Recent Legislative Changes in Patient Data Privacy: What’s New in California and Maryland?

The focus on patient data privacy has become important in healthcare legislation in the United States. Recent updates in California and Maryland present changes that medical practice administrators, owners, and IT managers need to understand. With new laws aimed at protecting sensitive information, compliance is essential for meeting legal requirements and maintaining patient trust.

California’s Evolving Privacy Framework

California has been a leader in data privacy legislation. The California Consumer Privacy Act (CCPA), which took effect on January 1, 2020, was the first major law in the country focusing on protecting consumer data. In 2023, the CCPA was amended by the California Privacy Rights Act (CPRA) to enhance privacy rights. Notably, businesses are now required to minimize the data they collect and be transparent about its usage.

The CPRA allows residents to access, delete, or opt-out of the sale of their personal information. This enhances consumer control over their sensitive data in a healthcare setting, covering aspects like medical histories, mental health, and reproductive health.

A recent amendment to California’s Confidentiality of Medical Information Act (CMIA) broadens protections for data related to abortion, contraception, and gender-affirming care. Effective July 1, 2024, this amendment requires healthcare entities to implement additional safeguards when managing sensitive information on these topics, acknowledging the need for confidentiality in patient care.

Such measures mean that healthcare organizations must revise their data handling practices. Administrators and IT managers need to establish new policies and workflows to ensure compliance. This also involves educating staff about these updates and using technology to automate compliance tracking.

Maryland’s Maryland Online Data Privacy Act (MODPA)

Maryland is following California’s path by passing the Maryland Online Data Privacy Act (MODPA), which will take effect on October 1, 2025. This act introduces strong data privacy protections, requiring data minimization and strict rules on sensitive personal information, especially concerning health-related data.

Entities managing the personal data of at least 35,000 residents must comply with the law. If a significant portion of their income comes from selling personal data, the threshold drops to 10,000 consumers. This indicates Maryland’s commitment to protecting all residents, regardless of the organization’s size.

The act grants consumer rights similar to those in California’s laws, such as access, correction, deletion, and the ability to opt-out of certain data processing activities. It also broadly defines “consumer health data” to include any information about a consumer’s physical or mental health, with strict rules on the sale and processing of this data.

Moreover, the MODPA bans the collection, processing, and transfer of data from individuals under the age of 18 for targeted advertising. This showcases a growing recognition of the need to protect vulnerable groups and stresses the responsibilities of healthcare providers in maintaining minors’ sensitive information.

Key Considerations for Medical Practice Administrators

With these changes in patient data privacy laws, medical practice administrators must take proactive measures for compliance and data protection. Developing comprehensive data privacy policies that align with the regulations in California and Maryland is crucial. Key considerations include:

  • Training and Education: Educating staff about the new laws is essential. Medical practices should implement training programs that inform employees about the implications of the CCPA, CPRA, and MODPA on data handling and consent. This ensures that everyone understands their role in compliance and patient privacy.
  • Data Management Policies: It is important to update data management policies to meet current compliance requirements. Medical practices need protocols for the collection, storage, and sharing of sensitive data. This could involve:
    • Regular audits of patient data practices
    • Clear guidelines for sharing sensitive information
    • Effective methods for obtaining patient consent regarding their information.
  • Technological Solutions: Embracing advanced technology for data management is increasingly necessary. Adopting electronic health records (EHR) systems that focus on patient privacy according to current regulations can aid compliance and build patient trust.

AI and Workflow Automation: Enhancements to Data Privacy Compliance

As healthcare adapts to changing regulations, artificial intelligence (AI) and automation offer practical benefits in improving compliance workflows.

Workflow Automation in Data Privacy

Automated solutions can simplify processes involving sensitive data management:

  • Data Classification and Tagging: AI tools can classify and tag sensitive information like reproductive health data, helping organizations identify what needs extra protection under new regulations.
  • Compliance Tracking: Automation can streamline tracking data access and usage. This ensures organizations can demonstrate compliance during audits or inspections.
  • Patient Consent Management: AI systems can efficiently manage patient consent forms, enabling practices to automate reminders for updates to information preferences, enhancing compliance with consent rules.

AI’s Role in Data Segmentation

Recent advancements in AI enable better data segmentation. By using AI technologies, healthcare organizations can comply with data sensitivity coding initiatives. This supports efficient management of patient communications about sensitive health services, aligning with privacy requirements.

Additionally, AI tools can aid in predicting classifications for data sharing across platforms, balancing interoperability with privacy needs. This is beneficial under the Trusted Exchange Framework and Common Agreement (TEFCA) initiative, which aims for nationwide interoperability while respecting patient privacy.

Real-time Monitoring

Smart systems can monitor data access and usage in real-time, alerting administrators to potential breaches or unauthorized access attempts. This proactive strategy enhances compliance and helps maintain patient trust.

Emphasizing Sensitive Data Protection

Clear communication with patients about new privacy measures and actions to safeguard their information is as important as implementing the laws. Encouraging conversations about their rights builds an environment of trust. Practices should provide privacy notices and options for patients to manage their information, ensuring clarity about access and sharing of their sensitive data.

Future Implications

The trend toward stronger consumer data privacy laws in states like California and Maryland indicates a national shift toward enhanced protections. Healthcare organizations must stay informed about legislative changes that could impact them and should maintain adaptable processes for quick adjustments in data management.

As data regulations evolve, medical practice administrators, owners, and IT managers need to be proactive in ensuring compliance with current and anticipated laws. Keeping up with legislative changes, investing in technology to protect patient data, and engaging with patients are essential for maintaining a compliant and trusted healthcare environment.

Protecting patient privacy is not just a legal requirement; it is a critical part of quality healthcare. As administrators and IT professionals work through these changes, they have an important role in ensuring that patient data is handled securely.