HomeMy WebLinkAboutContract 28556 OI4-24-03AO�8 *30 RCVD
CITY SECRETARY
BUSINESS ASSOCIATE CONTRACT (--,`,0,, NTRACT NO.
General Purpose
Title 11 of'the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and
the Standards for Privacy established by the Department of Health and Human Services
require the, City of Fort Worth to obtain satisfactory assurances from its business
associate that the business associate will appropriately safeguard the protected health
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'information it receives or creates on behalf of the covered entity.,
Definitions
Catch-all definition.*
Terms used, but not otherwise defined, in this Agreement shall have the
same meaning as those terms in the Privacy Rule.
,Specific definitions.*.
a. Business Associate. "Business Associate" shall mean McLaughlin Young
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Group,
b. Covered En "'Covered Entity" shall mean City of Fort Worth.
c. Individual. "Individual" shall have the same, meaning as the term
""individual"" in 45 CFR § 16,4.501 and shall include a person who qualifies
as a personal representative in accordance with 45 CFR § 164.5012(g).
d. 'Privaa,Ru-le. "Privacy Rule" shall mean the Standards for Privacy o.
Individually Identifiable Health Information at 45 CFR Part 160 and Part
1641 Subparts A and E.
e. Protected Health Information. "'Protected Health Information"' shall have
the same meaning as the term "'protected health information" in 45 CFR §1
164.501, limited to the information created or received by Business,
Associate from or on behalf of Covered Entity.
f. RegUired By Law. "Required By Law"' shall have the same meaning as tree
term "required by law" in 45 CFR § 164.501.
g. Secret ""Secretary" shall mean the Secretary of the Department of
Health and Human Services or his designee.
Consideraflon
Covered Entity is obligated under federal law to secure from Business Associate
the representations and covenants, as set forth herein, in order to continue
Covered Entity's business, relationship with Business, Associate., The parties to
this agreement acknowledge, therefore, that the continuation of the b S9�9,
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Business Associate Contract
relationship in compliance with federal law constitutes good and valuable
consideration for this representations and covenants contained herein.
The parties acknowledge that any pre-existing agreements between the parties is
not superseded by or merged into 'this contract. To the extent that thi's B
Associate Contract conflicts with the terms of any other agreement between the
partles, the terms of this Business Associate Contract control.
Ohli afi I I I Bps*
tress ions and Ac of Bus*ness Associate
a. Business Associate agrees to not use or disclose Protected Health Information
other than as permitted or required by the Agreement, the Privacy Rule, or as
Required By Law.
b. Business Associate agrees to use appropriate safeguards to prevent use or
disclosure of the Protected Health Information other than as provided for by this
Agreement.
c. Business Associate agrees to mitigate, to the extent practicable, any harmful
effect that is known to Business Associate of a use or disclosure of Protected
Health Information by Business Associate in violation of the requirements of this
Agreement.
d. Business Associate agrees to report to Covered Entity any use or disclosure of the
Protected Health Inrormation not provided for by this Agreement of which it
becomes aware.
e. Business Associate agrees to ensure that any agent, including a subcontractor, to
whom it provides, Protected Health Information received from, or created or
received by Business Associate on behalf of Covered Entity, agrees to the same
restrictions and conditions that apply through this Agreement to Business
Associate with respect to such information.
f. Business Associate agrees to provide access, at the request of Covered Entity, and
in the time and manner as negotiated for general consulting services, to Protected
Health Information in a Designated Record Set, to Covered Entity or, as directed
by Covered Entity, to an Individual in order to meet the requirements under 45
CFR § 164.524.
g. Business Associate agrees to make any amendment s) to Protected Health
Information "in a Designated Record Set that the, Covered Entity directs or agrees
to pursuant to 45 CPR § 164.526 at the request of Covered Entity or an
Individual, and in the time and manner as negotiated for general consulting
services.
h. Business Associate agrees to make internal practices, books, and records,
i relating policies and procedures and Protected Health Information, relatng to
the use and disclosure of Protected Health Information received from, or created
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or received by Business Associate on behalf of, Covered Entity a ao, t
City of Fort Worth, or to the Secretary, in a time and manner as
Business Associate Contract
general consulting services or designated by the Secretary, for purposes of the
Secretary determining Covered Entity's compliance with the Privacy Rule.
i,. Business Associate agrees to document such disclosures of Protected Health
Information and Information related to such disclosures as would be required for
Covered Entity to respond to a request by an Individual for an accounting of
disclosures of Protected Health Information in accordance with 45 C §
164.528.
j. Business Associate agrees to provide to Covered Entity or an Individual, in time
and manner as negotiated for general consulting, services, information collected in
accordance with ProvIsion (i) of -this Agreement, to permit Covered Entity to
respond to a request by an Individual for an accounting, of disclosures of Protected
Health Information in accordance with 45 CFR § 164.528,.
Permitted Uses and Disclosures b
,y Business Associate:
General Use and Disclosure Provisions
a. 'Refer to underlying services...-U,reement:
Except as otherwise limited in this Agreement, Business Associate may use or
disclose Protected Health Information to perform functions, activities, or services
for, or on behalf of Covered Entity as specired in Agreement for Consulting
Services for the City of Fort Worth, Texas Group Health and Life Insurance
Programs, provided that such use or disclosure would not violate the Privacy Rule
if done by Covered Entity or the, minimum necessary policies and procedures of
the Covered Entity.
Permitted Uses and Disclosures by Business Associate: Use and Disclosure
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Provisions
a. Except as otherwise limited in this Agreement, Business Associate may use
Protected Health Information for the proper management and administration of
the Business Associate or to carry out the legal responsibilities of the Business
Associate.
b. Except as otherwise limited in this Agreement, Business Associate may disclose
Protected Health Information for the proper management and administration of
the Business Associate., provided that disclosures are Required By Law, or
Business, Associate obtains reasonable assurances from the person to whom the
information is disclosed 'that it will remain confidential and used or further
disclosed only as Required By Law or for the purpose for which it was disclosed
to the person, and the person noitifies, the Business Associate of any instances of
which it is aware in which the confidentiality of the information has been
breached.
c. Except as otherwise limited in this Agreement, Business Associate may use
Protected Health Info rmation to provide DT ata Aggregation serviceq--In Llavere
Entity as permitted by 42 CFI § 164.504(e)(2)(i)(B)�.
Business Associate Contract
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d. Business Associate may use Protected Health Information to report violations of
law to appropriate Federal and State authorities', consistent with § 164.5020)(1).
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Qbjj'gations of Covered Entitv.
ants
Provisions for Covered Entitv to Inform Business Associate of Pri*vaev Practices ants
Restrictions
a. Covered Entity shall notify Business Associate of any limitation(s) in its notice of
privacy practices of Covered Entity 'in accordance with 45 CF R § 164.520, to the
extent that such limitation may affect Business Associate's use or disclosure of
Protected Health Information.,
b. Covered Entity shall notify Business Associate of any changes in, or revocation
of, permission by Individual to use or disclose Protected Health Information, to
the extent that such changes, may affect Business Associate's use or disclosure of
Protected Health Information.
c. Covered Entity shall notify Business, Associate of any restriction to the use or
disclosure of Protected Health Information that Covered Entity has agreed to in
accordance with 45 CFR § 164.522, to the extent that such restriction may affect
Business Associate's use or disclosure of Protected flealth, Infom-lation.
Permissible Requests by Covered Entit
y
Covered Entity shall not request Business Associate to use or disclose Protected Health
Information in any manner that would not be permissible under the Privacy Rule if done
by Covered Entity.
Term and Termination
a. Term. The Term of this Agreement shall be effective as of April 14, 2003, and
shall terminate when all of the Protected Health Information provided by Covered
Entity to Business Associate, or created or received by Business Associate on
behalf of Covered Entity, is destroyed or returned to Covered Entity, or, it it Is
infeasible to return, or destroy Protected Health Information, protections are
extended to such information, in accordance with the termination provisions in
this Section.
b. Termination for Cause. Upon Covered Entity's kno wledge of a material breach by
Business Associate, Covered Entity shall either.-
1. Provide an opportunity for Business Associate to cure the breach or end
the violation and terminate this Agreement 'if Business, Associate does not
cure the breach or end the violation within the time specified by Covered
Entity;
2. Immediately terminate this Agreement if Business Associate has breached
a material term of this Agreement and cure is not possible,; or
3. If neither termination nor cure is feasible, Covered Entity s,
violation to the Secretary.
414 Business Associate Contract
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c. Effect of Termination.
L Except as provided in paragraph (2,) of-this section,, upon termination of
this Agreement, for any reason, Business Associate shall return or destroy
all Protected Health Information received from Covered Entity,, or created
or received by Business Associate on behalf of Covered Entity. This
provision shall apply to Protected Health Information that is in the
possession of subcontractors or agents of Business Associate. Business
Associate shall retain no copies of the Protected Health Information.
2. In the event that Business Associate detennines, that returning, or
destroying the Protected Health Information is infeasible, Business
Associate, shall provide to Covered Entity notification of the conditions
that make return or destruction infeasible. Upon event of return or
destruction of Protected Health Information is infeasible, Business
Associate shall extend the protections of this Agreement to such Protected
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Health Info nation and nmit further uses and disclosures of' such
Protected Health Information to those purposes that make the return or
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destruction 'Infeasible, for so long as Business Associate maintains suci,
Protected Health Information.
Miscellaneous
a., Recmlgim References. A reference in this Agreement to a section in the Privacy
Rule means the section as in effect or as amended.
b. 'Amendment. The Parties agree to take such action as is necessary to amend this
Agreement from time to time as is necessary for Covered Entity to comply with
the requirements of the Privacy Rule and the Health Insurance Portability and
Accountability Act of 1996, Pub. L. No. 104-191.
c. Survival. The respective rights and obligations of Business Associate under
Section C of this Agreement shall survive the termination of this Agreement.
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d. I_nteEpretation. Any ambiguity in this Agreement shall be reso�lved to permit
Covered Entity to comply with the Privacy RUIe.
Executiion,:
City of Fort Worth: McLaughlin Young Group:
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