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Lincoln-Lancaster County Health Department
Health Promotion & Outreach

School Health News - Fall 2003


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HIPPA Medical Privacy Rule

The new HIPPA Medical Privacy Rule has left many health professionals feeling confused and uncertain about how medical care is being impacted by client’s privacy under this rule. There are times in schools when medical information about a child or one’s immunizations requires direct communication with a physician’s office and we have had several questions about how this information will be impacted by this Rule. Health care providers (or other covered entities) may share immunization information with other health care providers as needed to make treatment decisions, such as to give further immunizations. Providers may also disclose immunization information to schools, without authorization, if permitted or required by State law. These State laws would not be preempted by the Privacy Rule (45CFR 160.203(c)).

Nebraska has provisions in the law regarding sharing of immunization records. Nebraska law states: 71-541 “...a public immunization clinic, a local or district health department, the Department of Health and Human Services, ... may share immunization information which is not restricted under section 71-540. The unrestricted immunization information shared may include, but is not limited to, the patient’s name, date of birth, dates and vaccine types administered, and any immunization information obtained from other sources.”

This has been summarized from information prepared by the CDC Office of General Counsel. Additional information is available at the Office for Civil Rights website: http://www.hhs.gov/ocr/hipaa/ and the HIPPA Privacy Rule and Public Health: http//www.cdc.gov/mmwr/pdf/other/m2e411.pdf



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Health Health Promotions & Outreach School Health News Fall 2003