Title 42, The Public Health and WelfareRelease 119-110

§17934 Application of Privacy Provisions and Penalties to Business Associates of Covered Entities

Title 42 › CHAPTER 156 — HEALTH INFORMATION TECHNOLOGY › SUBCHAPTER III — PRIVACY › Part A — Improved Privacy Provisions and Security Provisions › § 17934

Last updated Sep 22, 2026|Official source

Summary

If a business associate gets or creates protected health information (PHI) under a written contract under 45 C.F.R. 164.502(e)(2), it may only use or share that PHI if it follows the rules in 45 C.F.R. 164.504(e). Other privacy rules that apply to covered entities also apply to the business associate and must be included in the business associate agreement. The rule in 45 C.F.R. 164.504(e)(1)(ii) about what parties know applies to business associates the same way it applies to covered entities, with contract references treated accordingly. If a business associate breaks these rules, the penalties in sections 1176 and 1177 of the Social Security Act (42 U.S.C. 1320d–5, 1320d–6) apply, just as they do for violations of part C of title XI (42 U.S.C. 1320d et seq.).

Full Legal Text

Title 42, §17934

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

(a)Application of contract requirements
In the case of a business associate of a covered entity that obtains or creates protected health information pursuant to a written contract (or other written arrangement) described in section 164.502(e)(2) of title 45, Code of Federal Regulations, with such covered entity, the business associate may use and disclose such protected health information only if such use or disclosure, respectively, is in compliance with each applicable requirement of section 164.504(e) of such title. The additional requirements of this subchapter that relate to privacy and that are made applicable with respect to covered entities shall also be applicable to such a business associate and shall be incorporated into the business associate agreement between the business associate and the covered entity.
(b)Application of knowledge elements associated with contracts
section 164.504(e)(1)(ii) of title 45, Code of Federal Regulations, shall apply to a business associate described in subsection (a), with respect to compliance with such subsection, in the same manner that such section applies to a covered entity, with respect to compliance with the standards in section 164.502(e) and 164.504(e) of such title, except that in applying such section 164.504(e)(1)(ii) each reference to the business associate, with respect to a contract, shall be treated as a reference to the covered entity involved in such contract.
(c)Application of civil and criminal penalties
In the case of a business associate that violates any provision of subsection (a) or (b), the provisions of section 1176 and 1177 of the Social Security Act (42 U.S.C. 1320d–5, 1320d–6) shall apply to the business associate with respect to such violation in the same manner as such provisions apply to a person who violates a provision of part C of title XI of such Act [42 U.S.C. 1320d et seq.].

Legislative History

Notes & Related Subsidiaries

Editorial Notes

References in Text

This subchapter, referred to in subsec. (a), was in the original “this subtitle”, meaning subtitle D (§ 13400 et seq.) of title XIII of div. A of Pub. L. 111–5, Feb. 17, 2009, 123 Stat. 258, which is classified principally to this subchapter. For complete classification of subtitle D to the Code, see Tables. The Social Security Act, referred to in subsec. (c), 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.

Statutory Notes and Related Subsidiaries

Effective Date

Section effective 12 months after Feb. 17, 2009, except as otherwise specifically provided, see section 13423 of Pub. L. 111–5, set out as a note under section 17931 of this title.

Reference

Citations & Metadata

Citation

42 U.S.C. § 17934

Title 42, The Public Health and Welfare

Last Updated

Sep 22, 2026

Release point: 119-110