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In 1996, Congress enacted HIPAA to protect health record confidentiality and security. Hi-Tech Act extended privacy protection for electronically shared records. Today, health care providers must comply with both acts when fulfilling record requests. Most requests are made by outside groups, not patients. HIPAA governs who can access patient records, requiring specific criteria and patient authorization. Attention to detail is crucial when fulfilling requests, as no two request forms are the same.