Health Insurance Portability and Accountability Act

Health Insurance Portability and Accountability Act of 1996
Great Seal of the United States
Other short titlesKassebaum–Kennedy Act, Kennedy–Kassebaum Act
Long titleAn Act To amend the Internal Revenue Code of 1986 to improve portability and continuity of health insurance coverage in the group and individual markets, to combat waste, fraud, and abuse in health insurance and health care delivery, to promote the use of medical savings accounts, to improve access to long-term care services and coverage, to simplify the administration of health insurance, and for other purposes.
Acronyms (colloquial)HIPAA (pronounced /ˈhɪpə/ HIP-uh)
Enacted bythe 104th United States Congress
Citations
Public lawPub. L.Tooltip Public Law (United States) 104–191 (text) (PDF)
Statutes at Large110 Stat. 1936
Legislative history

The Health Insurance Portability and Accountability Act of 1996 (HIPAA or the KennedyKassebaum Act[1][2]) is a United States Act of Congress enacted by the 104th United States Congress and signed into law by President Bill Clinton on August 21, 1996.[3] It aimed to alter the transfer of healthcare information, stipulated the guidelines by which personally identifiable information maintained by the healthcare and healthcare insurance industries should be protected from fraud and theft,[4] and addressed some limitations on healthcare insurance coverage. It generally prohibits healthcare providers and businesses called covered entities from disclosing protected information to anyone other than a patient and the patient's authorized representatives without their consent. The bill does not restrict patients from receiving information about themselves (with limited exceptions).[5] Furthermore, it does not prohibit patients from voluntarily sharing their health information however they choose, nor does it require confidentiality where a patient discloses medical information to family members, friends or other individuals not employees of a covered entity.

The act consists of 5 titles:

  1. Title I protects health insurance coverage for workers and their families when they change or lose their jobs.[6]
  2. Title II, known as the Administrative Simplification (AS) provisions, requires the establishment of national standards for electronic health care transactions and national identifiers for providers, health insurance plans, and employers.[7]
  3. Title III sets guidelines for pre-tax medical spending accounts.
  4. Title IV sets guidelines for group health plans.
  5. Title V governs company-owned life insurance policies.
  1. ^ Atchinson, Brian K.; Fox, Daniel M. (May–June 1997). "The Politics Of The Health Insurance Portability And Accountability Act" (PDF). Health Affairs. 16 (3): 146–150. doi:10.1377/hlthaff.16.3.146. PMID 9141331. Archived from the original (PDF) on 2014-01-16. Retrieved 2014-01-16.
  2. ^ "104th Congress, 1st Session, S.1028" (PDF). Archived (PDF) from the original on 2012-06-16.
  3. ^ "Health insurance portability and accountability act of 1996". Public Law.
  4. ^ Edemekong, Peter F.; Annamaraju, Pavan; Haydel, Micelle J. (2023), "Health Insurance Portability and Accountability Act", StatPearls, Treasure Island (FL): StatPearls Publishing, PMID 29763195, retrieved 2023-06-15
  5. ^ "Your Medical Records". 19 November 2008.
  6. ^ "Health Plans & Benefits: Portability of Health Coverage". United States Department of Labor. 2015-12-09. Archived from the original on 2016-12-20. Retrieved 2016-11-05.
  7. ^ "Overview". www.cms.gov. 2016-09-13. Archived from the original on 2016-11-02. Retrieved 2016-11-05.

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