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Privacy and security of health information are of utmost importance in today's technologically-advancing world. The increased use of electronic health records as well as smartphones, tablets, and patient portals are changing how we look at our healthcare. The laws and regulations that protect our information also need to change. Currently, the Health Insurance Portability and Accountability Act, or HIPAA, sets the standards for protecting the privacy, confidentiality, and security of health information. Dr. William Braithwaite, who was instrumental in drafting the privacy and security rules, was known when they first came as “Dr. HIPAA.” Let's hear what he has to say. When we talk about HIPAA, particularly privacy and security, we're thinking about the HIPAA Administrative Simplification subtitle. The rest of this huge law was about health insurance portability and so on. It all started with a workgroup on electronic data interchange back in the early '90s who decided that healthcare was wasting 30 percent of the money that was being put into health insurance by doing very strange and... actually absurdly expensive exchanges of information between providers and health plans. So, they went to Congress, they talked to some folks about that, a couple of laws were drafted, and at the same time in the House, laws were being drafted about privacy based on the same fair information privacy practices that resulted in the 1974 Federal Privacy Act, but those privacy rules had never been able to be passed by Congress. So, when the Administrative Simplification idea came up, it didn't get very far, but in 1993, when Clinton's health reform bill was coming through, there was a whole section in there about health information technology, and I was sort of the right person at the right place at the right time and managed to put together a coalition of staff from the House and the Senate, both parties, and with industry input came up with this law called Administrative Simplification, which laid out the standards that everybody would have to follow in order to save this money, but also took into consideration the fact that as we turned people's health information into electronic form and started shooting it around over the internet or any other form of connection that the security and privacy of that information had to be protected, because at that time, there were no laws on a federal level to protect your health information. So, the combination was very powerful, and when Clinton's health reform bill didn't get past, the Administrative Simplification law got saved and got attached to every health reform bill that got introduced over the next two or three years, and finally in 1996, when HIPAA as a Health Insurance Portability Act got past, the Administrative Simplification law was attached to it. Now, by that point, Congress had realized that they couldn't pass a privacy law. They promised they would, but they never did. So, when the law was about to be passed...
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