Why was the consent requirement eliminated from the HIPAA Privacy Rule, and how will it affect individuals’ privacy protections?
The consent requirement created the unintended effect of preventing health care providers from providing timely, quality health care to individuals in a variety of circumstances. The most troubling and pervasive problem was that health care providers would not have been able to use or disclose PHI for treatment, payment, or health care operations purposes prior to the initial face-to-face encounter with the patient, which is routinely done to provide timely access to quality health care. To eliminate such barriers to health care, mandatory consent was replaced with the voluntary consent provision that permits health care providers to obtain consent for treatment, payment and health care operations, at their option, and enables them to obtain consent in a manner that does not disrupt needed treatment. Although consent is no longer mandatory, the Rule still affords individuals the opportunity to engage in important discussions regarding the use and disclosure of their health information