E. More Stringent State and Federal Laws: The State law of Michigan is more stringent than HIPAA in several areas. State law is more stringent when the individual is entitled to greater access to records than under HIPAA. The agency will continue to abide by these more stringent state and federal laws. The federal laws include applicable Internet privacy laws such as the Children's Online Privacy Protection Act and the federal laws and regulations governing the confidentiality of health information regarding substance abuse treatment.

In Michigan patients have more rights of access to behavioral health information under Michigan law than under HIPAA. Minors in Michigan have more rights to confidentiality and protection of certain information (reproductive health, behavioral health and substance abuse) than under HIPAA.

II. Permitted Use or Disclosure with an Opportunity for You to Agree or Object

A. Family/Friends: The agency will disclose PHI about you to a friend or family member who is involved in your medical care. The agency will also give information to someone who helps you pay for your care. In addition, the agency will disclose PHI about you to an agency assisting in a disaster relief effort so that your family can be notified about your condition, status and location. You have a right to request that your PHI not be shared with some or all of your family or friends.