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In 1996, Congress enacted HIPAA to protect the confidentiality and security of health records, especially as more records transitioned to electronic formats. The HITECH Act further enhanced privacy protections for electronically stored and shared health records. When a health record is requested, healthcare providers must comply with both acts. It's important to note that most health record requests come from external groups rather than patients. HIPAA regulates who can access copies of patient records, requiring nine specific criteria for authorization. Many requests necessitate patient permission, and each request form varies, emphasizing the need for careful attention to detail in processing these requests efficiently and accurately.