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Small employer health plans must become compliant with HIPAA- Health Insurance
Portability and Accountability Act privacy rules
Manufacturing News Center
Seattle, WA (USA)-- May 16, 2004-- As of April 14, 2004, small health
plans (those with annual receipts of $5 million or less) must become
compliant with the HIPAA (Health Insurance Portability and Accountability
Act) privacy rules.
And while many of these plans (particularly fully insured plans) will
have relatively little to fear, the prudent small businessperson will
want to review the literature and his or her procedures to make sure
their policies and procedures are up to snuff.
Who must comply with these new HIPAA privacy standards?
As required by Congress in HIPAA, the Privacy Rule covers:
- Health plans
- Health care clearinghouses
- Health care providers who conduct certain financial and administrative
transactions electronically. These electronic transactions are those
for which standards have been adopted by the Secretary under HIPAA,
such as electronic billing and fund transfers.
These entities (collectively called covered entities) are bound by the
new privacy standards even if they contract with others (called business
associates) to perform some of their essential functions. The law does
not give the Department of Health and Human Services (HHS) the authority
to regulate other types of private businesses or public agencies through
this regulation. For example, HHS does not have the authority to regulate
employers, life insurance companies, or public agencies that deliver
social security or welfare benefits. See the fact sheet and frequently
asked questions and for more information, visit the
general HIPAA Privacy page at HHS/Office of Civil Rights: Office
for Civil Rights - HIPAA Medical Privacy - National Standards to Protect
the Privacy of Personal Health Information.
Questions and Answers the Q & A page
- U.S. Department of Health & Human Services - 200 Independence Avenue,
S.W. - Washington, D.C. 20201.
The NAM (National Association of Manufacturers) has sponsored a compliance
guide for HIPAA privacy.
National Association of Manufacturers
1331 Pennsylvania Ave.,
NW Washington, DC 20004-1790
Phone: (202) 637-3000 Fax: (202) 637-3182
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