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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.