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State laws more stringent than HIPAA

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The HIPAA Notice of Privacy Practices must be tailored to include state laws that are more restrictive than HIPAA (see https://www.hhs.gov/hipaa/for-professionals/faq/464/must-a-covered-entity-with-a-notice-revise-the-notice-every-time-it-changes/index.html). Is there a resource that puts out a good survey of those state laws? Practical Law does not appear to have have anything like that. 

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Evaluate whether SixFifty’s software and services might help you.


Also, are you sure Thomson Reuters Practical Law’s Data Privacy & Cybersecurity suite lacks the information you seek?


Peter Gulia PC

Fiduciary Guidance Counsel

Philadelphia, Pennsylvania



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Will HHS make determinations as to whether a provision of state law is “more stringent” than or “contrary” to a provision of the HIPAA Privacy Rule?


The Department of Health and Human Services (HHS) will not make determinations as to whether a provision of State law is "more stringent" than a provision of the Privacy Rule. HIPAA's Administrative Simplification Rules provide a general exception to preemption for more stringent, contrary State laws. Because such an exception already exists, it is neither necessary nor appropriate to request a preemption exception determination from HHS. Further, HHS will not determine whether a provision is "contrary" to the Privacy Rule, except in the context of, and as necessary to, making an exception determination for State laws that meet one or more of the criteria listed at 45 CFR 160.203(a).

See 45 C.F.R. 160.202 for the definitions of "more stringent" and "contrary."  View an unofficial version of the Privacy Rule and the preemption requirements.


I would think this is evidence that HHS does not maintain such a list, and that such determinations are made on a case by case basis, if at all. 


The attached survey of state laws may be helpful.   


See also https://abyde.com/state-laws-vs-hipaa-what-you-need-to-know/


See also https://www.findlaw.com/state/health-care-laws/medical-records.html


David Goldberg



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