Privacy Act of 1974; Report of Amended or Altered System; Medical, Health and Billing Records System

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Pursuant to the provisions of the Privacy Act of 1974, as amended, 5 U.S.C. 552a(e)(4), the IHS has amended and is publishing the proposed alteration of a system of records, System No. 09-17-0001, "Medical, Health and Billing Records." The amended and altered system of records is to reflect revisions in the Purpose and Routine Uses sections, the Notification Procedures section and updates to Appendix 1 of the PASOR. In the Purpose section of the PASOR, IHS is altering number seven to allow the disclosure of controlled substance prescription data and/ or protected health information (PHI) and personally identifiable information (PII) to its business associate contractor(s) for stated healthcare operations prior to transferring to various State Health Monitoring Programs and Registries; and to disclose data transmission of PHI to various health data exchange, regional health information and e-prescribing networks. In the Routine Uses section, routine use number thirteen is altered to include language that will allow the disclosure to various stated healthcare operations and health data exchange, regional health information and e-prescribing networks. In the Notification Procedure sec