HIPAA Law Protects Against Improper Disclosure of Health Information by Health Care Providers

In June 2009, a 22-year-old Honolulu mother ofsensitive information.
three young children was sentenced to a year inUnder HIPAA's Security Rule, the standards for
prison for illegally accessing another woman'sthe protection of electronic information covered
medical records and posting on a MySpace pageby HIPAA are divided into three groups:
that she had HIV.Administrative safeguards, Physical safeguards
The State of Hawaii brought charges against theand Technical safeguards.
woman under a state statute criminalizing theA couple of the most significant required
unauthorized access to a computer; and whichsafeguards under HIPAA are the Administrative
categorized the conduct of the defendant as a"Sanction Policy" and "Security Awareness
class B felony.Training" safeguards.
According to accounts of the incidents that led toThe sanction policy standard requires a
the woman's conviction, there was a feudcommunication to all employees regarding the
between the victim and the victim's sister-in-law,disciplinary action that will be taken by the
a friend of the defendant. The defendant, whocovered entity for violations of HIPAA. The
worked as a patient service representative at thesanction policy should have a notice of civil or
hospital where the victim was a patient, accessedcriminal penalties for misuses or misappropriation
the computer for the victim's sister-in-law.of health information and make employees aware
Over the course of approximately ten months,that violations may result in notification to law
the defendant accessed the patient's medicalenforcement officials and regulatory, accreditation,
records three times through a computer. Afterand licensure organizations.
she learned of the victim's medical condition, theThe security awareness training standard requires
defendant posted on her MySpace page that theall employees, agents, and contractors to
victim had HIV. In a second posting, she said theparticipate in information security awareness
victim was dying of AIDS.training programs. Based on job responsibilities, the
The victim complained to hospital officials of thecovered entity should require individuals to attend
unauthorized access. After an internal investigationcustomized education programs that focus on
the hospital terminated the defendant'sissues regarding use of health information and
employment.responsibilities regarding confidentiality and security.
The defendant's conduct, of course, wasThe HIPAA privacy and security regulations
egregious and inexcusable. The one-year jail termrequire a privacy officer and security officer to
handed down by the Court exceeded the termbe designated by the covered entity. The privacy
recommended by the prosecutor. Nevertheless,and security officer should continually analyze and
beyond the issue of holding the defendantmanage risk by thoroughly assessing potential
accountable for her actions some may questionrisks and vulnerabilities, and implementing related
to what extent the hospital should bearsecurity measures.
responsibility for the breaches of confidentialityThe U.S. Department of Justice ("DOJ") clarified
that occurred.the penalties that may be assessed and against
Federal law imposes statutory burdens on healthwhom for HIPAA violations. Covered entities and
care providers to protect against the improperindividuals whom "knowingly" obtain or disclose
use or disclosure of private health information andindividually identifiable health information in violation
to reasonably limit uses and disclosures to theof HIPAA may be fined up to $50,000, as well as
minimum necessary to accomplish their intendedimprisonment up to one year.
purpose.Offenses committed under false pretenses allow
Specifically, the Health Insurance Portability andpenalties to be increased--a $100,000 fine, with up
Accountability Act of 1996's ("HIPAA") privacyto five years in prison. Finally, offenses committed
regulations became effective on April 14, 2003.with the intent to sell, transfer, or use individually
HIPAA is intended to protect consumers' healthidentifiable health information for commercial
information, allow consumers greater access andadvantage, personal gain or malicious harm permit
control to such information, enhance health care,fines of $250,000, and imprisonment for up to ten
and finally to create a national framework foryears.
health privacy protection. HIPAA covers healthGiven the security breach that led to the tragic
plans, health care clearinghouses, and those healthevents, including the one-year jail term for the
care providers that conduct certain financial anddefendant, Hawaii employers, health care
administrative transactions electronically.providers and health plans should review their
In addition to the privacy regulations, HIPAA'sprivacy and HIPAA policies and conduct an audit
security rules became effective on April 21, 2005.of their practices in order to protect against the
Together the privacy and security regulations areimproper use and disclosure of private health
the only national set of regulations that governsinformation and to reduce the risk of privacy
the use and disclosure of private, confidential andbreaches in their own organization.