HomeMy WebLinkAboutContract 37688-AA1 ,Crnr MCROARY 1
cpNMCT NO.-
Amendment to Appendix A, "HEALTH INSURANCE PORTABILITY AND
ACCOUNTABILITY ACT (HIPAA)," of Services Agreement Number ASA-889000
This Amendment to Appendix A of Services Agreement Number ASA-889000
("Amendment")is between Aetna Life Insurance Company and/or its affiliates ("Aetna"
or"Business Associate") and City of Fort Worth("Covered Entity"or"Customer")and
shall be effective as of September 23, 2013 ("Effective Date").
WHEREAS, Aetna and Covered Entity have entered into one or more agreements
concerning Protected Health Information(the "Agreement(s)") in accordance with the
regulations promulgated under 45 C.F.R. Parts 160 and 164 (the "Privacy and Security
Rules") of the Health Insurance Portability and Accountability Act of 1996, as amended
("HIPAA"); and
WHEREAS, the Department of Health and Human Services ("DHHS") finalized certain
modifications to the Privacy and Security Rules via a final rule promulgated January 25,
2013 (the "Omnibus Rule"), which modifications require covered entities and business
associates to make certain adjustments to existing business associate agreements; and
WHEREAS, Business Associate and Covered Entity wish to comply with the Omnibus
Rule requirements by amending the Agreement(s).
NOW, THEREFORE, Business Associate and Covered Entity agree as follows:
Each Agreement in effect as of January 1, 2005 between Aetna and Coveredfl�lai RECORD
amended as follows: CITY SECRETgRY
The following new provisions are added to each Agreement: F: WORTN, TX
R- t,
o �-► 1. "To the extent Aetna is to carry out one or more of Customer's obligation(s) under
m Subpart E of 45 CFR Part 164, Aetna shall comply with the requirements of Subpart E
d that apply to Customer as a Covered Entity in the performance of such obligation(s)."
LU
,W 2. "In accordance with 45 CFR 164.502(e)(1)(ii) and 164.308(b)(2), if applicable,Aetna
w' tvu agrees to ensure that any subcontractors that create, receive, maintain, or transmit
W Or Protected Health Information on behalf of Aetna agree in writing to the same restrictions
cc and conditions that apply through this Agreement to Aetna with respect to such
information."
Accepted and agreed to by:
AETNA/BUSINESS ASSOCIATE CUSTOMER/COVERED ENTITY
By: `��� FOR By:
Name: Tracy Macala ,, °°°° �OOO°°°a� Name:
Title: Risk Managemi� '�O Title:
Date: January 23, 2 08 Date:
l by° `0 ���''� APPROVED AS TO
°°°°° FORM N LEGALITY:
May J. City
AS STANT 0ITY ATTORNEY