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36 <br /> <br />Attachment 5 <br />Business Associate Agreement <br /> <br />This Business Associate Agreement (“BAA”) is made effective on the date of execution by both <br />parties of the Participation Agreement, by and between <br />______________________________________________________________ (name of Participant) (“Covered <br />Entity”) and the North Carolina Health Information Exchange Authority (“Business Associate”) (collectively the <br />“Parties”). <br />1. BACKGROUND <br />a. Covered Entity and Business Associate are parties to the NC HIEA Full Participation Agreement for NC <br />HealthConnex Access and Data Use (the “Participation Agreement”), whereby Business Associate agrees <br />to perform certain services for or on behalf of Covered Entity. <br />b. The relationship between Covered Entity and Business Associate is such that the Parties believe Business <br />Associate is or may be a “business associate” within the meaning of the HIPAA Privacy Rule. <br />c. The Parties enter into this Business Associate Addendum to the Participation Agreement with the <br />intention of complying with the HIPAA Privacy Rule provision that a covered entity may disclose <br />protected health information to a business associate, and may allow a business associate to create or <br />receive protected heath information on its behalf, if the covered entity obtains satisfactory assurances that <br />the business associate will appropriately safeguard the information. <br />2. DEFINITIONS <br />Unless some other meaning is clearly indicated by the context, the following terms shall have the following <br />meaning in this BAA: <br />a. “Electronic Protected Health Information” shall have the same meaning as the term “electronic protected <br />health information” in 45 C.F.R. § 160.103. <br />b. “HIPAA” means the Administrative Simplification Provisions, Sections 261 through 264, of the federal <br />Health Insurance Portability and Accountability Act of 1996, Public Law 104-191, as modified and <br />amended by the Health Information Technology for Economic and Clinical Health (“HITECH”) Act, Title <br />XIII of Division A and Title IV of Division B of the American Recovery and Reinvestment Act of 2009, <br />Public Law 111-5. <br />c. “Individual” shall have the same meaning as the term “individual” in 45 C.F.R. § 160.103 and shall <br />include a person who qualifies as a personal representative in accordance with 45 C.F.R. § 164.502(g). <br />d. “Privacy Rule” shall mean the Standards for Privacy of Individually Identifiable Health Information at 45 <br />C.F.R. Part 160 and Part 164. <br />e. “Protected Health Information” shall have the same meaning as the term “protected health information” <br />in 45 C.F.R. § 160.103, limited to the information created or received by Business Associate from or on <br />behalf of Covered Entity. <br />f. “Required By Law” shall have the same meaning as the term “required by law” in 45 C.F.R. § 164.103. <br />g. “Secretary” shall mean the Secretary of the United States Department of Health and Human Services or <br />the person to whom the authority involved has been delegated. <br />h. Unless otherwise defined in this BAA, terms used herein shall have the same meaning as those terms have <br />in the Privacy Rule. <br />3. OBLIGATIONS OF BUSINESS ASSOCIATE <br />a. Business Associate agrees to not use or disclose Protected Health Information other than as permitted or <br />required by this BAA, the Participation Agreement, or as Required By Law. <br />b. Business Associate agrees to use appropriate safeguards and comply, where applicable, with subpart C of <br />45 C.F.R. Part 164 with respect to electronic protected health information, to prevent use or disclosure of <br />the Protected Health Information other than as provided for by this BAA. <br />c. Business Associate agrees to mitigate, to the extent practicable, any harmful effect that is known to <br />Business Associate of a use or disclosure of Protected Health Information by Business Associate in <br />violation of the requirements of this BAA. <br />Orange County, North Carolina by and through its "Emergency Services Department" <br />DocuSign Envelope ID: 47B4445A-C7CA-4D2E-9075-2AFD82F82DEC