HIPAA BAA Deadline is Monday, September 23, 2013

Calendar
Calendar

by Margaret Young Levi

Reminder: the clock is ticking for covered entities and business associates to come into compliance with new requirements under HITECH-HIPAA Omnibus Rule.  Monday, September 23, 2013 is the deadline for covered entities and business associates to put into place new Business Associate Agreements (“BAAs”).  As we blogged on March 4th, any new BAAs signed after January 24, 2013 should comply with added requirements under the Omnibus Rule.  These new agreements must be signed and in place by September 23, 2013.

Current BAAs (those signed on or before January 24, 2013) will be grandfathered and deemed HIPAA compliant through September 23, 2014, at which time the BAA will need to have been amended for compliance with the Omnibus Rule. 

As a first step, covered entities should verify that they have identified all of their business associates, particularly in light of the revised definition of “business associate” in the Omnibus Rule.  Covered entities should enter into compliant BAAs with any newly identified Business Associates or with existing business associates if the agreements are renewed after January 24th (excluding those BAAs that automatically renewed). 

Business associates will now be directly liable for their actions under HIPAA and should take steps to identify their downstream business associates, called “subcontractors” and enter into BAAs with those subcontractors. 

See our March 4, 2013 post for additional details.

HIPAA Breaches in the News Again!

It has been widely reported that WellPoint Inc. recently agreed to pay a $1.7 million fine to settle potential violations of the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) Privacy and Security Rules. The U.S. Department for Health & Human Services’ (“HHS”) press release asserts that WellPoint failed to “implement appropriate administrative and technical safeguards” required by HIPAA when it left an online application database unsecured and exposed the electronic protected health information (“PHI”) of more than 600,000 individuals. WellPoint self reported this issue when it submitted a breach notification required under the Health Information Technology for Economic and Clinical Health (“HITECH”) Act. This breach highlights the importance of ensuring that PHI is secured when system updates are performed.

Continue reading

Technical Corrections to HIPAA Omnibus Rule Released

The U.S. Department for Health & Human Services (HHS) announced it is releasing technical corrections to the HIPAA Omnibus Rule tomorrow. These technical corrections are “to address public comment received on the interim final Breach Notification Rule, and to make certain other modifications to the HIPAA Rules to improve their workability and effectiveness and to increase flexibility for and decrease burden on the regulated entities.” HHS “determined that the corrections in this final rule are minor, routine determinations in which the public would not be particularly interested, or about which the public has already been put on notice, given the context of the errors or omissions to be corrected.”

These technical corrections are scheduled to be published on June 7, 2013, but until then, you can download the pre-publication, PDF version here.

Sample BAA Provisions

The final HIPAA-HITECH Omnibus Rule (Omnibus Rule), released in January, substantially increases the privacy responsibilities of a business associate that receives protected health information, such as contractors and subcontractors.  These new requirements will need to be reflected in business associate agreements (BAAs) between the covered entity and the business associate as well as in agreements between a business associate and its subcontractor.

For example, BAAs must now contain provisions requiring business associates to notify the covered entity of any data breaches.  Moreover,  the Omnibus Rule expanded the definition of “business associates” to include subcontractors, which means business associates must now enter into BAAs with their subcontractors who access PHI. 

The Department of Health & Human Services (HHS), Office for Civil Rights (OCR) has posted sample BAA provisions on its website to help covered entities and business associates more easily comply with the additional BAA requirements found in the Omnibus Rule.  While these sample provisions are written for use in a contract between a covered entity and its business associate, the language may be tailored for purposes of a contract between a business associate and its subcontractor.

These sample provisions do not constitute a sample contract but are only a starting point.  It is not enough to print and sign these provisions.  As OCR warns, “These provisions address only concepts and requirements set forth in the HIPAA Privacy, Security, Breach Notification, and Enforcement Rules, and alone may not be sufficient to result in a binding contract under State law. They do not include many formalities and substantive provisions that may be required or typically included in a valid contract.  Reliance on this sample may not be sufficient for compliance with State law, and does not replace consultation with a lawyer or negotiations between the parties to the contract.”  Moreover, there are common concepts in BAAs that are notably missing from the sample provisions, such as indemnification, notification, and mitigation, which should be considered for inclusion with any BAA. 

 

If your current BAA was signed on or before January 24, 2013, then it will be deemed HIPAA compliant through September 23, 2014 (at which time the BAA will need to have been amended for compliance with the Omnibus Rule).  Any new BAAs signed after January 24, 2013 should comply with the new requirements under Omnibus Rule, and be in place by September 23, 2013.

Report 2012 HIPAA Small Breaches by Friday, 3/1

by Ann F. Triebsch

Friday, March 1, is the deadline for HIPAA covered entities to report to HHS small breaches of unsecured protected health information that occurred in 2012.  A small breach includes less than 500 individuals.  Affected individuals must be notified within 60 days of the breach’s discovery, but the breach also must be reported to HHS within 60 days of the close of that calendar year, or by March 1of the following year.  To file a report, follow this link.