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Copyright 1999 Boston Herald Inc.  
The Boston Herald

May 14, 1999 Friday THIRD EDITION

SECTION: FINANCE; Pg. 033

LENGTH: 346 words

HEADLINE: Bill bolsters medical information privacy

BYLINE: By JENNIFER HELDT POWELL

BODY:
Dr. Charles Welch wasn't surprised when a lawyer brought up Welch's medical history during an interview about an unrelated issue.

"It happens all the time," he said. "Once (your history) leaves your doctor's office, it's a commodity - it can be bought or sold." Insurance companies require patients to give them access to their records, but there are no laws to keep others - including employers and marketers - from also getting their hands on them.

That would change with a proposal heard yesterday by the joint Senate and House Health Care Committee.

"Privacy of medical records is not just a right, it's a necessary for good health," Welch said, testifying for the Massachusetts Medical Society.

The bill would require the patient's informed consent before any information that includes a patient identity is released or used. It would also require a record of anyone who had access to a patient's medical file.

Patients who fear their medical records will be shared with others may not go to a doctor or may withhold information that's vital to treatments, said advocates of the proposal.

"A visit to your doctor's office should not be like a job interview," Daniel A. Grabauskas, state consumer affairs director, told the committee.

"Neither the patient nor the doctor gains when patients provide only estimable information while withholding crucial but embarrassing or incriminating information."

Under the proposal, patients would have the right to copy, amend or add to their own medical records.

Patient records could be used for research only if they are provided without identifying the patient. Identifiable information could only be used for research that meets strict criteria, such as a public health need.

Doctors would assume the bulk of the responsibility for carrying out the new law. They would have to educate their patients, set up approval procedures and take on increased legal liability.

There would be civil and criminal penalties for violations.

Critics of the bill included the pharmaceutical and life insurance industries.

LOAD-DATE: May 15, 1999




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