Andrea, I am unaware of any specific privacy requirements under CLIA, I
believe that HIPAA would control.  So I don't see conflict.

522a or the Privacy Act of 1974 dictates privacy on the Federal Agency
Level - thus would govern all federal agencies, and their contractors.  It
also affects state and local government, and their contractors.  It required
the same rules for the contractors as it does for the agencies.  It has
numerous conflicts and overlaps with HIPAA, and deals with issues not
included in HIPAA's Privacy Rule as well.  A link for the reg is:
http://www.hipaahelpnow.com/privacy_act_1974.htm

Where this gets seriously complicated is for Federal Agencies who are also
HIPAA Covered Entities.  To date, I have not seen a comparison matrix of the
two.  Though HCCO will examine the requirements in some deal later on
through it's harmonization initiatives.

Another regulation that also affects HIPAA Privacy in significant ways is
the ICH/FDA GCP.  The GCP regulation with the most impact to Privacy AND
Security is 21CFR11.  You may find links to the specific components of GCP
on http://www.hipaahelpnow.com/hipaa_regulations_regs.htm  at the bottom of
the page.  21CFR11 has profound impact for providers who engage in clinical
trials, and it affects their patient records, privacy, and security
(overlapping the Privacy and Security rules).

Once we collectively get past Privacy compliance, and significant effort
will be needed to harmonize these regulations and HIPAA, as well as FERPA,
so as to enable the HIPAA covered entities to rationally address the
parallel compliance efforts required.

I would be happy to discuss these issues in more detail off-line, as well as
anyone who would like to collaborate in comparative harmonization efforts.

Tim McGuinness, Ph.D.
Consulting Specialist in Regulatory Privacy, Security, and Application
Compliance (HIPAA/ASCA/FDA/CMS-HCFA/ICH/ADA 508c),
[EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]>

President,
HIPAA Help Now
[EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]>
www.hipaahelpnow.com <http://www.hipaahelpnow.com/>

Executive Co-Chairman for Privacy,
HIPAA Conformance Certification Organization (HCCO)
www.hcco.us

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-----Original Message-----
From: Zalewski Andrea [mailto:[EMAIL PROTECTED]]
Sent: Thursday, September 26, 2002 11:40 AM
To: [EMAIL PROTECTED]
Subject: CLIA and USC 522a exemptions under Privacy


Does anyone have specific information, or links to such information,
regarding how CLIA and the USC 522a regulations affect the Privacy Rule?

Andrea R. Zalewski
Director of Quality Assurance and HIPAA
HCA Physician Services


"Quality is never an accident; it is the result of high intention, sincere
effort, intelligent direction and skillful execution; it represents the wise
choice of many alternatives." -- Willa A. Foster

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