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In 1996, Congress enacted HIPAA to protect the confidentiality and security of health records, particularly as they became more electronic. The Hi-Tech Act expanded these privacy protections for all electronically stored and shared health records. Today, healthcare providers must comply with both HIPAA and Hi-Tech when health records are requested. While it may seem that only patients request their records, most requests come from outside groups and organizations. HIPAA regulates who can access patient records, requiring nine specific criteria for authorization. Additionally, patient authorization is often necessary, and careful attention to detail is vital for properly and efficiently fulfilling these requests.