HomeMy WebLinkAboutContract 53491 �t
FEB-3 �u
CITY
TY SQ RETAr"
BUSINESS ASSOCIATE AGREEMENT
This Business Associate Agreement ("Agreement") is entered into on this 30th day of
January, 2020 (the "Effective Date"), by and between the City of Fort Worth on behalf of itself
and its group health and welfare plans (collectively the "Covered Entity") and SaanS Health
Labs , LLC ("Business Associate").
RECITALS:
WHEREAS, Business Associate performs or assists in performing a function or activity
on behalf of Covered Entity that involves the use and/or disclosure of the Covered Entity's
"protected health information" (such information, as defined in 45 C.F.R. 160-103, as such
provision is currently drafted and if applicable subsequently updated,amended,or revised;referred
to herein as "Protected Health Information" or"PHI"); and
WHEREAS,the parties desire to enter into this Business Associate Agreement to govern
the use and/or disclosure of Protected Health Information as required by the Health Insurance
Portability and Accountability Act of 1996 ("HIPAA"), the Health Information Technology for
Economic and Clinical Health Act ("HITECH"), the Standards for Privacy of Individually
Identifiable Health Information(the"Privacy Rule"),and the Security Standards for the Protection
of Electronic Protected Health Information (the "Security Rule") promulgated thereunder
(collectively, the "HIPAA Privacy Rules and/or Security Standards").
NOW, THEREFORE,the parties hereto agree as follows:
1. Definitions. When used in this Agreement and capitalized, the following terms
have the following meanings:
(a) "Breach" shall have the same meaning as the term "Breach" in 45 C.F.R.
§164.402.
(b) "Electronic Protected Health Information" or "ePHI" shall mean
Protected Health Information transmitted by electronic media or maintained in electronic
media.
(c) "Individual" shall have the same meaning as the term "Individual" in 45
C.F.R. §160.103 and shall include a person who qualifies as a personal representative in
accordance with 45 C.F.R. §164.502(g).
(d) "Privacy Rule" shall mean the Standards for Privacy of Individual
Identifiable Health Information as set forth at 45 C.F.R. Parts 160 and 164 Subparts A and
E.
(e) "Protected Health Information" or "PHT' shall have the same meaning as
the term "protected health information" in 45 C.F.R. § 160.103, limited to the information
created or received by Business Associate from or on behalf of Covered Entity.
(f) "Required by Law" shall have the same meaning as the term "required by
law" in 45 C.F.R. § 164.103.
0FROAL RECORlI
City of Fort Worth Business Associate Agreement Pa e 1 of 9
1� ` 6w,K T
(g) "Secretary" shall mean the Secretary of the Department of Health and
Human Services or his or her designee.
(h) "Security Incident" shall mean any attempted or successful unauthorized
access, use, disclosure,modification or destruction of information or systems operations in
an electronic information system.
(i) "Security Rule" shall mean the Standards for Security of PHI, including
ePHI, as set forth at 45 C.F.R. Parts 160 and 164 Subparts A and C.
0) "Unsecured Protected Health Information" shall mean protected health
information that is not rendered unusable, unreadable, or indecipherable to unauthorized
persons through the use of a technology or methodology specified by the Secretary.
Terms used but not defined in this Agreement shall have the same meaning as those terms
in the HIPAA Privacy Rules and/or Security Standards.
2. Obligations and Activities of Business Associate Regarding PHI.
(a) Business Associate agrees not to use or further disclose PHI other than as
permitted or required by this Agreement or as Required by Law.
(b) Business Associate agrees to use appropriate safeguards to prevent use or
disclosure of the PHI other than as provided for by this Agreement.
(c) Business Associate agrees to ensure that any agents, including sub-
contractors (excluding entities that are merely conduits),to whom it provides PHI agree to
the same restrictions and conditions that apply to Business Associate with respect to such
information.
(d) Business Associate agrees to provide access, at the request of Covered
Entity, and in a reasonable time and manner designated by Covered Entity, to PHI in a
Designated Record Set that is not also in Covered Entity's possession,to Covered Entity in
order for Covered Entity to meet the requirements under 45 C.F.R. § 164.524.
(e) Business Associate agrees to make any amendment to PHI in a Designated
Record Set that the Covered Entity directs or agrees to pursuant to 45 C.F.R. § 164.526 in
a reasonable time and manner designated by Covered Entity.
(f) Business Associate agrees to make internal practices books and records
relating to the use and disclosure of PHI available to the Secretary, in a reasonable time
and manner as designated by the Covered Entity or Secretary, for purposes of the Secretary
determining Covered Entity's compliance with the Privacy Rule. Business Associate shall
immediately notify Covered Entity upon receipt or notice of any request by the Secretary
to conduct an investigation with respect to PHI received from the Covered Entity.
(g) Business Associate agrees to document any disclosures of PHI that are not
excepted under 45 C.F.R. § 164.528(a)(1) as would be required for Covered Entity to
City of Fort Worth Business Associate Agreement Page 2 of 9
respond to a request by an Individual for an accounting of disclosures of PHI in accordance
with 45 C.F.R. § 164.528.
(h) Business Associate agrees to provide to Covered Entity or an Individual, in
a time and manner designated by Covered Entity, information collected in accordance with
paragraph (g) above, to permit Covered Entity to respond to a request by an Individual for
an accounting of disclosures of PHI in accordance with 45 C.F.R. § 164.528.
(i) Business Associate agrees to use or disclose PHI pursuant to the request of
Covered Entity; provided, however, that Covered Entity shall not request Business
Associate to use or disclose PHI in any manner that would not be permissible under the
Privacy Rule if done by Covered Entity.
3. Permitted Uses and Disclosures of PHI by Business Associate.
(a) Business Associate may use or disclose PHI to perform functions,activities
or services for, or on behalf of, Covered Entity in accordance with the terms of this
Agreement,provided that such use or disclosure would not violate the Privacy Rule if done
by Covered Entity.
(b) Business Associate may use PHI for the proper management and
administration of Business Associate and to carry out the legal responsibilities of Business
Associate.
(c) Business Associate may disclose PHI for the proper management and
administration of Business Associate and to carry out the legal responsibilities of Business
Associate if:
(i) such disclosure is Required by Law,or
(ii) Business Associate obtains reasonable assurances from the person to
whom the information is disclosed that such information will remain
confidential and used or further disclosed only as Required by Law or for
the purposes for which it was disclosed to the person, and the person agrees
to notify Business Associate of any instances of which it is aware that the
confidentiality of the information has been breached.
(d) Business Associate shall limit the PHI to the extent practicable, to the
limited data set or if needed by the Business Associate, to the minimum necessary to
accomplish the intended purpose of such use, disclosure or request subject to exceptions
set forth in the Privacy Rule.
(e) Business Associate may use PHI to provide Data Aggregation services to
Covered Entity as permitted by 45 C.F.R. § 164.504(e)(2)(i)(B).
4. Obligations of Covered Entity Regarding PHI.
(a) Covered Entity shall provide Business Associate with the notice of privacy
City of Fort Worth Business Associate Agreement Page 3 of 9
practices that Covered Entity produces in accordance with 45 C.F.R. § 164.520, as well as
any changes to such notice.
(b) Covered Entity shall provide Business Associate with any changes in, or
revocation of, authorization by an Individual to use or disclose PHI, if such changes affect
Business Associate's permitted or required uses and disclosures.
(c) Covered Entity shall notify Business Associate of any restriction to the use
or disclosure of PHI that Covered Entity has agreed to in accordance with 45 C.F.R.
§ 164.522, if such restrictions affect Business Associate's permitted or required uses and
disclosures.
(d) Covered Entity shall require all of its employees,agents and representatives
to be appropriately informed of its legal obligations pursuant to this Agreement and the
Privacy Rule and Security Standards required by HIPAA and will reasonably cooperate
with Business Associate in the performance of the mutual obligations under this
Agreement.
5. Security of Protected Health Information.
(a) Business Associate represents that it has implemented policies and
procedures to ensure that its receipt, maintenance, or transmission of all PHI, either
electronic or otherwise, on behalf of Covered Entity complies with the applicable
administrative, physical, and technical safeguards required protecting the confidentiality,
availability and integrity of PHI as required by the HIPAA Privacy Rules and Security
Standards.
(b) Business Associate agrees that it will ensure that agents or subcontractors
agree to implement the applicable administrative, physical, and technical safeguards
required to protect the confidentiality, availability and integrity of PHI as required by
HIPAA Privacy Rules and Security Standards.
(c) Business Associate agrees to report to Covered Entity any Security Incident
(as defined 45 C.F.R. Part 164.304)of which it becomes aware. Business Associate agrees
to report the Security Incident to the Covered Entity as soon as reasonably practicable, but
not later than 10 business days from the date the Business Associate becomes aware of the
incident.
(d) Business Associate agrees to establish procedures to mitigate, to the extent
possible, any harmful effect that is known to Business Associate of a use or disclosure of
PHI by Business Associate in violation of this Agreement.
(e) Business Associate agrees to immediately notify Covered Entity upon
discovery of any Breach of Unsecured Protected Health Information (as defined in 45
C.F.R. §§ 164.402 and 164.410) and provide to Covered Entity, to the extent available to
Business Associate, all information required to permit Covered Entity to comply with the
requirements of 45 C.F.R. Part 164 Subpart D.
City of Fort Worth Business Associate Agreement Page 4 of 9
(f) Covered Entity agrees and understands that the Covered Entity is
independently responsible for the security of all PHI in its possession (electronic or
otherwise), including all PHI that it receives from outside sources including the Business
Associate.
6. Term and Termination.
(a) Term. This Agreement shall be effective as of the Effective Date and shall
remain in effect until the Business Associate relationship with the Covered Entity is
terminated in accordance with this Section 6 herein, and all PHI is returned, destroyed or
is otherwise protected as set forth in Section 6(e).
(b) Termination for Cause by Covered Entity. Upon Covered Entity's
knowledge of a material breach by Business Associate, Covered Entity shall provide an
opportunity for Business Associate to cure the breach. If Business Associate does not cure
the breach within 30 days from the date that Covered Entity provides notice of such breach
to Business Associate, Covered Entity shall have the right to immediately terminate this
Agreement and any existing underlying services agreement between Covered Entity and
Business Associate.
(c) Termination by Business Associate. This Agreement may be terminated
by Business Associate upon 30 days prior written notice to Covered Entity in the event that
Business Associate, acting in good faith, believes that the requirements of any law,
legislation, consent decree, judicial action, governmental regulation or agency opinion,
enacted, issued, or otherwise effective after the date of this Agreement and applicable to
PHI or to this Agreement, cannot be met by Business Associate in a commercially
reasonable manner and without significant additional expense.
(d) Termination for Convenienee. Either party may terminate this Agreement
for convenience, for any reason, upon sixty (60) days written notice to the other party.
(e) Effect of Termination.Upon termination of this Agreement for any reason,
at the request of Covered Entity,Business Associate shall return or destroy all PHI received
from Covered Entity, or created or received by Business Associate on behalf of Covered
Entity. Business Associate shall not retain any copies of the PHI unless return or
destruction is deemed infeasible. If the return or destruction of PHI is infeasible, Business
Associate shall extend the protections of this Agreement to such PHI and limit further uses
and disclosures of such PHI to those purposes that make the return or destruction infeasible,
for so long as Business Associate maintains such PHI. For purposes of illustration only
and not to limit the set of circumstances that could potentially make return or destruction
infeasible, it would be infeasible for Business Associate to return or destroy certain PHI
that is part of work product that must be retained for document retention/archival purposes,
as well as PHI that is stored as a result of backup e-mail systems that store e-mails for
emergency backup purposes.
City of Fort Worth Business Associate Agreement Page 5 of 9
7. Amendment.
The parties may agree to amend this Agreement from time to time in any other respect that
they deem appropriate. This Agreement shall not be amended except by written instrument
executed by the parties.
8. Indemnification.
Business Associate shall indemnify and hold harmless Covered Entity from and against
any and all costs, expenses, claims, demands, causes of action, damages, attorneys' fees and
judgments that arise out of or that may be imposed upon, incurred by, or brought against Covered
Entity to the extent directly resulting from a breach of this Agreement or any violation of the
Privacy Rule or other applicable HIPAA regulations by Business Associate. The indemnification
obligations provided for in this Section will commence on the effective date of this Agreement and
will survive its termination.
9. Severability.
The parties intend this Agreement to be enforced as written. However, (i) if any portion or
provision of this Agreement is to any extent declared illegal or unenforceable by a duly authorized
court having jurisdiction,then the remainder of this Agreement, or the application of such portion
or provision in circumstances other than those as to which it is so declared illegal or unenforceable,
will not be affected thereby, and each portion and provision of this Agreement will be valid and
enforceable to the fullest extent permitted by law; and(ii) if any provision, or part thereof, is held
to be unenforceable because of the duration of such provision,the Covered Entity and the Business
Associate agree that the court making such determination will have the power to modify such
provision, and such modified provision will then be enforceable to the fullest extent permitted by
law.
10. Notices.
All notices,requests,consents and other communications hereunder will be in writing,will
be addressed to the receiving party's address set forth below or to such other address as a party
may designate by notice hereunder, and will be either (i) delivered by hand, (ii) made facsimile
transmission, (iii) sent by overnight courier, or(iv) sent by registered mail or certified mail, return
receipt requested, postage prepaid.
If to the Covered Entity: If to the Business Associate:
City of Fort Worth Saans Health Labs , LLC
ATTN: Assitant City Manager for HR ATTN: Raj Kattumenu
200 Texas Street 7250 Dallas Pkwy Suite 400
Fort Worth,Texas 76102 Plano , Texas 75024
with copy to:
City Attorney's Office at same address
City of Fort Worth Business Associate Agreement Page 6 of 9
11. Regulatory References.
A reference in this Agreement to a section in the Privacy Rule means the referenced section
or its successor, and for which compliance is required.
12. Headings and Captions.
The headings and captions of the various subdivisions of the Agreement are for
convenience of reference only and will in no way modify or affect the meaning or construction of
any of the terms or provisions hereof.
13. Entire Agreement.
This Agreement sets forth the entire understanding of the parties with respect to the subject
matter set forth herein and supersedes all prior agreements, arrangements and communications,
whether oral or written, pertaining to the subject matter hereof.
14. Binding Effect. The provisions of this Agreement shall be binding upon and shall
inure to the benefit of both parties and their respective successors and assigns.
15. No Waiver of Rights,Powers and Remedies.
No failure or delay by a party hereto in exercising any right, power or remedy under this
Agreement, and no course of dealing between the parties hereto, will operate as a waiver of any
such right, power or remedy of the party. No single or partial exercise of any right, power or
remedy under this Agreement by a party hereto, nor any abandonment or discontinuance of steps
to enforce any such right, power or remedy, will preclude such party from any other or further
exercise thereof or the exercise of any other right, power or remedy hereunder. The election of
any remedy by a party hereto will not constitute a waiver of the right of such party to pursue other
available remedies. No notice to or demand on a party not expressly required under this Agreement
will entitle the party receiving such notice or demand to any other or further notice or demand in
similar or other circumstances or constitute a waiver of the right of the party giving such notice or
demand to any other or further action in any circumstances without such notice or demand. The
terms and provisions of this Agreement may be waived, or consent for the departure therefrom
granted, only by written document executed by the party entitled to the benefits of such terms or
provisions. No such waiver or consent will be deemed to be or will constitute a waiver or consent
with respect to any other terms or provisions of this Agreement,whether or not similar. Each such
waiver or consent will be effective only in the specific instance and for the purpose for which it
was given, and will not constitute a continuing waiver or consent.
16. Governing Law; Venue.
This Agreement will be governed by and construed in accordance with the laws of the
State of Texas. Should any action, whether real or asserted, at law or in equity, arise out of
the execution, performance, attempted performance of this Agreement, venue for said action
shall lie in Tarrant County, Texas.
City of Fort Worth Business Associate Agreement Page 7 of 9
17. Interpretation.
It is the parties' intent to comply strictly with all applicable laws, including without
limitation, HIPAA, state statutes, or regulations (collectively, the "Regulatory Laws"), in
connection with this Agreement. In the event there shall be a change in the Regulatory Laws, or
in the reasoned interpretation of any of the Regulatory Laws or the adoption of new federal or state
legislation, any of which are reasonably likely to materially and adversely affect the manner in
which either party may perform or be compensated under this Agreement or which shall make this
Agreement unlawful, the parties shall immediately enter into good faith negotiations regarding a
new arrangement or basis for compensation pursuant to this Agreement that complies with the law,
regulation or policy and that approximates as closely as possible the economic position of the
parties prior to the change. In addition, the parties hereto have negotiated and prepared the terms
of this Agreement in good faith with the intent that each and every one of the terms,covenants and
conditions herein be binding upon and inure to the benefit of the respective parties.
18. Review of Counsel. The parties acknowledge that each party and its counsel have
had the opportunity to review and revise this Agreement and that the normal rules of construction
to the effect that any ambiguities are to be resolved against the drafting party shall not be employed
in the interpretation of this Agreement or exhibits hereto.
19. Sianature Authority. The person signing this Agreement hereby warrants that he
or she has the legal authority to execute this Agreement on behalf of his or her respective party,
and that such binding authority has been granted by proper order, resolution, ordinance or other
authorization of the entity. The other party is fully entitled to rely on this warranty and
representation in entering into this Agreement.
IN WITNESS WHEREOF, and intending to be legally bound hereby, each party
hereto warrants and represents that this Agreement has been duly authorized by all necessary
corporate action and that this Agreement has been duly executed by and constitutes a valid and
binding agreement of that party. All signed copies of this Agreement will be deemed
originals. Signed signature pages may be transmitted by facsimile or e-mail, and any such
signature shall have the same legal effect as an original signature.
IN WITNESS WHEREOF, the parties have executed this Business Associate
Agreement as of the Effective Date.
City of Fort Worth Business Associate Agreement Page 8 of 9
COVERED ENTITY:: BUSINESS ASSOCIATE:
By: L By:_ 6L—p
Name: Name: Raju Kattumenu
Title:Assistant City Manager F Title: CEO
y ®k7' .
ATTEST: O� 'Q
ty S retary .........
•' p'`„s�i
write ,.r
APPROVED AS TO FORM AND LEGALITY:
&eni-cr Assistant City Attorney
CONTRACT AUTHORIZATION:
No M&C Required
OFFICIAL RECORD
CITY SECRETARY
FT WORTH,TX
City of Fort Worth Business Associate Agreement
Contract Compliance Manager:
By signing I acknowledge that I am the person responsible
for the monitoring and administration of this contract, including
ensuring all performance and reporting requirements.
Joanne Hinton/
Name of Employee/Signature
_Benefits Manager
Title
E,\ This form is N/A as No City Funds are associated with this ontract
Printed Name Signature
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX