Photo of Ellen H. Moskowitz

Ellen is a senior counsel in the Corporate Department and a member of the Health Care Group. She assists clients in the health care, life sciences, sports and non-profit industries.

Ellen advises on complex health care regulatory matters, health privacy and data security issues, and health-related labor and employment matters.  Her work with social services and charitable organizations particularly focuses on corporate governance matters.  Ellen’s clients are diverse, spanning hospital systems, physician groups and other health care providers and associations, health technology companies, social services and charitable organizations, professional sports leagues, pharmaceutical and medical device companies, private equity firms, health plans, health management companies, and tissue banks and organ procurement organizations.

Ellen is accredited by the International Association of Privacy Professionals as a certified information privacy professional in the U.S. private sector. She has written and lectured widely on health care law, policy and ethics.

Before joining Proskauer, Ellen was an associate for law with The Hastings Center, a private, nonpartisan education and research institute that examines ethical and policy issues in medicine, health and the environment. She also has served as associate counsel to the New York State Task Force on Life and the Law, a state law reform commission, where she helped to develop laws and regulations on care of the dying, organ transplantation and assisted reproduction.

“Sweeping changes” is how Leon Rodriquez, of the Department of Health and Human Services Office of Civil Rights (OCR), characterized the effect of the final omnibus Health Insurance Portability and Accountability Act (HIPAA) rule published in the Federal Register on January 25, 2013 at 78 Fed. Reg. 5566 (Omnibus Rule). There can be no disputing that statement. Indeed the 563-page Omnibus Rule makes a long list of significant changes to existing regulations. These include, among others:

  • modification to the standard for reporting breaches of unsecured personal health information (PHI);
  • extension of HHS enforcement authority over business associates;
  • expansion of the definition of the term business associate to include Health Information Organizations, E-prescribing Gateways, entities that provide data transmission services for PHI and which require routine access to such PHI, and personal health record vendors;
  • modifications to the requirements for business associate agreements;
  • new obligations for business associates to enter into business associate agreements with their own subcontractors;
  • the removal of limitations on the liability of covered entities for the acts and omissions of business associates;
  • changes to the requirements for notices of privacy practices;
  • new limitations on the sale of PHI;
  • new limitations on and clarifications concerning the use and disclosure of PHI for marketing;
  • relaxation of certain limitations on the use of PHI for fundraising; and
  • improvement to the regulations concerning authorizations for the use or disclosure of PHI for research.

Except as noted below with respect to provisions related to the requirements for business associate agreements and arrangements relating to the sale of PHI, the deadline for complying with the amended HIPAA regulations is September 23, 2013. Accordingly, covered entities, business associates, and business associate subcontractors will have to act expeditiously to come into compliance with the Omnibus Rule.

Below, we review the changes implemented in the Omnibus Rule in greater detail, and address some of the action steps that covered entities and business associates should take to comply.