[et_pb_section fb_built=”1″ _builder_version=”4.27.4″ _module_preset=”default” background_color=”#000a23″ background_image=”https:\/\/ehitoolkit.cste.org\/wp-content\/uploads\/2025\/10\/GettyImages-1274989544-scaled.jpg” parallax=”on” background_enable_video_mp4=”off” custom_margin=”-23px|||||” custom_padding=”0px||0px||true|false” border_radii=”off|||15px|15px” box_shadow_style=”preset3″ global_colors_info=”{}”][et_pb_row use_custom_gutter=”on” gutter_width=”1″ make_equal=”on” _builder_version=”4.27.4″ _module_preset=”default” background_color=”rgba(0,10,35,0.64)” width=”100%” max_width=”100%” custom_margin=”0px|auto||auto|false|false” custom_padding=”144px||374px||false|false” custom_css_main_element=”align-items:flex-end;” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.24.2″ _module_preset=”default” global_colors_info=”{}”][dipi_dual_heading second_heading=”STLT Limits on Access” heading_tag=”h1″ heading_display=”column” sh_style=”background” 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custom_margin_phone=”|10px||10px|false|true” custom_margin_last_edited=”on|phone” custom_padding=”129px||7px|||” border_radii=”off||||” border_radii_tablet=”on|20px|20px|20px|20px” border_radii_phone=”on|15px|15px|15px|15px” border_radii_last_edited=”on|phone” locked=”off” global_colors_info=”{}”][et_pb_row _builder_version=”4.27.4″ _module_preset=”default” custom_padding=”||11px|||” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][dipi_dual_heading first_heading=”How STLT Laws Can Limit Public Health Access to EHI ” heading_tag=”h1″ heading_display=”column” fh_padding=”0px|20px|20px|20px|false|true” sh_style=”background” sh_background_style=”normal” sh_padding=”0px|20px|20px|20px|false|true” sh_margin=”-30px|0px|0px|20px|false|false” fh_padding_tablet=”0px|20px|20px|20px|false|true” fh_padding_phone=”0px|20px|20px|20px|false|true” fh_padding_last_edited=”on|desktop” 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State, Tribal, local, and territorial (STLT) laws affect and, in some cases, limit what PHAs can access, even when HIPAA\u00a0<\/span><\/span>permits<\/span>\u00a0<\/span>such access. While HIPAA provides a federal baseline for privacy and data sharing, STLT laws may be more restrictive, and public health professionals must be aware of these variations<\/span>.\u00a0\u00a0<\/span><\/span>Some\u00a0<\/span><\/span>public health author<\/span>ities (<\/span>PHAs<\/span>)<\/span>\u00a0<\/span>might not be subject to\u00a0<\/span><\/span>HIPAA, and<\/span>\u00a0<\/span>instead might have public health laws that govern privacy and data sharing within their\u00a0<\/span><\/span>jurisdiction<\/span>.<\/span><\/span>\u00a0<\/span><\/p>\n [\/et_pb_blurb][\/et_pb_column][\/et_pb_row][et_pb_row use_custom_gutter=”on” gutter_width=”2″ make_equal=”on” custom_padding_last_edited=”on|phone” _builder_version=”4.27.4″ _module_preset=”default” background_color=”#000a23″ width=”51%” width_tablet=”” width_phone=”90%” width_last_edited=”on|phone” custom_margin=”|auto|92px|auto||” custom_padding=”20px|45px|47px|45px|false|true” custom_padding_tablet=”20px|20px|20px|20px|true|true” custom_padding_phone=”10px|10px|10px|10px|true|true” border_radii=”on|15px|15px|15px|15px” border_width_all=”1px” border_color_all=”rgba(100,116,139,0.5)” border_width_bottom=”0px” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.24.2″ _module_preset=”default” global_colors_info=”{}”][et_pb_accordion open_toggle_text_color=”#0c6dff” open_toggle_background_color=”RGBA(255,255,255,0)” closed_toggle_background_color=”RGBA(255,255,255,0)” _builder_version=”4.27.4″ _module_preset=”default” toggle_font=”Poppins||||||||” toggle_text_align=”left” toggle_font_size=”22px” body_font=”Poppins|300|||||||” body_text_align=”left” body_text_color=”#FFFFFF” body_font_size=”19px” border_radii=”off|20px|20px||” border_width_all=”0px” global_colors_info=”{}”][et_pb_accordion_item title=”HIPAA is a Floor, not a Ceiling ” open=”on” open_toggle_text_color=”#0c6dff” closed_toggle_text_color=”#FFFFFF” _builder_version=”4.27.4″ _module_preset=”default” border_width_bottom=”0.8px” border_color_bottom=”#64748B” global_colors_info=”{}” toggle_text_color=”#FFFFFF”]<\/p>\n HIPAA\u00a0establishes\u00a0minimum\u00a0federal standards for privacy and access to health information. It does not override more protective\u00a0state\u00a0or local laws.\u00a0<\/span>\u00a0<\/span><\/p>\n If\u00a0a state\u00a0law:<\/span>\u00a0<\/span><\/p>\n \u2026then the state law takes precedence (DHHS, 2025).<\/span>\u00a0<\/span><\/p>\n [\/et_pb_accordion_item][et_pb_accordion_item title=”Common Types of STLT Variations ” open_toggle_text_color=”#0c6dff” closed_toggle_text_color=”#FFFFFF” _builder_version=”4.27.4″ _module_preset=”default” border_width_bottom=”0.8px” border_color_bottom=”#64748B” global_colors_info=”{}” toggle_text_color=”#FFFFFF” open=”off”]<\/p>\n <\/p>\n [\/et_pb_accordion_item][et_pb_accordion_item title=”Recommendations for Public Health Practitioners ” open_toggle_text_color=”#0c6dff” closed_toggle_text_color=”#FFFFFF” _builder_version=”4.27.4″ _module_preset=”default” border_width_bottom=”0.8px” border_color_bottom=”#64748B” global_colors_info=”{}” toggle_text_color=”#FFFFFF” open=”off”]<\/p>\n Public health professionals should:<\/span>\u00a0<\/span><\/p>\n [\/et_pb_accordion_item][\/et_pb_accordion][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.27.4″ _module_preset=”default” background_color=”#000a23″ custom_margin=”58px|||||” custom_padding=”5px||9px|||” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_row _builder_version=”4.16″ _module_preset=”default” custom_margin=”14px|auto||auto||” custom_padding=”17px||4px|||” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}” theme_builder_area=”post_content”][dipi_dual_heading first_heading=”Toolkit Navigation” heading_tag=”h1″ heading_display=”column” fh_padding=”0px|20px|20px|20px|false|true” sh_style=”background” sh_background_style=”normal” sh_padding=”0px|20px|20px|20px|false|true” sh_margin=”-30px|0px|0px|20px|false|false” fh_padding_tablet=”0px|20px|20px|20px|false|true” 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first_heading_font_size_last_edited=”on|tablet” first_heading_letter_spacing_tablet=”-7px” first_heading_letter_spacing_phone=”-4px” first_heading_letter_spacing_last_edited=”on|tablet” second_heading_font_size_tablet=”100px” second_heading_font_size_phone=”60px” second_heading_font_size_last_edited=”on|tablet” second_heading_letter_spacing_tablet=”-7px” second_heading_letter_spacing_phone=”-4px” second_heading_letter_spacing_last_edited=”on|tablet” locked=”off” global_colors_info=”{}” overlay_bg_color_gradient_type_tablet=”linear” overlay_bg_color_gradient_type_phone=”linear” overlay_bg_color_gradient_type__hover=”linear” image_bg_color_gradient_type__hover=”linear” theme_builder_area=”post_content”][\/dipi_dual_heading][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_4,1_4,1_4,1_4″ use_custom_gutter=”on” gutter_width=”1″ custom_padding_last_edited=”on|phone” _builder_version=”4.27.4″ _module_preset=”default” background_color=”rgba(12,109,255,0.89)” width_tablet=”” 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theme_builder_area=”post_content”][\/et_pb_blurb][et_pb_blurb title=”Accessing EHI” url=”https:\/\/ehitoolkit.cste.org\/?page_id=4064″ image=”https:\/\/ehitoolkit.cste.org\/wp-content\/uploads\/2025\/10\/Section6-Accessing-Electronic-Health-Info.png” icon_placement=”left” image_icon_width=”75px” _builder_version=”4.27.4″ _module_preset=”default” header_font=”Poppins|||on|||||” header_text_color=”#FFFFFF” header_font_size=”20px” header_letter_spacing=”1px” body_font=”Poppins||||||||” body_text_color=”#64748B” body_font_size=”16px” body_line_height=”1.6em” image_icon_custom_margin=”||100px||false|false” max_width=”290px” custom_margin=”87px||-108px||false|false” custom_padding=”||0px||false|false” link_option_url=”https:\/\/ehitoolkit.cste.org\/?page_id=4064″ locked=”off” global_colors_info=”{}” theme_builder_area=”post_content”][\/et_pb_blurb][\/et_pb_column][et_pb_column type=”1_4″ _builder_version=”4.27.4″ _module_preset=”default” background_enable_color=”off” custom_padding=”50px|30px|50px|30px|true|true” custom_padding_tablet=”50px|30px|50px|30px|true|true” custom_padding_phone=”20px|20px|20px|20px|true|true” custom_padding_last_edited=”on|phone” border_radii=”on|10px|10px|10px|10px” border_width_all=”1px” border_color_all=”rgba(100,116,139,0.2)” global_colors_info=”{}” border_color_all__hover=”rgba(100,116,139,0.5)” border_color_all__hover_enabled=”on|hover” theme_builder_area=”post_content”][et_pb_blurb title=”Understanding hipaa” url=”https:\/\/ehitoolkit.cste.org\/?page_id=4052″ image=”https:\/\/ehitoolkit.cste.org\/wp-content\/uploads\/2025\/10\/Section4-Understanding-HIPAA.png” icon_placement=”left” image_icon_width=”75px” _builder_version=”4.27.4″ _module_preset=”default” header_font=”Poppins|||on|||||” header_text_color=”#FFFFFF” header_font_size=”20px” header_letter_spacing=”1px” body_font=”Poppins||||||||” body_text_color=”#64748B” body_font_size=”16px” body_line_height=”1.6em” image_icon_custom_margin=”||100px||false|false” 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link_option_url=”https:\/\/ehitoolkit.cste.org\/?page_id=4074&et_fb=1&PageSpeed=off” locked=”off” global_colors_info=”{}” theme_builder_area=”post_content”][\/et_pb_blurb][\/et_pb_column][et_pb_column type=”1_4″ _builder_version=”4.27.4″ _module_preset=”default” background_enable_color=”off” custom_padding=”50px|30px|50px|30px|true|true” custom_padding_tablet=”50px|30px|50px|30px|true|true” custom_padding_phone=”20px|20px|20px|20px|true|true” custom_padding_last_edited=”on|phone” border_radii=”on|10px|10px|10px|10px” border_width_all=”1px” border_color_all=”rgba(100,116,139,0.2)” global_colors_info=”{}” border_color_all__hover=”rgba(100,116,139,0.5)” border_color_all__hover_enabled=”on|hover” theme_builder_area=”post_content”][et_pb_blurb title=”Partner Engagement Strategies” url=”https:\/\/ehitoolkit.cste.org\/?page_id=4054″ image=”https:\/\/ehitoolkit.cste.org\/wp-content\/uploads\/2025\/10\/Section5-Partner-Engagement-Strategies.png” icon_placement=”left” image_icon_width=”75px” _builder_version=”4.27.4″ _module_preset=”default” header_font=”Poppins|||on|||||” header_text_color=”#FFFFFF” header_font_size=”20px” header_letter_spacing=”1px” body_font=”Poppins||||||||” body_text_color=”#64748B” body_font_size=”16px” body_line_height=”1.6em” image_icon_custom_margin=”||100px||false|false” max_width=”290px” custom_margin=”auto||-108px||false|false” custom_padding=”||0px||false|false” link_option_url=”https:\/\/ehitoolkit.cste.org\/?page_id=4054″ locked=”off” global_colors_info=”{}” theme_builder_area=”post_content”][\/et_pb_blurb][et_pb_blurb title=”Resources” url=”https:\/\/ehitoolkit.cste.org\/?page_id=4076″ image=”https:\/\/ehitoolkit.cste.org\/wp-content\/uploads\/2025\/10\/Section9-Resources-1.png” icon_placement=”left” image_icon_width=”75px” _builder_version=”4.27.4″ _module_preset=”default” header_font=”Poppins|||on|||||” header_text_color=”#FFFFFF” header_font_size=”20px” header_letter_spacing=”1px” body_font=”Poppins||||||||” body_text_color=”#64748B” body_font_size=”16px” body_line_height=”1.6em” image_icon_custom_margin=”||100px||false|false” max_width=”290px” custom_margin=”87px||-108px||false|false” custom_padding=”||0px||false|false” link_option_url=”https:\/\/ehitoolkit.cste.org\/?page_id=4076″ locked=”off” global_colors_info=”{}” theme_builder_area=”post_content”][\/et_pb_blurb][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.24.2″ _module_preset=”default” background_color=”#FFFFFF” custom_margin=”|20px||20px|false|true” custom_margin_tablet=”|20px||20px|false|true” custom_margin_phone=”|10px||10px|false|true” custom_margin_last_edited=”on|phone” custom_padding=”36px||4px|||” border_radii=”off|20px|20px||” border_radii_tablet=”off|20px|20px||” border_radii_phone=”off|15px|15px||” border_radii_last_edited=”on|phone” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” width_tablet=”” width_phone=”90%” width_last_edited=”on|phone” custom_padding=”||7px|||” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.24.2″ _module_preset=”default” global_colors_info=”{}”][dipi_dual_heading first_heading=”References ” heading_tag=”h1″ heading_display=”column” fh_padding=”0px|20px|20px|20px|false|true” sh_style=”background” sh_background_style=”normal” sh_padding=”0px|20px|20px|20px|false|true” sh_margin=”-30px|0px|0px|20px|false|false” fh_padding_tablet=”0px|20px|20px|20px|false|true” fh_padding_phone=”0px|20px|20px|20px|false|true” fh_padding_last_edited=”on|desktop” sh_padding_tablet=”0px|20px|20px|20px|false|true” sh_padding_phone=”0px|20px|20px|20px|false|true” sh_padding_last_edited=”on|desktop” sh_margin_tablet=”-30px|0px|0px|20px|false|false” sh_margin_phone=”-20px|0px|0px|0px|false|false” sh_margin_last_edited=”on|phone” module_id=”section1″ _builder_version=”4.27.4″ _module_preset=”default” first_heading_font=”Poppins||||||||” first_heading_text_align=”left” first_heading_text_color=”#000a23″ first_heading_font_size=”55px” first_heading_letter_spacing=”-5px” first_heading_line_height=”1.1em” second_heading_font=”Poppins||||||||” second_heading_text_align=”left” second_heading_text_color=”#071018″ second_heading_font_size=”80px” second_heading_letter_spacing=”-9px” second_heading_line_height=”1em” text_orientation=”left” custom_margin=”9px||10px||false|false” first_heading_font_size_tablet=”100px” first_heading_font_size_phone=”60px” first_heading_font_size_last_edited=”on|tablet” first_heading_letter_spacing_tablet=”-7px” first_heading_letter_spacing_phone=”-4px” first_heading_letter_spacing_last_edited=”on|tablet” second_heading_font_size_tablet=”100px” second_heading_font_size_phone=”60px” second_heading_font_size_last_edited=”on|tablet” second_heading_letter_spacing_tablet=”-7px” second_heading_letter_spacing_phone=”-4px” second_heading_letter_spacing_last_edited=”on|tablet” locked=”off” global_colors_info=”{}” overlay_bg_color_gradient_type_tablet=”linear” overlay_bg_color_gradient_type_phone=”linear” overlay_bg_color_gradient_type__hover=”linear” image_bg_color_gradient_type__hover=”linear”][\/dipi_dual_heading][et_pb_blurb image_icon_width=”40px” icon_alignment=”left” content_max_width=”100%” _builder_version=”4.27.4″ _module_preset=”default” header_text_color=”#071018″ header_font_size=”22px” header_letter_spacing=”-0.2px” header_line_height=”1.2em” body_font=”Poppins||||||||” body_text_color=”#64748B” body_font_size=”20px” body_line_height=”1.4em” text_orientation=”center” custom_margin=”1px||108px|0px|false|false” custom_padding=”|19px||19px|false|true” header_font_size_tablet=”22px” header_font_size_phone=”18px” header_font_size_last_edited=”on|phone” body_font_size_tablet=”” body_font_size_phone=”12px” body_font_size_last_edited=”on|phone” custom_css_blurb_title=”text-transform: none;” locked=”off” global_colors_info=”{}”]<\/p>\n Department of Health and Human Services. (2025,\u00a0March).\u00a0<\/span>Summary of the HIPAA Privacy Rule<\/span><\/i>. Retrieved May 2025, from Health Information Privacy:\u00a0<\/span>https:\/\/www.hhs.gov\/hipaa\/for-professionals\/privacy\/laws-regulations\/index.html<\/span><\/a>\u00a0<\/span><\/p>\n Department of Health and Human Services. (2003,\u00a0April).\u00a0<\/span>Minimum\u00a0Necessary Requirement<\/span><\/i>. Retrieved June 2025, from Health Information Privacy:\u00a0<\/span>https:\/\/www.hhs.gov\/hipaa\/for-professionals\/privacy\/guidance\/minimum-necessary-requirement\/index.html<\/span><\/a>\u00a0<\/span><\/p>\n Department of Health and Human Services. (2025, July).\u00a0<\/span>HIPAA Privacy Rule Final Rule to Support Reproductive Health Care Privacy: Fact Sheet.<\/span><\/i>\u00a0Retrieved July 2025, from Health Information Privacy:\u00a0<\/span>https:\/\/www.hhs.gov\/hipaa\/for-professionals\/special-topics\/reproductive-health\/final-rule-fact-sheet\/index.html<\/span><\/a>\u00a0<\/span><\/p>\n Kolman S. Vaccine Policy Remains a Topic of Interest for State Legislatures. May 29, 2025. National Council of State Legislatures.\u00a0<\/span>https:\/\/www.ncsl.org\/state-legislatures-news\/details\/vaccine-policy-remains-a-topic-of-interest-for-state-legislatures<\/span><\/a>\u00a0Accessed June 30, 2025<\/span>\u00a0<\/span><\/p>\n Lazzarotti\u00a0JL, Silver DW. States Move Forward with Privacy Protections to Close HIPAA Gaps for Health, Reproductive Health Info. May 27, 2025. National Law Review.\u00a0<\/span>https:\/\/natlawreview.com\/article\/states-move-forward-privacy-protections-close-hipaa-gaps-health-reproductive-health<\/span><\/a>. Accessed June 26, 2025.<\/span>\u00a0<\/span><\/p>\n National Academy for State Health Policy (NASHP). Report: How States Access and Deploy Data to Improve Substance Use Disorder Prevention, Treatment, and Recovery. January 29, 2021.\u00a0<\/span>https:\/\/nashp.org\/how-states-access-and-deploy-data-to-improve-sud-prevention-treatment-and-recovery\/<\/span><\/a>. Accessed June 26, 2025.<\/span>\u00a0<\/span><\/p>\n\n
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