PRIA, Government Policy, Made Personal

Summary

An eligible system that gets mental health records must keep them just as private as the doctor or provider who made them. If the supervising mental health professional writes a note saying giving the records to the person would harm their health, the system cannot give the person those records. The person, their legal guardian or representative, or the system (acting for the person) can pick another mental health professional to review the records. If that reviewer says, in their professional judgment, that giving the records would not harm the person, the system may give the records. If a State’s laws stop a system from getting these records, the federal access and privacy rules do not apply to that system until the state ban ends or until the 2-year period beginning on May 23, 1986 ends, whichever comes first. “Records” means things like staff reports about care, investigation reports about abuse, neglect, or injury, and discharge planning records.

Title 42, §10806

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

(a)An eligible system which, pursuant to section 10805(a)(4) of this title, has access to records which, under Federal or State law, are required to be maintained in a confidential manner by a provider of mental health services, shall, except as provided in subsection (b), maintain the confidentiality of such records to the same extent as is required of the provider of such services.

(b)(1)Except as provided in paragraph (2), an eligible system which has access to records pursuant to section 10805(a)(4) of this title may not disclose information from such records to the individual who is the subject of the information if the mental health professional responsible for supervising the provision of mental health services to such individual has provided the system with a written determination that disclosure of such information to such individual would be detrimental to such individual’s health.

(2)(A)If disclosure of information has been denied under paragraph (1) to an individual—

(i)such individual;

(ii)the legal guardian, conservator, or other legal representative of such individual; or

(iii)an eligible system, acting on behalf of an individual described in subparagraph (B),

may select another mental health professional to review such information and to determine if disclosure of such information would be detrimental to such individual’s health. If such mental health professional determines, based on professional judgment, that disclosure of such information would not be detrimental to the health of such individual, the system may disclose such information to such individual.

(B)An eligible system may select a mental health professional under subparagraph (A)(iii) on behalf of—

(i)an individual whose legal guardian is the State; or

(ii)an individual who has a legal guardian, conservator, or other legal representative other than the State if such guardian, conservator, or representative does not, within a reasonable time after such individual is denied access to information under paragraph (1), select a mental health professional under subparagraph (A) to review such information.

(C)If the laws of a State prohibit an eligible system from obtaining access to the records of individuals with mental illness in accordance with section 10805(a)(4) of this title and this section, section 10805(a)(4) of this title and this section shall not apply to such system before—

(i)the date such system is no longer subject to such a prohibition; or

(ii)the expiration of the 2-year period beginning on May 23, 1986,

whichever occurs first.

(3)(A)As used in this section, the term “records” includes reports prepared by any staff of a facility rendering care and treatment or reports prepared by an agency charged with investigating reports of incidents of abuse, neglect, and injury occurring at such facility that describe incidents of abuse, neglect, and injury occurring at such facility and the steps taken to investigate such incidents, and discharge planning records.

(B)An eligible system shall have access to the type of records described in subparagraph (A) in accordance with the provisions of subsection (a) and paragraphs (1) and (2) of subsection (b).

Editorial Notes

Amendments

1991—Subsec. (b)(2)(C). Pub. L. 102–173 substituted “individuals with mental illness” for “mentally ill individuals”. 1988—Subsec. (b)(3). Pub. L. 100–509 added par. (3).

§10806 Access to Records

Summary

Title 42, §10806

Notes & Related Subsidiaries

Editorial Notes

Amendments

Citations & Metadata