,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #ccgd  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,m>* #c1 #bjbj,mr4     
,man*9 7= himself1 ,mrs4 ,capito1 ,mr4  
,:iteh\se1 ,mr4 ,cram]1 ,mrs4 ,fe9/e91  
,mr4 ,jones1 ,mr4 ,murphy1 ,mr4 ,tillis1
 ,ms4 ,coll9s1 ,ms4 ,h>ris1 ,mr4        
,cassidy1 ,ms4 ,klobu*>1 ,mr4 ,m]kley1 &
 ,mr4 ,k+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 
! #8,protect+ ,jessica ,grubb's ,legacy 
,act'4  #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#a7 ( section      
#edc7;b7 ( ! ,public ,heal? ,s]vice ,act
 7#db ,u4,s4,c4 #bij;dd-#b7;b77 is am5d$
 to read z foll[s3  7#a7 ,cons5t ,!     
foll[+ %all apply ) respect to ! cont5ts
 ( any record ref]r$ to 9 subsection    
7a73 7,a7 ,su* cont5ts may be us$ or    
disclos$ 9 accordance ) ! prior writt5  
cons5t ( ! pati5t ) respect to :om su*  
record is ma9ta9$4  7,b7 ,once prior    
writt5 cons5t ( ! pati5t has be5 obta9$1
 su* cont5ts may be us$ or disclos$ by a
 cov]$ entity1 bus9ess associate1 or a  
program subject to ?is section =        
purposes ( treatm5t1 paym5t1 & heal? c>e
 op]ations z p]mitt$ by ! ,,hipaa       
regulations4 ,any in=mation s disclos$  
may !n be r$isclos$ 9 accordance ) !    
,,hipaa regulations4 ,section #acdje7;c7
 ( ! ,heal? ,in=mation ,te*nology &     
,cl9ical ,heal? ,act 7#db ,u4,s4,c4     
#agice7;c77 %all apply to all           
disclosures pursuant to subsection      
7b77#a7 ( ?is section4  7,c7 ,x %all be 
p]missible = a pati5t's prior writt5    

cons5t to be giv5 once = all su* future 
uses or disclosures = purposes (        
treatm5t1 paym5t1 & heal? c>e op]ations1
 until su* "t z ! pati5t revokes su*    
cons5t 9 writ+4  7,d7 ,section          
#acdje7;a7 ( ! ,heal? ,in=mation        
,te*nology & ,cl9ical ,heal? ,act 7#db  
,u4,s4,c4 #agice7;a77 %all apply to all 
disclosures pursuant to subsection      
7b77#a7 ( ?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 is am5d$ by  
add+ at ! end ! foll[+3  7,d7 ,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 ,section #edc ( ! ,public  
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bij;dd-#b7 is am5d$ by add+ at ! end ! 
foll[+3  7k7 ,def9itions ,= purposes (  

?is section3 7#a7 ,brea* ,! t]m brea*   
has ! mean+ giv5 su* t]m = purposes ( ! 
,,hipaa regulations4  7#b7 ,bus9ess     
associate ,! t]m bus9ess associate has !
 mean+ giv5 su* t]m = purposes ( !      
,,hipaa regulations4  7#c7 ,cov]$ entity
 ,! t]m cov]$ entity has ! mean+ giv5   
su* t]m = purposes ( ! ,,hipaa          
regulations4  7#d7 ,heal? c>e op]ations 
,! t]m heal? c>e op]ations has ! mean+  
giv5 su* t]m = purposes ( ! ,,hipaa     
regulations4  7#e7 ,,hippa regulations  
,! t]m ,,hipaa regulations has ! mean+  
giv5 su* t]m = purposes ( p>ts #afj &   
#afd ( title #de1 ,code ( ,f$]al        
,regulations4  7#f7 ,paym5t ,! t]m      
paym5t has ! mean+ giv5 su* t]m =       
purposes ( ! ,,hipaa regulations4  7#g7 
,public heal? au?ority ,! t]m public    
heal? au?ority has ! mean+ giv5 su* t]m 
= purposes ( ! ,,hipaa regulations4     
7#h7 ,treatm5t ,! t]m treatm5t has !    
mean+ giv5 su* t]m = purposes ( !       
,,hipaa regulations4  7#i7 ,unsecur$    
protect$ heal? in=mation ,! t]m         

unprotect$ heal? in=mation has ! mean+  
giv5 su* t]m = purposes ( ! ,,hipaa     
regulations4  4  7e7 ,use ( records 9   
crim9al1 civil1 or adm9i/rative         
inve/igations1 actions1 or proce$+s     
,subsection 7c7 ( section #edc ( !      
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bij;dd-#b7;c77 is am5d$ 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 7a71 or te/imony relay+ !    
in=mation conta9$ !re91 may n be        
disclos$ or us$ 9 any civil1 crim9al1   
adm9i/rative1 or legislative proce$+s   
conduct$ by any ,f$]al1 ,/ate1 or local 
au?ority1 includ+ ) respect to ! foll[+ 
activities3 7#a7 ,su* record or te/imony
 %all n be ent]$ into evid5ce 9 any     
crim9al prosecution or civil action be=e
 a ,f$]al or ,/ate c\rt4  7#b7 ,su*     
record or te/imony %all n =m "p ( !     
record = decision or o!rwise be tak5    

into acc\nt 9 any proce$+ be=e a ,f$]al1
 ,/ate1 or local ag5cy4  7#c7 ,su*      
record or te/imony %all n be us$ by any 
,f$]al1 ,/ate1 or local ag5cy = a law   
en=cem5t purpose or to conduct any law  
en=cem5t inve/igation4  7#d7 ,su* record
 or te/imony %all n be us$ 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 ins]t+
 aft] subsection 7h7 ! 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 an    
inadv]t5t or int5tional disclosure (    
records1 or in=mation conta9$ 9 records1
 describ$ 9 subsection 7a7 9-- 7,a7     
admission1 access to1 or treatm5t =     
heal? c>e2  7,b7 hir+1 fir+1 or t]ms (  
employm5t1 or receipt ( work]'s         

comp5sation2  7,c7 ! sale1 r5tal1 or    
cont9u$ r5tal ( h\s+2  7,d7 access to   
,f$]al1 ,/ate1 or local c\rts2 or  7,e7 
access to1 approval (1 or ma9t5ance (   
social s]vices & b5efits provid$ or     
fund$ by ,f$]al1 ,/ate1 or local        
gov]nm5ts4  7#b7 ,recipi5ts ( ,f$]al    
funds ,no recipi5t ( ,f$]al funds %all  
discrim9ate aga9/ an individual on !    
basis ( in=mation receiv$ by su*        
recipi5t pursuant to an int5tional or   
inadv]t5t disclosure ( su* records or   
in=mation conta9$ 9 records describ$ 9  
subsection 7a7 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 ins]t+
 aft] subsection 7i7 ! foll[+3  7j7     
,notification 9 case ( brea* ,!         
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  4  7i7 ,regulations  7#a7  
,9 g5]al ,! ,secret>y ( ,heal? & ,human 
,s]vices1 9 consultation ) appropriate  
,f$]al ag5cies1 %all make su* revisions 
to regulations z may be necess>y =      
implem5t+ & en=c+ ! am5dm5ts made by ?is
 section1 su* t su* am5dm5ts %all apply 
) respect to uses & disclosures (       
in=mation occurr+ on or aft] ! date t is
 #ab mon?s aft] ! date ( enactm5t ( ?is 
,act4  7#b7 ,easily und]/&able notice ( 
privacy practices ,n lat] ?an #a ye>    
aft] ! date ( enactm5t ( ?is ,act1 !    
,secret>y ( ,heal? & ,human ,s]vices1 9 
consultation ) appropriate legal1       
cl9ical1 privacy1 & civil rights exp]ts1
 %all update section #afd4ebj ( title   
#de1 ,code ( ,f$]al ,regulations1 s t   
cov]$ entities & entities creat+ or     
ma9ta9+ ! records describ$ 9 subsection 
7a7 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         
subsection 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 subsection   
7b77#b7 ( su* section #afd4ebj74  7j7   
,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  7k7 ,s5se (     
,congress ,x is ! s5se ( ! ,congress t--
 7#a7 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 is     
enc\rag$ to access ! applicable         
,/ate-bas$ prescription drug monitor+   
program :5 cl9ically appropriate2  7#b7 
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#c7 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 
disclosure2  7#d7 = purposes ( apply+   
section #afd4eja ( title #de1 ,code (   
,f$]al ,regulations1 ! def9ition ( heal?
 c>e op]ations %all h ! mean+ giv5 su*  
t]m 9 su* section1 except t clause 7v7 (
 p>agraph 7#f7 %all n apply2 &  7#e7    
programs creat+ records ref]r$ to 9     
section #edc7;a7 ( ! ,public ,heal?     
,s]vice ,act 7#db ,u4,s4,c4             
#bij;dd-#b7;a77 %\ld receive positive   
inc5tives = discuss+ ) _! pati5ts !     
b5efits to cons5t+ to %>e su* records4