Senate Study Bill 3042 - Introduced SENATE/HOUSE FILE _____ BY (PROPOSED DEPARTMENT OF PUBLIC HEALTH BILL) A BILL FOR An Act relating to the Iowa health information network. 1 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 2 TLSB 5306XD (8) 85 pf/nh

S.F. _____ H.F. _____ Section 1. Section 135.154, Code 2014, is amended by adding 1 the following new subsections: 2 NEW SUBSECTION . 3A. “Care coordination” means the 3 management of all aspects of a patient’s care to improve health 4 care quality, patient outcomes, and patient safety. 5 NEW SUBSECTION . 19A. “Public health activities” means 6 actions taken by a participant in its capacity as a public 7 health authority under the Health Insurance Portability and 8 Accountability Act or as required or permitted by other federal 9 or state law. 10 NEW SUBSECTION . 23. “ Record locator service” means the 11 functionality of the Iowa health information network that 12 queries data sources to locate and identify potential patient 13 records. 14 Sec. 2. Section 135.156E, subsection 13, Code 2014, is 15 amended to read as follows: 16 13. Unless otherwise provided in this division , when using 17 sharing health information through the Iowa health information 18 network or a private health information network maintained 19 in this state that complies with the privacy and security 20 requirements of this chapter for the purposes of patient 21 treatment, a health care professional or a hospital payment 22 or health care operations, as such terms are defined in the 23 Health Insurance Portability and Accountability Act, or for 24 the purposes of public health activities or care coordination, 25 a participant authorized by the department to use the record 26 locator service is exempt from any other state law that is 27 more restrictive than the Health Insurance Portability and 28 Accountability Act that would otherwise prevent or hinder the 29 exchange of patient information by the patient’s health care 30 professional or hospital participant . 31 EXPLANATION 32 The inclusion of this explanation does not constitute agreement with 33 the explanation’s substance by the members of the general assembly. 34 This bill amends a provision exempting health care 35 -1- LSB 5306XD (8) 85 pf/nh 1/ 2

S.F. _____ H.F. _____ professionals and hospitals from state laws more restrictive 1 than the federal Health Insurance Portability and 2 Accountability Act (HIPAA) that would prevent or hinder the 3 exchange of patient information by the health care professional 4 or hospital when using the Iowa health information network 5 (IHIN) or a private health information network that complies 6 with the privacy and security requirements for the IHIN, 7 for the purposes of patient treatment. The bill continues 8 to limit the exemption to the sharing of health information 9 through the IHIN or private network, but adds payment and 10 health care operations (as defined in HIPAA) and public health 11 activities and care coordination to the purposes allowed for 12 such exemption, and substitutes participants authorized to 13 use the record locator service under the IHIN for health care 14 professionals and hospitals as the persons exempted. The terms 15 “care coordination”, “public health activities”, and “record 16 locator service” are defined in the bill. 17 -2- LSB 5306XD (8) 85 pf/nh 2/ 2