Public comments re: health data breaches -- The World Privacy Forum filed comments with the Department of Health and Human Services today regarding the HITECH Act guidance that HHS published along with a request for comments. The Forum urged the Department to tighten its proposed guidance, and to add more protections, oversight, and rules for "limited data set" breaches.
Genetic Privacy | GINA -- The World Privacy Forum filed comments on the proposed regulations on the Genetic Information NonDiscrimination Act, or GINA. The comments request that the Equal Opportunity Employment Commission close down several potential loopholes in consumer protection in the proposed regulations. The Forum specifically asked the EEOC to consider curtailing the amount of commercially available information employers could access about employees, for example, through marketing databases. WPF also requested that those covered under GINA be required to maintain audit trails in certain circumstances, and urged that wellness programs be structured in such a way so as to prevent information leakage through billing and other activities.
The World Privacy Forum filed comments on the proposed regulations on the Genetic Information NonDiscrimination Act, or GINA. The comments request that the Equal Opportunity Employment Commission close down several potential loophole in consumer protection in the regulations. The Forum specifically asked the EEOC to consider curtailing the amount of commercially available information employers could access about employees, for example, through marketing databases. WPF also requested that those covered under GINA be required to maintain audit trails in certain circumstances, and urged that wellness programs be structured in such a way as to prevent information leakage through billing and other activities.
Data broker opt out issue -- The World Privacy Forum sent a letter to the Federal Trade Commission asking it to look into four companies offering online consumers the ability to opt out, then asking those consumers to use a variety of postal-mail-based methods to do so.
This is an annotated timeline documenting the activities of the National Health Information Network. Related documents, when available, are linked. Additional source documents follow the timeline.
The National Health Information Network (NHIN) is an ambitious modernization plan proposed by the U.S. government. The idea is to move as an entire nation from paper medical files to electronic medical files that are shared. Specifically, the government goal is to digitize patients' health records and medical files and create a national network to place the information in. The network, called the NHIN, would be a sophisticated network that hospitals, insurers, doctors, and others could potentially access. Such a network brings patient privacy, security, and confidentiality issues into sharp relief.
School privacy | FERPA -- In May 2008 the World Privacy Forum submitted detailed comments on proposed changes to the Family Educational Rights and Privacy Act regulations (FERPA). The FERPA regulations are the rules that control how schools treat and release student information. The final FERPA regulations have now been published and reveal that the World Privacy Forum comments had a positive impact. The new regulations agreed with WPF's comment that if a school requests a Federal tax return from a parent, that the parent has the right to redact all financial information from the form, and affirmed that the school does not have a requirement to ask for the tax form in the first place. The regulations also agreed with the WPF comment that the risk of re-identification of published student information is cumulative, and made recommendations that educational institutions take into account all releases of student information it has made, not just new releases.
Human Subjects Research Protection (OHRP) -- The World Privacy Forum filed comments with the Office of Human Research Protection urging the office to do more to protect the privacy of people who are subjects of research. The comments urge the OHRP to focus more attention on providing privacy-specific training for boards overseeing research, which are often weak in knowledge about the breadth of privacy issues in research. The WPF also voiced its strong support for certificates of confidentiality for research involving human subjects, stating that "nearly all research that involves identifiable health data or other personal data about individuals should have a certificate of confidentiality unless a researcher can state a substantive reason why a certificate is not appropriate for the study."
The World Privacy Forum filed comments regarding DHS's proposed Border Crossing Information system of records, finding that many of the Routine Uses proposed for the system were impermissible and illegal under the Privacy Act of 1974. The comments focus on the Routine Uses, rather than the system itself.
FERPA comments: WPF is concerned about the U.S. Department of Education's proposed changes to its FERPA regulations, FERPA standing for the Family Educational Rights and Privacy Act. FERPA is a significant regulation that controls how students' school records and "directory" information may be shared. The proposed regulations have one item the WPF is supporting, which is that SSNs are not considered part of the directory information. However, other aspects of the proposed regulation still need work to adequately protect students' and parents' privacy interests. The WPF commented in particular that schools should not be allowed to request and then store a full tax refund from parents in order to prove students' eligibility. The Forum also requested that students' electronic identifiers are not included in the definition of directory information. One area of substantial concern is that the Department of Education has not expressly provided that students who opt-out of having their directory information shared should not be penalized for opting out. Currently, the proposed regulations may be read to suggest that schools may be able to deny benefits, services, or even required activities to students who have exercised the right to opt-out of the publication of directory information..
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.
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.
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.
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.
The collection of DNA material from 500,000 to 1,000,000 or more individuals as part of a large U.S. medical research project raises many challenging ethical, legal, and privacy issues. An advisory committee reporting to the Office of the Secretary of Health and Human Services ( the Secretary's Advisory Committee on Genetics, Health and Society) has published a detailed analysis of the issues such a project would raise in a draft report. The committee's final report and policy recommendations will be submitted to the Secretary of HHS. The World Privacy Forum has submitted public comments on the draft report; the comments include key policy recommendations. The Forum's recommendations include the need to provide protection from compelled disclosure of information, the necessity for a full-time project privacy officer with enforcement power, and the need for a far-reaching and robust privacy policy that exceeds the requirements of HIPAA, among other recommendations.
In its first report on this subject published in February 2005, The World Privacy Forum documented that 96 known imposter domains existed, with 50 of those domains active and online. In its new study, “Call Don’t Click Update: Still be smart about ordering Federally mandated free credit reports,” the World Privacy Forum has found that 233 known imposter sites now exist, with 112 of the imposter domains active and online. This marks a 124 percent increase in known, active imposter domains since February.
The World Privacy Forum and the Electronic Frontier Foundation submitted comments in response to the U.S. government's "Request for Information" about its plan to digitize all patient medical records and create an electronic "National Health Information Network" or NHIN. The comments urge caution in designing the NHIN and call for the government to build privacy, security, and open source technologies into the system from the beginning of the project.
Workplace privacy | ID cards | Biometrics -- WPF, EFF, Privacy Rights Clearinghouse, and PrivacyActivism call for greater attention to privacy provisions of the proposed new Federal ID card, which will be "contactless."