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B-157275 1 (1979-06-15)

handle is hein.gao/gaobabjnw0001 and id is 1 raw text is: . - . 1.


COMPTROLLER GENERAL OF THE UNITED STATES
         WASHINGTON. D.C. 20548


                                              IN REPLY
                                              REFER TO:
   B-157275
/0                      r,                           JUN 15 1979
   The Honorable Abraham Ribicoff
   Chairman, Committee on Governmental
     Affairs          S/A/06'0
   United States Senate

   I ear Mr. Chairman:

   for  This is in response to your March 22, 1979i
   for our views regarding the provisions of S.503 96th
   Congress, and any recommendations which we may have con-
   cerning, possible Committee action. The bill, if enacted,
   would amend the Privacy Act of 1974 to provide for the
   confidentiality of medical records, and for other purposes.


     The bill would not authorize service providers or
their employees to disclose information regarding whether
an individual is a patient. Therefore, family, relatives,
or friends contacting a service provider could not be told
that the individual is a patient at the facility, the indi-
vidual's condition, or the individual's location in the
facility. We believe this would have a substantial negative
impact on the public. We believe, therefore, that the bill
should authorize disclosure of information that an individual
is a patient, the patient's general condition, and where the
patient is located, providing the patient does not specifi-
cally object to such disclosure. In addition, should this
provision be added to the bill, we believe the record of
disclosure stipulated in subsection 205(c) should not be
required for this type of disclosure because of the time
involved and the paperwork burden to the service provider.

     We are aware of instances where service providers
contract for the typing of medical records which contain
confidential information. However, it appears that con-
tracting for services of this type would be precluded
under the bill. If it is intended that such contracting
should be continued, the bill should be modified to au-
thorize release of confidential information to contractors.

     Section 210(a) states that nothing in this title pro-
hibits the disclosure of any confidential information which
is not identified with or identifiable as being derived from


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MCR-79-1076


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