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Health Privacy

WPF Discussing New Research in FTC Senior ID Theft Workshop

Senior Identity Theft - FTC -- WPF Executive Director Pam Dixon will be speaking at the Federal Trade Commission Tuesday on the issue of Senior ID theft, and specifically, about medical forms of the crime. Dixon, who wrote the first report on medical ID theft and coined the term for the crime, will be presenting new research at the panel.

Privacy in India Video Series: WPF

India and Privacy -- WPF has researched privacy extensively in India, and has documented a number of key privacy issues in a video series. So far, 5 videos in the series have been released. All of the videos were shot on location in India and feature Pam Dixon, with videographer Blake Hamilton. These videos offer a rare and early glimpse into privacy interactions and issues in India

Debating the future of privacy

Arizona School of Law -- Pam Dixon participated as a discussant and contributor to the Arizona School of Law's private workshop on the topic of the future of privacy. Key areas of discussion included the European Union's Right to be Forgotten proposal, consent and health privacy, and Do Not Track.

World Privacy Forum: California, Don’t Weaken Californian’s Health Privacy Laws

July 21, 2012 San Diego, California -- Today the World Privacy Forum filed comments on California's plan to harmonize existing California state law to federal health privacy laws. California's health privacy law, the CMIA, offers Californian's stronger privacy protections than national level health privacy laws. WPF urges California to reconsider its plan to weaken Californian's privacy. Executive director Pam Dixon said "The harmonization plan coming out of California's Department of Health and Human Services is not in harmony with California patients and their health privacy."

Public Comments: May 2012 - WPF Asks Presidential Commission to Protect Genetic Privacy

WPF filed comments with the Presidential Commission for the Study of Bioethics today urging the Commission to recognize the need for enhanced genetic privacy protections in a digital world. WPF noted that "The increasing identifiability of genetic data presents major privacy issues for research activities that must be acknowledged and addressed." WPF suggested four key ways that Certificate of Confidentiality programs could be enhanced for privacy protection, and urged the Commission to speak out about the importance of protecting patient privacy in research activities involving genetic information. "The Commission should advocate providing patients with reasonable controls over research uses of their data as electronic records develop and spread throughout the health care system." Public comments may be submitted to the Commission until May 25, 2012.

WPF Asks Presidential Commission to Protect Genetic Privacy

Genetic Privacy | Bioethics -- WPF filed comments with the Presidential Commission for the Study of Bioethics today urging the Commission to recognize the need for enhanced genetic privacy protections in a digital world. WPF noted that "The increasing identifiability of genetic data presents major privacy issues for research activities that must be acknowledged and addressed." WPF suggested four key ways that Certificate of Confidentiality programs could be enhanced for privacy protection, and urged the Commission to speak out about the importance of protecting patient privacy in research activities involving genetic information. "The Commission should advocate providing patients with reasonable controls over research uses of their data as electronic records develop and spread throughout the health care system." Public comments may be submitted to the Commission until May 25, 2012.

US Department of Health and Human Services fines Arizona provider $100,000 for HIPAA violations

In a rare enforcement action of HIPAA, HHS fined an Arizona health care provider $100,000 for a variety of HIPAA violations, especially regarding electronic exchanges of protected health information. The HHS document outlining the reasons for the fine should act as a wake-up call to health care providers using public email, calendaring, and other tools for communication of ePHI. HHS specifically noted that the fined health care provider did not conduct an adequate risk assessment prior to using the email and Internet tools. The full HHS document is a must-read for health care providers. WPF has been warning about the need for full e-risk assessments since 2005 and strongly advocates for medical-identity-theft-specific risk assessments.

WPF urges HHS to do more to protect the privacy of people who are medical research subjects

Common Rule | Health Privacy -- The World Privacy Forum filed extensive comments with the US Department of Health and Human Services about its proposed changes regarding the rules governing human subject medical research. In the comments, WPF noted that the HHS approach to privacy for research subjects was incomplete and did not use all Fair Information Practices. WPF strongly urged HHS to revise its proposal on a number of issues, including consent and the use of biospecimens in research. The World Privacy Forum is urging HHS to acknowledge that the realm of health data that is truly non-identifiable has shrunken remarkably, for example, biospecimens with DNA cannot be considered non-identifiable anymore. "In our comments, we are requesting that HHS give individuals the opportunity to make choices about the use of their own health data and specimens," said Executive director Pam Dixon. WPF also stated in its comments that "A central database with identifiable information about participants in human subjects research is a terrible idea." (See p. 21 of WPF comments.)

Public Comments: October 2011 - WPF urges HHS to do more to protect the privacy of medical research subjects

The World Privacy Forum filed extensive comments with the US Department of Health and Human Services about its proposed changes regarding the rules governing human subject medical research. In the comments, WPF noted that the HHS approach to privacy for research subjects was incomplete and did not use all Fair Information Practices. WPF strongly urged HHS to revise its proposal on a number of issues, including consent and the use of biospecimens in research. The World Privacy Forum is urging HHS to acknowledge that the realm of health data that is truly non-identifiable has shrunken remarkably, for example, biospecimens with DNA cannot be considered non-identifiable anymore. "In our comments, we are requesting that HHS give individuals the opportunity to make choices about the use of their own health data and specimens," said Executive director Pam Dixon. WPF also stated in its comments that "A central database with identifiable information about participants in human subjects research is a terrible idea." (See p. 21 of WPF comments.)

Public Comments: August 2011 - Proposed changes to the HIPAA Privacy Rule regarding Accounting of Disclosures under the Health Information Technology for Economic and Clinical Health Act

The World Privacy Forum today filed its comments on the proposed changes to the HIPAA privacy rule, supporting some proposed changes and suggesting additional changes to enhance patient choice. In particular, the WPF supports the new patient right to an access report that has been added (p. 4), and has requested that Health Information Exchanges also be required to provide accountings of disclosures to patients (p. 18). The WPF generally argued that HHS needs to look forward and allow changes in information technology to fully benefit patients by providing the facility for more accounting rather than less (pp. 2-3). If the HIPAA rule gives patients a greater ability to monitor how their information is used and disclosed, patients will pay attention and requests for accounting of disclosures will become more common.

Public Comments: May 2011 - WPF requests more information about Ceridian data breach and the FTC complaint process

The World Privacy Forum filed comments with the Federal Trade Commission regarding its consent decree against Ceridian regarding a substantial data breach. WPF has requested that the Commission present more facts in the case to the public, and has also requested more clarity about the FTC complaint process, noting that it is not a transparent process for the public.

GSK Breach Letter

Consumers receive breach letters -- Pharmaceutical manufacturer GSK, maker of drugs Paxil, Boniva, Advair, and many others, sent a letter to consumers who had registered on one or more of its product websites. Due to the Epsilon data breach, registrants' names, email, and the product they registered for was breached. Information people give to a company via a pharmaceutical product web site such as this is not usually covered under HIPAA. See our Patient's Guide to HIPAA for more on what is covered under HIPAA and what is not. WPF recommends that consumers use a "throwaway" or temporary email address if deciding to register at a Pharmaceutical product web sites.

WPF Comments on Health Information Exchanges in California

Joint Comments on HIEs -- California has proposed regulations for health information exchange projects in the state. WPF has submitted comments encouraging more privacy protections, and we are joined in our comments by Privacy Activism and the Center for Digital Democracy. One key request in the comments is that California not allow patient consent to be waived in HIE projects. We are also requesting that California create a unified web listing of its HIE projects for increased transparency and to facilitate patient access to HIE information and policies.

Public Comments: April 2011 - WPF Files Joint Comments on California Health Information Exchanges

California has proposed regulations for health information exchange projects in the state. WPF has submitted comments encouraging more privacy protections, and we are joined in our comments by Privacy Activism and the Center for Digital Democracy. One key request in the comments is that California not allow patient consent to be waived in HIE projects. We are also requesting that California create a unified web listing of its HIE projects for increased transparency and to facilitate patient access to HIE information and policies.

WPF comments about Personal Health Records and online advertising

Health privacy -- The World Privacy Forum filed comments today about how medical records and other health information is intersecting with online advertising and online activities. The WPF comments were filed with the Department of Health and Human Services in response to its request for comments on personal health records, privacy, and social media.

Public Comments: September 2010 - Joint comments on the Proposed Modifications to the HIPAA Privacy, Security, and Enforcement Rules under HITECH

In our view, the Department’s proposed changes to HIPAA regarding marketing are contrary to the law. Current law requires that paid communications for any marketing should be allowed only on an opt-in basis. We oppose the Department’s proposed regulation that would allow communications paid for by third parties who are not the entities whose product or service is being described in the communication.

WPF files two sets of key comments on HIPAA privacy rule

Health privacy and HIPAA -- The World Privacy Forum filed two sets of detailed regulatory comments on recently proposed changes to HIPAA. The first comments focused on proposed changes to HIPAA in the area of marketing patient information. The proposed changes would be harmful to patient privacy, and are contrary to the law. WPF was joined in the marketing comments by the Center for Digital Democracy, Consumer Action, Consumer Federation of America, the Electronic Frontier Foundation, Privacy Activism, Privacy Rights Clearinghouse, and Privacy Times. The second set of comments WPF filed included the comments on marketing as well as on additional provisions that would be problematic if enacted.

Data broker presentation at CFP conference

Data brokers -- WPF will be speaking at the CFP conference on two panels. On June 15, Pam Dixon will participate in a plenary session on data brokers. On June 16, Dixon will moderate a health care privacy panel. This panel will focus on electronic health care in the state of California and the current privacy issues in electronic health exchange.

WPF votes on key California medical privacy guidelines

California health privacy -- The World Privacy Forum, as co-chair of the California Privacy and Security Advisory Board, was pleased to vote on an opt-in privacy standard for Californians in the June CalPSAB board meeting. The standard will be part of a set of guidelines the state of California uses in its development of electronic health care records. This set of guidelines was the culmination of two years of policy work with the CalPSAB board.

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