{"description":"Documents affecting 42 CFR 2","count":15,"total_pages":1,"results":[{"title":"Confidentiality of Substance Use Disorder (SUD) Patient Records","type":"Rule","abstract":"The United States Department of Health and Human Services (HHS or \"Department\") is issuing this final rule to modify its regulations to implement section 3221 of the Coronavirus Aid, Relief, and Economic Security (CARES) Act. The Department is issuing this final rule after careful consideration of all public comments received in response to the notice of proposed rulemaking (NPRM) for the Confidentiality of Substance Use Disorder (SUD) Patient Records. This final rule also makes certain other modifications to increase alignment with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule to improve workability and decrease burden on programs, covered entities, and business associates.","document_number":"2024-02544","html_url":"https://www.federalregister.gov/documents/2024/02/16/2024-02544/confidentiality-of-substance-use-disorder-sud-patient-records","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-02-16/pdf/2024-02544.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-02544.pdf?1707408916","publication_date":"2024-02-16","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Office of the Secretary"}],"excerpts":"The United States Department of Health and Human Services (HHS or \"Department\") is issuing this final rule to modify its regulations to implement section 3221 of the Coronavirus Aid, Relief, and Economic Security (CARES) Act. The Department is issuing..."},{"title":"Confidentiality of Substance Use Disorder (SUD) Patient Records","type":"Proposed Rule","abstract":"The Department of Health and Human Services (HHS or \"the Department\") is issuing this notice of proposed rulemaking (NPRM) to solicit public comment on its proposal to modify its regulations to implement section 3221 of the Coronavirus Aid, Relief, and Economic Security (CARES) Act.","document_number":"2022-25784","html_url":"https://www.federalregister.gov/documents/2022/12/02/2022-25784/confidentiality-of-substance-use-disorder-sud-patient-records","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2022-12-02/pdf/2022-25784.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2022-25784.pdf?1669650491","publication_date":"2022-12-02","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Office of the Secretary"}],"excerpts":"The Department of Health and Human Services (HHS or \"the Department\") is issuing this notice of proposed rulemaking (NPRM) to solicit public comment on its proposal to modify its regulations to implement section 3221 of the Coronavirus Aid, Relief, and..."},{"title":"Confidentiality of Substance Use Disorder Patient Records","type":"Rule","abstract":"This final rule amends the Substance Abuse and Mental Health Services Administration's (SAMHSA) regulation governing the Confidentiality of Substance Use Disorder Patient Records, to clarify one of the conditions under which a court may authorize disclosure of confidential communications made by a patient to a part 2 program as defined in this regulation. This change to the regulation is intended to clarify that a court has the authority to permit disclosure of confidential communications when the disclosure is necessary in connection with investigation or prosecution of an extremely serious crime, such as one that directly threatens loss of life or serious bodily injury, where the extremely serious crime was allegedly committed by either a patient or an individual other than the patient.","document_number":"2020-25810","html_url":"https://www.federalregister.gov/documents/2020/12/14/2020-25810/confidentiality-of-substance-use-disorder-patient-records","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2020-12-14/pdf/2020-25810.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2020-25810.pdf?1607694317","publication_date":"2020-12-14","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Office of the Secretary"}],"excerpts":"This final rule amends the Substance Abuse and Mental Health Services Administration's (SAMHSA) regulation governing the Confidentiality of Substance Use Disorder Patient Records, to clarify one of the conditions under which a court may authorize..."},{"title":"Confidentiality of Substance Use Disorder Patient Records","type":"Rule","abstract":"This final rule makes changes to the Department of Health and Human Services' (HHS) regulations governing the Confidentiality of Substance Use Disorder Patient Records. These changes were prompted by the need to continue aligning the regulations with advances in the U.S. health care delivery system, while retaining important privacy protections for individuals seeking treatment for substance use disorders (SUDs). SAMHSA strives to facilitate information exchange for safe and effective SUD care, while addressing the legitimate privacy concerns of patients seeking treatment for a SUD. Within the constraints of the authorizing statute, these changes are also an effort to make the regulations more understandable and less burdensome.","document_number":"2020-14675","html_url":"https://www.federalregister.gov/documents/2020/07/15/2020-14675/confidentiality-of-substance-use-disorder-patient-records","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2020-07-15/pdf/2020-14675.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2020-14675.pdf?1594653313","publication_date":"2020-07-15","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Office of the Secretary"}],"excerpts":"This final rule makes changes to the Department of Health and Human Services' (HHS) regulations governing the Confidentiality of Substance Use Disorder Patient Records. These changes were prompted by the need to continue aligning the regulations with..."},{"title":"Confidentiality of Substance Use Disorder Patient Records","type":"Proposed Rule","abstract":"This notice of proposed rulemaking proposes changes to the Confidentiality of Substance Use Disorder Patient Records regulations. These proposals were prompted by the need to continue aligning the regulations with advances in the U.S. health care delivery system, while retaining important privacy protections for individuals seeking treatment for substance use disorders (SUDs). SAMHSA strives to facilitate information exchange for safe and effective substance use disorder care, while addressing the legitimate privacy concerns of patients seeking treatment for a substance use disorder. Within the constraints of the statute, these proposals are also an effort to make the regulations more understandable and less burdensome.","document_number":"2019-17817","html_url":"https://www.federalregister.gov/documents/2019/08/26/2019-17817/confidentiality-of-substance-use-disorder-patient-records","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2019-08-26/pdf/2019-17817.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2019-17817.pdf?1566504917","publication_date":"2019-08-26","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"}],"excerpts":"This notice of proposed rulemaking proposes changes to the Confidentiality of Substance Use Disorder Patient Records regulations. These proposals were prompted by the need to continue aligning the regulations with advances in the U.S. health care..."},{"title":"Confidentiality of Substance Use Disorder Patient Records","type":"Proposed Rule","abstract":"HHS proposes to amend its Confidentiality of Substance Use Disorder Patient Records regulation, to clarify one of the conditions under which a court may authorize disclosure of confidential communications made by a patient to a part 2 program as defined in this regulation. This change will clarify that a court may authorize disclosure of confidential communications when the disclosure is necessary in connection with investigation or prosecution of an extremely serious crime, even if the extremely serious crime was not allegedly committed by the patient.","document_number":"2019-17816","html_url":"https://www.federalregister.gov/documents/2019/08/26/2019-17816/confidentiality-of-substance-use-disorder-patient-records","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2019-08-26/pdf/2019-17816.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2019-17816.pdf?1566504917","publication_date":"2019-08-26","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"}],"excerpts":"HHS proposes to amend its Confidentiality of Substance Use Disorder Patient Records regulation, to clarify one of the conditions under which a court may authorize disclosure of confidential communications made by a patient to a part 2 program as..."},{"title":"Confidentiality of Substance Use Disorder Patient Records","type":"Rule","abstract":"This final rule makes changes to the Substance Abuse and Mental Health Services Administration's (SAMHSA) regulations governing the Confidentiality of Substance Use Disorder Patient Records. These changes are intended to better align the regulations with advances in the U.S. health care delivery system while retaining important privacy protections for individuals seeking treatment for substance use disorders. This final rule addresses the prohibition on re-disclosure notice by including an option for an abbreviated notice. This final rule also addresses the circumstances under which lawful holders and their legal representatives, contractors, and subcontractors may use and disclose patient identifying information for purposes of payment, health care operations, and audits and evaluations. Finally, this final rule is making minor technical corrections to ensure accuracy and clarity in SAMHSA's regulations.","document_number":"2017-28400","html_url":"https://www.federalregister.gov/documents/2018/01/03/2017-28400/confidentiality-of-substance-use-disorder-patient-records","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2018-01-03/pdf/2017-28400.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2017-28400.pdf?1514900765","publication_date":"2018-01-03","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Office of the Secretary"}],"excerpts":"This final rule makes changes to the Substance Abuse and Mental Health Services Administration's (SAMHSA) regulations governing the Confidentiality of Substance Use Disorder Patient Records. These changes are intended to better align the regulations..."},{"title":"Confidentiality of Substance Use Disorder Patient Records; Delay of Effective Date","type":"Rule","abstract":"On January 18, 2017, the Substance Abuse and Mental Health Services Administration (SAMHSA) published a final rule on Confidentiality of Substance Use Disorder Patient Records. That rule is scheduled to take effect on February 17, 2017. In accordance with the memorandum of January 20, 2017, from the Assistant to the President and Chief of Staff, entitled \"Regulatory Freeze Pending Review,\" published in the Federal Register on January 24, 2017 (82 FR 8346), this action delays for 60 days from the date of the memorandum the effective date of the rule entitled \"Confidentiality of Substance Use Disorder Patient Records\" published in the Federal Register on January 18, 2017 (82 FR 6052).","document_number":"2017-03185","html_url":"https://www.federalregister.gov/documents/2017/02/16/2017-03185/confidentiality-of-substance-use-disorder-patient-records-delay-of-effective-date","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2017-02-16/pdf/2017-03185.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2017-03185.pdf?1487166355","publication_date":"2017-02-16","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Office of the Secretary"}],"excerpts":"On January 18, 2017, the Substance Abuse and Mental Health Services Administration (SAMHSA) published a final rule on Confidentiality of Substance Use Disorder Patient Records. That rule is scheduled to take effect on February 17, 2017. In accordance..."},{"title":"Confidentiality of Substance Use Disorder Patient Records","type":"Proposed Rule","abstract":"On Feb. 9, 2016, the Substance Abuse and Mental Health Services Administration (SAMHSA) published a Notice of Proposed Rulemaking (NPRM) that proposed policy changes to update and modernize the Confidentiality of Alcohol and Drug Abuse Patient Records (42 CFR part 2). SAMHSA explained in the NPRM that these changes were intended to better align the regulations with advances in the U.S. health care delivery system while retaining important privacy protections for individuals seeking treatment for substance use disorders. The last substantive update to these regulations was in 1987. SAMHSA is issuing this Supplemental Notice of Proposed Rulemaking (SNPRM) to propose additional clarifications to the part 2 regulations as amended by the concurrently issued final rule. As noted in the final rule, 42 CFR part 2 Confidentiality of Substance Use Disorder Patient Records, questions raised by commenters highlighted varying interpretations of the 1987 rule's restrictions on lawful holders and their contractors and subcontractors' use and disclosure of part 2-covered data for purposes of carrying out payment, health care operations, and other health care related activities. In consideration of this feedback and given the critical role that third-party payers, other lawful holders, and their contractors, subcontractors, and legal representatives play in the provision of health care services, SAMHSA is issuing this SNPRM to seek further comments on our proposals to address and help clarify these matters before establishing any appropriate restrictions on disclosures to contractors, subcontractors and legal representatives.","document_number":"2017-00742","html_url":"https://www.federalregister.gov/documents/2017/01/18/2017-00742/confidentiality-of-substance-use-disorder-patient-records","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2017-01-18/pdf/2017-00742.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2017-00742.pdf?1484330783","publication_date":"2017-01-18","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Office of the Secretary"}],"excerpts":"On Feb. 9, 2016, the Substance Abuse and Mental Health Services Administration (SAMHSA) published a Notice of Proposed Rulemaking (NPRM) that proposed policy changes to update and modernize the Confidentiality of Alcohol and Drug Abuse Patient Records..."},{"title":"Confidentiality of Substance Use Disorder Patient Records","type":"Rule","abstract":"The Department of Health and Human Services (HHS) is issuing this final rule to update and modernize the Confidentiality of Alcohol and Drug Abuse Patient Records regulations and facilitate information exchange within new health care models while addressing the legitimate privacy concerns of patients seeking treatment for a substance use disorder. These modifications also help clarify the regulations and reduce unnecessary burden.","document_number":"2017-00719","html_url":"https://www.federalregister.gov/documents/2017/01/18/2017-00719/confidentiality-of-substance-use-disorder-patient-records","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2017-01-18/pdf/2017-00719.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2017-00719.pdf?1484330784","publication_date":"2017-01-18","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Office of the Secretary"}],"excerpts":"The Department of Health and Human Services (HHS) is issuing this final rule to update and modernize the Confidentiality of Alcohol and Drug Abuse Patient Records regulations and facilitate information exchange within new health care models while..."},{"title":"Confidentiality of Substance Use Disorder Patient Records","type":"Proposed Rule","abstract":"This proposed rule addresses changes to the Confidentiality of Alcohol and Drug Abuse Patient Records regulations. This proposal was prompted by the need to update and modernize the regulations. These laws and regulations governing the confidentiality of substance abuse records were written out of great concern about the potential use of substance abuse information against an individual, preventing those individuals with substance use disorders from seeking needed treatment. The last substantive update to these regulations was in 1987. Over the last 25 years, significant changes have occurred within the U.S. health care system that were not envisioned by the current regulations, including new models of integrated care that are built on a foundation of information sharing to support coordination of patient care, the development of an electronic infrastructure for managing and exchanging patient information, and a new focus on performance measurement within the health care system. SAMHSA wants to ensure that patients with substance use disorders have the ability to participate in, and benefit from new integrated health care models without fear of putting themselves at risk of adverse consequences. These new integrated models are foundational to HHS's triple aim of improving health care quality, improving population health, and reducing unnecessary health care costs. SAMHSA strives to facilitate information exchange within new health care models while addressing the legitimate privacy concerns of patients seeking treatment for a substance use disorder. These concerns include: The potential for loss of employment, loss of housing, loss of child custody, discrimination by medical professionals and insurers, arrest, prosecution, and incarceration. This proposal is also an effort to make the regulations more understandable and less burdensome. We welcome public comment on this proposed rule.","document_number":"2016-01841","html_url":"https://www.federalregister.gov/documents/2016/02/09/2016-01841/confidentiality-of-substance-use-disorder-patient-records","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2016-02-09/pdf/2016-01841.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2016-01841.pdf?1454688917","publication_date":"2016-02-09","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"}],"excerpts":"This proposed rule addresses changes to the Confidentiality of Alcohol and Drug Abuse Patient Records regulations. This proposal was prompted by the need to update and modernize the regulations. These laws and regulations governing the confidentiality..."},{"title":"Confidentiality of Alcohol and Drug Abuse Patient Records","type":"Proposed Rule","abstract":"The Substance Abuse and Mental Health Services Administration (SAMHSA) announces that it will hold a public listening session on Wednesday, June 11, 2014, to solicit information concerning the Confidentiality of Alcohol and Drug Abuse Patient Records Regulations, 42 CFR Part 2. This session will be held in Rockville, MD, to obtain direct input from stakeholders on updating the regulations. The scheduled listening session provides an opportunity for SAMHSA to seek public input on potential changes to the regulations.","document_number":"2014-10913","html_url":"https://www.federalregister.gov/documents/2014/05/12/2014-10913/confidentiality-of-alcohol-and-drug-abuse-patient-records","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2014-05-12/pdf/2014-10913.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2014-10913.pdf?1399640260","publication_date":"2014-05-12","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Substance Abuse and Mental Health Services Administration","name":"Substance Abuse and Mental Health Services Administration","id":479,"url":"https://www.federalregister.gov/agencies/substance-abuse-and-mental-health-services-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/479","parent_id":221,"slug":"substance-abuse-and-mental-health-services-administration"}],"excerpts":"The Substance Abuse and Mental Health Services Administration (SAMHSA) announces that it will hold a public listening session on Wednesday, June 11, 2014, to solicit information concerning the Confidentiality of Alcohol and Drug Abuse Patient Records..."},{"title":"Substance Abuse and Mental Health Services Administration; Confidentiality of Alcohol and Drug Abuse Patient Records","type":"Rule","abstract":"The Department published a notice of proposed rulemaking in the Federal Register at 59 FR 42561 (August 18, 1994) with corresponding corrections at 59 FR 45063 (August 31, 1994), which proposed a clarification to the ``Confidentiality of Alcohol and Drug Abuse Patient Records'' regulations codified at 42 CFR part 2. Specifically, the Department proposed to clarify that, as to general medical care facilities, these regulations cover only specialized individuals or units in such facilities that hold themselves out as providing and provide alcohol or drug abuse diagnosis, treatment or referral for treatment and which are federally assisted, directly or indirectly. The Secretary has considered the comments received during the comment period, and is amending the regulations.","document_number":"95-10860","html_url":"https://www.federalregister.gov/documents/1995/05/05/95-10860/substance-abuse-and-mental-health-services-administration-confidentiality-of-alcohol-and-drug-abuse","pdf_url":"https://www.govinfo.gov/content/pkg/FR-1995-05-05/pdf/95-10860.pdf","public_inspection_pdf_url":null,"publication_date":"1995-05-05","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Public Health Service","name":"Public Health Service","id":442,"url":"https://www.federalregister.gov/agencies/public-health-service","json_url":"https://www.federalregister.gov/api/v1/agencies/442","parent_id":221,"slug":"public-health-service"}],"excerpts":"The Department published a notice of proposed rulemaking in the Federal Register at 59 FR 42561 (August 18, 1994) with corresponding corrections at 59 FR 45063 (August 31, 1994), which proposed a clarification to the ``Confidentiality of Alcohol and..."},{"title":"Alcohol and Drug Abuse Patient Records","type":"Uncategorized Document","abstract":null,"document_number":"X94-40831","html_url":"https://www.federalregister.gov/documents/1994/08/31/X94-40831/alcohol-and-drug-abuse-patient-records","pdf_url":null,"public_inspection_pdf_url":null,"publication_date":"1994-08-31","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Public Health Service","name":"Public Health Service","id":442,"url":"https://www.federalregister.gov/agencies/public-health-service","json_url":"https://www.federalregister.gov/api/v1/agencies/442","parent_id":221,"slug":"public-health-service"}],"excerpts":null},{"title":"Alcohol and Drug Abuse Patient Records","type":"Uncategorized Document","abstract":"The Department is proposing a clarification to the regulations which govern the confidentiality of alcohol and drug abuse records. Specifically, the Department is proposing to clarify that, as to general medical care facilities, these regulations that hold themselves out as providing and provide alcohol or drug abuse diagnosis, treatment or referral for treatment and which are federally assisted, directly or indirectly.","document_number":"94-20226","html_url":"https://www.federalregister.gov/documents/1994/08/18/94-20226/alcohol-and-drug-abuse-patient-records","pdf_url":null,"public_inspection_pdf_url":null,"publication_date":"1994-08-18","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Public Health Service","name":"Public Health Service","id":442,"url":"https://www.federalregister.gov/agencies/public-health-service","json_url":"https://www.federalregister.gov/api/v1/agencies/442","parent_id":221,"slug":"public-health-service"}],"excerpts":"The Department is proposing a clarification to the regulations which govern the confidentiality of alcohol and drug abuse records. Specifically, the Department is proposing to clarify that, as to general medical care facilities, these regulations that..."}]}