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In 1996, Congress enacted HIPAA to protect the confidentiality of health records. With more records going electronic, hi-tech extended privacy protection to electronically stored and shared health records. Today, health care providers must comply with both acts when fulfilling record requests. Despite the common belief that only patients request records, most requests come from external groups. HIPAA governs who can access patient records and outlines nine specific criteria for release authorization. Attention to detail is crucial in fulfilling these requests efficiently.