HITECH Act statutory scope + structure. ENACTMENT: Title XIII of the American Recovery and Reinvestment Act of 2009 (ARRA, Public Law 111-5) signed 17 February 2009 + entered into force phased; codified at 42 USC Chapter 156 (Sections 17901-17953) + 26 USC Section 45R for tax provisions + amendments to 42 USC Section 1320d (HIPAA) + 45 CFR Parts 160 + 164. KEY STRUCTURE: 4 SUBTITLES. SUBTITLE A PROMOTION OF HEALTH IT (42 USC 17901-17915): Office of the National Coordinator for Health IT (ONC, established statutorily by Sec. 17901); HIT Standards Committee (Sec. 17903); HIT Policy Committee (Sec. 17902); ONC HIT Certification Program (Sec. 17905-17907); HIT Workforce Development (Sec. 17909); Meaningful Use criteria for EHR Incentive Programs (via CMS through Section 1903); Health Information Exchange (HIE) standards. SUBTITLE B TESTING OF HEALTH IT (42 USC 17916-17919): National Health IT Research Center; Health IT Regional Extension Centers (RECs); Interoperability testing + product certification labs; Standards Implementation Specifications. SUBTITLE C GRANTS/LOANS/WORKFORCE (42 USC 17921-17924): State HIE grants; HIT workforce education + training; HIT-related student loan repayment + scholarships. SUBTITLE D PRIVACY AND SECURITY PROVISIONS (42 USC 17931-17953): HIPAA enforcement enhancements + breach notification + BA direct liability + tier-based civil monetary penalties + strengthened individual rights + restrictions on sale + marketing + fundraising + accounting of disclosures + minimum necessary standard + ONC HIT Policy + Standards Committee + EHR Standards. KEY DEFINITIONS (42 USC 17921): COVERED ENTITY + BUSINESS ASSOCIATE + ELECTRONIC HEALTH RECORD (EHR) + PERSONAL HEALTH RECORD (PHR) + PROTECTED HEALTH INFORMATION (PHI) + UNSECURED PHI + DISCLOSURE + MARKETING + SALE OF PHI + STATE LAW. APPLICATION: HITECH applies to (a) HIPAA covered entities (health plans + healthcare providers + healthcare clearinghouses); (b) HIPAA business associates + subcontractors (direct liability post-HITECH); (c) entities subject to ARRA-funded health IT incentive programs; (d) HHS/ONC-led HIT initiatives; (e) state HIE grant recipients.
The graph holds this control, the 0 it maps to, and the evidence behind each claim, over MCP and REST.