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In 1996, Congress enacted HIPAA to protect the confidentiality and security of health records, especially as they became electronic. The HI-TECH Act further extended privacy protections for electronically stored health records. When health records are requested, healthcare providers must comply with both laws. Contrary to common belief, most record requests come from outside groups rather than patients. HIPAA regulates who can access patient records, requiring any authorization to meet nine specific criteria before release. Additionally, many requests necessitate patient authorization, highlighting the importance of accuracy and detail in fulfilling these requests efficiently.