Choose access separately from decision-making authority
A HIPAA authorization concerns disclosure of health information to the person or people you identify. A healthcare power of attorney or advance healthcare directive addresses healthcare decision-making authority and preferences. These documents may relate to the same person, but they serve different purposes.
State-law authority can make someone a HIPAA personal representative. An information-sharing authorization by itself does not appoint a healthcare decision-maker. Conversely, do not assume a healthcare agent always needs a separate HIPAA authorization; the person’s legal role matters.
Compare recipient, scope, and duration
Start with the practical question: who should be able to receive information, and what should they be able to receive? You might want one person to have broad access or limit permission to particular information or circumstances. Then consider how long the permission should remain in effect and whether your needs could change.
A useful comparison is to review each proposed recipient against three choices: identity, scope, and duration. Avoid treating a general preference for someone to help as a complete description of what information that person should receive. The scope of a separate power of attorney also depends on its terms; it should not be assumed to grant every power.
- Recipient: name the person or people you intend to receive information.
- Scope: describe the information or circumstances you want the authorization to cover.
- Duration: consider when the permission should begin and end, and whether it should be revisited.
Prepare a one-page access plan
Before preparing or reviewing documents, make a simple access plan. List each intended recipient, the information or circumstances you want covered, and your preferred duration. Next to each person, note whether you also intend that person to have healthcare decision-making authority. This comparison can reveal when you have chosen someone to receive information without choosing them to make decisions—or the reverse.
Bring any existing healthcare power of attorney, advance healthcare directive, or HIPAA authorization for comparison. Check that the people and roles named across the documents reflect your current wishes. Tennessee’s Advance Directive for Health Care form addresses an agent or alternate and healthcare preferences, and includes instructions about signing and sharing copies.
Questions to resolve before finalizing
Ask whether your intended recipient is authorized only to receive information or also to make healthcare decisions under a separate role. Clarify what information the authorization covers, how long it lasts, and whether the terms fit alongside your healthcare directive. If you have named different people for access and decision-making, make sure that distinction is deliberate.
Dale Law Group, PLLC offers HIPAA authorizations and related estate-planning documents. The firm serves Tennessee and has its office in Murfreesboro; Spring Hill is in Maury and Williamson counties. For a document-specific discussion, contact the firm using the site’s contact option.
Questions to bring to the discussion
Does a HIPAA authorization make someone my healthcare decision-maker?
No. An information-sharing authorization alone does not appoint a healthcare decision-maker. Healthcare decision-making authority is a separate issue, commonly addressed through a healthcare power of attorney or advance healthcare directive.
Does a healthcare agent always need a separate HIPAA authorization?
Not necessarily. State-law healthcare authority can make someone a HIPAA personal representative, so the person’s legal role matters. Do not assume a separate authorization is always required.
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General information, not advice for a particular situation. Sending an inquiry does not create an attorney-client relationship.