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Disclosing a minor's PHI over text messaging

Written by Tshedimoso Makhene | September 12, 2024

Disclosing a minor’s PHI via text messaging requires strict adherence to HIPAA regulations, including the use of encryption and gaining proper consent. By using HIPAA compliant text messaging platforms, healthcare providers can communicate efficiently while safeguarding sensitive health information.

 

Considerations

Parental/Guardian rights

Generally, parents or guardians have the right to access their minor child’s health information. In certain cases, like when a minor has been emancipated, they may have the right to privacy, and healthcare providers must be mindful of this when disclosing PHI via text. Healthcare providers should also closely monitor state regulations regarding disclosure. 

Related:FAQs: Patient rights under HIPAA

 

HIPAA compliant text messaging platforms 

To ensure PHI is protected, healthcare providers must use HIPAA compliant messaging platforms. These platforms offer encryption, user authentication, audit controls, and other security measures that protect sensitive data.

 

Obtaining consent

Individuals must have written consent from the parent, guardian, or minor (if applicable) before sending PHI via text. The consent should clearly outline what information will be disclosed and under what circumstances. 

 

Secure messaging protocols 

When using text messaging for PHI disclosure, secure messaging platforms must meet the following HIPAA standards:

  • Encryption: Messages should be encrypted during transmission to prevent unauthorized access.
  • Access controls: Only authorized individuals (parents, guardians, or designated healthcare providers) should have access to the message content.
  • Audit trails: The platform should maintain a record of all communications to ensure traceability in case of a breach or audit.

 

Minimum Necessary Rule 

The HIPAA Minimum Necessary Rule mandates that only the minimum necessary amount of PHI should be disclosed for any communication. When sharing a minor’s PHI via text, ensure that only the information needed for the specific purpose is shared.

Read also: How to determine the minimum necessary information

 

Special circumstances for minors’ privacy 

When dealing with minors who have rights to privacy under state laws, be cautious about who receives the text. For example, if a minor is receiving mental health services, disclosing PHI to the parent or guardian may not be allowed without the minor’s consent.

See also: The guide to HIPAA compliant text messaging

 

Paubox Texting

Paubox Texting provides a HIPAA compliant solution for securely sharing minors' PHI through messaging. It offers encryption, ensuring that sensitive health information is protected during transmission and can only be accessed by authorized recipients, such as parents, guardians, or minors themselves, depending on the situation. 

With secure access controls, audit trails, and adherence to HIPAA's Privacy and Security Rules, Paubox ensures that healthcare providers can safely disclose necessary information while remaining compliant.

 

FAQs

Can a healthcare provider disclose a minor’s PHI through text messaging?

A healthcare provider can disclose a minor’s PHI through text messaging, but only if the messaging platform is HIPAA compliant and the appropriate consent has been obtained from the parent, guardian, or minor, depending on state laws and the type of medical service.

 

Can PHI be shared with both the parent and the minor via text?

Yes, but it depends on the situation and the laws governing the disclosure of a minor’s health information. If a minor has the right to privacy for a specific service, PHI should only be shared with them and not their parent, unless consent is provided.