WEBVTT
00:00:06.743 --> 00:00:35.262
So, kind of the obvious thing, in a way, would be to say, "Let's, let's have the feds step in here and, you know, have rules overall." And there's a history of that because you had HIPAA, which was really before the electronic era- Absolutely … and then HITECH, the Affordable Care Act, and a lot of things that have been moving forward, including my friend, uh, Micky Tripathi, when he was head of, uh, ONC, you know, did a lot to try to have actual interoperability, which is for better patient care and also should lower costs, uh, overall.
00:00:35.283 --> 00:00:43.554
But if we look at where that stands, so I think there was a federal HIPAA reproductive health privacy rule- Mm-hmm … that was vacated last year.
00:00:43.923 --> 00:00:53.412
And so is it actually realistic to try to push for kind of a, a national approach, or do we just need to figure out how to deal with this patchwork for the foreseeable future?
00:00:53.484 --> 00:01:02.863
Yeah, I think, uh, specific to, uh, the type of sensitive health data that we're talking about, there … it's not gonna be addressed at the federal level.
00:01:02.893 --> 00:01:09.192
Um, you know, it's just too politically fraught, and there's no agreement, uh, between the, the parties.
00:01:09.192 --> 00:01:14.933
Obviously they're coming at this, you know, topic from a very different perspective, and so I don't think that w- will happen.
00:01:15.063 --> 00:01:21.164
There are other places that we are hoping for, uh, federal action specific to health IT.
00:01:21.174 --> 00:01:30.783
Um, you know, general privacy, um, and security, we could use a stronger national framework there than we have.
00:01:31.153 --> 00:01:33.503
Uh, you know, legislation, you mentioned HIPAA.
00:01:33.643 --> 00:01:38.132
HIPAA, of course, doesn't address, you know, kind of the appification of healthcare, right?
00:01:38.134 --> 00:01:49.552
And, and the fact that so much data leaves HIPAA-covered, um, environments and goes out, and patients, you know, again, don't know what that looks like and they don't understand their exposure.
00:01:49.802 --> 00:01:53.813
So, you know, Dr. Cassidy, Senator Cassidy had introduced some legislation there.
00:01:53.843 --> 00:01:55.563
Um, I'm not sure that's gonna move.
00:01:56.052 --> 00:01:59.102
But there are some efforts at the federal level to address things.
00:01:59.112 --> 00:02:05.004
But on that reproductive health or gender-affirming care, I would not put a dollar on that bet.
00:00:06.743 --> 00:00:35.262
So, kind of the obvious thing, in a way, would be to say, "Let's, let's have the feds step in here and, you know, have rules overall." And there's a history of that because you had HIPAA, which was really before the electronic era- Absolutely … and then HITECH, the Affordable Care Act, and a lot of things that have been moving forward, including my friend, uh, Micky Tripathi, when he was head of, uh, ONC, you know, did a lot to try to have actual interoperability, which is for better patient care and also should lower costs, uh, overall.
00:00:35.283 --> 00:00:43.554
But if we look at where that stands, so I think there was a federal HIPAA reproductive health privacy rule- Mm-hmm … that was vacated last year.
00:00:43.923 --> 00:00:53.412
And so is it actually realistic to try to push for kind of a, a national approach, or do we just need to figure out how to deal with this patchwork for the foreseeable future?
00:00:53.484 --> 00:01:02.863
Yeah, I think, uh, specific to, uh, the type of sensitive health data that we're talking about, there … it's not gonna be addressed at the federal level.
00:01:02.893 --> 00:01:09.192
Um, you know, it's just too politically fraught, and there's no agreement, uh, between the, the parties.
00:01:09.192 --> 00:01:14.933
Obviously they're coming at this, you know, topic from a very different perspective, and so I don't think that w- will happen.
00:01:15.063 --> 00:01:21.164
There are other places that we are hoping for, uh, federal action specific to health IT.
00:01:21.174 --> 00:01:30.783
Um, you know, general privacy, um, and security, we could use a stronger national framework there than we have.
00:01:31.153 --> 00:01:33.503
Uh, you know, legislation, you mentioned HIPAA.
00:01:33.643 --> 00:01:38.132
HIPAA, of course, doesn't address, you know, kind of the appification of healthcare, right?
00:01:38.134 --> 00:01:49.552
And, and the fact that so much data leaves HIPAA-covered, um, environments and goes out, and patients, you know, again, don't know what that looks like and they don't understand their exposure.
00:01:49.802 --> 00:01:53.813
So, you know, Dr. Cassidy, Senator Cassidy had introduced some legislation there.
00:01:53.843 --> 00:01:55.563
Um, I'm not sure that's gonna move.
00:01:56.052 --> 00:01:59.102
But there are some efforts at the federal level to address things.
00:01:59.112 --> 00:02:05.004
But on that reproductive health or gender-affirming care, I would not put a dollar on that bet.
