Central Registries and Confidentiality of SUD Records, 42 CFR Part 2
Data Privacy Considerations for OTPs and State Authorities

Central registries for opioid treatment programs (OTPs) manage limited patient information to help identify whether a patient is already enrolled in another OTP and to support coordinated care. Learn how central registries can manage patient data while complying with the federal confidentiality protections in 42 CFR Part 2.
This resource was authored by Jacqueline Seitz, JD.
Key Points
- Federal law – 42 CFR Part 2 (“Part 2”) – protects patient records at opioid treatment programs (OTPs)
- Part 2 permits limited disclosures for limited purposes to central registries, with patient consent
- Patient consent must be knowing, voluntary, and specific about what will be shared and how it will be used
Type
Law
Author
- CoE-PHI
Date
September 2026