Sharing and protecting records

During the COVID-19 public health emergency (PHE) the U.S. Department of Health and Human Services’ (HHS) Office for Civil Rights (OCR) sought to increase access to treatment by issuing guidance on the use of remote communication technologies, including audio-only technology (e.g.,Voice over Internet Protocol (VoIP) and mobile technologies that use electronic media such as the internet, intra-and extranets, cellular, and Wi-Fi), to provide telehealth2 in compliance with HIPAA. While the PHE ended on May 11, 2023, OCR’s guidance on the use of audio-only technology for telehealth remains in effect.

Many patients receive substance use disorder (SUD) treatment and related services at integrated healthcare facilities such as community mental health centers (CMHCs) or certified community behavioral health centers (CCBHCs). Some SUD providers at CMHCs or CCBHCs may be subject to the federal law and regulations for substance use disorder treatment records under 42 CFR Part 2. This resource describes key privacy considerations for patients’ SUD treatment records that originate from a Part 2 program or provider within a CMHC.

This module is designed to help professionals who provide or administer SUD-related services identify what constitutes an emergency, who may serve as a patient's emergency contact, and what a Part 2 program should do to obtain emergency contact information.

CoE-PHI resource that describes the Information Blocking Rule and explains that it does not preempt stricter privacy laws and regulations such as 42 CFR Part 2.

The U.S. Department of Health and Human Services (HHS), through the Office for Civil Rights (OCR) and the Substance Abuse and Mental Health Services Administration (SAMHSA), has announced proposed changes to the Confidentiality of Substance Use Disorder (SUD) Patient Records under 42 CFR part 2 ("Part 2"). This HHS Fact Sheet describes the proposed changes.

This framework can help answer a fundamental question: “How are we considering the impacts to individuals as we develop our state’s 988 crisis response network?”