42 CFR Part 2

42 CFR Part 2 (“Part 2”) protects the confidentiality of substance use disorder ("SUD") treatment records. Under Part 2, federally assisted SUD treatment programs are prohibited from disclosing patient-identifying information…

First responders often gain access to sensitive information about people’s substance use disorders (SUD) and treatment. Protecting the privacy of this information is key to these individuals’ recovery. It also is required by law. This resource explains the limited circumstances under which two federal privacy laws apply to SUD information obtained by first responders. It also describes how these laws permit first responders to share protected information.

This resource addresses three common themes of questions from the CoE-PHI's July 2025 Webinar, Part 2 Final Rule: Implementing Changes to SUD Privacy Rules.

This module is designed to introduce you to the federal privacy laws that protect substance use disorder and mental health information. This includes HIPAA, 42 CFR Part 2, and FERPA.

Substance use providers can use this worksheet to guide conversations about consent to share information.

This video was developed for Substance Use Treatment Providers and is intended to model an effective, client-centered conversation between a Provider and their patient about concepts of privacy of substance use treatment information and navigating decisions about consenting to share treatment information.