HIPAA Privacy Rule and Care Coordination

As part of the Department's Regulatory Sprint to Coordinated Care, OCR is issuing a Notice of Proposed Rulemaking (NPRM) to modify the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule to support individuals' engagement in their health care, remove barriers to coordinated care, and decrease regulatory burdens on the health care industry, while continuing to protect individuals' health information privacy interests.

OCR developed many of the proposals in the NPRM in response to public comments received in response to its 2018 Request for Information (RFI) on Modifying the HIPAA Rules to Improve Coordinated Care.

The NPRM requests public comment on proposed changes to the Privacy Rule, including proposals to:

• Strengthen individuals' rights to access their own health information, including electronic information.
• Improve information sharing for care coordination and case management for individuals.
• Facilitate family and caregiver involvement in the care of individuals experiencing emergencies or health crises.
• Enhance flexibilities for disclosures in emergency or threatening circumstances, such as the Opioid and COVID-19 public health emergencies.
• Reduce administrative burdens on HIPAA covered health care providers and health plans.

The estimated total cost saving from this proposed regulatory reform is $3.2 billion over five years.

The comment period will run for 60 days from publication of the proposed rule in the Federal Register.  Comments can be submitted at https://www.regulations.gov/.

OCR encourages comments from all stakeholders, including patients and their families, HIPAA covered entities (health plans, health care clearinghouses, and most health care providers) and their business associates, consumer advocates, health care professional associations, health information management professionals, health information technology vendors, and government entities.

• View the NPRM*, **
• View the NPRM Fact Sheet**
• View the NPRM Press Release
• View the RFI in the Federal Register
• View the RFI Press Release

*This HHS-approved document is being submitted to the Office of the Federal Register (OFR) for publication and has not yet been placed on public display or published in the Federal Register.  This document may vary slightly from the published document if minor editorial changes are made during the OFR review process.  The document published in the Federal Register is the official HHS-approved document.

** People using assistive technology may not be able to fully access information in this file. For assistance, contact the HHS Office for Civil Rights at (800) 368-1019, TDD toll-free: (800) 537-7697, or by emailing OCRMail@hhs.gov.