Verisma
Compliance & Regulatory
Resources
Compliance & Regulatory Roundtable
Join us August 6, 2025 for a special interactive discussion on current regulatory topics. Seats are limited, so register today!
Regulatory Brief: Proposed Rule to Support Reproductive Health Privacy (April 2023)
Following the Supreme Court decision in Dobbs, President Biden directed that the Department of Health and Human Services (HHS) and the Federal Trade Commission review existing laws and regulations for opportunities to further bolster reproductive healthcare. This regulatory brief explains the April 2023 NPRM that was released as part of this initiative.
HIPAA vs. HITECH vs. Cures Act: A Fragmented Regulatory Landscape
The healthcare privacy landscape in the U.S. is fragmented, lacking a universal law and relying on a patchwork of federal and state regulations overseen by multiple agencies. This whitepaper sheds light on federal privacy laws, patient access regulations, and how the existing patchwork fails to offer comprehensive patient privacy protections.
5 Common “Tells” of a Fraudulent Request
Fraudulent requests are a growing concern with far-reaching risks, from compromising sensitive patient data to violating privacy regulations and facing potential legal consequences. We compiled a list of “red flags” for the HI community as a reference to identify and stop these attacks.
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In the News
July 17, 2025
HL7 International to Develop Standards for AI Leveraging FHIR
Fierce Healthcare | Health Level Seven International is developing standards and frameworks for artificial intelligence through its existing Fast Healthcare Interoperability Resources platform. “We will definitely be creating, and have already created, some new specifications or guidance documents around the use of AI,” HL7’s David Vreeman says. “So for example, one that we have today describes sort of an AI and machine learning data life cycle.”
July 15, 2025
CMS Backs Digital Health in Proposed CY2026 Physician Fee Schedule Rule
Fierce Healthcare | CMS’s proposed 2026 Medicare Physician Fee Schedule expands support for digital health, with new policies to make certain telehealth services permanent, simplify coverage approval, and improve payment for remote monitoring. It continues support for digital mental health tools, proposes fully virtual Medicare Diabetes Prevention Programs through 2029, and more.
July 3, 2025
House Votes to Send Reconciliation Bill to President
Fierce Healthcare | The House has voted 218-214 to send Republican’s Senate-passed “One Big, Beautiful Bill” Act to President Donald Trump’s Desk, ensuring that the healthcare industry-opposed package will be signed into law. House Speaker Mike Johnson, the President, and members of his administration held meetings and calls with Representatives to bring them on board, an effort that ran well into the early hours of Thursday morning.
June 23, 2025
HHS Secretary Kennedy, CMS Administrator Oz Secure Industry Pledge to Fix Broken Prior Authorization System
US Department of Health and Human Services | HHS Secretary RFK Jr. and CMS Administrator Dr. Oz met with major health insurers to announce a joint pledge to improve the prior authorization process across major health plans. These reforms aim to reduce administrative burdens, speed up care approvals, and improve transparency for patients and providers.
June 19, 2025
Texas District Judge Overturns Biden Rule on Expanded Protections for Reproductive Health Information
The Hill | A Texas federal judge has overturned a Biden administration rule that aimed to strengthen HIPAA privacy protections for patients seeking legal abortions or gender-affirming care, ruling that the Department of Health and Human Services exceeded its authority. The judge argued that the rule improperly created special protections for politically sensitive procedures and that such decisions should be made by Congress due to their significant political implications.
Need a roadmap to maintain compliance?
Regulatory Links
HIPAA – HHS Offices for Civil Rights (OCR) and the National Coordinator for Health Information Technology (ONC)
Individuals’ Right under HIPAA to Access their Health Information 45 CFR 164.524
Patient Access to Health Records
Information Related to Mental and Behavioral Health, including Opioid Overdose
Frequently asked HIPAA questions
Elizabeth McElhiney, MHA, CPHIMS, CHPS, CDH-L, CRIS, CC, serves as Verisma’s Director of Government Affairs and Policy. In this role, she partners closely with clients to navigate evolving regulatory and legislative landscapes at the state and federal levels. Elizabeth leads the implementation of evidence-based best practices and oversees the company’s thought leadership strategy. She also serves as Legislative Affairs Chair at the Alliance for Health Information Operations and Standards (AHIOS). Elizabeth holds a Master of Health Administration with a specialization in Health Informatics from Capella University and a Bachelor of Arts in Political Science from Illinois Wesleyan University.