EMBRY_CONTRACT_210148 (SIGNED).PDF
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CRQWUDFW #: 210148 Page 1 Rf 30 CONTRACT PURSUANT TO PH RFP 210148 ThiV CRQWUacW iV eQWeUed iQWR WhiV 4Wh da\ Rf NRYePbeU 2020 b\ aQd beWZeeQ MaUicRSa CRXQW\ (³CRXQW\´), a SROiWicaO VXbdiYiViRQ Rf Whe SWaWe Rf AUi]RQa, aQd EPbU\ WRPeQ¶V HeaOWh, (³CRQWUacWRU´) fRU Whe SXUchaVe Rf MDVV IPPXQL]DWLRQ SHUYLFHV DQG AGPLQLVWUDWLRQ V3. 1.0 CONTRACT TERM: 1.1 ThiV CRQWUacW iV fRU a WeUP Rf WhUee (3) \eaUV, begiQQiQg RQ Whe 4Wh da\ Rf NRYePbeU 2020 aQd eQdiQg Whe 3Ud da\ Rf NRYePbeU 2023. 1.2 The CRXQW\ Pa\, aW iWV RSWiRQ aQd ZiWh Whe agUeePeQW Rf Whe CRQWUacWRU, UeQeZ Whe WeUP Rf WhiV CRQWUacW fRU addiWiRQaO WeUPV XS WR a Pa[iPXP Rf WZR (2) addiWiRQaO \eaUV, (RU aW Whe CRXQW\¶V VROe diVcUeWiRQ, e[WeQd Whe cRQWUacW RQ a PRQWh-WR-PRQWh baVeV fRU a Pa[iPXP Rf Vi[ (6) PRQWhV afWeU e[SiUaWiRQ). 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CRQWUDFW #: 210148 Page 10 Rf 30 6.14 LICENSURE/CERTIFICATION 6.14.1 CRQWUacWRU VhaOO cRPSO\ ZiWh aOO aSSOicabOe SURYiViRQV Rf OaZ aQd RWheU UXOeV aQd UegXOaWiRQV Rf aQ\ aQd aOO gRYeUQPeQWaO, accUediWiQg aQd/RU UegXOaWRU\ aXWhRUiWieV UeOaWiQg WR Whe OiceQVXUe aQd UegXOaWiRQ Rf heaOWh caUe SURYideUV aQd Sh\ViciaQV. 6.14.2 USRQ UeTXeVW, CRQWUacWRU agUeeV WR aOORZ CRXQW\, WR Whe e[WeQW SeUPiWWed b\ OaZ, acceVV WR cUedeQWiaOV Rf QXaOified Ph\ViciaQV aQd QXaOified PURYideUV ZhR aUe SURYidiQg VeUYiceV WR DeSaUWPeQW XQdeU Whe WeUPV aQd cRQdiWiRQV Rf WhiV CRQWUacW. 6.14.3 CRQWUacWRU e[SUeVVO\ agUeeV WhaW iW VhaOO cRPSO\ ZiWh aOO UXOeV, UegXOaWiRQV, RUdeUV, VWaQdaUdV aQd iQWeUSUeWaWiRQV SURPXOgaWed SXUVXaQW WR Whe OccXSaWiRQaO SafeW\ aQd HeaOWh AcW Rf 1970 (aQd WR Whe OccXSaWiRQaO aQd SafeW\ HeaOWh AcW Rf Whe SWaWe Rf AUi]RQa), iQcOXdiQg bXW QRW OiPiWed WR WUaiQiQg, SURYiViRQ Rf SeUVRQaO SURWecWiYe eTXiSPeQW, SURYiViRQ Rf SRVW-e[SRVXUe SURSh\Oa[iV, adheUeQce WR aSSURSUiaWe ORck RXW/Wag RXW SURcedXUeV, aQd SURYidiQg aOO QRWiceV, PaWeUiaO VafeW\ daWa VheeWV, OabeOV, eWc. 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The deVigQaWed PURcXUePeQW OfficeU VhaOO be UeVSRQVibOe fRU aSSURYiQg aOO aPeQdPeQWV fRU MaUicRSa CRXQW\. 6.17 ADDITIONS/DELETIONS OF REQUIREMENTS: The CRXQW\ UeVeUYeV Whe UighW WR add aQd/RU deOeWe PaWeUiaOV aQd VeUYiceV WR a CRQWUacW. If a VeUYice UeTXiUePeQW iV deOeWed, Sa\PeQW WR Whe CRQWUacWRU ZiOO be UedXced SURSRUWiRQaWeO\, WR Whe aPRXQW Rf VeUYice UedXced iQ accRUdaQce ZiWh Whe bid SUice. If addiWiRQaO PaWeUiaOV RU VeUYiceV aUe UeTXiUed fURP a CRQWUacW, SUiceV fRU VXch addiWiRQV ZiOO be QegRWiaWed beWZeeQ Whe CRQWUacWRU aQd Whe CRXQW\. 6.18 STRICT COMPLIANCE: AcceSWaQce b\ CRXQW\ Rf a SeUfRUPaQce WhaW iV QRW iQ VWUicW cRPSOiaQce ZiWh Whe WeUPV Rf Whe CRQWUacW VhaOO QRW be deePed WR be a ZaiYeU Rf VWUicW cRPSOiaQce ZiWh UeVSecW WR aOO RWheU WeUPV Rf Whe CRQWUacW. 6.19 VALIDITY: The iQYaOidiW\, iQ ZhROe RU iQ SaUW, Rf aQ\ SURYiViRQ Rf WhiV CRQWUacW VhaOO QRW YRid RU affecW Whe YaOidiW\ Rf aQ\ RWheU SURYiViRQ Rf Whe CRQWUacW. CRQWUDFW #: 210148 Page 11 Rf 30 6.20 SEVERABILITY: The UePRYaO, iQ ZhROe RU iQ SaUW, Rf aQ\ SURYiViRQ Rf WhiV CRQWUacW VhaOO QRW YRid RU affecW Whe YaOidiW\ Rf aQ\ RWheU SURYiViRQ Rf WhiV CRQWUacW. 6.21 RIGHTS IN DATA: The CRXQW\ VhaOO haYe Whe XVe Rf daWa aQd UeSRUWV UeVXOWiQg fURP a CRQWUacW ZiWhRXW addiWiRQaO cRVW RU RWheU UeVWUicWiRQ e[ceSW aV Pa\ be eVWabOiVhed b\ OaZ RU aSSOicabOe UegXOaWiRQ. Each PaUW\ VhaOO VXSSO\ WR Whe RWheU PaUW\, XSRQ UeTXeVW, aQ\ aYaiOabOe iQfRUPaWiRQ WhaW iV UeOeYaQW WR a CRQWUacW aQd WR Whe SeUfRUPaQce WheUeXQdeU. 6.22 NON-DISCRIMINATION: CRQWUacWRU agUeeV WR cRPSO\ ZiWh aOO SURYiViRQV aQd UeTXiUePeQWV Rf AUi]RQa E[ecXWiYe OUdeU 2009- 09 iQcOXdiQg fORZ dRZQ Rf aOO SURYiViRQV aQd UeTXiUePeQWV WR aQ\ VXbcRQWUacWRUV. 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CONTRACTOR AUTHORIZED SIGNATURE PRINTED NAME AND TITLE ADDRESS DATE MARICOPA COUNT< CHAIRMAN, BOARD OF SUPERVISORS DATE ATTESTED: CLERK OF THE BOARD DATE APPROVED AS TO FORM: DEPUTY COUNTY ATTORNEY DATE 6515 S. 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AOO Rf RXU fieOd VWaff iV aOUead\ WUaiQed WR cROOecW SeUWiQeQW iQVXUaQce iQfRUPaWiRQ fRU aOO SaWieQWV, aQd adeTXaWeO\ ORg Whe daWa iQWR RXU EMR V\VWeP. ThiV VaPe SURceVV ZiOO be XWiOi]ed fRU WheVe YaUiRXV iPPXQi]aWiRQ SURjecWV. OXU VWaff aOVR ZeaUV adeTXaWe PPE, Zhich iV keSW VXSSOied WhURXgh RXU SXUchaViQg & cRXUieU QeWZRUkV. EPbU\ WRPeQ¶V HeaOWh haV SURSeU cROd-chaiQ PaQagePeQW iQfUaVWUXcWXUe iQ SOace WR VWa\ ZiWhiQ CDC gXideOiQeV Rf WUaQVSRUWaWiRQ aQd VWRUage SURWRcROV fRU aOO YacciQeV fURP Whe PRPeQW Whe\ aUe deOiYeUed WR RXU faciOiWieV fURP Whe PaQXfacWXUeUV. ThiV iQcOXdeV CDC aSSURYed YacciQe UefUigeUaWRUV eTXiSSed ZiWh digiWaO daWa ORggeUV. We haYe beeQ adPiQiVWeUiQg YacciQeV aW RXU cOiQic iQ MeVa, AZ fRU \eaUV, aQd aUe iQ Whe SURceVV Rf e[SaQdiQg iPPXQi]aWiRQV WR aOO Rf RXU COVID-19 dUiYe WhURXgh WeVWiQg ViWeV. HeUe iV a OiVW Rf cXUUeQW heaOWh SOaQV WhaW Ze acceSW: - AETNA - AHCCCS - AZ CRPSOeWe CaUe (Medicaid) - BOXe CURVV BOXe ShieOd (MedicaUe AdYaQWage PPO) - CIGNA - HXPaQa - MXOWiSOaQ/PUiYaWe HeaOWhcaUe S\VWePV - UQiWed HeaOWhcaUe - UQiWed MedicaO ReVRXUceV CRQWUDFW #: 210148 Page 22 Rf 30 EXHIBIT C MARICOPA COUNTY B\ aQd TKURXJK LWV DeSaUWPeQW RI PXbOLc HeaOWK (MCDPH) BUSINESS ASSOCIATE AGREEMENT This Agreement sets out the responsibilities and obligations of Embr\ Women¶s Health, (³Business Associate´ or ³Associate´) as a business associate of MARICOPA COUNTY, a covered entit\, under the Health Insurance Portabilit\ and Accountabilit\ Act (³HIPAA´), the Health Information Technolog\ for Economic and Clinical Health (³HITECH´) Act, and pursuant to the Contract or Engagement Letter between Associate and MARICOPA COUNTY. MARICOPA COUNTY ma\ make available and/or transfer to Associate Protected Health Information (³PHI´) of individuals in conjunction with Services, which Associate will use or disclose onl\ in accordance with this Agreement. Associate and MARICOPA COUNTY agree to the terms and conditions of this Agreement in order to compl\ with the use and handling of PHI under the HIPAA Standards for Privac\ of Individuall\ Identifiable Health Information, 45 C.F.R. Part 160 and Part 164, Subpart E (³Privac\ Standards´) and the HIPAA Securit\ Standards, 45 C.F.R. Part 160 and Part 164, Subpart C (³Securit\ Standards´), both as amended from time to time. Unless otherwise provided, all capitali]ed terms in this Agreement will have the same meaning as provided under the Privac\ Standards and Securit\ Standards. Associate and MARICOPA COUNTY will compl\ with the terms of this Agreement for the duration of the Contract or Engagement Letter and for such other continuing periods as provided in this Agreement. Upon the compliance date of an\ final regulation or amendment to final regulation promulgated b\ the Secretar\ of Health and Human Services that affects Associate¶s use or disclosure of PHI, the parties agree to take such reasonable action as is necessar\ to amend this Agreement in order for MARICOPA COUNTY to compl\ with such final regulation or amendment to final regulation. DefiQiWiRQV fRU WeUPV iQ WhiV AgUeePeQW: 1. BXVLQeVV AVVRcLaWe RU AVVRcLaWe means an entit\ that performs or assists in the performance of a function on behalf of a Covered Entit\, which involves the use, or disclosure of Individuall\ Identifiable Health Information as defined in 45 C.F.R. 160.103. In addition, an Associate can be an entit\ that provides data transmission services to a Covered Entit\, is more than a mere conduit of information, and allows a Covered Entit\ to access the maintained information in a manner be\ond a random or infrequent basis. The terms ³Business Associate´, ³Associate´ and ³Contractor´ are s\non\mous. Notwithstanding this definition, if Contractor does not have access to or create Protected Health Information under this Contract, Contractor is not an Associate, and the terms of this Agreement do not appl\ to Contractor. 2. CRQWUacWRUV RI BXVLQeVV AVVRcLaWe means a person or an entit\ to whom an Associate delegates a function, activit\, or service that the Associate has agreed to perform for a Covered Entit\. A contractor of an Associate which creates, receives, maintains, or transmits personal health information on behalf of the business associate is itself a Business Associate and therefore will CRQWUDFW #: 210148 Page 23 Rf 30 compl\ with the terms of this Agreement. For purposes of this Agreement the term ³Contractor´ includes the Contractor, its emplo\ees, its subcontractors and its agents. 3. PURWecWed HeaOWK IQIRUPaWLRQ (³PHI´) means the health information that is created or received b\ a Covered Entit\; and relates to the ph\sical condition, mental health or other health condition of an Individual, or to the provision of health care to the Individual (including but not limited to the pa\ment for such health care); and identifies or can be used to identif\ the Individual as defined in 45 C.F.R. 160.103. 4. IQdLYLdXaO shall have the meaning set forth in 45 CFR 160.103, including a person who is the subject of the Protected Health Information, and shall include an individual or entit\ who qualifies as a personal, legal representative of the person, as the context requires. 5. PULYac\ RXOe shall mean the Standards for Privac\ of Individuall\ Identifiable Health Information at 45 CFR Parts 160 and 164, Subparts A and E, as ma\ be amended, modified or superseded, from time to time. 6. SecXULW\ RXOe shall mean the Standards for Securit\ of Individuall\ Identifiable Electronic Health Information at 45 CFR Parts 160 and 164, Subparts A, C and E, as ma\ be amended, modified or superseded, from time to time. 7. BUeacK shall mean the acquisition, access, use or disclosure of Protected Health Information in a manner not permitted b\ the HIPAA Privac\ Rule, that compromises the securit\ or privac\ of the Protected Health Information as defined, and subject to the exception given to such term in 45 C.F.R. 164.402. 8. BUeacK NRWLILcaWLRQ RXOe shall mean the interim final rule related to breach notification for unsecured protected health information at 45 C.F.R. Parts 160 and 164. 9. CRYeUed EQWLW\ shall have the meaning given to such term in 45 C.F.R. 160.103. 10. DeVLJQaWed RecRUd SeW shall have the meaning given to such term under the Privac\ Rule at 45 C.F.R. 164.501. 11. SecXULW\ IQcLdeQW shall have the meaning given to such phrase under the Securit\ Rule at 45 C.F.R. 164.304. 12. UQVecXUed PHI shall have the meaning given to such phrase under the Breach Notification Rule at 45 C.F.R. 164.402. 13. EOecWURQLc PURWecWed HeaOWK IQIRUPaWLRQ or ePHI shall have the same meaning given to such term under the Securit\ Rule, including, but not limited to, 45 C.F.R. 160.103. 14. EOecWURQLc MedLa shall have the same meaning given to such term in 45 C.F.R. 160.103. 15. HeaOWK IQIRUPaWLRQ TecKQRORJ\ IRU EcRQRPLc aQd COLQLcaO HeaOWK (HITECH) AcW, as codified at 42 U.S.C. 17921-17954. 16. SecUeWaU\ shall mean the Secretar\ of the Department of Health and Human Services or his or her designee. IW LV aJUeed b\ aQd beWZeeQ WKe SaUWLeV WKaW: 1. UVeV aQd DLVcORVXUeV RI PURWecWed HeaOWK IQIRUPaWLRQ. Associate will use and disclose PHI onl\ for those purposes necessar\ to perform its duties, obligations and functions under the Contract, or as otherwise expressl\ permitted in this Agreement or as required b\ other law. a. Associate will not use or further disclose an\ PHI in violation of this Agreement. CRQWUDFW #: 210148 Page 24 Rf 30 b. Associate ma\ use PHI to perform data aggregation services as permitted b\ 45 C.F. R. 164.504(e) (2) (i) (B). c. Associate agrees that an\time it provides PHI received from MARICOPA COUNTY to a Contractor, its emplo\ees, subcontractor, or agent to perform Services for MARICOPA COUNTY, Associate first will enter into a contract with such Contractor, emplo\ees, subcontractor or agent that contains the same terms, conditions, and restrictions on the use and disclosure of PHI as contained in this Agreement. d. If Associate maintains a Designated Record Set, MARICOPA COUNTY will provide Associate with copies of applicable policies and procedures, which the Associate will compl\ with as related to an individual¶s right to access PHI; request an amendment to PHI; request confidential communications of PHI; or request an accounting of disclosures of PHI. 2. AVVRcLaWe UVe RU DLVcORVXUe RI PURWecWed HeaOWK IQIRUPaWLRQ IRU LWV OZQ PXUSRVeV. Associate ma\ use or disclose PHI received from MARICOPA COUNTY for Associate¶s management and administration, or to carr\ out Associate¶s legal and contractual responsibilities. Associate ma\ disclose PHI received from MARICOPA COUNTY to a third part\ for such purposes onl\ if: a. The disclosure is required b\ law; or b. Associate secures written assurance from the receiving part\ that the receiving part\ will: (i) hold the PHI confidentiall\; (ii) use or disclose the PHI onl\ as required b\ law or for the purposes for which it was disclosed to the recipient; and (iii) notif\ the Associate of an\ breaches in the confidentialit\ of the PHI. c. Associate ma\ use and disclose de-identified health information, if (i) the use is disclosed to MARICOPA COUNTY and permitted b\ MARICOPA COUNTY in its sole discretion, (ii) that the de-identification is in compliance with 45 C.F.R. 164.502(d), and (iii) the de-identified health information meets the standard and implementation specifications for de-identification under 45 C.F.R. 164.514(a) and (b). d. Associate shall use and disclose PHI onl\ to the extent reasonabl\ necessar\ to accomplish the intended purpose of such PHI. 3. SaIeJXaUdV. Associate will implement and maintain appropriate safeguards to prevent an\ use or disclosure of PHI not otherwise permitted in this Agreement. a. Associate also will implement administrative, ph\sical and technical safeguards to protect the confidentialit\, integrit\, and availabilit\ of an\ electronic protected health information (³e-PHI´), if an\, that Associate creates, receives, maintains, and transmits on behalf of MARICOPA COUNTY. b. Upon request of MARICOPA COUNTY, Associate will provide evidence to MARICOPA COUNTY that these safeguards are in place and are properl\ managed. 4. ReSRUWV RI IPSURSeU UVe RU DLVcORVXUe RI SecXUe RU UQVecXUe PURWecWed HeaOWK IQIRUPaWLRQ aQd RI SecXULW\ IQcLdeQWV aQd BUeacKeV. Associate will report in writing to MARICOPA COUNTY an\ use or disclosure of PHI, including an\ breach, not permitted b\ the contract between Associate and MARICOPA COUNTY within five (5) da\s of Associate¶s learning of such use, disclosure or breach or within five (5) da\s following the exercise of reasonable diligence would have known of the improper use, disclosure, or breach. 5. MLWLJaWLRQ RI SRWeQWLaO KaUPIXO eIIecWV. Associate shall mitigate all potential harmful effects of a use or disclosure of Protected Health Information b\ Business Associate in violation of the requirements of this Agreement. Immediatel\ following the Associate¶s discover\ of a Breach (or upon the Associate¶s reasonable belief that a Breach has occurred), Associate shall provide MARICOPA COUNTY with sufficient information to permit MARICOPA COUNTY to compl\ with the Breach notification requirements set forth at 45 C.F.R. 164.400 et seq. CRQWUDFW #: 210148 Page 25 Rf 30 a. Specificall\, if the following information is known to (or can be reasonabl\ obtained b\) the Associate, Associate will provide to MARICOPA COUNTY all available information that MARICOPA COUNTY is required to include in its notification to the individual pursuant to the Breach Notification Rule, including but not limited to: i. contact information for individuals who were or who ma\ have been impacted b\ the Breach (e.g., first and last name, mailing address, street address, phone number, email address); ii. a brief description of the circumstances of the Breach, including the date of the Breach, the date of discover\ of the Breach, and the identit\ of who accessed and received the Unsecured PHI; iii. a description of the t\pes of unsecured PHI involved in the Breach (e.g., names, social securit\ number, date of birth, address(s), account numbers of an\ t\pe, disabilit\ codes, diagnostic and/or billing codes and similar information); iv. a brief description of what the Associate has done or is doing to investigate the Breach, mitigate harm to the individual impacted b\ the Breach, and protect against future Breaches; and v. contact information for a liaison appointed b\ the Associate with whom MARICOPA COUNTY ma\ ask questions and learn additional information concerning the Breach. b. Following a Breach, Associate will have a continuing dut\ to inform MARICOPA COUNTY of new information learned b\ Associate regarding the Breach, including but not limited to the information described in items (1) through (5), above. c. Associate also will report in writing to MARICOPA COUNTY an\ Securit\ Incident (successful or unsuccessful) of which Associate becomes aware within five (5) business da\s of Associate learning of such use or disclosure. Specificall\, Associate will report to MARICOPA COUNTY an\ unauthori]ed access, use, disclosure, modification, or destruction of e-PHI or interference with s\stem operations in an information s\stem containing e-PHI of which Associate becomes aware, provided that: i. such reports will be provided onl\ as frequentl\ as the parties mutuall\ agree, but no more than once per month; and ii. if the definition of ³Securit\ Incident´ under the Securit\ Standards is amended to remove the requirement for reporting ³unsuccessful´ attempts to use, disclose, modif\ or destro\ e-PHI, the portion of this Section 5 addressing the reporting of unsuccessful, unauthori]ed attempts will no longer appl\ as of the effective date of such amendment. 6. ObOLJaWLRQV ReJaUdLQJ AVVRcLaWe PeUVRQQeO. Associate will appropriatel\ inform all of its emplo\ees, agents, representatives, members of its workforce, and Contractors, its emplo\ees, subcontractors, or agents of Associate (³Associate Personnel´), whose services ma\ be used to satisf\ Associate¶s obligations under the Contract and this Agreement of the terms of this Agreement. Associate represents and warrants that the Associate Personnel are under legal obligation to Associate, b\ contract or otherwise, sufficient to enable Associate to full\ compl\ with the provisions of this Agreement. Associate will maintain a s\stem of sanction for an\ Associate Personnel who violates this Agreement. 7. AcceVV WR PURWecWed HeaOWK IQIRUPaWLRQ. a. MARICOPA COUNTY AcceVV. Within five (5) business da\s of a request b\ MARICOPA COUNTY for access to PHI received from MARICOPA COUNTY, Associate will make requested PHI available to MARICOPA COUNTY. CRQWUDFW #: 210148 Page 26 Rf 30 b. PaWLeQW AcceVV. If a Patient requests access to PHI directl\ from Associate, Associate will within five (5) business da\s forward such request in writing to MARICOPA COUNTY. MARICOPA COUNTY will be responsible for making all determinations regarding the grant or denial of a Patient¶s request for PHI and Associate will make no such determinations. Onl\ MARICOPA COUNTY will release PHI to the Patient pursuant to such a request. 8. APeQdPeQW RI PURWecWed HeaOWK IQIRUPaWLRQ. a. MARICOPA COUNTY ReTXeVW. Within five (5) business da\s of receiving a request from MARICOPA COUNTY to amend an individual¶s PHI received from MARICOPA COUNTY, Associate will provide such information to MARICOPA COUNTY for amendment. Alternativel\, if MARICOPA COUNTY request includes specific information to be included in the PHI as an amendment, Associate will incorporate such amendment within five (5) business da\s of receipt of the MARICOPA COUNTY request. b. IQdLYLdXaO ReTXeVW. If an individual makes a request for amendment directl\ to Associate, Associate will forward within five business da\s such request in writing to MARICOPA COUNTY. MARICOPA COUNTY will be responsible for making all determinations regarding amendments to PHI and Associate will make no such determinations. 9. AccRXQWLQJ RI DLVcORVXUeV; ReTXeVWV IRU DLVcORVXUe. a. DLVcORVXUe RecRUdV. Associate will keep a record of an\ disclosure of PHI received from MARICOPA COUNTY that Associate makes to its emplo\ees, subcontractors, and agents, or other third parties other than: (1) Disclosures to health care providers to assist in the treatment of patients; (2) Disclosures to others to assist MARICOPA COUNTY in pa\ing claims; (3) Disclosures to others to assist MARICOPA COUNTY in conducting its health care operations, as defined in 45 C.F.R. 164.501; or (4) Disclosures made pursuant to an individual¶s Authori]ation. Associate will maintain this disclosure record for six (6) \ears from the termination of this Agreement. Associate also agrees to maintain necessar\ and sufficient documentation of Disclosures of Protected Health Information as would be required for MARICOPA COUNTY to respond to a request b\ an individual for an accounting of Disclosures, in accordance with 45 CFR 164.528. b. DaWa ReJaUdLQJ DLVcORVXUeV. For each disclosure for which it is required to keep a record under paragraph 8(a), Associate will record and maintain the following information: (1) The date of disclosure; (2) The name of the entit\ or person who received the PHI, and, the address of such entit\ or person, if known. (3) A description of the PHI disclosed; and (4) A brief statement of the purpose of the disclosure. c. PURYLVLRQ WR MARICOPA COUNTY. Associate will provide to MARICOPA COUNTY its record of disclosures under paragraph 8(a), if an\, within thirt\ da\s of each disclosure. Within five business da\s of receiving a notice from MARICOPA COUNTY of an individual¶s request for an accounting, Associate also will provide to MARICOPA COUNTY its disclosure record. d. PaWLeQW ReTXeVW WR AVVRcLaWe. If a Patient requests and accounting of disclosures directl\ from Associate, Associate will forward the request to MARICOPA COUNTY within five (5) business da\s of Associate¶s receipt of the request and will make its records of disclosures available to MARICOPA COUNTY as otherwise provided in this Section. MARICOPA COUNTY CRQWUDFW #: 210148 Page 27 Rf 30 will be responsible to prepare and for deliver\ of the records of disclosure to the Patient. Associate will not provide an accounting of its disclosure directl\ to the Individual. 10. NRWLce RI PULYac\ PUacWLceV. MARICOPA COUNTY shall provide Associate a cop\ of its Notice of Privac\ Practices (³Notice´) in accordance with 45 C.F.R. 164.520 as well as an\ changes to the Notice. If MARICOPA COUNTY¶ Notice specificall\ affects Associate¶s use or disclosure of PHI, MARICOPA COUNTY shall inform Associate of the specific limitations. Associate shall abide b\ the limitations of MARICOPA COUNTY¶ Notice that affects its use or disclosure of PHI of which it has been specificall\ informed. An\ use or disclosure permitted b\ this Agreement ma\ be amended b\ changes to MARICOPA COUNTY¶ Notice if MARICOPA COUNTY specificall\ informs Associate of the amendment: provided, however, that the amended Notice shall not affect permitted uses and disclosures on which Associate relied prior to receiving notice of such amended Notice. 11. AcceVV WR BRRNV aQd RecRUdV. a. MARICOPA COUNTY AcceVV. Associate will, within five (5) business da\s of MARICOPA COUNTY written request, make available during normal business hours at Associate¶s offices, all records, books, agreements, policies and procedures relating to the use or disclosure of PHI received from MARICOPA COUNTY for the purpose of allowing MARICOPA COUNTY or its agents or auditors to determine Associate¶s compliance with this Agreement. b. GRYeUQPeQW AcceVV. Associate will make its internal practices, books, and records relating to the use and disclosure of PHI received from, or created or received b\ Associate on behalf of, MARICOPA COUNTY available to the Secretar\ of the Department of Health and Human Services to the extent required for determining compliance with the Privac\ Standards. Notwithstanding this provision, no attorne\-client, accountant-client or other legal privilege will be deemed waived b\ Associate or MARICOPA COUNTY as a result of this Section. 12. TeUPLQaWLRQ. MARICOPA COUNTY ma\ immediatel\ terminate the Contract, if an\ and this Agreement upon written notice to Associate if MARICOPA COUNTY determines that the Associate or subcontractor(s) or agent(s) of Associate has breached a material term of this Agreement. Alternativel\, MARICOPA COUNTY ma\ elect to provide Associate with written notice of Associate¶s or subcontractor(s)¶ or agent(s)¶ of Associate breach of an\ term or condition of this Agreement and afford Associate the opportunit\ to cure the breach to the satisfaction of MARICOPA COUNTY within thirt\ (30) da\s of the date of such notice. If Associate fails to timel\ cure the breach, as determined b\ MARICOPA COUNTY at its sole discretion, MARICOPA COUNTY ma\ terminate the Contract and this Agreement. 13. ReWXUQ RU DeVWUXcWLRQ RI PURWecW HeaOWK IQIRUPaWLRQ. a. ReWXUQ RI PHI; DeVWUXcWLRQ. Within thirt\ (30) da\s of termination of the Contract or this Agreement, Associate will return to MARICOPA COUNTY all PHI received from MARICOPA COUNTY or created or received b\ Associate on behalf of MARICOPA COUNTY that Associate maintains in an\ form or format. Associate will not maintain or keep in an\ form or format an\ portion of such PHI. Alternativel\, Associate ma\, upon MARICOPA COUNTY written consent, destro\ all such PHI and provide written documentation of such destruction. The requirement to return or destro\ such PHI will appl\ to all agents or subcontractors of Associate. Associate will be responsible for recovering an\ PHI from such agents or subcontractors. If Associate cannot obtain the PHI from an\ agent or subcontractor, Associate will so notif\ MARICOPA COUNTY and will require that such agents or subcontractors directl\ return PHI to MARICOPA COUNTY or otherwise destro\ such PHI, subject to the terms of this Section. b. AOWeUQaWLYe MeaVXUeV. If Associate believes that returning or destro\ing PHI at the termination of the Contract or this Agreement is infeasible, it will provide written notice to MARICOPA COUNTY within five (5) business da\s of the effective date of termination of this Agreement. Such notice will set forth the circumstances that Associate believes makes the return or destruction of PHI infeasible and the alternative measures that Associate recommends for CRQWUDFW #: 210148 Page 28 Rf 30 assuring the continued confidentialit\ and securit\ of the PHI. MARICOPA COUNTY promptl\ will notif\ Associate of whether it agrees that the return or destruction of PHI is infeasible. If MARICOPA COUNTY agrees that return or destruction of PHI is infeasible, Associate agrees to extend all protections, limitations and restrictions of this Agreement to Associate¶s use or disclosure of PHI retained after termination of this Agreement and to limit further uses or disclosures to those purposes that make the return or destruction of the PHI infeasible. An\ such extended protections, limitations and restrictions will appl\ to an\ agents or subcontractors of Associate for whom return or destruction of PHI is determined b\ MARICOPA COUNTY to be infeasible. If MARICOPA COUNTY does not agree that the return or destruction of PHI from Associate or its agents or subcontractors is infeasible, MARICOPA COUNTY will provide Associate with written notice of its decision, and Associate, its agents and subcontractors will proceed with the return or destruction of the PHI pursuant to the terms of this Section within fifteen (15) da\s of the date of MARICOPA COUNTY notice. 14. ReVWULcWLRQV RQ UVe RU DLVcORVXUe RI PURWecWed HeaOWK IQIRUPaWLRQ. If MARICOPA COUNTY advises Associate of an\ changes in, or restrictions to, the permitted use or disclosure of PHI received from MARICOPA COUNTY, Associate will restrict the use or disclosure of such PHI consistent with the MARICOPA COUNTY instructions. 15. MLWLJaWLRQ PURcedXUeV. Associate agrees to have procedures in place for mitigating, to the maximum extent practicable, an\ deleterious effect from the use or disclosure of PHI received from MARICOPA COUNTY in a manner contrar\ to this Agreement or the Privac\ Standards. 16. CRPSOLaQce ZLWK WKe HITECH AcW. Associate will compl\ with the requirements of Title XII, Subtitle D of the Health Information Technolog\ for Economic and Clinical Health (HITECH) Act, codified at 42 U.S.C. 17921-17954, which are applicable to Associates, and will compl\ with all regulations issued b\ the Department of Health and Human Services (HHS) to implement these referenced statutes, as of the date b\ which Associates are required to compl\ with such referenced statutes and HHS regulations. a. Associate will also compl\ with Section 13402 of the HITECH Act, codified at 42 U.S.C. 17932, and with all regulations issued b\ HHS to implement this statute, as of the date b\ which Associates are required to compl\ with such referenced statutes and HHS regulations. Associate will make a report to the MARICOPA COUNTY of an\ breach of unsecured protected health information, as required b\ 42 U.S.C. 17932(b), within five (5) business da\s of Associate¶s discover\ of the breach. Associate will indemnif\ MARICOPA COUNTY for an\ reasonable expenses MARICOPA COUNTY incurs in notif\ing individuals of a breach caused b\ Associate or its subcontractors or agents. 17. MLVceOOaQeRXV. a. CRPSOLaQce ZLWK LaZV. The Parties acknowledge that state and federal laws relating to electronic data securit\ and privac\ are rapidl\ evolving and that amendment of this Agreement ma\ be required to ensure compliance with such developments. Should such developments occur, and upon either Part\¶s good faith request, the other Part\ agrees to enter good faith negotiations concerning the terms of an amendment to this Agreement. b. CRQVWUXcWLRQ RI TeUPV. The terms of this Agreement will be construed in light of an\ applicable interpretation or guidance on the Privac\ Standards and Securit\ Standards issued b\ the Department of Health and Human Services and other applicable state or federal laws, rules and regulations as amended from time to time. c. NR TKLUd-PaUW\ BeQeILcLaULeV. Nothing in this Agreement will confer upon an\ person other than the parties and their respective successors or assigns, an\ rights, remedies, obligations, or liabilities, whatsoever. d. AVVLJQPeQW RI RLJKWV aQd DeOeJaWLRQ RI DXWLeV. This Agreement is binding upon and inures to the benefit of the Parties hereto and their respective successors and permitted assigns. CRQWUDFW #: 210148 Page 29 Rf 30 However, neither Part\ ma\ assign an\ of its rights or delegate an\ of its obligations under this Agreement without prior written consent of the other Part\, which consent shall not be unreasonable withheld or dela\ed. Notwithstanding an\ provisions to the contrar\, however, MARICOPA COUNTY retains the right to assign or delegate an\ of its rights and obligations hereunder to an\ of its wholl\ owned subsidiaries, affiliates or successor companies. Assignments made in violation of this provision are null and void. e. NR WaLYeU. Failure or dela\ on the part of either Part\ to exercise an\ right, power, privilege or remed\ hereunder shall not constitute a waiver thereof. No provision of this Agreement ma\ be waiver b\ either Part\ except b\ a writing signed b\ an authori]ed representative of the Part\ making the waiver. f. SeYeUabLOLW\. The provisions of this Agreement shall be severable, and if an\ provision of this Agreement shall be held or declared to be illegal, invalid or unenforceable, the remainder of this Agreement shall continue in full force and effect as though such illegal, invalid or unenforceable provision had not been contained herein. g. EQWLUe AJUeePeQW. This Agreement constitutes the entire agreement between the parties with regard to the Privac\ Standards and Securit\ Standards, there are no understandings or agreements relating to this Agreement that are not full\ expressed in this Agreement and no change, waiver or discharge of obligations arising under this Agreement will be valid unless in writing and executed b\ the part\ against whom such change, waiver or discharge is sought to be enforced. h. WULWWeQ AJUeePeQW. This Agreement is considered as an integral part of the underl\ing Contract and is incorporated as though full\ set forth within the Contract. This Agreement will govern in the event of conflict or inconsistenc\ with an\ provision of Contract. i. CKRLce RI LaZ. This Agreement and the rights and obligations of the parties hereunder shall be governed b\ and construed under the laws of the State of Ari]ona, without regard to applicable conflict of law principles. j. CRXQWeUSaUWV. This Agreement ma\ be executed in two or more counterparts, each of which shall be deemed an original and when taken together shall constitute one agreement. k. FacVLPLOe aQd EOecWURQLc SLJQaWXUeV. Facsimile and electronic signatures shall be deemed to be original signatures for all purposes of this Agreement. l. NRWLceV. An\ notices required under this Agreement will be sent to the parties at the following address b\ first class mail, fax or hand deliver\: Agreed to b\ Associate b\: ASSOCIATE MARICOPA COUNTY _____________________________________ _________________________________ SIGNATURE DATE SIGNATURE DATE _____________________________________ ________________________________ PRINT NAME AND TITLE PRINT NAME AND TITLE Patrick Aiken - Business Development Supervisor 11/6/2020 CRQWUDFW #: 210148 Page 30 Rf 30 BUSINESS ASSOCIATE AGREEMENT FOR RELEASE OF INFORMATION TO THIRD PARTIES 1. Embr\ Women¶s Health (³Associate´) is a business associate of MARICOPA COUNTY, pursuant to the Agreement between Associate and MARICOPA COUNTY dated October 30, 2020 (³Agreement´). Pursuant to that Agreement, Associate is required to compl\ with the requirements for the use and handling of Protected Health Information (³PHI´) from MARICOPA COUNTY as set forth in the Standards for Privac\ of Individuall\ Identifiable Health Information, 45 C.F.R. 164.501 et. seq. as amended from time to time (³Privac\ Standards´). 2. Associate is permitted to disclose PHI to Embr\ Women¶s Health (³Recipient´) for the necessar\ management and administration of Associate and to carr\ out the legal responsibilities of the Associate, provided that Recipient provides Associate with the following assurances for Recipient¶s use and disclosure of PHI. 3. Associate seeks to disclose PHI to Recipient for the following management, administration or legal responsibilities of Associate: 4. The disclosure of PHI to Recipient is conditioned upon Recipient¶s assurance that, and Recipient agrees that it will: a. Hold the PHI confidentiall\ and make no re-disclosure to an\ third part\ without Associate¶s express advance written consent; b. Use or disclose the PHI onl\ as required b\ law or for the purposes set forth above; and c. Notif\ Associate in writing of an\ breaches in the confidentialit\ of the PHI within three da\s of discover\ of an\ such breach. ASSOCIATE RECIPIENT _________________________________ _______________________________ SIGNATURE DATE SIGNATURE DATE _____________________________________ ________________________________ PRINT NAME AND TITLE PRINT NAME AND TITLE 11/6/2020 Patrick Aiken - Business Development Supervisor