Overview

Title

To direct the Secretary of Health and Human Services to modify the HIPAA privacy regulation with respect to the disclosure of certain protected health information.

ELI5 AI

H.R. 6764, or the "Patient Privacy and Caregiver Awareness Act of 2023," is a plan to let doctors share people's mental health or substance use info for at least two years if the person says it's okay. It also makes sure they get a reminder a month before this sharing time is over.

Summary AI

H.R. 6764, known as the "Patient Privacy and Caregiver Awareness Act of 2023," aims to change how certain health information is shared under HIPAA rules. The bill directs the Secretary of Health and Human Services to update the regulations so that if someone gives permission to share their health information, specifically regarding mental health or substance use, the authorization must last at least two years. Additionally, the person will be notified 30 days before this authorization expires, ensuring they are informed about when their consent ends.

Published

2023-12-13
Congress: 118
Session: 1
Chamber: HOUSE
Status: Introduced in House
Date: 2023-12-13
Package ID: BILLS-118hr6764ih

Bill Statistics

Size

Sections:
2
Words:
438
Pages:
3
Sentences:
11

Language

Nouns: 146
Verbs: 28
Adjectives: 26
Adverbs: 3
Numbers: 16
Entities: 29

Complexity

Average Token Length:
4.52
Average Sentence Length:
39.82
Token Entropy:
4.63
Readability (ARI):
23.44

AnalysisAI

General Summary of the Bill

The bill in question, titled the “Patient Privacy and Caregiver Awareness Act of 2023,” proposes to amend the existing HIPAA privacy regulations. The focus of the amendment is on the privacy and sharing of protected health information related to mental health conditions and substance use disorders. Specifically, it mandates that if individuals provide consent for their health information to be shared, the authorization must remain valid for a minimum of two years. Additionally, it requires that individuals be given written notice 30 days before this authorization expires. The Secretary of Health and Human Services is tasked with implementing these changes within one year of the bill's enactment.

Summary of Significant Issues

Several potential issues arise from this legislative proposal:

  1. Patient Autonomy: By extending the duration of authorization for sharing health information to at least two years, the bill could inadvertently reduce the frequency with which individuals re-evaluate their consent. This could undermine patients' autonomy over their sensitive health data.

  2. Administrative Challenges: The requirement for written notification 30 days before the expiration of the authorization introduces additional administrative responsibilities. These could prove burdensome for healthcare providers, particularly smaller entities that may not have efficient systems in place for managing such notifications.

  3. Implementation Costs: The bill does not provide details on the financial implications of revising the HIPAA regulations. Without a clear understanding of potential costs, there is a risk of unanticipated spending for both healthcare providers and the Department of Health and Human Services.

  4. Ambiguities in Definition: Terms such as 'mental health condition' and 'substance use disorder' are not explicitly defined within the bill. This could lead to inconsistent interpretations and application across different healthcare entities.

  5. Compliance Challenges: The bill outlines new requirements but lacks detailed guidance for execution and monitoring, possibly leading to compliance difficulties.

Impact on the Public

The bill endeavors to balance patient privacy with the need for efficient healthcare information sharing. By extending the expiry of authorized information sharing, it aims to streamline processes for ongoing care in mental health and substance use contexts. However, it might make it harder for patients who wish to alter or revoke permission more frequently, thus impacting patient control over personal health information.

Impact on Specific Stakeholders

Healthcare Providers: The bill's requirements could benefit large healthcare entities with robust administrative systems by providing clarity on consent durations. However, smaller providers might struggle with additional administrative work, potentially impacting service efficiency or causing resource constraints.

Patients: Individuals dealing with mental health and substance use issues stand to gain from simplified care coordination due to less frequent need for consent renewals. Nevertheless, they may feel a loss of control over personal information management due to the extended duration of consent.

Policymakers and Regulatory Bodies: Implementing the bill's provisions would require the Department of Health and Human Services to allocate resources for updating regulations. The lack of defined terms could necessitate further legislative or regulatory clarifications to ensure uniform application.

Overall, the bill hopes to enhance the care of individuals with mental health and substance use conditions, yet it raises questions about privacy, administrative efficiency, and financial burden that must be thoughtfully addressed to avoid negative repercussions.

Issues

  • The bill requires the modification of HIPAA privacy regulations to extend the expiration date of authorizations related to mental health and substance use disorders to at least 2 years. This change may interfere with patient autonomy, as it potentially reduces the frequency with which individuals reassess their consent for sharing sensitive health information. (Section 2)

  • The requirement for written notice 30 days before the expiration of authorization may introduce logistical challenges for covered entities, possibly increasing administrative burdens and costs, especially for smaller healthcare providers lacking scalable systems. (Section 2)

  • The legislation does not specify any financial implications or potential costs associated with revising the HIPAA privacy regulation, potentially leading to unanticipated spending and resource allocation issues for covered entities and the Department of Health and Human Services. (Section 2)

  • The bill relies on undefined terms such as 'mental health condition' and 'substance use disorder', which could result in inconsistent interpretations across various entities, affecting the uniform implementation of the policy. (Section 2)

  • While the bill provides some definitions, there is potential for ambiguity in terms of how the new requirements should be executed and monitored, possibly leading to compliance challenges without additional guidance. (Section 2)

Sections

Sections are presented as they are annotated in the original legislative text. Any missing headers, numbers, or non-consecutive order is due to the original text.

1. Short title Read Opens in new tab

Summary AI

The first section of the Act provides its official title, which is the “Patient Privacy and Caregiver Awareness Act of 2023.”

2. Modification of HIPAA privacy regulation Read Opens in new tab

Summary AI

The Secretary of Health and Human Services is required to revise the HIPAA privacy regulation within a year to ensure that when someone gives permission for their health information related to mental health or substance use to be shared, this permission lasts at least two years and the person is notified 30 days before it expires.