Need a quick site or reference to public employer (state or local govt

[jeanine]

I seem to remember that a public employer (state or local govt) can opt out of HIPAA on a yearly basis. Could someone provide me with a cite or analysis of this provision? Any experience dealing with a group that has opted out? I've got a group that wants to opt out but has no idea how to procede. Thanks

[Linda]

Try 45 CFR 146.180.