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house Bill H.R. 6082

Should Past Drug Abuse Treatment be Included in a Patient’s Medical Record?

Argument in favor

This bipartisan bill ensures doctors know what they need to about their patient’s past drug abuse treatment to avoid unnecessarily putting them in a position to relapse while strengthening health records privacy rules that’d cover this information.

Peter's Opinion
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06/18/2018
This bill as proposed retains the privacy safeguards of HIPPA. Under HIPPA your medical records can't be used against you in employment, housing, etc or any civil, state or federal action. except by court order . Further there are penalties for disclosure if that happens by any means. It makes sense to have all your medical records available to your care provider where and when it is needed. This bill should become law.
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06/20/2018
It could be medically relevant for future treatment.
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TrulyTexan's Opinion
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06/20/2018
This is a safety issue. If a patient has had a past problem with drugs, a doctor may look for alternatives to highly addictive treatments.
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Argument opposed

This bill doesn’t do enough to protect patient privacy regarding their substance abuse treatment and punish improper disclosures. Alternatively, a person’s past treatment for drug abuse shouldn’t be included in their health record at all.

RadicalModerate's Opinion
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06/20/2018
Doctors discriminate. So, no. In New York State doctors can discharge you from their practice for using cannabis. It happens all the time because doctors care more about their business than helping people. End discrimination against cannabis users first.
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BeStrong's Opinion
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06/20/2018
Are we trying to create a vehicle for pre-existing conditions so that insurance companies can refuse coverage? Complete med records are important BUT Nothing fair or balanced ever came out of OK under a (R) bill.
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John's Opinion
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06/20/2018
Although those issues belong in medical records, the protection is weak because so many agencies demand “release” of the records by their potential client. Insurance companies will likely use it to decrease risk as would be expected. Won’t make it easier for people to accept drug treatment nor divulge use.
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    This bill as proposed retains the privacy safeguards of HIPPA. Under HIPPA your medical records can't be used against you in employment, housing, etc or any civil, state or federal action. except by court order . Further there are penalties for disclosure if that happens by any means. It makes sense to have all your medical records available to your care provider where and when it is needed. This bill should become law.
    Like (67)
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    Doctors discriminate. So, no. In New York State doctors can discharge you from their practice for using cannabis. It happens all the time because doctors care more about their business than helping people. End discrimination against cannabis users first.
    Like (56)
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    Are we trying to create a vehicle for pre-existing conditions so that insurance companies can refuse coverage? Complete med records are important BUT Nothing fair or balanced ever came out of OK under a (R) bill.
    Like (38)
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    It could be medically relevant for future treatment.
    Like (22)
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    This is a safety issue. If a patient has had a past problem with drugs, a doctor may look for alternatives to highly addictive treatments.
    Like (20)
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    Although those issues belong in medical records, the protection is weak because so many agencies demand “release” of the records by their potential client. Insurance companies will likely use it to decrease risk as would be expected. Won’t make it easier for people to accept drug treatment nor divulge use.
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    Medical record needs to be complete to be helpful.
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    This bill should be passed because patients can avoid relapse. Doctors would also have a better idea of how to treat to their patients. Opioid overdose/misuse is serious issue.
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    Someone will be reluctant to seek treatment if this will become a red flag the rest of their life.
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    No....a human has a right to unbiased services. We can’t expect to rehabilitate citizens if they’re constantly having to fight their past. Forgive and let them move on.
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    Those are protected records. Need patient consent or a court order.
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    It is essential information for all healthcare providers to know when treating patients.
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    Healthcare workers have a right and need to know this information. It can be critical to decisions in the patient’s care and treatment.
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    It should be up to the individual whether they want this in their record or not.
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    This should not be included in someone’s PRESENT medical record. People should not have to constantly be reminded of their past mistakes or behaviors.
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    Why is this a bill? Of course, a patients medical record should contain this information, BUT government should not have anything to do with that medical record.
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    @Susan, you couldn’t be more wrong. HIPPA is definitely a privacy law. As a nurse, I take course on this law yearly. The only people that can have any of your healthcare information is the healthcare providers taking care of you. And that doesn’t mean they can read the whole chart. For instances, a scrub tech in surgery wouldn’t need to know about a drug addiction. It has nothing to do with their job. When I worked at Cedars Sinai, no one talked about the celebrities that they took care of or looked up information in their chart. Who wants to lose their job or go to jail for that? I’ve never told anyone who I took care of hence the privacy law.
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    I don’t see why this should not be included in someone’s medical records. As long as it follows the same privacy policies that all medical treatment/procedures under HIPAA. Knowledge of this history will allow the doctor treating you to make the best decisions possible and provide the most effective treatments. Including avoiding highly addictive opioid pain killers if you’ve show addictive tendencies in the past. Prevention is a underrated tool in solving the opioid problem we have in the US
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    It already is and is HIPPA protected. Medical personnel need to have a complete medical history to make the correct and safe medical decisions.
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    People have this trust that government/private companies won’t find a way around this information. If you haven’t guessed it these are not as private as you would think. While it’s a good idea in theory, drug addiction is something that people CAN recover from and that there IS a stigma against addicts.
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