CIS/Index
Copyright © 1999, Congressional Information
Service, Inc.
99 CIS S 43126
TITLE:
Medical Records Confidentiality in a Changing Health Care
Environment
CIS-NO: 99-S431-26
SOURCE: Committee on Health,
Education, Labor, and Pensions. Senate
DOC-TYPE: Hearing Retrieve
the full text of testimony
DOC-NO: S. Hrg. 106-64
DATE: Apr. 27, 1999
LENGTH: iii+118 p.
CONG-SESS:
106-1
ITEM-NO: 1043-A; 1043-B
SUDOC: Y4.L11/4:S.HRG.106-64
SUMMARY:
Hearing to examine issues
relating to establishment of Federal standards to protect the confidentiality of
personal medical information, including methods of
accommodating the law enforcement need to access health
information records in investigations.
Also
considers S. 573, the Medical Information Privacy and Security
Act, S. 578, and S. 881, the Medical Information Protection
Act, all three to establish national standards to protect the confidentiality of
medical records.
Supplementary material (p.
90-118) includes submitted statements and witnesses' written replies to
Committee questions.
CONTENT-NOTATION:
Medical info confidentiality protection, Fed standards estab,
issues review
BILLS: 106
S. 573; 106
S. 578; 106
S. 881
DESCRIPTORS:
HEALTH FACILITIES AND SERVICES; RIGHT OF PRIVACY; MEDICAL
REGULATION; INFORMATION SERVICES AND SYSTEMS;
MEDICAL ETHICS; LAW ENFORCEMENT; MEDICAL INFORMATION
PRIVACY AND SECURITY ACT; MEDICAL INFORMATION
PROTECTION ACT
99-S431-26 TESTIMONY NO: 1 Apr. 27,
1999 p. 5-20
WITNESSES (and witness notations):
BENNETT, ROBERT F. (Sen, R-Utah)
LEAHY, PATRICK J. (Sen, D-Vt)
STATEMENTS
AND DISCUSSION:
Merits of sponsored S. 881 and S. 573.
CONTENT NOTATION:
Medical
info confidentiality protection, Fed standards estab, issues review
99-S431-26 TESTIMONY NO: 2 Apr. 27, 1999 p.
20-36
WITNESSES (and witness notations):
BENTIVOGLIO, JOHN T. (Special Counsel, Health Care Fraud,
Office of Deputy Attorney General, Department of Justice)
HUNT, LYNNE (Chief, Financial Crimes Section, FBI)
STATEMENTS AND DISCUSSION:
Importance of
accommodating law enforcement need to access health information
records in medical records confidentiality legislation; review
of law enforcement concerns regarding proposed medical records
legislation.
CONTENT NOTATION:
Medical info confidentiality protection,
Fed standards estab, issues review
TESTIMONY DESCRIPTORS:
FEDERAL BUREAU OF INVESTIGATION; DEPARTMENT OF JUSTICE
99-S431-26 TESTIMONY NO: 3 Apr. 27,
1999 p. 37-59
WITNESSES (and witness notations):
WEICH, RONALD H. (attorney, representing ACLU)
SHAPIRO, ROBYN S. (Director, Center for the Study of
Bioethics, Medical College of Wisconsin; representing ABA)
STATEMENTS AND DISCUSSION:
Support for
medical records privacy legislation, citing
need for Government agents to obtain judicial approval before receiving access
to medical records containing personally identifiable
information; need to limit disclosure of health
information to investigative or law enforcement officials to
specific circumstances where disclosure is necessary.
CONTENT
NOTATION:
Medical info confidentiality
protection, Fed standards estab, issues review
TESTIMONY
DESCRIPTORS:
AMERICAN CIVIL LIBERTIES UNION; COURTS
99-S431-26 TESTIMONY NO: 4 Apr. 27,
1999 p. 60-72
WITNESSES (and witness notations):
SHEDOR, LADONNA (Chief Information
Officer, Centra Health; representing Healthcare Leadership Council)
APPELBAUM, PAUL S. (Dr.) (Chairman, Department of
Psychiatry, University of Massachusetts Medical School;
representing American Psychiatric Association)
STATEMENTS AND
DISCUSSION:
Need for balanced medical
records privacy legislation that maintains patient
confidentiality while facilitating responsible use of patient
information; importance of maintaining patients'
medical records confidentiality.
CONTENT
NOTATION:
Medical info confidentiality
protection, Fed standards estab, issues review
TESTIMONY
DESCRIPTORS:
HEALTHCARE LEADERSHIP COUNCIL
99-S431-26 TESTIMONY NO: 5 Apr. 27, 1999 p.
72-90
WITNESSES (and witness notations):
CURD, JOHN G. (Dr.) (Vice President, Clinical Development,
Genentech, Inc)
KOYANAGI, CHRIS (Director, Policy, Judge
David L. Bazelon Center for Mental Health Law; representing Consumer Coalition
for Health Privacy)
STATEMENTS AND DISCUSSION:
Need to ensure that medical records
privacy legislation does not prevent medical
researcher access to information necessary to conduct
medical research; opposition to proposals to preempt existing
State laws relating to medical records privacy
and confidentiality.
CONTENT NOTATION:
Medical info confidentiality protection,
Fed standards estab, issues review
TESTIMONY DESCRIPTORS:
GENENTECH, INC.; FEDERAL-STATE RELATIONS;
MEDICAL RESEARCH; STATE LAWS 
