WHAT THE LAW DOINCongress, in plain words

The law › Title 42, The Public Health and Welfare › Chapter 6A

42 U.S.C. 290dd-2: Confidentiality of records

Created in 1970 by Public Law 91-616. Changed by 8 later laws. 1 new law this Congress changed it.

2 parts of federal rules cite it as their authority, written by Public Health Service, Department of Health and Human Services (2).

This Congress

  • H.R. 2483 SUPPORT for Patients and Communities Reauthorization Act of 2025 · became law · changed the section as a whole

How it got here

2020

  • Pub. L. 116–136, §3221(a), substituted "substance use disorder" for "substance abuse". (Coronavirus Aid, Relief, and Economic Security Act" or the "CARES Act) Law text · (a)
  • Pub. L. 116–136, §3221(b), amended par. (1) generally. Prior to amendment, text read as follows: "The content of any record referred to in subsection (a) may be disclosed in accordance with the prior written consent of the patient with respect to whom such record is maintained, but … (Coronavirus Aid, Relief, and Economic Security Act" or the "CARES Act) Law text · (b)
  • Pub. L. 116–136, §3221(c), added subpar. (D). (Coronavirus Aid, Relief, and Economic Security Act" or the "CARES Act) Law text · (b)
  • Pub. L. 116–136, §3221(e), amended subsec. (c) generally. Prior to amendment, text read as follows: "Except as authorized by a court order granted under subsection (b)(2)(C), no record referred to in subsection (a) may be used to initiate or substantiate any criminal charges against a … (Coronavirus Aid, Relief, and Economic Security Act" or the "CARES Act) Law text · (c)
  • Pub. L. 116–136, §3221(f), amended subsec. (f) generally. Prior to amendment, text read as follows: "Any person who violates any provision of this section or any regulation issued pursuant to this section shall be fined in accordance with title 18." (Coronavirus Aid, Relief, and Economic Security Act" or the "CARES Act) Law text · (f)
  • Pub. L. 116–136, §3221(a), substituted "substance use disorder" for "substance abuse". (Coronavirus Aid, Relief, and Economic Security Act" or the "CARES Act) Law text · (h)
  • Pub. L. 116–136, §3221(g), added subsec. (i). (Coronavirus Aid, Relief, and Economic Security Act" or the "CARES Act) Law text · (i)
  • Pub. L. 116–136, §3221(h), added subsec. (j). (Coronavirus Aid, Relief, and Economic Security Act" or the "CARES Act) Law text · (j)
  • Pub. L. 116–136, §3221(d), added subsec. (k). (Coronavirus Aid, Relief, and Economic Security Act" or the "CARES Act) Law text · (k)

1998

  • Pub. L. 105–392 substituted "Uniformed Services" for "Armed Forces". (Health Professions Education Partnerships Act of 1998) Law text · (e), (2)

1992

  • Pub. L. 102–405 substituted "Under Secretary for Health" for "Chief Medical Director" in subsec. (h).
  • Pub. L. 102–321 amended section generally, substituting provisions relating to confidentiality of records for provisions relating to admission of alcohol abusers and alcoholics to general hospitals and outpatient facilities.

1983

  • Pub. L. 98–24, §2(b)(13), renumbered section 4581 of this title as this section.
  • Pub. L. 98–24, §2(b)(13)(C), made a technical amendment to reference to section 300s–3 of this title. · (a)

1976

  • Pub. L. 94–371, §11(a), inserted ", or outpatient facility (as defined in section 300s–3(6) of this title)" after "hospital". · (a)
  • Pub. L. 94–371, §11(b), inserted "and outpatient facilities" after "hospitals", and "or outpatient facility" after "hospital" wherever appearing, and substituted "shall issue regulations not later than December 31, 1976" for "is authorized to make regulations". · (b)
  • Pub. L. 94–581 provided that subsec. (b)(2), which directed the Administrator of Veteran's Affairs, through the Chief Medical Director, to prescribe regulations making applicable the regulations prescribed by the Secretary under subsec. (b)(1) to the provision of hospital care, nurs… · (b)

1974

  • Pub. L. 93–282, in revising text, prohibited discrimination because of alcohol abuse, substituted provisions respecting eligibility for admission and treatment based on suffering from medical conditions for former provision based on medical need and ineligibility, because of discrimina… · (a)
  • Pub. L. 93–282 substituted provisions respecting issuance of regulations by the Secretary concerning enforcement procedures and suspension or revocation of Federal support and by the Administrator concerning applicable regulations for veterans, and for coordination of the respective re… · (b)

Text, outline and history from the official U.S. Code (2024 edition) on GovInfo, published by the Office of the Law Revision Counsel. Changes made after that edition appear under This Congress.