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In 1996, Congress enacted HIPAA to protect the confidentiality and security of health records, which became increasingly electronic. The HITECH Act further extended privacy protections for electronically stored and shared health records. When a health record is requested, providers must comply with both laws. While it may seem that only patients request their records, most requests come from outside groups and organizations. HIPAA governs who can obtain copies of records and mandates that every authorization includes nine specific criteria before releasing health records. Many requests also require patient authorization, emphasizing the importance of detail and efficiency in fulfilling these requests.