1/6/2009
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The Clinton health care reform plan was released the same week that a new Lou Harris poll found high levels of concern about privacy among the American public. The health care reform proposal includes important privacy safeguards, but the measures may not go far enough to address public concerns.
The bill creates fair information practices for the collection and use of personal medical information. It mandates that holders of health information keep that information confidential unless there is authorization for its release by the patient or other limited exceptions. Each person who obtains private medical information becomes a trustee. Patients will also have the right to access, and correct their own personal files.
The health care reform proposal includes a strong code of fair information practices, and an explicit prohibitions on the use of medical record information for employment purposes. But the plan leaves open the question of whether the Social Security Number might be used as a patient identifier and also allows more than three years before full legislative safeguards are established.
(h) A patient who no longer has a debilitating medical condition shall return his or her registry identification card to the state health agency within twenty-four hours of receiving such diagnosis by his or her physician.
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