BILL ANALYSIS                                                                                                                                                                                                    �





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          Date of Hearing:  April 22, 2014

                            ASSEMBLY COMMITTEE ON HEALTH
                                 Richard Pan, Chair
                    AB 1830 (Conway) - As Amended:  April 21, 2014
           
          SUBJECT  :  California Health Benefit Exchange: confidentiality of  
          personally identifiable information.

           SUMMARY  :  Prohibits the California Health Benefit Exchange  
          (Exchange, now known as Covered California) and its contractors  
          from using or disclosing personal information, except as  
          necessary to carry out functions allowed under specified federal  
          regulations under the Patient Protection and Affordable Care Act  
          (ACA) and creates a civil penalty of up to $25,000 per  
          individual or entity, per use or disclosure in violation of this  
          bill.  Specifically,  this bill  :  

          1)Prohibits the Exchange from using or disclosing an  
            individual's personally identifiable information gathered for  
            eligibility or enrollment purposes, except:

             a)   To the extent necessary to carry out its functions as  
               spelled out in federal regulations; or

             b)   To carry out other functions, as permitted under federal  
               regulations, that have been approved by the Secretary of  
               Health and Human Services (HHS), with the consent of the  
               individual.  

          2)Specifies that personally identifiable information includes an  
            individual's name, address, e-mail address, telephone number,  
            social security number, credit card number, place or date of  
            birth, biometric records, or other information that, alone or  
            in combination with other publicly available information,  
            reveals the individual's identity.  

          3)Requires the Exchange to comply with specified federal  
            regulations on privacy and security.  

          4)Requires the Exchange to establish and implement privacy and  
            security standards that are consistent with specified  










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            principles set out in federal regulations.

          5)Requires the Exchange to execute a contract with each  
            non-Exchange entity that has access to personally identifiable  
            information that include: a) a description of the entity's  
            functions; b) a requirement for the entity to comply with the  
            Exchange's privacy and security standards; c) a requirement  
            for the entity to monitor, assess, and update is security  
            controls; d) a requirement that the entity inform the Exchange  
            of any change in its administrative, technical, or operational  
            environments; and e) a requirement that the entity bind any  
            downstream entities to the same privacy and security standards  
            and obligations.

          6)Requires privacy and security standards for non-Exchange  
            entities to be consistent with specified federal regulations  
            and to take into consideration the environment in which the  
            entity is operating, the relevance of the standards to the  
            entity's activities, and any existing legal data handling  
            requirements.

          7)Prohibits the use or disclosure of personally identifiable  
            information by a contractor, volunteer, or vendor of the  
            Exchange except as necessary to carry out their duties and  
            requires these personnel to comply with the privacy and  
            security standards adopted by the Exchange pursuant to federal  
            regulations on privacy and security.  Exempts contractors,  
            volunteers, and vendors who are covered entities under the  
            Health Insurance Portability and Accountability Act (HIPAA)  
            Privacy Rule from this requirement.

          8)Requires the Exchange and a non-Exchange entity with access to  
            federal tax information to keep the information confidential  
            and to use and disclose the information in compliance with  
            federal law.

          9)Creates a civil penalty of up to $25,000 per individual or  
            entity, per use or disclosure, for individuals and entities  
            who knowingly and willingly violate this bill's provisions, in  
            addition to any other penalties prescribed by law.

           EXISTING LAW  :  










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          1)Establishes in state government the Exchange as an independent  
            public entity not affiliated with an agency or department.   
            Requires the Exchange to compare and make available, through  
            selective contracting, health insurance for individual and  
            small business purchasers as authorized under the ACA.

          2)Requires, under the ACA, an applicant for insurance coverage  
            or for a premium tax credit or cost-sharing reduction to be  
            required to provide only the information strictly necessary to  
            authenticate identity, determine eligibility, and determine  
            the amount of the credit or reduction.  Requires, under the  
            ACA, any person who receives such information provided by an  
            applicant to use the information only for ensuring the  
            efficient operation of the Exchange.

          3)Allows, under federal regulations effective May 12, 2014, an  
            Exchange to use or disclose personally identifiable  
            information to carry out functions other than determining  
            eligibility for enrollment, affordability programs, or  
            exemptions, provided that the U.S.  Secretary of HHS  
            determines those functions are in compliance with the ACA, and  
            the individual provides consent.

          4)Requires, under federal regulations, each exchange to  
            establish and implement written privacy and security standards  
            in accordance with certain principles, including: allowing  
            individuals to access and correct their own personal  
            information; maintaining openness and transparency of  
            policies; ensuring data quality and integrity, protection of  
            personal information with reasonable safeguards; and  
            appropriate monitoring to detect and mitigate non-adherence  
            and breaches.   

          5)Requires, under federal regulations, each exchange's policies  
            and procedures regarding the creation, collection, use, and  
            disclosure of personally identifiable information to be in  
            writing, be available to the Secretary of HHS upon request,  
            and identify applicable law governing collection, use, and  
            disclosure of personally identifiable information.

          6)Requires, under federal regulations, entities such as  










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            navigators, agents, and brokers that have access to  
            applicants' or enrollees' personal information in the course  
            of performing their functions to be subject to the same  
            privacy or security provisions that govern the Exchange.  

          7)Creates, under the ACA, a civil penalty of not more than  
            $25,000 per person or entity, per use or disclosure, for use  
            or disclosure of personal information in violation of the ACA.

          8)Requires, under federal regulations, HHS to oversee and  
            monitor state exchanges for compliance with the privacy and  
            security standards and state exchanges to oversee and monitor  
            non-Exchange entities for compliance with the privacy and  
            security standards.

          9)Requires the Exchange to only collect information from  
            individuals necessary to administer the Exchange and  
            consistent with the ACA and regulations and guidance issued  
            under the ACA. Allows the Exchange to share information with  
            relevant state departments, consistent with the  
            confidentiality provisions of the ACA, necessary for the  
            administration of the Exchange.

          10)Requires the Exchange to perform fingerprint-based background  
            checks of all employees, prospective employees, contractors,  
            subcontractors, employees of contractors, volunteers, or  
            vendors whose duties include access to confidential, personal,  
            or financial information, or any other information as required  
            by federal law or guidance.  

          11)Provides protections, under HIPAA, for individually  
            identifiable health information held by covered entities and  
            their business associates and gives patients an array of  
            rights with respect to that information.  Permits, under  
            HIPAA, the disclosure of certain health information as needed  
            for patient care and certain other purposes, including: public  
            health activities, research, prevention of a serious threat to  
            health or safety, law enforcement purposes, and judicial and  
            administrative proceedings.  Covered entities under the HIPAA  
            Privacy Rule are health care providers, health plans, and  
            health care clearinghouses.











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          12)Under the Information Practice Act of 1977, prohibits state  
            agencies from disclosing any personal information in a manner  
            that would link the information disclosed to the individual to  
            whom it pertains.  Provides several exceptions to this  
            prohibition, including:

             a)   Information is disclosed with prior written voluntary  
               consent by the individual to whom the record pertains; or,

             b)   Information is disclosed to a person or another agency  
               as necessary for the performance of the transferee agency's  
               duties; the use is compatible with a purpose for which the  
               information was collected; and an accurate accounting is  
               made of the date, nature, and purpose of the transfer.

          13)Under the Information Practices Act, requires state agencies  
            that own or license data that includes personal information to  
            disclose any security breach to any California resident whose  
            personal information was obtained by an unauthorized person.

          14)Under the Confidentiality of Medical Information Act,  
            prohibits providers of healthcare, health care service plans,  
            their contractors, and any business organized for the purpose  
            of maintaining medical information, from using medical  
            information for any purpose other than providing health care  
            services, except as expressly authorized by the patient or as  
            otherwise required or authorized by law.  

           FISCAL EFFECT  :  This bill has not yet been analyzed by a fiscal  
          committee.

           COMMENTS  :

           1)PURPOSE OF THIS BILL  .  According to the author, this bill is  
            intended to add federal safeguards and penalties related to  
            security and privacy of personally identifiable information  
            into state law.  The author states that California has started  
            to enroll millions of individuals in the new state Exchange.   
            Some individuals contracted to promote the Exchange and enroll  
            the public will have access to enrollees' most sensitive  
            personal information, including: home addresses, social  
            security numbers, state and federal tax information, and  










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            personal health information.  The author asserts that this  
            bill will ensure that Exchange employees, contractors,  
            vendors, and volunteers are subject to a similar privacy  
            standard as that imposed under current state law.

           2)BACKGROUND  .  

             a)   Covered California privacy policy.  Covered California's  
               Website provides an extensive notice of privacy practices.   
               The notice informs consumers that personal information  
               collected by the Website includes contact information,  
               social security numbers, demographic information, health  
               information, financial information, and alien status.  The  
               notice further states that the collection of personal  
               information is limited to what is relevant and necessary to  
               accomplish the Exchange's lawful purpose, defined in the  
               California ACA.  

               The privacy policy further states that a consumer's  
               personal information may be disclosed to: a) other  
               governmental agencies that determine eligibility for  
               premium assistance or other insurance affordability  
               programs; b) contractors that manage health plan enrollment  
               and other Exchange operations (e.g., health plans and  
               information technology contractors); and c) contractors  
               like insurance agents or enrollment counselors that  
               facilitate enrollment and contact consumers when necessary.  
                The policy further states that information may also be  
               used in order to create a more personalized experience.   
               The privacy policy additionally provides that personal  
               information may be shared to help with public health and  
               safety; to do research; to respond to lawsuits and legal  
               actions; and to comply with state or federal law, including  
               responding to a Public Records Act request.

               According to Covered California, the privacy policy was  
               adapted from a model notice of privacy practices for HIPAA  
               covered entities issued by the HHS Office of Civil Rights  
               earlier this year.  Covered California indicates that this  
               template was modified to reflect its unique operational  
               activities.  In addition, Covered California indicates that  
               it has a separate set of privacy and security standards  










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               that it uses internally, in compliance with federal  
               regulations.  Covered California indicates it is currently  
               in the process of updating these standards.

             b)   Enrollment Follow-up Program.  Covered California states  
               that, when it saw that thousands of consumers who were  
               interested in coverage had not yet completed their  
               enrollments, it enlisted roughly 2,100 certified insurance  
               agent subcontractors to offer additional assistance to  
               roughly 41,000 households.  According to Covered  
               California, basic contact information (name, telephone  
               number, etc.) was securely transmitted to certified  
               insurance agents, with instructions to quickly contact  
               consumers to ensure that they were offered additional  
               assistance to complete their enrollments.  Consumer  
               information was carefully protected: each agent who  
               participated in the program was given only a small batch of  
               leads at a time, according to their capacity to reach  
               consumers, and results were reported back.  Covered  
               California indicates it is still evaluating the enrollment  
               follow-up program, and that it has focused its follow-up  
               efforts on targeted direct mail and email outreach to  
               consumers letting them know that there are certified  
               representatives near them who can help them complete their  
               applications.

              3)   CENTER FOR DEMOCRACY AND TECHNOLOGY ARTICLE  .  A 2012  
               article published by the Center for Democracy and  
               Technology provides an overview of state and federal laws  
               and privacy rules that may be relevant for California's  
               Exchange, including the federal Privacy Act of 1974,  
               California's Information Privacy Act, the California  
               Confidentiality of Medical Information Act, and HIPAA.  The  
               article notes, because the Exchange will give consumers a  
               single online portal to access private health insurance,  
               Medi-Cal, and children's health programs, Exchange  
               operations will require new and unique exchanges of data  
               among state agencies, the federal government, private  
               health plans, businesses, individuals, and the Exchange.   
               The paper concludes, to build trust in the Exchange,  
               California must create specific policies that implement  
               fair information practices and adhere to ACA requirements.   










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               The paper urges the state to work with consumers and other  
               stakeholders to begin developing strong policies and best  
               practices to govern information collected and shared by the  
               state's Exchange.  

           4)PROPOSED FEDERAL REGULATIONS  .  On March 14, 2014, the federal  
            Centers for Medicare and Medicaid Services released a proposed  
            regulation titled "Patient Protection and Affordable Care Act:  
            Exchange and Insurance Market Standards for 2015 and Beyond"  
            that includes proposed processes for the imposition of civil  
            penalties by HHS for improper use or disclosure of  
            information.  HHS states the intent of this proposed rule is  
            to create appropriate penalties for any person who does not  
            comply with relevant statutory and regulatory provisions which  
            limit the ways in which information provided by an applicant  
            or from a federal agency can be used.  HHS further states that  
            it intends to work in collaboration with states to oversee,  
            monitor, and enforce compliance to protect consumers, avoid  
            duplication of efforts, and provide consistent enforcement  
            practices.  The proposed regulations also include new  
            standards for navigators and non-navigator assistance  
            personnel for consumer contact, interaction, and marketing  
            practices, with the intent to ensure that practices are  
            protective of the privacy and security interests of the  
            consumers they serve.

          5)BUREAU OF STATE AUDITS REPORT  .  Current law authorizes the  
            State Auditor to establish a high-risk audit program, to issue  
            reports with recommendations for improving issues it  
            identifies as high risk, either due to vulnerability to fraud,  
            waste, abuse, and mismanagement, or because an issue is of  
            particular interest to the citizens of the state or has  
            potentially significant effects on public health, safety, and  
            economic well-being.  In July 2013, the State Auditor, due to  
            potential financial challenges, added Covered California's  
            operations to its list of high-risk issues.  The audit report  
            finds that, within the limits of the information it currently  
            has, Covered California appears to have engaged in a  
            deliberate, thoughtful financial planning effort to anticipate  
            the several contingencies it may face.  

          The report notes that Covered California's financial  










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            sustainability is wholly dependent on enrollment in qualified  
            health plans (QHPs) offered through the Exchange.  The report  
            notes enrollment in QHPs is, in turn, largely dependent upon  
            the success of outreach efforts.  Accordingly, one of the  
            report's recommendations is for Covered California to track  
            the effect of outreach and marketing activities and of the  
            assister program.  Covered California agreed with this  
            recommendation (and the report's other recommendations) and  
            indicated it will use various data components generated  
            throughout the customer relationship to track key metrics such  
            as organizational awareness, media campaign drivers, response  
            rates, Website visits, lead generation, and ultimately  
            enrollment.  Covered California indicates its goal is to use  
            insights from these data to allocate and adjust outreach  
            efforts to have the best possible enrollment for the  
            investment.

           6)SUPPORT  .  The Electronic Frontier Foundation (EFF), in  
            support, asserts federal regulations properly limit the use  
            and disclosure of personally identifiable information.  EFF  
            further states that the Exchange should be required to publish  
            the policies and procedures regarding the creation,  
            collection, use, and disclosure of personally identifiable  
            information that it is required to have in writing and make  
            available to the Secretary of HHS upon request.

           7)OPPOSITION  .  In opposition, the American Federation of State,  
            County and Municipal Employees (AFSCME) writes it is important  
            to balance consumers' privacy rights with the need of the  
            Exchange to facilitate outreach and enrollment in coverage.   
            AFSCME asserts this bill fails to recognize the need for  
            outreach and enrollment entities to reach potentially eligible  
            people to get them enrolled.  Health Access California, in  
            opposition, writes this bill, as drafted, may prevent the  
            sharing of marketing leads with outreach grantees, thus  
            hamstringing its marketing and outreach and denying  
            Californians access to low cost or no cost coverage.  Health  
            Access further notes this bill may be premature in light of  
            recently proposed federal privacy regulations for Exchanges. 

           8)RELATED LEGISLATION  .  











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             a)   AB 1428 (Conway), Chapter 561, Statutes of 2013,  
               clarifies criminal background check requirements for  
               employees, contractors, and vendors who facilitate  
               enrollment in the Exchange.

             b)   AB 1560 (Gorell) prohibits the Exchange from disclosing  
               an individual's personal information to third parties for  
               the purpose of eligibility or enrollment in health care  
               coverage unless the individual confirms specified  
               information and provides prior written consent.  AB 1560 is  
               pending in this Committee and is set for hearing April 22,  
               2014.

             c)   AB 1829 (Conway) prohibits the Exchange from hiring or  
               contracting with individuals who have been convicted of  
               certain felonies or violations if the person would be  
               facilitating enrollment or have access to financial or  
               medical information.  AB 1829 is pending in this Committee  
               and is set for hearing April 22, 2014.

             d)   AB 2147 (Melendez) requires agencies to obtain an  
               individual's prior written voluntary consent before  
               releasing the individual's personal information to an  
               independent contractor or other worker who is not an agency  
               employee.  AB 2147 is pending in the Assembly Judiciary  
               Committee.

             e)   AB 2301 (Mansoor) requires the Exchange to report on a  
               quarterly basis on enrollments and disenrollments under  
               qualified health plans purchased through the Exchange by  
               specified categories.  AB 2301 is pending in this Committee  
               and is set for hearing April 22, 2014.

             f)   SB 509 (DeSaulnier and Emmerson), Chapter 10, Statutes  
               of 2013, requires fingerprint-based background checks for  
               all Exchange employees, contractors, volunteers, or vendors  
               with access to enrollees' personal information.  

             g)   SB 974 (Anderson) prohibits the Exchange from disclosing  
                                                                                              an individual's personal information to any other person or  
               entity without explicit permission and requires the  
               Exchange to report a disclosure in violation of this  










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               provision within five business days.  SB 974 is pending in  
               the Senate Appropriations Committee.

           9)PREVIOUS LEGISLATION  .  AB 1602 (John A. P�rez), Chapter 655,  
            Statutes of 2010, and SB 900 (Alquist), Chapter 659, Statutes  
            of 2010, establish the Exchange and its powers and duties.

           10)DOUBLE REFERRAL  . This bill is double referred.  Should this  
            bill pass out of this committee, it will be referred to the  
            Assembly Committee on Judiciary.

           11)POLICY COMMENTS  .  
           
              a)   This bill, in part, conforms state law to existing  
               federal regulations.  However, additional regulations  
               governing privacy and civil penalties were proposed March  
               14, 2014.  These regulations lay out specific circumstances  
               for imposing a penalty, factors for determining the amount  
               of the penalty, required notice of intent to issue a  
               penalty, appeals, and time limitations, that are not  
               included in this bill.  Because these regulations may or  
               may not be adopted in their current proposed form (comments  
               are being accepted through April 18, 2014), it may be  
               premature to codify federal privacy and security  
               regulations for state Exchanges and create a civil penalty  
               in state law.

             b)   California often codifies federal regulations to  
               facilitate state enforcement of federal standards.  For  
               example, California codified (and expanded upon) the  
               numerous federal reforms that health plans and insurers are  
               required to comply with, in part so that the Department of  
               Managed Health Care and the Department of Insurance can  
               enforce those standards.  However, in the case of this  
               bill, it is not clear what state entity will enforce the  
               federal standards.
              
              c)   This bill codifies some, but not all, of the federal  
               regulations on security and privacy for state Exchanges.  
               Among the omissions are: i) a requirement for the Exchange  
               to monitor, periodically assess, and update its security  
               controls; ii) a requirement for the Exchange to develop and  










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               use secure electronic interfaces; iii) a requirement for  
               the Exchange to enforce workforce compliance; iv) a  
               requirement for the exchange to keep its privacy policies  
               and procedures in writing and for the policies to identify  
               applicable law governing personally identifiable  
               information; and v) requirements for data sharing between  
               the exchange and agencies administering Medicaid and the  
               Children's Health Insurance Program. 
              
              d)   This bill contains some provisions that differ from  
               federal regulations on security and privacy for state  
               Exchanges.  In particular, this bill exempts contractors,  
               subcontractors, volunteers, and vendors who are covered  
               entities under the HIPAA Privacy Rule from the civil  
               penalty.  

          REGISTERED SUPPORT / OPPOSITION  :  

           Support 
           
          Criminal Justice Legal Foundation
          Electronic Frontier Foundation

           Opposition 
           
          American Federation of State, County and Municipal Employees,  
          AFL-CIO
          California Pan-Ethnic Health Network
          Health Access California
          Service Employees International Union, California State Council
           
          Analysis Prepared by  :    Ben Russell / HEALTH / (916) 319-2097