To Protect the Privacy of Protected Health Information in Oversight Investigations

2000-12-26Executive Order 13181
Signed by: William J. Clinton
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Headline: Limits Law Enforcement Use of Medical Records From Oversight

What it does: Agencies must get authorization from the Deputy Attorney General (or Department of Defense General Counsel for military cases) before using health information from oversight in unrelated investigations.

Real World Impact:
  • Stops law enforcement from using oversight-discovered medical records without high-level approval.
  • Requires the Department of Justice to report annually to the President on requests and uses.
  • Imposes safeguards and a higher privacy standard for patients and treatment services.
Topics: medical privacy, law enforcement, patient privacy, healthcare oversight

Summary

This order bars law enforcement from using an individual’s protected health information found during health oversight activities in unrelated civil, administrative, or criminal investigations unless public interest clearly outweighs potential harm to the patient, the doctor‑patient relationship, and treatment services.

It covers health oversight investigators and law enforcement officials and relies on definitions in the Health Insurance Portability and Accountability Act regulations; agencies must get high‑level authorization and include safeguards.

The Department of Justice must report annually to the President on requests and uses.

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