A Proposed Expansion to Privacy Law Would Protect People Seeking an Abortion Out of State
The Biden administration wants to expand HIPAA protections.
The Biden administration proposed expanding the main U.S. health privacy law Wednesday to add more protections for people who seek or provide an abortion.
The Department of Health and Human Services issued a Notice of Proposed Rulemaking through its Office for Civil Rights that prohibits health caregivers and insurers from giving information to state officials trying to investigate, sue, or prosecute someone for seeking or helping provide an abortion.
Under the new rule, the Health Insurance Portability and Accountability Act, or HIPAA, would protect people who get an abortion in their home state or who cross state lines to get the procedure. It would also cover people who help someone access an abortion, such as the health care provider who conducts the procedure or a family member who provides transportation.
Under the rule, if an organization receives a request for private health information, it must also include a “signed attestation that the use or disclosure is not for a prohibited purpose.” The rule is open to public comment for 60 days, after which HHS will decide whether to implement it.
Abortion rights supporters, including lawmakers, have urged the Biden administration for months to expand HIPAA protections to cover abortion access. While Wednesday’s move is a step in the right direction, it may be too little, too late.
Kate Bertash, founder of the nonprofit Digital Defense Fund, which provides digital security for abortion access, pointed out that it’s unlikely law enforcement will signal that they are trying to prosecute someone for giving or getting an abortion.
“Trusting that a legal request for data will clearly be labeled as regarding an abortion feels like a tall order,” she tweeted, pointing out that most lawsuits about abortions are prosecuted under different laws. One such case occurred last summer in Nebraska, where abortion is banned after 21 weeks and six days. A young woman was charged with mishandling human remains after she got an abortion after that cutoff.
The proposed rule also comes amid increasing attacks on abortion access. A federal judge in Texas ruled Friday that the Food and Drug Administration improperly approved mifepristone, one of the drugs used to induce an abortion, and ordered it pulled from the market. The Department of Justice has requested the ruling be stayed pending appeal.
Also last week, Idaho’s Republican governor signed a law banning people from helping others access abortions out of state. Idaho is not the first Republican-led state to try to criminalize traveling out of state for an abortion, although it is the first to codify it into law.