Title 42The Public Health and WelfareRelease 119-73

§300jj–19 Miscellaneous provisions

Title 42 › Chapter CHAPTER 6A— - PUBLIC HEALTH SERVICE › Subchapter SUBCHAPTER XXVIII— - HEALTH INFORMATION TECHNOLOGY AND QUALITY › Part Part A— - Promotion of Health Information Technology › § 300jj–19

Last updated Apr 6, 2026|Official source

Summary

Requires health IT rules to work with HIPAA privacy and security law and does not change the Secretary’s existing HIPAA powers. The law says the health IT standards and how they are used (including under section 300jj–14) must consider HIPAA privacy and security rules. The phrase “HIPAA privacy and security law” means part C of title XI of the Social Security Act (42 U.S.C. 1320d et seq.), section 264 of the Health Insurance Portability and Accountability Act of 1996, subtitle D of title IV of the HITECH Act, and the regulations under them. Gives the Secretary flexibility to treat the term “health care provider” (see section 300jj(3)) differently when needed. Directs the Secretary to use existing powers to encourage partnerships between health information exchanges/networks and providers, health plans, and others so patients can get their electronic health information in one easy-to-understand, secure, and automatically updated record. The Secretary and the Office for Civil Rights (OCR) must teach providers how to use exchanges, clear up misunderstandings, and steer providers to exchanges that have the needed features. They must issue best-practice guidance so shared records are private, secure, accurate, and verifiable, and so records that need patient permission can be easily shared under that permission. State laws that give stronger patient consent protections still apply. The National Coordinator and OCR must promote convenient patient access without burdening providers. For certification (see section 300jj–11(c)(5)), the National Coordinator may require support for single-record patient access, electronic patient-reported information, and patient-controlled research access, and ask the HIT Advisory Committee to set standards to help these goals.

Full Legal Text

Title 42, §300jj–19

The Public Health and Welfare — Source: USLM XML via OLRC

(a)(1)With respect to the relation of this subchapter to HIPAA privacy and security law:
(A)This subchapter may not be construed as having any effect on the authorities of the Secretary under HIPAA privacy and security law.
(B)The purposes of this subchapter include ensuring that the health information technology standards and implementation specifications adopted under section 300jj–14 of this title take into account the requirements of HIPAA privacy and security law.
(2)For purposes of this section, the term “HIPAA privacy and security law” means—
(A)the provisions of part C of title XI of the Social Security Act [42 U.S.C. 1320d et seq.], section 264 of the Health Insurance Portability and Accountability Act of 1996, and subtitle D of title IV 11 See References in Text note below. of the Health Information Technology for Economic and Clinical Health Act; and
(B)regulations under such provisions.
(b)In administering the provisions of this subchapter, the Secretary shall have flexibility in applying the definition of health care provider under section 300jj(3) of this title, including the authority to omit certain entities listed in such definition when applying such definition under this subchapter, where appropriate.
(c)(1)The Secretary shall use existing authorities to encourage partnerships between health information exchange organizations and networks and health care providers, health plans, and other appropriate entities with the goal of offering patients access to their electronic health information in a single, longitudinal format that is easy to understand, secure, and may be updated automatically.
(2)The Secretary, in coordination with the Office for Civil Rights of the Department of Health and Human Services, shall—
(A)educate health care providers on ways of leveraging the capabilities of health information exchanges (or other relevant platforms) to provide patients with access to their electronic health information;
(B)clarify misunderstandings by health care providers about using health information exchanges (or other relevant platforms) for patient access to electronic health information; and
(C)to the extent practicable, educate providers about health information exchanges (or other relevant platforms) that employ some or all of the capabilities described in paragraph (1).
(3)In carrying out paragraph (1), the Secretary, in coordination with the Office for Civil Rights, shall issue guidance to health information exchanges related to best practices to ensure that the electronic health information provided to patients is—
(A)private and secure;
(B)accurate;
(C)verifiable; and
(D)where a patient’s authorization to exchange information is required by law, easily exchanged pursuant to such authorization.
(4)Nothing in this subsection shall be construed to preempt State laws applicable to patient consent for the access of information through a health information exchange (or other relevant platform) that provide protections to patients that are greater than the protections otherwise provided for under applicable Federal law.
(d)The National Coordinator and the Office for Civil Rights of the Department of Health and Human Services shall jointly promote patient access to health information in a manner that would ensure that such information is available in a form convenient for the patient, in a reasonable manner, without burdening the health care provider involved.
(e)(1)(A)The Secretary, in consultation with the National Coordinator, shall promote policies that ensure that a patient’s electronic health information is accessible to that patient and the patient’s designees, in a manner that facilitates communication with the patient’s health care providers and other individuals, including researchers, consistent with such patient’s consent.
(B)To promote awareness that an individual has a right of access to inspect, obtain a copy of, and transmit to a third party a copy of such individual’s protected health information pursuant to the Health Information Portability and Accountability Act, Privacy Rule (subpart E of part 164 of title 45, Code of Federal Regulations), the Director of the Office for Civil Rights, in consultation with the National Coordinator, shall assist individuals and health care providers in understanding a patient’s rights to access and protect personal health information under the Health Insurance Portability and Accountability Act of 1996 (Public Law 104–191), including providing best practices for requesting personal health information in a computable format, including using patient portals or third-party applications and common cases when a provider is permitted to exchange and provide access to health information.”.22 So in original.
(2)In carrying out certification programs under section 300jj–11(c)(5) of this title, the National Coordinator may require that—
(A)the certification criteria support—
(i)patient access to their electronic health information, including in a single longitudinal format that is easy to understand, secure, and may be updated automatically;
(ii)the patient’s ability to electronically communicate patient-reported information (such as family history and medical history); and
(iii)patient access to their personal electronic health information for research at the option of the patient; and
(B)the HIT Advisory Committee develop and prioritize standards, implementation specifications, and certification criteria required to help support patient access to electronic health information, patient usability, and support for technologies that offer patients access to their electronic health information in a single, longitudinal format that is easy to understand, secure, and may be updated automatically.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

References in Text

The Social Security Act, referred to in subsec. (a)(2)(A), is act Aug. 14, 1935, ch. 531, 49 Stat. 620. Part C of title XI of the Act is classified generally to part C (§ 1320d et seq.) of subchapter XI of chapter 7 of this title. For complete classification of this Act to the Code, see section 1305 of this title and Tables. The Health Insurance Portability and Accountability Act of 1996, referred to in subsecs. (a)(2)(A) and (e)(1)(B), is Pub. L. 104–191, Aug. 21, 1996, 110 Stat. 1936. section 264 of the Act is set out as a note under section 1320d–2 of this title. For complete classification of this Act to the Code, see

Short Title

of 1996

Amendments

note set out under section 201 of this title and Tables. The Health Information Technology for Economic and Clinical Health Act, referred to in subsec. (a)(2)(A), is title XIII of div. A and title IV of div. B of Pub. L. 111–5, Feb. 17, 2009, 123 Stat. 226, 467, also known as the HITECH Act. Subtitle D of title IV of the Act probably means subtitle D of title XIII of div. A of the Act, which is classified generally to subchapter III (§ 17921 et seq.) of chapter 156 of this title. Title IV of div. B of the Act does not contain a subtitle D. For complete classification of this Act to the Code, see

Short Title

of 2009 Amendment note set out under section 201 of this title and Tables.

Amendments

2016—Subsecs. (c) to (e). Pub. L. 114–255 added subsecs. (c) to (e).

Reference

Citations & Metadata

Citation

42 U.S.C. § 300jj–19

Title 42The Public Health and Welfare

Last Updated

Apr 6, 2026

Release point: 119-73