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The Health
Insurance Portability and Accountability Act (HIPAA) of
1996,
Public Law 104-191 was signed on August 21, 1996.
Part 1: Portability of
Health Coverage was effective for plan years beginning
on or after June 1, 1997, although certification of
coverage was effective June 1, 1997 for all plans. The
protections include Limits on pre-existing condition
exclusions, including credit for prior coverage,
expanded enrollment rights, non-discrimination rules,
guaranteed availability for small employers, and
guaranteed renewability for all employers.
http://www.dol.gov/ebsa/newsroom/fshipaa.html
(Portability of Health Coverage Overview)
http://www.dol.gov/ebsa/faqs/faq_consumer_hipaa.html
(Portability Q&A)
http://www.dol.gov/ebsa/publications/caghp.html
(Compliance guide (small entity): HIPAA, WHCRA, Newborns
Act, MHPA)
Part 2: Administrative
Simplicity and Privacy
To improve the efficiency and
effectiveness of the health care system, HIPAA included
“Administrative Simplification” provisions that required
HHS to adopt national standards for electronic health
care transactions. At the same time, Congress
recognized that advances in electronic technology could
erode the privacy of health information. Consequently,
Congress incorporated into HIPAA provisions that
mandated the adoption of Federal privacy protections for
individually identifiable health information.
Regulations issued in December,
2000 set national standards for the protection of health
information which applied to the three types of covered
entities: health plans, health care clearinghouses, and
health care providers who conduct certain health care
transactions electronically. By the compliance date of
April 14, 2003 (April 14, 2004, for small health plans),
covered entities must implement standards to protect and
guard against the misuse of individually identifiable
health information.
http://www.cms.gov/hipaa/hipaa2/default.asp
Electronic Data Transmission: Transaction and Code Sets
– Security – Identifiers (Provider/Employer/Health Plan)
http://answers.hhs.gov/cgi-bin/hhs.cfg/php/enduser/std_alp.php?p_sid=ySEcB8Eg&p_lva=&p_li=&p_page=1&p_cat_lvl1=7&p_cat_lvl2=%7Eany%7E&p_search_text=&p_new_search=1
(Privacy: Q&A)
http://www.hhs.gov/ocr/ (Privacy Overall)
http://www.hhs.gov/ocr/hipaa/smallbusiness.html
(Small Provider / Business)
http://privacyruleandresearch.nih.gov/pr_02.asp
(Researchers) |