi ( su*    
,act4 ,9 apply+ ! previ\s s5t5ce-- 7#a7 
! ref]5ce to ?is subsection 9 subsection
 7a77#b7 ( su* section #aagf %all be    
treat$ z a ref]5ce to ?is subsection    
7includ+ z appli$ pursuant to section   
#edc7;f7 ( ! ,public ,heal? ,s]vice     
,act72 &  7#b7 9 subsection 7b7 ( su*   
section #aagf-- 7,a7 ea* ref]5ce to a   
p5alty impos$ "u subsection 7a7 %all be 
treat$ z a ref]5ce to a p5alty impos$ "u
 subsection 7a7 7includ+ z appli$       
pursuant to section #edc7;f7 ( ! ,public
 ,heal? ,s]vice ,act72 &  7,b7 ea*      
ref]5ce to no damages obta9$ "u         
subsection 7d7 %all be treat$ z a       
ref]5ce to no damages obta9$ "u         
subsection 7d7 7includ+ z appli$        
pursuant to section #edc7;f7 ( ! ,public
 ,heal? ,s]vice ,act74  4  7g7          

,antidiscrim9ation ,section #edc ( !    
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bij;dd-#b7 is am5d$ by add+  
at ! end ! foll[+3  7i7                 
,antidiscrim9ation  7#a7 ,9 g5]al ,no   
entity %all discrim9ate aga9/ an        
individual on ! basis ( in=mation       
receiv$ by su* entity pursuant to a     
disclosure made "u subsection 7b7 9--   
7,a7 admission or treatm5t = heal? c>e2 
7,b7 hir+ or t]ms ( employm5t2  7,c7 !  
sale or r5tal ( h\s+2 or  7,d7 access to
 ,f$]al1 ,/ate1 or local c\rts4  7#b7   
,recipi5ts ( ,f$]al funds ,no recipi5t (
 ,f$]al funds %all discrim9ate aga9/ an 
individual on ! basis ( in=mation       
receiv$ by su* recipi5t pursuant to a   
disclosure made "u subsection 7b7 9     
af=d+ access to ! s]vices provid$ ) su* 
funds4  4  7h7 ,notification 9 case (   
brea* ,section #edc ( ! ,public ,heal?  
,s]vice ,act 7#db ,u4,s4,c4 #bij;dd-#b71
 z am5d$ by subsection 7g71 is fur!r    
am5d$ by add+ at ! end ! foll[+3  7j7   
,notification 9 case ( brea*  7#a7      

,application ( ,,hite* notification (   
brea* provisions ,! provisions ( section
 #acdjb ( ! ,,hite* ,act 7#db ,u4,s4,c4 
#agicb7 %all apply to a program or      
activity describ$ 9 subsection 7a71 9   
case ( a brea* ( records describ$ 9     
subsection 7a71 to ! same ext5t & 9 !   
same mann] z su* provisions apply to a  
cov]$ entity 9 ! case ( a brea* (       
unsecur$ protect$ heal? in=mation4  7#b7
 ,def9itions ,9 ?is subsection1 ! t]ms  
cov]$ entity & unsecur$ protect$ heal?  
in=mation h ! mean+s giv5 to su* t]ms = 
purposes ( su* section #acdjb4  4  7i7  
,s5se ( ,congress ,x is ! s5se ( !      
,congress t any p]son treat+ a pati5t   
?r\gh a program or activity ) respect to
 :i* ! confid5tiality requirem5ts (     
section #edc ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bij;dd-#b7 apply   
%\ld access ! applicable ,/ate-bas$     
prescription drug monitor+ program z a  
precaution aga9/ sub/ance use disord]4  
7j7 ,regulations  7#a7 ,9 g5]al ,!      
,secret>y ( ,heal? & ,human ,s]vices1 9 

consultation ) appropriate ,f$]al       
ag5cies1 %all make su* revisions to     
regulations z may be necess>y =         
implem5t+ & en=c+ ! am5dm5ts made by ?is
 section1 su* t su* am5dm5ts %all apply 
) respect to uses & disclosures (       
in=mation occurr+ on or aft] ! date t is
 #ab mon?s aft] ! date ( enactm5t ( ?is 
,act4  7#b7 ,easily und]/&able notice ( 
privacy practices ,n lat] ?an #a ye>    
aft] ! date ( enactm5t ( ?is ,act1 !    
,secret>y ( ,heal? & ,human ,s]vices1 9 
consultation ) appropriate exp]ts1 %all 
update section #afd4ebj ( title #de1    
,code ( ,f$]al ,regulations1 s t cov]$  
entities provide notice1 writt5 9 pla9  
language1 ( privacy practices reg>d+    
pati5t records ref]r$ to 9 section      
#edc7;a7 ( ! ,public ,heal? ,s]vice ,act
 7#db ,u4,s4,c4 #bij;dd-#b7;a771        
includ+-- 7,a7 a /atem5t ( ! pati5t's   
rights1 includ+ self-pay pati5ts1 )     
respect to protect$ heal? in=mation & a 
brief description ( h[ ! individual may 
ex]cise ^! rights 7z requir$ by p>agraph

 7b77#a77;iv7 ( su* section #afd4ebj72 &
  7,b7 a description ( ea* purpose = :i*
 ! cov]$ entity is p]mitt$ or requir$ to
 use or disclose protect$ heal?         
in=mation )\t ! pati5t's writt5         
au?orization 7z requir$ by p>agraph     
7b77#b7 ( su* section #afd4ebj74  7k7   
,developm5t & dissem9ation ( model tra9+
 programs = sub/ance use disord] pati5t 
records  7#a7 ,initial programs &       
mat]ials ,n lat] ?an #a ye> aft] ! date 
( ! enactm5t ( ?is ,act1 ! ,secret>y (  
,heal? & ,human ,s]vices 7ref]r$ to 9   
?is subsection z ! ,secret>y71 9        
consultation ) appropriate exp]ts1 %all 
id5tify ! foll[+ model programs &       
mat]ials 7or if no su* programs or      
mat]ials exi/1 recognize private or     
public entities to develop & dissem9ate 
su* programs & mat]ials73 7,a7 ,model   
programs & mat]ials = tra9+ heal? c>e   
provid]s 7includ+ physicians1 em]g5cy   
m$ical p]sonnel1 psy*iatri/s1           
psy*ologi/s1 c\nselors1 !rapi/s1 nurse  
practition]s1 physician assi/ants1      

behavioral heal? facilities & cl9ics1   
c>e manag]s1 & hospitals1 includ+       
individuals su* z g5]al c\nsels or      
regulatory compliance /aff :o are       
responsible = e/abli%+ provid] privacy  
policies7 conc]n+ ! p]mitt$ uses &      
disclosures1 consi/5t ) ! /&>ds &       
regulations gov]n+ ! privacy & security 
( sub/ance use disord] pati5t records   
promulgat$ by ! ,secret>y "u section    
#edc ( ! ,public ,heal? ,s]vice ,act    
7#db ,u4,s4,c4 #bij;dd-#b71 z am5d$ by  
?is section1 = ! confid5tiality ( pati5t
 records4  7,b7 ,model programs &       
mat]ials = tra9+ pati5ts & _! families  
reg>d+ _! rights to protect & obta9     
in=mation "u ! /&>ds & regulations      
describ$ 9 subp>agraph 7,a74  7#b7      
,requirem5ts ,! model programs &        
mat]ials describ$ 9 subp>agraphs 7,a7 & 
7,b7 ( p>agraph 7#a7 %all address       
circum/ances "u :i* disclosure (        
sub/ance use disord] pati5t records is  
ne$$ to-- 7,a7 facilitate communication 
betwe5 sub/ance use disord] treatm5t    

provid]s & o!r heal? c>e provid]s to    
promote & provide ! be/ possible        
integrat$ c>e2  7,b7 avoid inappropriate
 prescrib+ t c lead to dang]\s drug     
int]actions1 ov]dose1 or relapse2 &     
7,c7 notify & involve families &        
c>egiv]s :5 individuals exp]i5ce an     
ov]dose4  7#c7 ,p]iodic updates ,!      
,secret>y %all-- 7,a7 p]iodically review
 & update ! model programs & mat]ials   
id5tifi$ or develop$ "u p>agraph 7#a72 &
  7,b7 dissem9ate su* updat$ programs & 
mat]ials to ! individuals describ$ 9    
p>agraph 7#a77;,a74  7#d7 ,input ( c]ta9
 entities ,9 id5tify+1 review+1 or      
updat+ ! model programs & mat]ials "u   
?is subsection1 ! ,secret>y %all solicit
 ! input ( relevant /akehold]s4  7l7    
,rules ( con/ruction ,no?+ 9 ?is ,act or
 ! am5dm5ts made by ?is ,act %all be    
con/ru$ to limit-- 7#a7 a pati5t's "r1 z
 describ$ 9 section #afd4ebb ( title    
#de1 ,code ( ,f$]al ,regulations1 or any
 successor regulation1 to reque/ a      
re/riction on ! use or disclosure ( a   

record ref]r$ to 9 section #edc7;a7 ( ! 
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bij;dd-#b7;a77 = purposes (  
treatm5t1 paym5t1 or heal? c>e          
op]ations2 or  7#b7 a cov]$ entity's    
*oice1 z describ$ 9 section #afd4ejf (  
title #de1 ,code ( ,f$]al ,regulations1 
or any successor regulation1 to obta9 ! 
cons5t ( ! individual to use or disclose
 a record ref]r$ to 9 su* section       
#edc7;a7 to c>ry out treatm5t1 paym5t1  
or heal? c>e op]ation4  7m7 ,s5se (     
,congress ,x is ! s5se ( ! ,congress t--
 7#a7 pati5ts h ! "r to reque/ a        
re/riction on ! use or disclosure ( a   
record ref]r$ to 9 section #edc7;a7 ( ! 
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bij;dd-#b7;a77 = treatm5t1   
paym5t1 or heal? c>e op]ations2 &  7#b7 
cov]$ entities %\ld make e reasonable   
ef=t to ! ext5t feasible to comply ) a  
pati5t's reque/ = a re/riction reg>d+   
su* use or disclosure4