Modernizing Care Coordination for Americans Seeking Treatment for Substance Use Disorders

The Substance Abuse and Mental Health Services Administration (SAMHSA) announced the adoption of the revised Confidentiality of Substance Use Disorder Patient Records regulation, 42 CFR Part 2. The adoption of this revised rule represents a historic step in expanding care coordination and quality through the Deputy Secretary’s Regulatory Sprint to Coordinated Care.

“This reform will help make it easier for Americans to discuss substance use disorders with their doctors, seek treatment, and find the road to recovery,” said HHS Secretary Alex Azar.

According to an HHS release this week, the new rule advances the integration of healthcare for individuals with substance use disorders while maintaining critical privacy and confidentiality protections.
“Under Part 2, a federally assisted substance use disorder program may only disclose patient identifying information with the individual’s written consent, as part of a court order, or under a few limited exceptions. Health care providers, with patients’ consent, will be able to more easily conduct such activities as quality improvement, claims management, patient safety, training, and program integrity efforts.”

Part 2 has been revised to improve coordination of care in response to the opioid epidemic while maintaining its confidentiality protections against unauthorized disclosure and use.

Click here for a list of the changes in the final rule.