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Q&A: Sharing Health Information Across State Lines

Analysis  |  By Revenue Cycle Advisor  
   February 04, 2021

HIPAA is not a barrier to interstate or intercountry transfer of PHI.

A version of this article was first published February 4, 2021, by HCPro's Revenue Cycle Advisor, a sibling publication to HealthLeaders.

Q: Does the HIPAA Privacy Rule prevent the sharing of electronic health information across states or jurisdictions?

A: No. There may be state privacy laws in place that require you to obtain an authorization before sending the data across state lines.

This could apply to PHI related to mental health or HIV/AIDS. If you are contracting with a BA outside your state or jurisdiction, or even outside the U.S., data sharing is permissible as long as a valid BAA has been executed.

HIPAA is not a barrier to interstate or intercountry transfer of PHI.

Editor’s note: Chris Apgar is president of Apgar & Associates, LLC, in Portland, Oregon. He is also a BOH editorial advisory board member. This information does not constitute legal advice. Consult legal counsel for answers to specific privacy and security questions. Opinions expressed are those of the author and do not represent HCPro or ACDIS.

Revenue Cycle Advisor combines all of HCPro's Medicare regulatory and reimbursement resources into one handy and easy-to-access portal. News is not just repeated from other sources. It is analyzed by our Medicare experts so professionals can comprehend any new rule and regulatory updates thoroughly. Learn more.


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