- President Trump has signed disaster declarations for Texas and Louisiana.
- Health and Human Services Secretary Tom Price signed a public health emergency declaration for Texas and Louisiana, authorizing the use of Section 1135 waivers of certain Medicare and Medicaid regulations. The Centers for Medicare & Medicaid Services is coordinating the requests and approvals to use these waivers. CMS’s web page includes details on how to apply for an 1135waiver.
- Texas Governor Greg Abbott has temporarily suspended all necessary statutes and rules to allow health care providers employed by a hospital and licensed and in good standing in another state to practice in Texas in order assist with the Harvey disaster response operations. Hospitals must submit to the applicable licensing entity each out-of-state provider’s name, provider type, state of license and license identification number.
Details on Section 1135 waivers and “flexibility” may be downloaded at https://www.cms.gov/About-CMS/Agency-Information/Emergency/downloads/MedicareFFS-EmergencyQsAs1135Waiver.pdf and https://www.cms.gov/About-CMS/Agency-Information/Emergency/
UPDATE:
HHS Secretary Waives Certain HIPAA Privacy Rule Provisions for Texas and Louisiana Hospitals; OCR Issues Bulletin for Medical Professionals Navigating HIPAA Rules in Emergency Situations
In response to Hurricane Harvey, U.S. Department of Health and Human Services (HHS) Secretary Tom Price, M.D., declared a public health emergency in Texas and Louisiana and has exercised the authority to waive sanctions and penalties against a Texas or Louisiana covered hospital that does not comply with the following provisions of the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule:
• The requirements to obtain a patient’s agreement to speak with family members or friends involved in the patient’s care
• The requirement to honor a request to opt out of the facility directory
• The requirement to distribute a notice of privacy practices
• The patient’s right to request privacy restrictions
• The patient’s right to request confidential communications
Other provisions of the Privacy Rule continue to apply, even during the waiver period.
When the Secretary issues such a waiver, it only applies: (1) in the emergency area and for the emergency period identified in the public health emergency declaration; (2) to hospitals that have instituted a disaster protocol; (3) with respect to the provisions identified above; and (4) for up to 72 hours from the time the hospital implements its disaster protocol. When the Presidential or Secretarial declaration terminates, a hospital must then comply with all the requirements of the Privacy Rule for any patient still under its care, even if 72 hours have not elapsed since implementation of its disaster protocol. All other provisions of the HIPAA regulations, including the Security Rule and the Breach Notification Rule, remain in effect.
As emergency personnel and medical facilities undertake immediate action to ensure the safety of those affected, OCR continues to highlight how the HIPAA Privacy Rule allows patient information to be shared to assist in disaster relief efforts and to assist patients in receiving the care they need, regardless of whether a waiver is granted.
For more detailed information regarding HIPAA privacy and disclosures in emergency situations, click here.
For more detailed information regarding emergency situation preparedness, planning, and response, click here.
To utilize the Disclosures for Emergency Preparedness Decision Tool, click here.
Please view the Civil Rights Emergency Preparedness page to learn how nondiscrimination laws apply during an emergency.
What does one do who has no hospital privileges, and has a private practice, e.g. urgent care or family practice, and is licensed by the state in good standing.
https://www.texasdisastervolunteerregistry.org