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In 1996, Congress enacted HIPAA to protect the confidentiality and security of health records, especially as they transitioned to electronic formats. The subsequent enactment of the HiTech Act enhanced privacy protections for electronically stored and shared health records. When a health record is requested, providers must comply with both HIPAA and HiTech regulations. Contrary to common belief, most requests for health records come from external organizations rather than patients. HIPAA regulates who can access these records, requiring nine specific criteria for authorization before release. Furthermore, many requests necessitate patient authorization, highlighting the importance of detail and compliance in processing these requests efficiently.