A Primer on School Health Information Sharing in California 2025

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1. Releasing Information Without Consent. One of the most common FERPA violations is releasing student education records without consent. Examples of this violation include: Accidentally or purposefully emailing student information to unauthorized parties.
Many people mistakenly believe that HIPAA violations are made by medical providers alone. In some cases, however, American school systems are required to comply with HIPAA. Each year, there are thousands of HIPAA violations investigated by the United States Department of Health and Human Services (HHS).
The Confidentiality Of Medical Information Act (CMIA) CMIA prohibits a health care provider, health care service plan, or contractor from disclosing medical information regarding a patient, enrollee, or subscriber without first obtaining an authorization, except as specified.
The privacy of medical records is protected in the United States by the Health Insurance Portability and Accountability Act (HIPPA), which prevents the use of medical records in ways that have nothing to do with health care. (See resources below to learn more.)
A new law requires California students to learn Native American history in a way that includes the mistreatment and perspectives of tribal members, which will be most relevant to fourth-graders when they study California history. Assemblyman James Ramos, the first Native American state lawmaker, authored the bill.

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Directory information can include the students name, address, telephone number, date and place of birth, honors and awards, and dates of attendance. Only schools or districts may disclose directory information but only after parents/guardians are notified and given an opportunity to refuse such disclosure.
For the most part, community health care providers follow HIPAA and school providers follow FERPA. This is because schools that provide health care services generally document student health information in records that are considered education records, and are therefore covered under FERPA.
Schools must keep information about your appointment confidential, and cannot share that information with anyone, including a parent or guardian. Your school can call the doctor or clinic to confirm you have an appointment and the appointments time, but cannot ask about the kind of care you are receiving.

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