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Records Confidentiality
  • No law specifically addresses the issue
  • Is a condition of hospital licensure
  • Is not a condition of hospital licensure



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StateRecords Confidentiality Details
AlabamaIs a condition of hospital licensure

Ala. Admin. Code r. 420-5-7-.13: Licensed Alabama hospitals must assign responsibility for medical record administration to a  “medical records service.” Hospitals must establish a process to safeguard the confidentiality of patient records. 

Ala. Admin. Code r. 420-5-7-.05: Licensed Alabama hospitals must “protect and promote” patient rights including the confidentiality of their medical records. 

AlaskaIs not a condition of hospital licensure
ArizonaNo law specifically addresses the issue
ArkansasNo law specifically addresses the issue
CaliforniaIs a condition of hospital licensure
ColoradoIs a condition of hospital licensure

6 CCR 1011-1:II-6.100: Licensed Colorado hospitals must “develop and implement a policy regarding patient rights" including the right to the confidentiality of medical records. 

ConnecticutIs not a condition of hospital licensure
DelawareIs a condition of hospital licensure

16 Del. C. § 1006: Grounds on which the Delaware Department of Health and Social Services may deny, suspend or revoke the license of any hospital.

16 Del. C. § 1009A: "A patient’s right of confidentiality shall not be violated in any manner.” 

16 Del. C. § 1010A: Healthcare facilities that violate the Healthcare Associated Infections Disclosure Act, including the provision regarding patient privacy, face revocation of their license or civil penalties.

District of ColumbiaIs a condition of hospital licensure

22 DC ADC § 2022: Washington D.C. Hospitals must establish to policies and procedures to protect patient rights. These policies and procedures must include, among other items, the right to “personal privacy and confidentiality of medical records;”

22 DC ADC § 2030: Washington D.C. hospitals must maintain medical records for all patients. Medical records are confidential and may only be accessed in accordance with relevant law or with the patient’s consent.

FloridaIs a condition of hospital licensure

FL ST § 395.003: The Agency for Health Care Administration may suspend or revoke the license of a hospital that fails to comply with applicable laws and regulations. 

FL ST § 395.3025: Patient records maintained by licensed Florida facilities, including hospitals, are confidential and may not be disclosed without patient consent unless disclosure occurs to specified persons or in specified circumstances.

FL ST § 408.815: The Agency for Health Care Administration may suspend or revoke the license of a health care facility that violates the health care licensing statute or related rules.  

GeorgiaIs a condition of hospital licensure

Ga. Code Ann., § 31-2-8: The Georgia Department of Human Resources may discipline specified licensed hospitals that violate applicable licensing laws. 

Ga. Code Ann., § 31-7-4: The Georgia Department of Human Resources may revoke the permit of a hospital that violates relevant rules and regulations. 

Ga. Code Ann., 290-9-7-.18: Medical records maintained by a licensed hospital are confidential and may only be accessed as authorized by state and federal law.

Ga. Code Ann., 290-9-7-.41:  Failure to comply with the hospital rules and regulations may result in the revocation of a hospital’s permit.

HawaiiIs a condition of hospital licensure

Haw. Admin. Rules (HAR) § 11-93-3: Hawaii grants the Director of the Department of the Health the authority to license, inspect, and discipline hospitals. 

Haw. Admin. Rules (HAR) § 11-93-21: Licensed Hawaii hospitals must maintain confidential medical records that contain information regarding the patient’s identity, diagnosis, treatment, observations, and medical staff orders.

Haw. Admin. Rules (HAR) § 11-93-26: Licensed Hawaii hospitals must establish “[w]ritten policies regarding the rights and responsibilities of patients…” These rights and responsibilities must include, among other items, that the patient is “entitled” to the confidentiality of their medical records. 

IdahoIs not a condition of hospital licensure
IllinoisIs a condition of hospital licensure

IL ST CH 210 § 85/7: The Director of Public Health may suspend or revoke the license of a hospital that fails to comply with the Hospital Licensing Act, Hospital Report Card Act, Illinois Adverse Health Care Events Reporting Law of 2005, or other applicable rules, regulations, and standards. 

IndianaIs a condition of hospital licensure
IowaIs not a condition of hospital licensure
KansasIs a condition of hospital licensure

K.S.A. 65-430: The Kansas licensing agent may suspend or revoke the license of a hospital that fails to comply with the Article 4 hospital laws, K.S.A. 65-28,121 (regarding the abandonment of health care records), K.S.A. 65-4216 (regarding the failure to report acts by mental health technicians), or K.S.A. 65-4922 (regarding risk management programs).

28-34-9a2: Hospitals must maintain confidential medical records for all admitted patients. 

KentuckyIs not a condition of hospital licensure
LouisianaIs not a condition of hospital licensure
MaineIs a condition of hospital licensure
MarylandIs not a condition of hospital licensure
MassachusettsNo law specifically addresses the issue
MichiganIs a condition of hospital licensure
MinnesotaNo law specifically addresses the issue
MississippiIs a condition of hospital licensure
MissouriNo law specifically addresses the issue
MontanaIs not a condition of hospital licensure
NebraskaIs a condition of hospital licensure

Neb. Admin. R. & Regs. Tit. 175, Ch. 9, § 006: Licensed hospitals are required to maintain confidential medical records for at least ten years after a patient’s discharge or three years after a child patient reaches the age of eighteen. 

Neb. Admin. R. & Regs. Tit. 175, Ch. 9, § 008: The Nebraska Department of Health and Human Services Regulation and Licensure may take disciplinary action against a licensed hospital that, among other grounds, fails to comply with the Health Care Facility Licensure Act or the 175 NAC 9 regulations. 

NevadaIs not a condition of hospital licensure
New HampshireIs a condition of hospital licensure
New JerseyIs a condition of hospital licensure
New MexicoNo law specifically addresses the issue
New YorkIs not a condition of hospital licensure
North CarolinaIs not a condition of hospital licensure
North DakotaIs a condition of hospital licensure

NDAC 33-07-01.1-20: Licensed North Dakota Acute Care Hospitals, Primary Care Hospitals, and Specialized Hospitals must ensure the confidentiality of medical records. Hospitals must limit access to patient medical records to authorized personnel and must obtain a patient’s written consent prior to releasing medical information.

OhioNo law specifically addresses the issue
OklahomaNo law specifically addresses the issue
OregonNo law specifically addresses the issue
PennsylvaniaNo law specifically addresses the issue
Rhode IslandIs a condition of hospital licensure

R.I. Admin. Code 31-4-18:27.0: Licensed Rhode Island hospitals must implement measures to ensure the confidentiality of all medical records.

R.I. Admin. Code 31-4-18:7.0: The Rhode Island Department of Health may suspend or revoke a hospital’s license due to their noncompliance with the hospital licensing regulations, including the regulations pertaining to the maintenance and confidentiality of medical records.

South CarolinaIs not a condition of hospital licensure
South DakotaIs a condition of hospital licensure

SDCL § 34-12-19: The South Dakota Department of Health may suspend the license of a hospital or related institution for violations of the Chapter 34-12 laws or related regulations. 

ARSD 44:04:09:04: Hospitals must establish polices and procedures regarding the maintenance of medical records. The policies and procedures must address, among other items, how to safeguard and protect the confidentiality of medical records. 

TennesseeIs a condition of hospital licensure
TexasIs not a condition of hospital licensure
UtahIs a condition of hospital licensure

U.A.C. R432-100: Hospitals must comply with the 42 C.F.R. Part 2 confidentiality requirements when dealing with a patient that requests or receives admission to a substance abuse program. 

U.A.C. R432-3: The Utah Department of Health may discipline licensed hospitals for violations of Utah laws and regulations. 

VermontIs not a condition of hospital licensure
VirginiaIs not a condition of hospital licensure
WashingtonIs a condition of hospital licensure
West VirginiaIs a condition of hospital licensure

W. Va. Code St. R. § 64-12-7: Licensed hospitals must establish a “Medical Records Department and Information System” that is “sufficient to support the maintenance of patient records….and quality improvement activities.” Hospitals must maintain their records for a minimum of five years and implement procedures for protecting the confidentiality of patient records.

W. Va. Code St. R. § 64-12-3: Hospitals that violate any provisions of the hospital licensure rules, including the § 64-12-7 medical record maintenance provisions, face revocation of their license. 

WisconsinIs a condition of hospital licensure
WyomingIs not a condition of hospital licensure


Click on a state to see more information on Medical Records Collection, Retention, and Access in that state


Records Confidentiality
  • No law specifically addresses the issue
  • Is a condition of physician licensure
  • Is not a condition of physician licensure



Hide All

StateRecords Confidentiality Details
AlabamaIs a condition of physician licensure

Ala. Admin. Code r. 545-X-4-.06: Physicians are considered to engage in unprofessional conduct when they perform any act or omission that harms the patient or public welfare, including but not limited to the inability to maintain medical records or violating rules established by the Alabama Board of Medical Examiners or the Medical Licensure Commission. 

Ala. Admin. Code r. 545-X-4-.09: Licensed Alabama physicians must maintain “adequate medical records.” 

Ala. Admin. Code r. 420-5-7-.13: Licensed Alabama hospitals must assign responsibility for medical record administration to a  “medical records service.” 

AlaskaIs a condition of physician licensure

12 AAC 40.967: Physicians engage in "unprofessional conduct" when they deviate from professional standards including through the negligent or intentional release of patient information and the failure to properly maintain patient records. 

AS § 08.64.326: Physicians who engage in "unprofessional conduct" will be disciplined. 

ArizonaIs not a condition of physician licensure
ArkansasIs not a condition of physician licensure
CaliforniaIs a condition of physician licensure
ColoradoIs a condition of physician licensure

C.R.S.A. § 12-36-117: Colorado defines "unprofessional conduct" as including, among other things, the failure to practice medicine within the appropriate standard of care, including the appropriate creation and maintenance of medical records.

C.R.S.A. § 12-36-140:  Licensed Colorado physicians and physician assistants must establish “a written plan to ensure the security of patient medical records.” 

ConnecticutIs a condition of physician licensure
DelawareIs a condition of physician licensure

16 Del. C. § 1009A: A patient's confidentiality shall not be violated.

24 Del. C. § 1731: Physicians may be disciplined for "unprofessional conduct," including, among other things, the willful violation of a patient's confidentiality. 

24 DE ADC § 1700-8.0: The "intentional release of confidential [patient] information" without a patient's consent is considered to be "dishonorable or unethical conduct" by the state of Delaware and may result in the discipline of a physician. 

District of ColumbiaIs a condition of physician licensure

DC ST § 3-1205.14: Washington D.C. "Health Occupations Boards" may discipline licensed health professionals that, among other things, violate a patient's confidentiality. 

FloridaIs a condition of physician licensure

FL ST § 456.072: Health professionals, including physicians, face discipline for violating statutes and regulations that govern their professional practice. 

FL ST § 458.331: Licensed physicians that violate Chapter 458 (regarding medical practice), Chapter 456 (regarding health professions and occupations) or related regulations face the denial of their license or other disciplinary sanctions. 

GeorgiaIs not a condition of physician licensure
HawaiiIs a condition of physician licensure

HRS § 453-8: The Hawaii Medical Board may revoke, limit or suspend a physician's license for practicing in violation of the ethical standards endorsed by the Hawaii Medical Association.

HRS § 453-8.2: Description of the means in which the Hawaii Medical Board may discipline liscensed physicians.

IdahoIs a condition of physician licensure

IDAPA 22.01.04.031: Licensed Idaho physicians that violate Idaho Code § 54-1814 or the 22.01.04 regulations face discipline pursuant to § 54-1806A

I.C. § 54-1814: The Idaho professional discipline committee may discipline licensed physicians for failing to maintain the confidentiality of patient medical records. 

IllinoisIs a condition of physician licensure

IL ST CH 225 § 60/22: The Department Financial and Professional Regulation may suspend or revoke the license of a physician that among other items, engages in unprofessional, unethical, or dishonorable conduct or violates the Medical Practice Act or related regulations. 

IndianaIs a condition of physician licensure
IowaIs a condition of physician licensure

I.C.A. § 147.55: Iowa authorizes the discipline of licensed health care providers that act unethically or violate applicable laws and regulations. 

Iowa Admin. Code 653-13.7: Confidentiality of patient information and maintenance of medical records by a physician are ensured.

Iowa Admin. Code 653-23.1: Iowa establishes numerous grounds for physician discipline including, but not limited to, the “improper management of medical records.” 

KansasIs a condition of physician licensure
KentuckyIs a condition of physician licensure

KRS § 311.595: The Kentucky Board of Medical Licensure may suspend or revoke the license of a physician for, among other grounds, “willfully violat[ing] a confidential communication.” 

KRS § 311.597: Kentucky defines “dishonorable, unethical, or unprofessional conduct” as including, among other items, the failure to maintain current medical records.

LouisianaIs not a condition of physician licensure
MaineIs not a condition of physician licensure
MarylandIs not a condition of physician licensure
MassachusettsNo law specifically addresses the issue
MichiganIs a condition of physician licensure
MinnesotaNo law specifically addresses the issue
MississippiIs a condition of physician licensure
MissouriNo law specifically addresses the issue
MontanaIs not a condition of physician licensure
NebraskaIs a condition of physician licensure

Neb. Admin. R. & Regs. Tit. 172, Ch. 88, § 013: Nevada defines a physician’s unprofessional conduct as including, among other items, a failure to conform to the American Medical Association’s Code of Medical Ethics, violating a patient’s confidentiality, and “failure to keep and maintain adequate records of treatment or service.” 

NevadaIs not a condition of physician licensure
New HampshireIs a condition of physician licensure

N.H. Rev. Stat. § 329:17: Physicians that fail to maintain adequate medical records or violate any provision of RSA 332-I, including provisions regarding the confidentiality of medical records, face suspension or revocation of their license. 

New JerseyIs a condition of physician licensure
New MexicoNo law specifically addresses the issue
New YorkIs a condition of physician licensure
North CarolinaIs not a condition of physician licensure
North DakotaIs a condition of physician licensure

NDCC, 43-17-31: North Dakota authorizes the discipline of licensed physicians on the basis of numerous grounds including the “willful or negligent violation” of physician and patient confidentiality and the failure to maintain appropriate medical records. 

OhioNo law specifically addresses the issue
OklahomaNo law specifically addresses the issue
OregonNo law specifically addresses the issue
PennsylvaniaNo law specifically addresses the issue
Rhode IslandIs not a condition of physician licensure
South CarolinaIs not a condition of physician licensure
South DakotaIs not a condition of physician licensure
TennesseeIs a condition of physician licensure
TexasIs a condition of physician licensure

V.T.C.A., Occupations Code § 164.053: Texas defines “unprofessional or dishonorable conduct” by physicians as including, among other acts, the failure to keep drug and controlled substance records. 

Tex. Admin. Code tit. 22, § 165.1: Physicians must ensure that their chosen method of destroying medical records maintains patient confidentiality. 

UtahIs not a condition of physician licensure
VermontIs not a condition of physician licensure
VirginiaIs not a condition of physician licensure
WashingtonIs a condition of physician licensure
West VirginiaIs not a condition of physician licensure
WisconsinIs a condition of physician licensure
WyomingIs a condition of physician licensure

W.S.1977 § 33-26-402: Physicians who fail to maintain medical records or those that disclose confidential patient information in a negligent or intentional manner will be disciplined by the Wyoming Board of Medicine authority. 

New Availability of FDA Related Data

On June 2, 2014, the Food and Drug Administration launched OpenFDA. OpenFDA is an initiative in the Office of Informatics and Technology Innovation.

New Products on the Use of Information for Research Purposes

Fast Facts: How is “Research” defined under the HIPAA Privacy Rule?



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Fast Facts: How Does the HIPAA Privacy Rule Apply to Research?



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Myth Buster: A Business Associate Agreement is required when a covered entity contracts with an external Institutional Review Board (IRB).



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