File #: 23-0589    Version: 1
Type: Agenda Item Status: Approved
File created: 3/9/2023 In control: Board of Supervisors
On agenda: 3/21/2023 Final action: 3/21/2023
Title: Human Resources Department recommending the Board: 1) Approve and adopt revisions and a title change to Board of Supervisors Policy L-1: Protected Health Information (HIPAA): General to Privacy and Projected Information Policy; and 2) Grant the Director of Human Resources the authority to make changes to the Policy that are either non-substantive or necessary to accord with changes to relevant statutes or regulations. FUNDING: N/A
Attachments: 1. A - Current L-1 policy, 2. B - Revised L - 1 Policy, 3. C - Summary, 4. D - HIPAA Policy Appendices
Related files: 17-0866
Title
Human Resources Department recommending the Board:
1) Approve and adopt revisions and a title change to Board of Supervisors Policy L-1: Protected Health Information (HIPAA): General to Privacy and Projected Information Policy; and
2) Grant the Director of Human Resources the authority to make changes to the Policy that are either non-substantive or necessary to accord with changes to relevant statutes or regulations.

FUNDING: N/A
Body
DISCUSSION / BACKGROUND
The Health Insurance Portability and Accountability Act (“HIPAA”) was enacted in 1996 to create a national standard to protect and enhance the rights of individuals by providing access to their health information and to control and limit the use and disclosure of protected health information (“PHI”). As a covered entity, El Dorado County is required to maintain written documentation of individual rights with respect to PHI. Updates to the policy are required to ensure compliance with current HIPAA requirements.

El Dorado County is designated as a covered hybrid entity, defined by HIPAA as an organization that uses or discloses protected health information for only a part of its business operations and is required to comply with 45 CFR § 160-164. Privacy regulations, under 45 CFR §164.105, require hybrid entities to implement formal written policies and procedures to ensure compliance with the Rule.

Our current HIPAA policy is being replaced to reflect the ongoing regulatory changes that have occurred since the adoption of Policy L-1 back in 2017. The current policy provides a minimal, umbrella framework that the County operates within. Additionally, the policy is being renamed to Privacy and Protected Information Policy to encompass the HIPAA Act and other related privacy statutes.

A major overhaul to this policy began in 2018 but was delayed during the COVID-19 pandemic. A project group, including representatives from County Risk Management and Human Resources, Public Health, County Couns...

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