While most patient medical information is considered confidential, some types are considered even more confidential than normal types of health information. This “super-confidentiality” may exist in certain situations, including the following three main types of records or health information: Although technically non-confidential, the following federal regulations apply to confidentiality in hospital records if they participate in the Medicare program (like most): 42 C.F.R., section 482.24(b)(3). (3) Psychiatric and Psychiatric Records – Psychiatrist/Psychotherapist Patient Privilege under Federal Rule of Evidence 501 & – Jaffee v. Redmond, 518 U.S. 1, 116 S.Ct. 1923, 1927, 135 L.Ed.2d 337 (1996) – 42 U.S.C., Sect. 9501(1)(H) & (2)(B) – Florida Statutes, sect. 90.503(2) & (3)(d) (Note: This merged the psychiatrist-patient privilege of Florida Statutes, Section 490.242(1975) with the Psychologist-Patient Privilege Florida Statutes, Sect. 490.32(1975), both of which existed before the Code of Evidence came into effect) – Russell v.
Stardust Cruisers, Inc., 690 So.2d 743(Fla. 5th DCA 1997) – Community Psychiatric Centers of Fla., Inc. v. Bevelacqua, 673 So.2d 948 (Fla. 4. TCA 1996) – Leonard v. Leonard, 673 So.2d 97 (Fla. 1st DCA 1996) – Florida Statutes, sectiont. 394.459(9) – Florida Statutes, s. 490.0147 (psychologists = records) – Florida Statutes, section 491.0147 (clinical, counseling, and psychotherapy services) MENTAL HEALTH, HIV, AND DRUG/ALCOHOL TREATMENT RECORDS (rev. 10/25/2005) In addition, the JCAHO standards on federal regulations for organizations participating in the Medicare program are enforced and must be followed: 42 U.S.C., Section 1395bb; 42 C.F.R., section 488.5(a).
JCAHO standards and policies may require additional protections. FEDERAL “SUPER CONFIDENTIAL” MEDICAL RECORDS LAWS AND REGULATIONS (1) Alcohol and Drug Treatment Records: – 42 U.S.C Sect. 290dd-2 – 42 C.F.R. Sect. 2.1 – Florida Statutes, Section 394.4615 (Florida Mental Health Act) (Note: based on 42 U.S.C., Section 9501) – Florida Statutes, Section 397.501 (7) (The AMarchman Act@) – Florida Statutes, Section 112.0455 (11) (a) (Drug-Free Workplace Act) (2) HIV/AIDS Test Records or Results: – Florida Statutes, Section 381.004 (3) (e). . . .