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CHAPTER PUBLIC HEALTH SERVICE,
DEPARTMENT OF HEALTH AND

HUMAN SERVICES

SUBCHAPTER A-GENERAL PROVISIONS

Page

Part
1
2

7 26

2a 3 4 5

31

[Reserved)
Confidentiality of alcohol and drug abuse patient

records .....
Protection of identity-research subjects
(Reserved)
National Library of Medicine
Designation of health professional(s) shortage

areas
Federal tort claims act coverage of certain grant-

ees and individuals ......
Distribution of reference biological standards and

biological preparations

34

6

52

7

54

SUBCHAPTER B-PERSONNEL

21 22 23 24

Commissioned officers
Personnel other than commissioned officers
National Health Service Corp
Senior Biomedical Research Service

55 65 66 75

SUBCHAPTER C-MEDICAL CARE AND EXAMINATIONS

31

79

32

Medical care for certain personnel of the Coast

Guard, National Ocean Survey, Public Health

Service, and former Lighthouse Service
Medical care for persons with Hansen's disease and

other persons in emergencies
Medical examination of aliens
Hospital and station management
Indian health
Specifications for medical examinations of under-

ground coal miners

34 35 36 37

84 85 91 99

144

Page

Part 38

Disaster assistance for crisis counseling and train

ing

157

SUBCHAPTER D-GRANTS

161 177 180 187

203 207 212 216

218

221

50 Policies of general applicability
51a Project grants for maternal and child health
51b Project grants for preventive health services
51c Grants for community health services
51d-51g (Reserved]
52 Grants for research projects ......
52a National Institutes of Health center grants
52b National Cancer Institute construction grants
52c Minority Biomedical Research Support Program
52d National Cancer Institute Clinical Cancer Edu-

cation Program ...
52e National Heart, Lung, and Blood Institute grants

for prevention and control projects 52h Scientific peer review of research grant applica

tions and research and development contract

projects 53

Grants, loans and loan guarantees for construction

and modernization of hospitals and medical fa

cilities .... 55a Program grants for Black Lung clinics 56 Grants for migrant health services 57 Grants for construction of teaching facilities, edu

cational improvements, scholarships and student

loans .... 58 Grants for training of public health and allied

health personnel .....

Grants for family planning services 59a National Library of Medicine grants 60

Health Education Assistance Loan Program

224

229 237 239

259

59

377 385 398 402

SUBCHAPTER E-FELLOWSHIPS, INTERNSHIPS, TRAINING

61

434

62

63 63a 64 64a 65

Fellowships
National Health Service Corps Scholarship and

Loan Repayment Programs
Traineeships
National Institutes of Health training grants
National Library of Medicine training grants
Obligated service for mental health traineeships
National Institute of Environmental Health

Sciences hazardous waste worker training
National Institute of Environmental Health

Sciences hazardous substances basic research
and training grants

439 457 460 463 466

470

65a

473 Part 66 67

Page 477

483

National Research Service Awards
Agency for Health Care Policy and Research

grants and contracts
SUBCHAPTER F-QUARANTINE, INSPECTION, LICENSING
Foreign quarantine
Interstate shipment of etiologic agents
Standards for the accreditation of educational pro-

grams for and the credentialing of radiologic per-
sonnel

71 72 75

494 503

512

SUBCHAPTER G-OCCUPATIONAL SAFETY AND HEALTH RESEARCH AND

RELATED ACTIVITIES

80

84 85 85a

525 526 591

Administrative functions, practices, and proce

dures ....
Approval of Respiratory Protective Devices
Requests for health hazard evaluations .......
Occupational safety and health investigations of

places of employment
Grants for education programs in occupational

safety and health
National Institute for Occupational Safety and

Health Research and demonstration grants

596

86

601

87

609

SUBCHAPTER H-HEALTH ASSESSMENTS AND HEALTH EFFECTS STUDIES OF HAZARDOUS SUBSTANCES RELEASES AND FACILITIES

[blocks in formation]

623

124 Medical facility construction and modernization ... 125-399 (Reserved]

PART 1 [RESERVED]

Subpart E-Court Orders Authorizing

Disclosures and Use

PART 2-CONFIDENTIALITY OF AL-

COHOL AND DRUG ABUSE PA-
TIENT RECORDS

Subpart A-Introduction

Sec.
2.1 Statutory authority for confidentiality

of drug abuse patient records.
2.2 Statutory authority for confidentiality

of alcohol abuse patient records.
2.3 Purpose and effect.
2.4 Criminal penalty for violation.
2.5 Reports of violations.

Subpart B-General Provisions

2.11 Definitions.
2.12 Applicability.
2.13 Confidentiality restrictions.
2.14 Minor patients.
2.15 Incompetent and deceased patients.
2.16 Security for written records.
2.17 Undercover agents and informants.
2.18 Restrictions on the use of identifica-

tion cards.
2.19 Disposition of records by discontinued

programs.
2.20 Relationship to State laws.
2.21 Relationship to Federal statutes pro-

tecting research subjects against com-

pulsory disclosure of their identity.
2.22 Notice to patients of Federal confiden-

tiality requirements.
2.23 Patient access and restriction on use.

2.61 Legal effect of order.
2.62 Order not applicable to records dis-

closed without consent to researchers,

auditors and evaluators.
2.63 Confidential communications.
2.64 Procedures and criteria for orders au-

thorizing disclosures for noncriminal

purposes.
2.65 Procedures and criteria for orders au-

thorizing disclosure and use of records to
criminally investigate or prosecute pa-

tients.
2.66 Procedures and criteria for orders au-

thorizing disclosure and use of records to
investigate or prosecute a program or

the person holding the records.
2.67 Orders authorizing the use of under-

cover agents and informants to crimi-
nally investigate employees or agents of

a program.
AUTHORITY: Sec. 408 of Pub. L. 92–255, 86
Stat. 79, as amended by sec. 303 (a), (b) of
Pub L. 93–282, 83 Stat. 137, 138; sec. 4(c)(5)(A)
of Pub. L. 94-237, 90 Stat. 244; sec. 111(c)(3) of
Pub. L. 94-581, 90 Stat. 2852; sec. 509 of Pub.
L. 96-88, 93 Stat. 695; sec. 973(d) of Pub. L. 97–
35, 95 Stat. 598; and transferred to sec. 527 of
the Public Health Service Act by sec.
2(b)(16)(B) of Pub. L. 98–24, 97 Stat. 182 and as
amended by sec. 106 of Pub. L. 99-401, 100
Stat. 907 (42 U.S.C. 290ee-3) and sec. 333 of
Pub. L. 91-616, 84 Stat. 1853, as amended by
sec. 122(a) of Pub. L. 93–282, 88 Stat. 131; and
sec. 111(c)(4) of Pub. L. 94-581, 90 Stat. 2852
and transferred to sec. 523 of the Public
Health Service Act by sec. 2(b)(13) of Pub. L.
98–24, 97 Stat. 181 and as amended by sec. 106
of Pub. L. 99 401, 100 Stat. 907 (42 U.S.C.
290dd-3), as amended by sec. 131 of Pub. L.
102–321, 106 Stat. 368, (42 U.S.C. 290dd-2).

SOURCE: 52 FR 21809, June 9, 1987, unless
otherwise noted.

Subpart C-Disclosures With Patient's

Consent

2.31 Form of written consent.
2.32 Prohibition on redisclosure.
2.33 Disclosures permitted with written

consent.
2.34 Disclosures to prevent multiple enroll-

ments in detoxification and maintenance

treatment programs.
2.35 Disclosures to elements of the criminal

justice system which have referred pa-
tients.

Subpart A-Introduction
8 2.1. Statutory authority for confiden-

tiality of drug abuse patient

records.
The restrictions of these regulations
upon the disclosure and use of drug
abuse patient records were initially au-
thorized by section 408 of the Drug
Abuse Prevention, Treatment, and Re-
habilitation Act (21 U.S.C. 1175). That
section as amended was transferred by
Pub. L. 98–24 to section 527 of the Pub-
lic Health Service Act which is codified

Subpart D-Disclosures Without Patient

Consent

2.51 Medical emergencies.
2.52 Research activities.
2.53 Audit and evaluation activities.

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