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HIPAA-Covered Entity Exemption To CCPA, Don't Be Mistaken – You May Still Have To Comply

With the California Consumer Privacy Act’s (CCPA) compliance deadline fast approaching (January 1, 2020), companies are preparing to comply with the additional complex data privacy and security requirements. HIPAA-Covered Entities may mistakenly overlook the fact that the CCPA does not wholly-exempt personal information collected by HIPAA-Covered Entities, but in turn only exempts information already protected by HIPAA. HIPAA, the Health Insurance Portability and Accountability Act, requires health care organizations, employer-sponsored group health plans, healthcare clearinghouses, and other Covered Entities to ensure the privacy and security of Protected Health Information (“PHI”). Although the CCPA exempts data that constitutes PHI, a HIPAA-Covered Entity or related Business Associate must still protect personal data (or even health data) that is covered by the CCPA but does not satisfy the definition of PHI under HIPAA.

HIPAA-Covered Entity Data Could Be Subject to CCPA

What type of data is governed by HIPAA and, as a result, exempt from the CCPA? PHI is defined as “individually identifiable health information” held or transmitted by a Covered Entity or its Business Associate, in any form or medium, whether electronic, paper, or oral. For example, health information, demographic data, medical histories, test results, and insurance information are forms of PHI if they can reasonably be used to identify a patient. Identifiers coupled with health information such as names, geographic locations, dates, contact information, social security numbers, and more can also constitute PHI. If the data amounts to PHI, that data is exempt from the CCPA.

Not all data collected by a HIPAA-Covered Entity amounts to PHI. For example, employment records held in the hands of an employer (rather than held by the group health plan sponsored by the employer) are not PHI. Any data collected by a HIPAA-Covered Entity that is not PHI will be subject to the CCPA (to the extent the entity is subject to the CCPA). However, the CCPA provides for an exception. When a Covered Entity or health care provider maintains health information in the same manner as PHI, even though the health information is not PHI, the CCPA rules do not apply. That being said, applying HIPAA privacy and security rules to non-PHI could be a burdensome task and cause confusion amongst a Covered Entity’s employee population.

What This Means for HIPAA-Covered Entities

Start your data mapping now. To determine what information is collected that is not protected under HIPAA and, to what extent the CCPA applies to such data, you must understand what categories of information are collected, who it is received from, what’s being done with the data and who it is shared with. From there, you can formulate a CCPA plan that correlates and flows with obligations under HIPAA to ensure efficiencies throughout your data compliance program.

As you are reviewing CCPA application to your entity, reach out to our experienced privacy and ERISA team to partner with you to develop a practical plan that minimizes risk and syncs to your already existing HIPAA obligations. Here is a link for more information about our team: Privacy Team

Want to learn more about CCPA, click here to read Tackling The California Market From The Midwest? What A Business Needs To Know About The California Consumer Privacy Act (CCPA)