Maryland AG Says Patient Photos Trigger HIPAA

The Maryland Attorney General’s office has issued a memo to EMS providers and personnel stating that photos taken of patients who are identifiable constitutes “individually identifiable health information” under HIPAA, the release of which through any means (including social media) is a violation.

The memo was dated May 30, 2013 and began being circulated to local and regional EMS providers this week. It was issued by Assistant Attorney General Sarah M. Sette.

Quoting from the memo, HIPAA applies to “photographs of patients taken by EMS providers if the patient can be identified, whether directly through their features, or indirectly through unique clothing or a license plate or the nature of the particular injury or motor vehicle crash or event. Similarly, a photograph of a medical record such as EKG, or a unique injury or treatment, might also be susceptible to being linked to a specific patient.

“Accordingly, distributing such a photograph, whether via email, by posting it on Facebook, or through other media, may be an unauthorized disclosure of protected health information and violate HIPAA.”

The memo also discusses the penalties that violators face, including fines of up to $250,000 and 10 years in prison, and the fact that Maryland state law governing medical confidentiality, Health General Article, Sections 4-30 l, et seq., is also applicable and carries fines of up to $250,000, imprisonment, and possible civil liability to the victims.

Here is a copy of the memo. MD EMS Social Media

For those concerned, neither HIPAA nor state medical confidentiality laws prohibit the taking of photos, dash or helmet cam video, or other types of imagery. What is required is that any imagery that shows an identifiable patient must be treated as part of the patient’s confidential medical record.

 

For those currently using my digital imagery and/or social media policies… you are protected… no need to change a thing.

About Curt Varone

Curt Varone has over 45 years of fire service experience and 35 as a practicing attorney licensed in both Rhode Island and Maine. His background includes 29 years as a career firefighter in Providence (retiring as a Deputy Assistant Chief), as well as volunteer and paid on call experience. He is the author of two books: Legal Considerations for Fire and Emergency Services, (2006, 2nd ed. 2011, 3rd ed. 2014, 4th ed. 2022) and Fire Officer's Legal Handbook (2007), and is a contributing editor for Firehouse Magazine writing the Fire Law column.
x

Check Also

Ninth Circuit Reinstates Spokane Vaccine Case Back to District Court

The Ninth Circuit Court of Appeals has reinstated a lawsuit brought by Spokane firefighters who sought an exemption from the COVID19 vaccine mandate on religious grounds, and remanded the case back to the district court. The district court dismissed the case back in 2022 ruling that the city’s enforcement of Washington Governor Jay Inslee’s vaccine mandate was valid.

Oregon Lieutenant Claims Whistleblower Retaliation

A lieutenant with the Umatilla County Fire District #1 claims that he was forced to resign in retaliation for his having reported inaccuracies in information related to the SAFER grant program. Jeremy Gillette resigned on July 13, 2023 after being threatened with termination and the loss of his state credentials.