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Lawmakers Urge HIPAA Fix

July 20, 2001 -- The American Hospital Assocation reports that earlier this week a bipartisan group of 15 senators wrote DHHS Secretary Tommy Thompson, urging the administration to fix and help fund HIPAA's medical privacy rule. The Senate letter followed last week's identical call for changes from 165 representatives.

The text of the letter from Congress follows:


July 13, 2001

Dear Secretary Thompson:

Americans need and deserve strong, effective privacy safeguards that maintain the confidentiality of their medical information while also allowing them to access and amend those records when necessary. However, some provisions of the medical privacy rules mandated by the Health Insurance Portability and Accountability Act (HIPAA) go beyond the category of safeguards. Indeed some provisions if not modified could compromise patient care and essential hospital operations. To prevent this from happening we urge the administration to revise the rules promptly by addressing the serious concerns that health care providers have raised.

We want this regulation to work. Key issues raised in the more than 24,000 written comments submitted to HHS on the medical privacy rules need to be fixed now, so that compliance can be successful. For example, it must be made clear that nurses have access to patient records in an emergency; doctors and nurses must not be hindered by unclear oral communications definitions and be permitted to discuss care and treatment issues with patients; scheduling patients for surgery, x-rays or other vital services shouldn't depend on patients having to complete exhaustive privacy and consent forms that could be 10 or more pages long, exacerbating the regulatory burden for Americans. We strongly urge the administration to promptly address these and other patient care issues raised by the rules.

At the same time, we urge the administration to recognize the tremendous financial burden that the rules will force upon hospitals and providers, and to support the need for federal funding to help mitigate the extraordinary costs of complying with the privacy requirements. This is particularly important regarding our hospitals that are heavily reimbursed by public programs. The government itself estimates the total cost to be nearly $18 billion over five years. Other studies suggest the price tag is more than $22 billion for hospitals alone, and that those costs will not be offset by efficiencies brought by HIPAA's electronic transaction requirements.

We hope you will work with us to ensure that the HIPAA medical privacy rules truly safeguard patient information without hurting patient care, and to help hospitals and providers cope with the enormous costs of complying with the rules.

Sincerely,

Representatives who have signed the Walden-Dooley HIPAA letter to Secretary Thompson:

Alabama
Earl Hilliard

Alaska

Arizona
J.D. Hayworth
Jim Kolbe
John Shadegg

Arkansas
Marion Berry
Mike Ross

California
Joe Baca
Duke Cunningham
Cal Dooley
Jane Harman
Wally Herger
Michael Honda
Duncan Hunter
Doug Ose
George Radanovich
Ellen Tauscher
Lynn Woolsey

Colorado
Scott McInnis

Connecticut
John Larson
James Maloney

Delaware

Florida
Jim Davis
Lincoln Diaz-Balart
John Mica
Adam Putnam
Ileana Ros-Lehtinen
Joe Scarborough
E. Clay Shaw, Jr.
Cliff Stearns
Dave Weldon

Georgia
Sanford Bishop
Saxby Chambliss
Johnny Isakson
Jack Kingston
Charlie Norwood

Hawaii
Neil Abercrombie

Idaho
C.L. "Butch" Otter
Mike Simpson

Illinois
Rod Blagojevich
Jerry Costello
Danny Davis
Lane Evans
Tim Johnson
Mark Steven Kirk
Ray LaHood
Bill Lipinski
Donald Manzullo
David Phelps
John Shimkus
Jerry Weller

Indiana
John Hostettler
Mike Pence
Tim Roemer
Mark Souder

Iowa

Kansas
Dennis Moore
Jerry Moran

Kentucky
Ernie Fletcher
Ron Lewis
Ken Lucas
Anne Northup
Harold Rogers
Ed Whitfield

Louisiana
Richard Baker
John Cooksey
William Jefferson
Christopher John
Jim McCrery
David Vitter

Maine
John Baldacci

Maryland

Massachusetts

Michigan
Dave Camp
Joe Knollenberg
Mike Rogers
Bart Stupak
Fred Upton

Minnesota
Gil Gutknecht
Mark Kennedy
Collin Peterson
Jim Ramstad

Mississippi
Charles W. "Chip" Pickering
Roger Wicker

Missouri
Todd Akin
JoAnn Emerson
Kenny Hulshof

Montana

Nebraska
Doug Bereuter
Tom Osborne

Nevada

New Hampshire

New Jersey
Robert Andrews
Bill Pascrell
Christopher Smith

New Mexico
Tom Udall

New York
Sherwood Boehlert
Joseph Crowley
Amo Houghton
Carolyn McCarthy
John McHugh
Michael McNulty
Jack Quinn
John Sweeney
James Walsh

North Carolina
Eva Clayton
Robin Hayes
Mike McIntyre
Sue Myrick
David Price

North Dakota

Ohio
Paul Gillmor
Michael Oxley
Rob Portman

Oklahoma
Ernest Istook, Jr.
Steve Largent
Frank Lucas
J.C. Watts

Oregon
Peter DeFazio
Darlene Hooley
Greg Walden

Pennsylvania
Robert Borski
Robert Brady
Michael Doyle
Phil English
Chaka Fattah
George Gekas
Melissa Hart
Joseph Hoeffel
Tim Holden
Frank Mascara
John Peterson
Joe Pitts
Todd Russell Platts
Don Sherwood
Bill Shuster
Patrick Toomey
Curt Weldon

Rhode Island
James Langevin

South Carolina
Henry Brown
Lindsey Graham
John Spratt, Jr.
Floyd Spence

South Dakota
John Thune

Tennessee
William Jenkins

Texas
Ken Bentsen
Larry Combest
Kay Granger
Ralph Hall
Max Sandlin
Pete Sessions
Lamar Smith
Charles Stenholm
Jim Turner

Utah
James Hansen
Jim Matheson

Vermont

Virginia
Jo Ann Davis
Virgil Goode
Bob Goodlatte

Washington
Brian Baird
Norman Dicks
Jennifer Dunn
Doc Hastings
Rick Larsen
Jim McDermott
George Nethercutt, Jr.

West Virginia
Nick Rahall

Wisconsin
Tammy Baldwin
Thomas Barrett
Mark Green
Ron Kind
Paul Ryan
James Sensenbrenner

Wyoming
Barbara Cubin

Senators who have signed the Crapo-Landrieu HIPAA letter to Secretary Thompson:

Alabama

Alaska

Arizona

Arkansas

California

Colorado
Ben Nighthorse Campbell

Connecticut

Delaware

Florida

Georgia

Hawaii

Idaho
Mike Crapo

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana
Mary Landrieu

Maine
Susan Collins

Maryland

Massachusetts

Michigan

Minnesota

Mississippi
Thad Cochran

Missouri

Montana
Conrad Burns

Nebraska

Nevada

New Hampshire
Bob Smith

New Jersey

New Mexico

New York

North Carolina
Jesse Helms

North Dakota

Ohio
George Voinovich

Oklahoma
James Inhofe

Oregon

Pennsylvania
Rick Santorum
Arlen Specter

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah
Robert Bennett

Vermont
Jim Jeffords

Virginia

Washington

West Virginia

Wisconsin

Wyoming
Craig Thomas

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