Laws and Regulations Flashcards
(15 cards)
Patient Protection and Affordable Care Act
Affordable care act (ACA)/Obama care, signed in 2010. Expanded access to more affordable, quality health insurance, increased consumer insurance protection, emphasized prevention/wellness, and curbing rising healthcare costs.
Health Insurance Portabilty and Accountability Act of 1996 (HIPAA)
HIPAA gives patients rights over their health information and sets rules and limits on who can look at and receive patients’ private information. HIPAA applies to protected health information (PHI), whether electronic, written, or oral.
Health Information Technology for Economic and Clinical Health (HITECH) Act
Expands on HIPAA, includes provisions that allow for increased enforcement of the privacy and security of electronic transmission of patient information. Prohibits the sale of PHI, making business associates and vendors liable for compliance with HIPAA creating a penalty and violation system.
Occupational Safety and Health (OSH) Act
OSH Act is overseen by the Occupational Safety and Health Administration (OSHA), states that employers are accountable for providing a safe and healthful workplace for employees by setting, enforcing standards and by providing training, outreach, education, and assistance
Controlled Substances Act (CSA)
CSA is a federal policy that regulates the manufacture and distribution of controlled substances. Controlled substances can include narcotics, depressants, and stimulants. The CSA classifies medications into five schedules, or classifications, based on thelikelihood for abuse and if there are any medical benefits provided from the substance.
The Emergency Medical Treatment and Active Labor Act (EMTALA)
The EMTALA of 1986 requires any hospital emergency department that receives payments from federal health care programs, such as Medicare and Medicaid, to provide an appropriate medical screening to any patient seeking treatment. Requires the emergency department to determine whether a condition is emergent or not and to provide stabilizing treatment in the case of an emergency medical condition.
Clinical Laboratory Improvement Act (CLIA)
CLIA of 1988 is a group of laws that regulate all laboratory facilities for safety and handling of specimens. The objective of CLIA is to regulate accuracy and timeliness of testing regardless of where the test is performed. The Food and Drug Administration (FDA) is the federal agency that authorizes and implements the CLIA laws and determines the test complexity categories.
Title VII of Civil Rights Act of 1964
Civil Rights Act prohibits an employer with 15 or more employees from discriminating on the basis of race, national origin, gender, or religion. The Civil Rights Act has also been amended several times to protect other groups.
Americans with Disabilities Act of 1990 (ADA)
ADA forbids discrimination against any applicant or employee who could perform a job regardless of a disability. ADA also requires an employer to provide “reasonable accommodations” that are necessary to help the employee perform a job successfully unless these accommodations are unduly burdensome
Heads of the European Radiological Protection Competent Authorities (HERCA)
Provides clarity on the regulator’s approach to the roles of the undertaking and a range of professionals regarding the justification process.
Good Samaritan Acts
Allows bystanders to get involved in emergency situations without fear that they will be sued if their actions inadvertently contribute to a person’s injury or death.
Genetic Information Nondiscrimination Act of 2008 (GINA)
Prohibits discrimination on the basis of genetic information with respect to health insurance and employment.
Patient Safety and Quality Improvement Act (PSQIA)
Framework for gathering and analyzing information regarding patient safety within the confines of protected health information laws
Anti-Kick Back Statute (AKBS)
Criminal law that prohibits receiving benefits for referral or business involving federal health care programs.
No Surprise Act (NSA)
No Surprise Act protects individuals from surprise billing if they have a group health plan or individual health insurance coverage.
