{"title":"HITECH Meets <i>Dobbs</i>: Federal Mandates, State Laws, and the Complexities of Abortion Data Sharing.","authors":"Hannah C Reiser, Angad P Singh","doi":"10.1086/740422","DOIUrl":null,"url":null,"abstract":"<p><p>AbstractFollowing the <i>Dobbs</i> U.S. Supreme Court decision in 2022, state-dependent abortion bans and restrictions have created legal and logistical challenges for patients, clinicians, and healthcare organizations. Many patients now travel across state lines for legal abortion services; this raises several concerns, including about health data privacy in the wake of some highly restrictive state laws. Federal laws, such as the Health Insurance Portability and Accountability Act, the Health Information Technology for Economic and Clinical Health Act, and the 21st Century Cures Act, mandate electronic health record interoperability, and this article considers how these laws complicate efforts to protect the privacy of patients' abortion-related data. Specifically, this article focuses on intersections of federal and state law that are relevant to abortion care patients' privacy. It also canvasses added privacy protections, such as geofencing, data segmentation, and natural language processing filters, and suggests how they might help.</p>","PeriodicalId":39646,"journal":{"name":"Journal of Clinical Ethics","volume":"37 2","pages":"166-171"},"PeriodicalIF":0.0000,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Ethics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1086/740422","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/5/13 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
AbstractFollowing the Dobbs U.S. Supreme Court decision in 2022, state-dependent abortion bans and restrictions have created legal and logistical challenges for patients, clinicians, and healthcare organizations. Many patients now travel across state lines for legal abortion services; this raises several concerns, including about health data privacy in the wake of some highly restrictive state laws. Federal laws, such as the Health Insurance Portability and Accountability Act, the Health Information Technology for Economic and Clinical Health Act, and the 21st Century Cures Act, mandate electronic health record interoperability, and this article considers how these laws complicate efforts to protect the privacy of patients' abortion-related data. Specifically, this article focuses on intersections of federal and state law that are relevant to abortion care patients' privacy. It also canvasses added privacy protections, such as geofencing, data segmentation, and natural language processing filters, and suggests how they might help.
期刊介绍：
The Journal of Clinical Ethics is written for and by physicians, nurses, attorneys, clergy, ethicists, and others whose decisions directly affect patients. More than 70 percent of the articles are authored or co-authored by physicians. JCE is a double-blinded, peer-reviewed journal indexed in PubMed, Current Contents/Social & Behavioral Sciences, the Cumulative Index to Nursing & Allied Health Literature, and other indexes.
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