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Athletic trainers employed by covered entities can be contracted to provide healthcare at a public secondary school, where they would follow FERPA guidelines. If they split their work week, they'd follow HIPAA when they're treating patients in the clinic and FERPA when they're providing outreach at the school.
Blanket silence is the easiest way to comply with HIPAA, but coaches and nonmedical staff aren't a part of the HIPAA law, and sports medical information isn't covered under Family Educational Rights and Privacy Act, the law that regulates the privacy of school records.
Athletes obviously don't get complete control and freedom over every action, but they do receive some special treatment. Often times because of some sport-related achievement, they will be rewarded to a degree that can feel almost unfair to other students.
Even though HIPAA protects health data, it doesn't apply to health data stored in a student record. This means that most schools aren't subject to HIPAA's data privacy requirements. However, there are special cases where FERPA doesn't apply to a school or its students' records.
Blanket silence is the easiest way to comply with HIPAA, but coaches and nonmedical staff aren't a part of the HIPAA law, and sports medical information isn't covered under Family Educational Rights and Privacy Act, the law that regulates the privacy of school records.
HIPAA has made an unlikely appearance twice already this month in news reports involving famous athletes.
Under HIPAA, personal health information can be provided to sports information staff or the media only with authorization from the athlete (Magee et al., 2003). Any sport entity that is covered under HIPAA needs to review its existing practices, policies, and procedures.
Duty. Although relatively few judicial opinions have concerned litigation between athletic trainers and competitive athletes, the courts have recognized that a duty exists between the parties. The athletic trainer's responsibility, like that of the team physician, is to protect the health and safety of the athletes.
The NFL is not a Covered Entity. They are not a doctor or a health insurance company. There is no HIPAA at work. Even if the NFL was a standard company, there is no HIPAA in the employment context even if you work for a Covered Entity.
HIPAA does not protect all health information. Nor does it apply to every person who may see or use health information. HIPAA only applies to covered entities and their business associates.