Opt-out | Financial privacy -- The World Privacy Forum has updated its popular Top Ten Opt Out list to reflect several new change made to the Direct Marketing Association opt outs. In the past, some of the DMA opt-outs, like the Direct Marketing Association's mailing preference lists, used to cost $1. That fee has now been removed for people opting out online. Please see item #3 on the Opt Out list for the complete update.
Genetic privacy | SACGHS -- The World Privacy Forum filed extensive comments with the Secretary's Advisory Committee on Genetics, Health and Society (SACGHS) regarding its draft report on genetic testing oversight, U.S. System of Oversight of Genetic Testing: A Response to the Charge of the Secretary of HHS. The World Privacy Forum requested SACGHS pay more attention in its final report to the privacy consequences of unregulated genetic testing that occurs outside the health care sector. The WPF comments note that current and proposed remedies for the misuse of genetic information tend to focus on the use of the information within the health care treatment, payment, and insurance systems. What is crucially important is to analyze how to protect genetic information in the realm of commercial collection, maintenance, use and disclosures. Another area the comments discuss is the potential for new forms of fraudulent activity related to genetic testing (Phantom genetic testing, that is, genetic tests marketed to consumers that are not even real or viable genetic tests.) The World Privacy Forum specifically recommended that the National Committee on Vital and Health Statistics be tasked with looking at this matter, that an independent pre-market assessment mechanism is created for genetic tests offered outside the clinical setting, and that privacy be expressly discussed in the overarching recommendations in the final report.
Fair Information Practices -- The World Privacy Forum has updated its page on Fair Information Practices to include the new work by Robert Gellman in this area. His article, Fair Information Practices: A Basic History, December 2007, is an important history of the development of Fair Information Practices. It includes information that even experts familiar with FIPs may not know.
Medical identity theft update -- The Federal Trade Commission released its national ID theft survey, which for the first time contains statistics specific to medical identity theft. According to the FTC report (p. 21), 3 percent of all identity theft victims in 2005 were victims of medical identity theft, which means of 8.3 million ID theft victims, approximately 250,000 people were victimized by medical identity theft in that year alone. The purpose of the World Privacy Forum 2006 report was to prove that medical identity theft existed, and was already occurring in large numbers. At the time the report was published, the crime of medical identity theft had not been specifically studied, nor was it understood to exist. The FTC statistics abundantly affirm the thesis and conclusions of the WPF report.
Security Freeze update | Financial privacy -- As of November 1, 2007, the ability to place a security freeze is available nationwide at the three major credit reporting bureaus. To date, 39 states and the District of Columbia have some form of security freeze law. But now, even in the states that did not pass security freeze legislation, consumers will be able to place a security freeze. A security freeze lets you stop the disclosure of your credit report by a credit bureau. A security freeze can be especially helpful to individuals who are having persistent problems with identity theft. For more information:
Announcement | CalPSAB -- WPF executive director Pam Dixon has been appointed by California Secretary of Health and Human Services Kim Belshe to the California Security and Privacy Advisory Board. Dixon will serve as interim co-chair of the board, which is tasked with addressing health information exchange (HIE) privacy and security efforts in California. The board's meetings will be open to the public.
Consensus document | Consumer rights and protections -- Nine privacy and consumer groups, including the World Privacy Forum, unveiled a consensus document outlining key consumer rights and protections in the behavioral advertising sector. The document is directed toward the Federal Trade Commission, and urges the FTC to take proactive steps to adequately protect consumers as online and other forms of behavioral tracking and targeting become more ubiquitous. The consensus document was filed with the Secretary of the FTC and its commissioners. Behavioral advertising is the focus of the FTC's eHavioral Advertising Town Hall meeting taking place November 1-2 in Washington, D.C. The network advertising sector has a self-regulatory plan, the Network Advertising Initiative, in place, and has had this plan in place since 2000. The consensus document addresses the many areas where the NAI plan has failedto protect consumers.
Medical identity theft | AHIMA -- Executive director Pam Dixon spoke to thousands of AHIMA delegates in Philadelphia sharing the latest information on medical identity theft and outlining 8 best practice responses to the crime for the health care sector. Dixon specifically asked for the creation of national guidelines for helping medical identity theft victims, the ability for victims to set red flag alerts in their health care files, that providers train and have dedicated personnel to help medical identity theft victims, "john and jane doe" file extractions, a focus on addressing insider access to patient information, risk assessments specifically for medical identity theft, and educational efforts. The information in the speech was based on the latest World Privacy Forum research in the area of medical identity theft.
Medical identity theft | Best practice responses -- The World Privacy Forum has outlined 8 best practice responses to medical identity theft for the health care sector. The best practice responses are based on research the Forum is conducting for its second report on medical identity theft, and is a work in progress. The 8 best practice responses were presented to AHIMA delegates October 9; the Forum is soliciting and accepting feedback on the 8 best practices.
Medicare - CMS -- The World Privacy Forum filed extensive pubic comments on the substantive changes to the Medicare database release policy that the Centers for Medicare and Medicaid Services (CMS) has proposed in a System of Records Notice. As it currently stands, CMS is planning to release the individually identifiable protected health information of patients in the Medicare database to third parties in some circumstances. CMS has not established strong enough checks and controls on its release policy, and it has not explained how it is able to do this under HIPAA. The comments state that CMS has an obligation to explain how each routine use in its new policy is consistent with the authority in the HIPAA privacy rule. If a routine use allows disclosures that are broader than those permitted by HIPAA, then the routine use must be narrowed so that it is consistent with HIPAA. The comments also note that nothing in the CMS notice discusses substance abuse rules and other legal restrictions of the protected health data. The World Privacy Forum asked CMS to specify that the qualifications of any data aggregators who may potentially receive the data exclude any entity that sells other consumer data for any general business, credit, identification, or marketing purpose.
Medical identity theft is a crime that harms people and it is a crime that hides itself. This combination makes medical identity theft an insidious crime. It can cause extraordinary damages and harms to its individual and institutional victims. And once begun, the harmful effects of this crime can linger in the lives of its victims for years or even decades.
NHIN update -- The National Health Information Network, or NHIN, is part of a major undertaking to digitize and network the health care sector. From electronic health records to multi-state health information hubs, the U.S. government's goal is to modernize and move health care information from paper to digital. The Department of Health and Human Services is the primary mover behind this initiative, which is complex and multi-faceted. The World Privacy Forum keeps a chronology of NHIN events as a public service. The NHIN timeline has been updated to reflect changes in AHIC, a group that is charged in part with ensuring privacy and confidentiality in the NHIN and other aspects of health care modernization. AHIC is set to transition to a "public-private partnership," a move that will need to be watched closely to ensure robust consumer involvement.
AHIC successor | health care privacy -- The World Privacy Forum offered public comments on HHS' American Health Information Community (AHIC) successor plans, urging that HHS adopt a "no stakeholders left behind" policy as it forms the new public/private AHIC. The Forum's analysis of the AHIC Successor White Paper concluded that the current succession plans lack processes and checks that would ensure meaningful consumer participation, and that the AHIC successor plans as they currently stand do not bode well for a robust role for privacy or consumer groups in the new AHIC. Specific issues the World Privacy Forum discussed in its comments included fee structures, membership, handling conflicts of interest, stakeholder issues, privacy and identifiability issues, and the need for the new AHIC to achieve credibility.
Consumer alert update -- Monster.com posted a warning on its site stating that all users of Monster.com may have been impacted by the data breach of its systems by hackers. All job seekers need to be aware of potential phishing attacks that are sophisticated and highly targeted, and job seekers with safety considerations need to be aware that their information has likely been compromised. The U.S. Office of Personnel Management has announced that the Federal job site USAJobs (which is outsourced to Monster.com) has also been impacted by the breach. The World Privacy Forum has updated its job seeking tips, and its consumer alert.
Data breach | GAO data breach study -- The World Privacy Forum made an information request to the GAO asking for a copy of the single, non-duplicative list of data breaches its June, 2007 data breach report (GAO -07-737) refers to and was based on. The list was not included in the GAO report. The GAO used a figure in its report of "more than 570 data breaches" from January 2005 to December 2006 based on this non-duplicative breach list. The GAO breach list is straightforward, it tallies data breaches chronologically from January 1, 2005 to December 31, 2006 from three organizations that maintain data breach lists. If the breach appeared on at least one of the three lists, it was apparently included in the final tally. The GAO states that the list was based on a February 15, 2007 download of the lists. Note: the WPF scan of the GAO list includes the first page twice. The front page of the scan is of the GAO list as it looks in the original document, and then the list was scanned for maximum readability into PDF format.
Consumer Alert | Internet privacy | Job search safety and privacy -- The World Privacy Forum issued a consumer alert today warning about a data breach at Monster.com. Security firms that analyzed the breach have stated the breach impacts hundreds of thousands of job seekers. The immediate information that was stolen included job seekers' home address, phone numbers, email address, and resume IDs. Some victims may have received further phishing emails. Job seekers who have safety concerns such as law enforcement professionals, victims of domestic violence and other victims of crimes such as stalking -- who typically do not make their home addresses or personal phone numbers public -- have an immediate need to know if their personal information may be in the hands of criminals. The consumer alert contains tips for victims and links to resources and more information.
Medical privacy | NCVHS | HIPAA -- The World Privacy Forum has sent a letter to Dr. Simon P. Cohn, Chairman of the National Committee on Vital and Health Statistics, supporting the Committee's formal conclusion that all entities that create, compile, store, transmit, or use personally identifiable health information should be covered by a federal privacy law. More needs to be done about health care data that is left unprotected by HIPAA. The Forum's letter included a discussion of two HHS programs that operate outside of HIPAA: FDA RiskMAPS, and the National Institutes of Health, which is not a covered entity under HIPAA.
iPledge Program | FDA -- The World Privacy Forum testified before the Dermatologic and Ophthalmic Drugs Advisory Committee and the Drug Safety and Risk Management Advisory Committee of the Food and Drug Administration regarding privacy issues related to iPledge, a mandatory program for patients taking the drug Accutane or isotretinoin generics. The FDA has stated that the program, which it requires four drug manufacturers to have in place, does not fall under HIPAA. The program collects substantive amounts of patient information. The Forum urged the FDA to set privacy standards for all RiskMAPs in general, and to resolve privacy issues in the iPledge program specifically. The Forum requested that all marketing provisions of the iPledge program privacy policy be removed, that patients be expressly informed the program does not fall under HIPAA, and that patients be given a printed copy of the iPledge program privacy policy, among other requests.
Our principal concern with iPledge is that the FDA has failed to set privacy standards for the iPledge program [2] or for similar programs that mandate patient tracking. As a result, the iPledge registry has privacy shortcomings that may potentially impact the individuals who take Accutane or Isotretinoin generics.
National Disaster Medical System | Privacy Act of 1974 -- The World Privacy Forum has filed public comments with the Department of Health and Human Services requesting that its new National Disaster Medical System protect all patient information to at least the baseline protections that HIPAA affords, including the HIPAA security and privacy protections. Currently, the new system does not do this, even though the system is housed at HHS, the agency which promulgated the HIPAA standards. The National Disaster Medical System currently contains overbroad routine uses which could potentially result in significant privacy and even public health issues. For example, public health information will not be able to be disclosed under the National Disaster Medical System as the system is currently organized. Additionally, some of the current routine uses in the system would authorize disclosures that would be illegal under HIPAA. For example, Congressional disclosure of a HIPAA record requires a written authorization, something the new system does not require.
Top ten opt out list -- This is a list of what top things to opt out of, and how to opt out. Millions of people have heard about the Do Not Call list, an opt out list that gets people off of telemarketing lists. But many fewer people have heard about the other opt outs that are available, like those that can take people out of data broker lists or opt outs that can stop schools from giving out directory information like email and home addresses. Opting out can range from the not-too-difficult (the Do Not Call list is a fairly simple opt out) to the challenging. This list is meant to simplify the information about which opt out does what, to help decide if a particular opt out is the right choice, and how to go about opting out.
This is a request for records that have originated within the GAO. We are making this request pursuant to GAO's Public Availability of General Accounting Office Records regulations at 4 CFR Part 81.
Security freeze | identity theft | financial privacy -- A credit freeze (sometimes called a security freeze) lets you stop the disclosure of your credit report by a credit bureau. A credit freeze can be especially helpful to individuals who are having persistent problems with identity theft. If you live in a state with a security freeze law, then you may be able to place a security freeze on your files. This World Privacy Forum resource gives general background on security freezes, lists the states with security freeze laws, and links to more information for each state.
FDA privacy standards - RiskMAPs - World Privacy Forum executive director Pam Dixon testified at an FDA/AHRQ joint public workshop about the need for the FDA to set robust privacy standards for drug risk minimization programs, which are put in place for drugs the FDA has determined to be high risk in some way. Drug risk minimization programs (like the iPledge program for the acne drug Accutane) are not typically covered by HIPAA, and some programs have a privacy policy that allows marketing use of patient information collected as part of the risk program. This kind of marketing activity would not be allowable if the programs fell under HIPAA, and Dixon's testimony stated that patients in these programs should have the same kinds of privacy protections as HIPAA covered programs, and that marketing activities involving patient information should not be allowable in these programs.
Genetic privacy -- Executive director Pam Dixon presented key issues and potential solutions regarding privacy and Genome Wide Association Studies at the Institute of Medicine's Board on Health Sciences Policy meeting. Her presentation included recommendations to engage in a comprehensive study of certificates of confidentiality, to encourage standards of identifiability, to encourage study of what more uniform standards of privacy and security for researchers might look like, and a recommendation to work toward broad solutions that extend beyond GWAS activities.