Senator Chris Van Hollen

Ma Seneti a Democrat Alimbikitsa Biden Kuti Alimbikitse Chitetezo cha Amayi Ofuna Chithandizo cha Uchembere wabwino

Washington Senator waku US Chris Van Hollen (D-D) adalumikizana ndi Senator Patty Murray (D-Washington) ndi anzawo 28 poyitanitsa Dipatimenti ya Zaumoyo ndi Ntchito za Anthu (HHS) kuti ichitepo kanthu mwachangu kuteteza zinsinsi za azimayi. Kutha kwawo kupeza chithandizo chamankhwala chomwe amafunikira motetezeka komanso mwachinsinsi. Makamaka, maseneta adalimbikitsa bungwe la Biden kuti lilimbikitse chitetezo chachinsinsi cha federal pansi pa Health Information Transfer and Accountability Act (HIPAA) kuti aletse opereka chithandizo kugawana zidziwitso za uchembele ndi ubereki wa odwala popanda chilolezo chawo, makamaka ndi otsata malamulo kapena mwalamulo pankhani ya Access. chisamaliro chochotsa mimba. Kukakamizika kwa maseneta kumabwera pomwe opanga malamulo ndi maloya akuluakulu m’dziko lonselo akufuna kukakamiza ku Republican kuchotsa mimba pofufuza amayi ndi madotolo chifukwa chofuna komanso kupereka chithandizo chochotsa mimba.

Dziko lathu likukumana ndi vuto lopeza chithandizo cha uchembere wabwino, ndipo mayiko ena ayamba kale kufufuza ndi kulanga amayi omwe akufuna chithandizo chochotsa mimba. Ndikofunikira kuti HHS itenge njira zonse zomwe zilipo kuti zitetezere zinsinsi za amayi komanso kuthekera kopeza chithandizo chamankhwala motetezeka komanso mwachinsinsi,” Mabuku Akuluakulu.

M’kalata yawo yopita kwa Secretary Xavier Becerra, maseneta adalimbikitsa a HHS kuti achitepo kanthu kulimbikitsa chitetezo chachinsinsi cha boma pansi pa HIPAA, kulimbikitsa kulimbikitsa chitetezo, kuphunzitsa opereka chithandizo zaudindo wawo, ndikuwonetsetsa kuti odwala amvetsetsa ufulu wawo. Mu June, pambuyo pake Dobbs Chigamulo, Besira adalonjeza kugwira ntchito kuti ateteze zinsinsi za odwala komanso othandizira.

“Kuteteza zinsinsi za zisankho zachipatala za amayi ndikuwonetsetsa kuti odwala akumva otetezeka akamafuna chithandizo chamankhwala, kuphatikiza chithandizo cha uchembere wabwino, tikukulimbikitsani kuti muyambe kupanga malamulo kuti mulimbikitse chitetezo chachinsinsi pazambiri za uchembere,” Maseneta adalimbikitsa. “Makamaka, HHS ikuyenera kusintha Lamulo la Zazinsinsi za HIPAA kuti liletse mabungwe omwe amalamulidwa kuti asamagawane zambiri za uchembere wabwino kwa anthu popanda chilolezo, makamaka okhudza malamulo kapena milandu yachiwembu kapena yachiwembu popereka chithandizo chochotsa mimba.”

Kale Dobbs M’chigamulochi, ntchito zatsopano zoletsa kuchotsa mimba zomwe boma lidalamula zidadzetsa chisokonezo pakati pa azaumoyo ngati apereka zidziwitso zachipatala za odwala kwa aboma ndi aboma. Chisokonezochi chikuwopseza thanzi la amayi, chifukwa odwala amatha kuchedwa kapena kupeŵa kupeza chithandizo chomwe akufunikira poopa kuti chidziwitso chawo chokhudza zaumoyo chidzagwiritsidwa ntchito motsutsana nawo. M’masabata aposachedwa, mayiko achita kafukufuku ndipo akufuna kulanga odwala ndi ochotsa mimba chifukwa chofunafuna ndi kupereka chithandizo chochotsa mimba.

Maseneta Van Hollen ndi Murray adalumikizana nawo potumiza kalatayi kwa Senators Baldwin (D-Wisconsin), Blumenthal (D-Conn.), Booker (DNJ), Brown (D-Ohio), Cantwell (D-Was). , Casey (D-Pa.), Duckworth (D-Ill.), Durbin (D-Ill.), Gillibrand (DNY), Heinrich (DN.M.), Hickenlooper (D-Colo.), Hirono (D- Hawaii), Kaine (D-Va.), Klobuchar (D-Minn.), Luján (DN.M.), Markey (D-Mass.), Menendez (DN.J.), Merkley (D-Raw), Padilla (California), Reed (D.), Stabenow (D-Mich.), Warner (D-Va.), Warren (D-Mass.), ndi Wyden (D-Ore.).

Mawu onse a kalatayo angapezeke apa m’munsimu.

Wolemekezeka Xavier Becerra

mlembi

US Department of Health and Human Services

200 Istiklal Street, Kumwera chakumadzulo

Washington DC 20201

Wokondedwa Minister Becerra:

Chigamulo cha Khoti Lalikulu lochotsa ufulu wochotsa mimba malinga ndi malamulo a dziko lino, odwala m’dziko lonselo alephera kupeza chithandizo cha uchembere wabwino, ndipo opereka chithandizo afulumira kuzolowera chisokonezo, mantha, ndi chipwirikiti chachikulu chomwe chigamulochi chayambitsa. M’maboma ena, opanga malamulo ndi ozenga milandu akhala akufuna kale kufufuza ndi kulanga amayi omwe akufuna chithandizo chochotsa mimba. Kuteteza odwala ndi othandizira awo kuti asagwiritse ntchito zidziwitso zawo zathanzi motsutsana nawo, tikukulimbikitsani kuti muchitepo kanthu kuti mulimbikitse maphunziro ndi kulimbikitsa chitetezo chachinsinsi cha federal, ndikuyambitsa kupanga malamulo owonjezera chitetezo chachinsinsi pansi pa Health Insurance Portability ndi Malamulo a Accountability Act (HIPAA).

Tsiku lililonse, ogwira ntchito zachipatala m’dziko lonselo amasamalira odwala omwe ali ndi pakati kapena omwe angakhale ndi pakati. Chisamalirochi chingaphatikizepo chilichonse kuyambira kuyezetsa kwachipatala kwapachaka mpaka maulendo oyembekezera kupita kuchipatala chadzidzidzi. Kuti odwala azikhala omasuka kufunafuna chithandizo, komanso kuti ogwira ntchito zachipatala azipereka chisamaliro chimenecho, odwala ndi opereka chithandizo ayenera kudziwa kuti zidziwitso za thanzi lawo, kuphatikizapo zomwe asankha pachipatala, zidzatetezedwa. Pozindikira kufunikira kofunikiraku, mu 1996 Congress idapereka HIPAA, yomwe idalamula Dipatimenti ya Zaumoyo ndi Zaumoyo (HHS) kuti ipereke malamulo achinsinsi kuti adziwe zambiri zaumoyo. HHS inapereka malamulo okhudzana ndi zinsinsi (“HIPAA Privacy Rule”) mu 2000, ndi zosintha zambiri pambuyo pake pazaka zambiri.

The Dobbs vs Women’s Health Jackson Lingaliroli lidadzetsa chisokonezo pakati pa opereka chithandizo chamankhwala pazachitetezo chachinsinsi, komanso ngati akuyenera kupereka zambiri zaumoyo kwa aboma ndi aboma. Okhudzidwawo adatiuza za opereka chithandizo omwe sakudziwa ngati akuyenera kupereka zidziwitso zathanzi kwa akuluakulu aboma ndi akuluakulu azamalamulo, kuphatikiza pomwe opereka chithandizo amakhulupirira kuti ayenera kupereka zidziwitso pokhapokha zitaloledwa – koma osafunikira – Pansi pa Lamulo Lazinsinsi la HIPAA. . Nthawi zina, opereka chithandizo samadziwa kuti kuwululidwa kwina sikuloledwa. Okhudzidwawo afotokozanso mikangano pakati pa opereka chithandizo ndi oyang’anira machitidwe azaumoyo ngati zidziwitso zina ziyenera kugawidwa. Zambiri mwazinthuzi zikuwoneka kuti zikuchokera ku kusamvetsetsa zomwe HIPAA Zazinsinsi Lamulo limafuna mabungwe oyendetsedwa ndi antchito awo.

Chisokonezochi chikuyenera kukula pamene opanga malamulo a boma akupitiriza kukhazikitsa malamulo oletsa kuchotsa mimba ndi chithandizo china cha uchembere wabwino. Kale, mayiko ena ali ndi malamulo oletsa anthu ochotsa mimba, ndipo mayiko ena akhazikitsa malamulo omwe amalanga aliyense amene “amathandizira kapena kulimbikitsa” kuchotsa mimba, zomwe zingathe kuwonetsa aliyense kuchokera kwa wopereka chithandizo kwa wolandira alendo kuti akhale ndi mlandu. Aphungu ena m’bomalo anenanso kuti aletse amayi kupita kudera lina kukapereka chisamaliro chochotsa mimba. Ndipo ngakhale izo zisanachitike DobbsM’malo mwake, mayiko atsutsa kale amayi omwe apita padera kapena kuchotsa mimba. Nthawi zambiri, malamulowa akhala akugwiritsidwa ntchito kuphwanya malamulo kapena kuyang’anira mopanda malire amayi amtundu wawo chifukwa cha kutaya mimba.

Zochita zoletsa mwayi wochotsa mimba ndi kusokoneza chinsinsi chaumoyo zitha kukhala ndi zotsatira zoyipa paumoyo wa amayi. Poopa kuti zidziwitso zawo za uchembere wabwino zitha kugwiritsidwa ntchito motsutsana nawo, amayi atha kuchedwetsa kapena kupeŵa kuzindikira kuti ali ndi pakati kapena kupeza chithandizo chamankhwala oyembekezera. Angawope kuyamba chithandizo chamankhwala monga khansa kapena nyamakazi, chifukwa chithandizo chingakhudze mimba, ngakhale azaumoyo akuzengereza kupereka. Ndipo amayi omwe amakumana ndi zovuta za mimba kapena kupititsa padera angapeŵe kufunafuna chithandizo chadzidzidzi chomwe chikufunikira kwambiri, zomwe zingawaike pachiopsezo cha zotsatira zowononga thanzi ngakhale imfa. Zodetsazi sizili zopanda chifukwa – m’zaka zaposachedwa, azachipatala ambiri adauza amayi kuzamalamulo kuti akalandire chithandizo atapita padera, kupita padera, kapena vuto lina lachipatala.

HHS ili ndi zida zotetezera odwala ndi othandizira azaumoyo, ngakhale pambuyo pa chisankho chowononga ichi. Kwa zaka zopitilira makumi awiri, Lamulo la Zazinsinsi za HIPAA lateteza zinsinsi za chidziwitso chaumoyo wa anthu, ndipo limafotokoza momveka bwino nthawi yomwe zidziwitso zaumoyo zitha kugawidwa kapena sizingagawidwe popanda chilolezo cha wodwala. Kuphatikiza apo, Lamulo la Zazinsinsi za HIPAA lazindikira kale kuti chitetezo champhamvu chazidziwitso zazaumoyo, monga zolemba za psychotherapy, zingafunike. Tikukuthokozani pazomwe oyang’anira achita kale kuti afotokozere zachitetezo chachinsinsi pambuyo pake Dobbs Kusamvana, kuphatikiza kuperekedwa kwa malangizo owonjezera pa Lamulo Lazinsinsi la HIPAA. Komabe, poganizira kuchuluka kwa chidziwitso chaumoyo wa amayi kuti chigwiritsidwe ntchito motsutsana nawo, HHS iyeneranso kuchitapo kanthu kuti ilimbikitse chitetezo chazinsinsi za odwala.

Pofuna kuteteza zinsinsi za zisankho za umoyo wa amayi komanso kuwonetsetsa kuti odwala akumva otetezeka akamapita kuchipatala, kuphatikizapo chisamaliro cha uchembere wabwino, tikukulimbikitsani kuti muyambe mwamsanga kupanga malamulo olimbikitsa chitetezo chachinsinsi cha chidziwitso cha uchembere wabwino. Makamaka, a HHS akuyenera kusintha Lamulo la Zazinsinsi za HIPAA kuti liletse mabungwe omwe amalamulidwa kuti asagawire uthenga wa uchembere wabwino kwa anthu popanda chilolezo, makamaka okhudza malamulo kapena milandu yachiwembu kapena yachiwembu potengera kupereka chisamaliro chochotsa mimba.

Kuonjezera apo, pamene HHS ikupita patsogolo ndi kupanga malamulo, oyang’anira akuyenera kuchita izi kuti adziwitse za kutsatiridwa kwa chitetezo chachinsinsi chomwe chilipo mu lamulo lachinsinsi la HIPAA:

  1. HHS iyenera kuwonjezera khama lake pochita ndi kuphunzitsa anthu ogwira ntchito zachipatala za udindo wa mabungwe omwe ali pansi pa lamulo lachinsinsi la HIPAA, kuphatikizapo kusiyana pakati pa kuwululidwa kololedwa ndi kofunikira, njira zabwino zophunzitsira odwala ndi olembetsa mapulani a zaumoyo za ufulu wawo wachinsinsi, ndi momwe HIPAA zimagwirizana ndi malamulo a boma. Monga gawo la zoyesayesa izi, HHS iyenera kugwirizanitsa onse ogwira ntchito zachipatala, kuphatikizapo opereka chithandizo, ma CEO, ndi mabungwe ang’onoang’ono a zaumoyo, komanso azachipatala, oyang’anira mapulani a zaumoyo, othandizira, ogwira ntchito zamalamulo, oyang’anira malamulo, ndi mabungwe omwe amapereka HIPAA. masewera olimbitsa thupi. Zoyesayesa izi ziyenera kuphatikizapo kumvetsera, chitsogozo chowonjezera, mafunso ndi mayankho okhala ndi zitsanzo zenizeni, ma webinars, ndi njira zina zowonjezera kwa anthu omwe ali m’mabungwe oyendetsedwa kuti apeze uphungu wachinsinsi.
  1. HHS iyenera kukulitsa zoyesayesa zake zophunzitsa odwala za ufulu wawo pansi pa Lamulo la Zazinsinsi za HIPAA, kuphatikizapo pamene chidziwitso chikugawidwa popanda chilolezo cha odwala, kuthekera kopempha zoletsa zina kapena kuwongolera, ndi momwe angayankhire madandaulo ku HHS.
  1. HHS ikuyenera kuwonetsetsa kuti nkhani zokhuza uchembele ndi ubereki zikulandira chisamaliro choyenera komanso munthawi yake kuti zitsatidwe.

Dziko lathu likukumana ndi vuto lopeza chithandizo cha uchembere wabwino, ndipo maiko ena ayamba kale kufufuza ndi kulanga amayi omwe akufuna chithandizo chochotsa mimba. Ndikofunikira kuti HHS itenge njira zonse zomwe zilipo kuti zitetezere zinsinsi za amayi komanso kuthekera kopeza chithandizo chamankhwala motetezeka komanso mwachinsinsi. Zikomo chifukwa cha chidwi chanu pankhaniyi.

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