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In 1996, Congress enacted HIPAA to ensure the confidentiality and security of health records, especially as more records became electronic. This was further extended by the Hi-Tech Act, which broadened privacy protections for electronically stored and shared health records. When health record copies are requested, healthcare providers must comply with both HIPAA and Hi-Tech regulations. While it may seem that only patients request their records, the majority of requests come from external organizations. HIPAA regulates who can access patient records and mandates that every authorization must meet nine specific criteria before records can be released. Attention to detail is essential for fulfilling requests accurately and efficiently.