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In 1996, Congress enacted HIPAA to ensure the confidentiality and security of health records, which has evolved with the introduction of the HiTech Act to extend protections for electronic records. When a health record is requested, healthcare providers must comply with both laws. It's important to note that most record requests come from outside organizations, not patients. HIPAA regulates who can access patient records, requiring that every authorization fulfill nine specific criteria before records can be released. Many requests necessitate patient authorization, and the details of each request vary, emphasizing the importance of meticulous fulfillment to ensure compliance and efficiency.