¿De qué otra manera podemos utilizar o compartir su información médica?
Se nos permite o se nos exige que compartamos su información de otras formas, en general, de manera tal que contribuyan al bien público, como la salud pública y la investigación. Debemos cumplir con muchas condiciones de la ley antes de poder compartir su información para estos fines. Para obtener más información, consulte hhs.gov/hipaa/for-individuals/guidance-materials-for-consumers/index.html.
Demandas y disputas: If you are involved in a lawsuit, dispute, investigation, or other legal proceeding, we may use or disclose your Health Information only as required or permitted by applicable federal and California law. We may disclose Health Information in response to a valid order of a California state court, a federal court, or an administrative tribunal with lawful authority, and only to the extent authorized by such order and applicable law.
We also may disclose Health Information in response to a subpoena, discovery request, or other lawful process only when all applicable legal requirements have been satisfied, and the disclosure is otherwise permitted by law.
Notwithstanding the foregoing, we will not disclose, provide access to, transmit, transfer, share, or otherwise release medical information relating to an individual seeking, obtaining, providing, supporting, or assisting with reproductive health care, abortion or abortion-related services, contraception, gender-affirming health care, gender-affirming mental health care, or other legally protected health care activities that are lawful in California when the request, subpoena, inquiry, investigation, or legal process is based on, seeks to enforce, or arises from another state's law that interferes with or restricts rights protected under California law, except as expressly required by federal law or otherwise authorized under applicable California law.
We also will not cooperate with an inquiry or investigation from another state, or, to the extent permitted by federal law, from a federal agency, that seeks information that would identify an individual in connection with legally protected health care activities that are lawful in California, except as expressly authorized or required by applicable law.
Los registros de trastornos por consumo de sustancias (substance use disorder, SUD) cuentan con una protección adicional. Solo se pueden utilizar o compartir para estos fines después de que haya recibido un aviso y una oportunidad de ser escuchado. Una orden judicial que permita el uso o el intercambio de registros de SUD también debe incluir una citación o un requisito legal similar que exija que los registros se divulguen antes de que se puedan usar o compartir.
California Limits on Subpoena Responses for Sensitive Services: California law prohibits us from releasing medical information related to a person seeking or obtaining (i) an abortion or abortion-related services that are lawful in California, (ii) gender-affirming health care or gender-affirming mental health care that is lawful in California, or (iii) contraception, in response to a subpoena, request, or law-enforcement inquiry that is based on another state’s laws that interfere with such care or on a foreign penal civil action. We also will not cooperate with any inquiry or investigation from another state, or, to the extent permitted by federal law, from a federal agency, that would identify an individual and is related to such services.
Apelaciones de decisiones de atención médica: usted o sus proveedores de atención médica pueden apelar las decisiones sobre las reclamaciones por su atención médica. Su información médica se puede utilizar durante estos procesos de apelación.
Legal Requirements
We will disclose Health Information about you without your permission when required to do so by applicable federal or California law. We may use or disclose Health Information about you:
- con relación a reclamaciones de compensación laboral;
- For law enforcement purposes or with a law enforcement official, as permitted or required by law. However, California law prohibits us from releasing medical information that would identify an individual seeking, obtaining, providing, supporting, or assisting with abortion, abortion-related services, contraception, gender-affirming health care, gender-affirming mental health care, or other legally protected health care activities that are lawful in California when the request is based upon another state's law that interferes with those rights or for the enforcement of a foreign penal or civil action, except as otherwise authorized or required by applicable law.
- con agencias de supervisión médica por actividades autorizadas por la ley;
- con relación a funciones especiales del Estado, como los servicios militares, de seguridad nacional y de protección presidencial.
- In response to a court order, subpoena, discovery request, administrative request, or other lawful process, but only when permitted by applicable federal and California law and all legal requirements have been satisfied. We will not disclose protected reproductive, sexual, or gender-affirming health information in response to requests that California law prohibits us from honoring.
California Protections for Legally Protected Health Care Activities
Notwithstanding any other provision of this Notice, we will not knowingly disclose, transmit, transfer, share, provide access to, or otherwise release medical information that would identify an individual seeking, obtaining, providing, supporting, or assisting in legally protected health care activities that are lawful in California, including abortion, abortion-related services, contraception, gender-affirming health care, and gender-affirming mental health care, when California law prohibits such disclosure. We also will not cooperate with an inquiry or investigation from another state, or, to the extent permitted by federal law, from a federal agency, that seeks information identifying an individual in connection with such legally protected health care activities, except as expressly authorized or required by applicable law.
We Will Not Disclose Health Information About You Without Your Permission Unless as Described Below:
- Situaciones de emergencia: We may disclose information about you, including substance use disorder information when permitted by applicable law, as necessary to respond to declared emergencies, natural disasters, serious disruptions to treatment facilities or services, public health emergencies, or medical emergencies.
- Divulgaciones al empleador: We provide employers only the Health Information permitted by law, such as summary health information, enrollment and disenrollment information, premium and billing information, and other information authorized by federal and California law. We do not disclose individually identifiable medical information to employers unless authorized or required by law.
California Sensitive Services Protections
California law provides heightened protections for medical information related to certain sensitive services, including abortion and abortion-related services, gender-affirming health care and gender-affirming mental health care, contraception, reproductive and sexual health services, and substance use disorder treatment. For these services, the following additional protections apply:
- Out-of-State Subpoenas and Inquiries. We will not release medical information related to a person seeking or obtaining an abortion, gender-affirming care, or contraception that is lawful in California in response to a subpoena, request, or law-enforcement inquiry that is based on another state’s laws that interfere with such care or on a foreign penal civil action. We will not cooperate with any inquiry or investigation from another state, or, to the extent permitted by federal law, from a federal agency, that would identify an individual and is related to such services.
- Electronic Records and Health Information Exchanges. California law generally prohibits us from knowingly disclosing or transmitting medical information about a person seeking, obtaining, providing, supporting, or aiding a lawful California abortion through an electronic health record system or health information exchange to any individual or entity in another state, except under specific conditions, including a valid written authorization that expressly covers abortion-related information.
- Data Exchange Framework. Information related to abortion, abortion-related services, gender-affirming care, and contraception is excluded from automatic sharing through the California Health and Human Services Data Exchange Framework.
- Storage and Access Safeguards. Where applicable, we require our vendors and business associates that electronically store sensitive-services information on our behalf to limit access privileges, segregate such information from the rest of the medical record, and prevent disclosure to persons or entities outside California, consistent with California law.
