United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2017_register executive 2018-02-01 article Proposed Rules D09002ee1c7f2e93f D09002ee1c7f2e9e1 United States Department of Health and Human Services originator org United States Government Agency or Subagency United States Office of the Secretary originator org United States Government Agency or Subagency On Feb. 9, 2016, the Substance Abuse and Mental Health Services Administration (SAMHSA) published a Notice of Proposed Rulemaking (NPRM) that proposed policy changes to update and modernize the Confidentiality of Alcohol and Drug Abuse Patient Records (42 CFR part 2). SAMHSA explained in the NPRM that these changes were intended to better align the regulations with advances in the U.S. health care delivery system while retaining important privacy protections for individuals seeking treatment for substance use disorders. The last substantive update to these regulations was in 1987. SAMHSA is issuing this Supplemental Notice of Proposed Rulemaking (SNPRM) to propose additional clarifications to the part 2 regulations as amended by the concurrently issued final rule. As noted in the final rule, 42 CFR part 2 Confidentiality of Substance Use Disorder Patient Records, questions raised by commenters highlighted varying interpretations of the 1987 rule's restrictions on lawful holders and their contractors and subcontractors' use and disclosure of part 2-covered data for purposes of carrying out payment, health care operations, and other health care related activities. In consideration of this feedback and given the critical role that third-party payers, other lawful holders, and their contractors, subcontractors, and legal representatives play in the provision of health care services, SAMHSA is issuing this SNPRM to seek further comments on our proposals to address and help clarify these matters before establishing any appropriate restrictions on disclosures to contractors, subcontractors and legal representatives. 82 FR 5485 https://www.govinfo.gov/app/details/FR-2017-01-18/2017-00742 2017-00742 fr18ja17-36 RIN 0930-ZA07 4162-20-P SAMHSA-4162-20 https://www.govinfo.gov/app/details/FR-2017-01-18/2017-00742 https://www.govinfo.gov/content/pkg/FR-2017-01-18/html/2017-00742.htm https://www.govinfo.gov/content/pkg/FR-2017-01-18/pdf/2017-00742.pdf Alcohol Abuse Alcoholism Drug Abuse Grant Programs-Health Health Records Privacy Reporting Recordkeeping Requirements 6 p. 5485 5490 82 FR 5485 Title 42 Part 2 42 CFR Part 2 RIN 0930-ZA07 Confidentiality of Substance Use Disorder Patient Records; Federal Register Vol. 82, Issue PRORULE 2017-00742 DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the Secretary 2017-02-17 SAMHSA-4162-20 4162-20-P 2017-00742 Supplemental notice of proposed rulemaking.

On Feb. 9, 2016, the Substance Abuse and Mental Health Services Administration (SAMHSA) published a Notice of Proposed Rulemaking (NPRM) that proposed policy changes to update and modernize the Confidentiality of Alcohol and Drug Abuse Patient Records (42 CFR part 2). SAMHSA explained in the NPRM that these changes were intended to better align the regulations with advances in the U.S. health care delivery system while retaining important privacy protections for individuals seeking treatment for substance use disorders. The last substantive update to these regulations was in 1987. SAMHSA is issuing this Supplemental Notice of Proposed Rulemaking (SNPRM) to propose additional clarifications to the part 2 regulations as amended by the concurrently issued final rule. As noted in the final rule, 42 CFR part 2 Confidentiality of Substance Use Disorder Patient Records, questions raised by commenters highlighted varying interpretations of the 1987 rule's restrictions on lawful holders and their contractors and subcontractors' use and disclosure of part 2-covered data for purposes of carrying out payment, health care operations, and other health care related activities. In consideration of this feedback and given the critical role that third-party payers, other lawful holders, and their contractors, subcontractors, and legal representatives play in the provision of health care services, SAMHSA is issuing this SNPRM to seek further comments on our proposals to address and help clarify these matters before establishing any appropriate restrictions on disclosures to contractors, subcontractors and legal representatives.

To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on February 17, 2017. Danielle Tarino, SAMHSA, 5600 Fishers Lane, Room 13E89A, Rockville, Maryland 20857, 240-276-2857, Email Alcohol Abuse Alcoholism Drug Abuse Grant Programs-Health Health Records Privacy Reporting Recordkeeping Requirements Confidentiality of Substance Use Disorder Patient Records , Danielle.Tarino@samhsa.hhs.gov http://www.regulations.gov Vol. 82, no. 11 Office of the Federal Register, National Archives and Records Administration 2017-01-18 continuing daily deposited born digital 841 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2017-01-18 P0b002ee1982b9099 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr18ja17 https://www.govinfo.gov/app/details/FR-2017-01-18 https://www.govinfo.gov/content/pkg/FR-2017-01-18/pdf/FR-2017-01-18.pdf https://www.govinfo.gov/content/pkg/FR-2017-01-18/xml/FR-2017-01-18.xml fdlp 5331 6165 DGPO 2018-02-01 2024-06-01 FR-2017-01-18 machine generated eng FR FR-2017-01-18 82 11