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In 1996, Congress enacted HIPAA to protect the confidentiality and security of health records. With the shift to electronic records, hi-tech was enacted to extend privacy protection. Health care providers must comply with both acts when providing health records. Most record requests come from outside groups, not patients. HIPAA governs who can access patient records and requires specific criteria for release. Each authorization must meet nine criteria. Attention to detail is crucial for fulfilling requests correctly and efficiently.