Confidentiality of HIV-Related Information, Drug and Alcohol Abuse Treatment and Mental Health Records

State and federal laws prohibit the disclosure of a person’s HIV status, except in limited instances. Maintaining the privacy of a person’s HIV status is important because discrimination against people living with HIV is still pervasive.  People will only get tested and treated for HIV if they know their test results and treatment records will be kept private.

Pennsylvania’s Confidentiality of HIV-Related Information Act (also known as Act 148) prohibits a health care provider or social service provider from sharing an individual’s HIV-related information without written permission, except in limited instances. Note: Act 148 was amended in July 2011. The amendments only affect the HIV-testing provisions of this law. The confidentiality sections remain unchanged.

The federal Health Insurance Portability and Accountability Act (HIPAA) establishes national standards to protect individuals’ medical records and other personal health information. It applies to health plans, health care clearinghouses, and those health care providers that conduct certain health care transactions electronically. The Rule also gives rights to patients over their health information, including rights to examine and obtain a copy of their health records, and to request corrections. HIPAA is enforced by the U.S. Department of Health and Human Services’ Office of Civil Rights (OCR). OCR Resolution agreements can be viewed here.

Resources

Confidentiality of HIV-Related Information Act (commonly known as Act 148)

Pennsylvania’s Act 148 prohibits health-care providers and social service providers from disclosing HIV-related information without the permission of the subject except in certain limited instances. (Note: Act 148 was amended in July 2011. The amendments only affect the HIV-testing provisions of this law. The confidentiality sections remain unchanged. )

Download (PDF)

How to Respond to a Subpoena

Download (PDF)

HIPAA Privacy Rule Summary

Download (PDF)

HIPAA FAQ's

Download (PDF)

Comparison chart of Act 148 and HIPAA

Download (PDF)

Health and Human Services' Office of Civil Rights Settlements

HIPAA is enforced by the U.S. Department of Health and Human Services’ Office of Civil Rights (OCR).

Download (PDF)

Pennsylvania Confidentiality of HIV-Related Information Act (Act 148, as amended) Training Outline

Download (PDF)

Pennsylvania Drug and Alcohol Abuse Control Act - Confidentiality of Records

An act establishing the Pennsylvania Advisory Council on Drug and Alcohol Abuse; imposing duties on the Department of Health to develop and coordinate the implementation of a comprehensive health, education and rehabilitation program for the prevention and treatment of drug and alcohol abuse and drug and alcohol dependence; providing for emergency medical treatment; providing for treatment and rehabilitation alternatives to the criminal process for drug and alcohol dependence; and making repeals,” further providing for definitions and for confidentiality of records.

Download (PDF)

Mental Health Procedures Act - Confidentiality of Records

An act relating to mental health procedures; providing for the treatment and rights of mentally disabled persons, for voluntary and involuntary examination and treatment and for determinations affecting those charged with crime or under sentence,” in general provisions, further providing for definitions and for confidentiality of records.

Download (PDF)