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This interesting document was obtained by Wikileaks from the United States Congressional Research Service.

The CRS is a Congressional “think tank” with a staff of around 700. Reports are commissioned by members of Congress on topics relevant to current political events. Despite CRS costs to the tax payer of over $100M a year, its electronic archives are, as a matter of policy, not made available to the public.

The Administration, Congress, foundations, and the private sector have undertaken various initiatives to promote the adoption of electronic health records (EHRs) as part of the national health information infrastructure. An electronic personal health record (EPHR) is a database of medical information collected and maintained by the individual patient. Commercial suppliers, health care providers, health insurers, employers, medical websites, and patient advocacy groups offer EPHRs. Congress has held hearings on electronic personal health records, and legislation has been introduced (S. 1456), ordered to be reported (H.R. 2406), and reported (S. 1693). Electronic personal health records are controversial among privacy advocates and patients, who are concerned about health information privacy and security, and misuse of individually identifiable health information. The extent to which electronic personal health records are protected by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule is discussed herein.

Here’s the link…. http://www.wikileaks.com/leak/crs/RS22760.pdf