HIPAA + Part 2: What Clinics Need to Know Before February 16, 2026

February 13, 2026

Healthcare privacy law is evolving — and February 16, 2026 is a firm compliance deadline for new federal privacy requirements that affect how clinics handle and communicate about substance use disorder (SUD) treatment records. These changes come from HHS’s update aligning 42 CFR Part 2 (confidentiality of SUD records) with the HIPAA Privacy Rule.

What’s Changing? The Part 2 Final Rule

HHS, in coordination with SAMHSA and OCR, finalized amendments to Part 2 to better align it with HIPAA protections. The updated rule:

  • Allows a single patient consent for all future uses/disclosures for treatment, payment, and healthcare operations, simplifying consent workflows.
  • Permits HIPAA-regulated entities to redisclose SUD records under HIPAA’s Privacy Rule once valid consent is obtained.
  • Removes the need to segregate Part 2 records in many cases, reducing administrative burdens.
  • Applies HIPAA’s breach notification and enforcement framework to Part 2 violations, with civil monetary penalties and OCR enforcement authority.
  • Maintains enhanced confidentiality protections for SUD treatment information, especially concerning disclosures in legal proceedings and sensitive situations.

NPP Update Deadline: February 16, 2026

One of the most immediate actions clinics must take is updating their Notice of Privacy Practices (NPP) to include the revised Part 2 elements.

Who must update the NPP?
✔ All HIPAA covered entities.

What must be in the updated NPP?

✔ Clear information about how Part 2 records may be used or disclosed.
✔ Patients’ specific rights under the new Part 2 framework (e.g., rights to restrict disclosures or request accounting of disclosures).
✔ Limitations on redisclosure of Part 2 records, particularly legal restrictions.
✔ A conspicuous opt-out option if SUD records may be used in fundraising communications.

Important to remember: It’s not just internal policies — this updated NPP must be made available to patients in your clinic and posted wherever your current NPP is displayed (on your website, in-office postings, and patient intake packets).

Why This Matters

Failing to update your policies and Notices of Privacy Practices by February 16, 2026 could expose you to enforcement actions, fines, and complaints to the HHS Office for Civil Rights. Part 2 violations are now subject to the same enforcement mechanisms used under HIPAA.


We’ve Got You Covered — Updated NPP Included for Subscribers

If you’re a Policy Manual subscription client, we’ve already taken care of this change for you:

✔ We updated your Notice of Privacy Practices to include the required Part 2 language and brought your documents into compliance with the February 16, 2026 deadline.
✔ The updated NPP was emailed to you this week as an attachment from the first email we sent — so check your inbox (and junk folder, just in case).
✔ These updates are part of your subscription — no extra work needed from your team.


Not a Subscriber Yet? Here’s How We Can Help

Updating legal policies like your NPP isn’t something you want to scramble to do at the last minute — and getting it wrong can have serious consequences.

With a Policy Manual subscription with us, you receive:

  • Regularly updated HIPAA and compliance policies
  • New templates aligned with current federal rules like Part 2
  • Peace of mind knowing your documents stay up to date
  • Notifications and support when changes like this happen

Contact HSA today to learn how our subscription services help your clinic stay compliant — so you don’t have to do it all yourself.

Telehealth Billing Changes for RHCs Beginning October 1, 2026

If your Rural Health Clinic provides telehealth services, an important billing change is coming this fall. Beginning October 1, 2026, Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) will no longer bill HCPCS code G2025 for distant site...

read more
Global Maternity CPT Codes Are Going Away

If your Rural Health Clinic provides obstetrical care, an important coding change is on the horizon. Beginning January 1, 2027, the American Medical Association (AMA) is deleting the long-standing global maternity care CPT codes that bundle antepartum care, labor and...

read more
Don’t Let Vaccine Billing Become an Operational Gap

Beginning July 1, 2025, Rural Health Clinics are required to bill these preventive vaccines and their administration at the time of service: Influenza (regular and high dose) Pneumococcal (all types) Hepatitis B COVID-19 This wasn't simply a billing update—it changed...

read more
A Legacy Rooted in Rural Health Care

Many people in the RHC community recognize the Ron Nelson Award, presented annually by the National Association of Rural Health Clinics (NARHC) to honor individuals who have demonstrated outstanding leadership, service, and advocacy on behalf of RHCs. What many may...

read more
Medicare Extends Medical Telehealth Billing

Medicare has extended medical telehealth billing for RHCs using CPT code G2025 through December 31, 2026. Effective January 1, 2026, Medicare has updated the virtual communication codes for RHCs, terming G0071 and replacing it with 3 codes: 98016, G2010 and G2250. For...

read more
Provider enrollment application fee: CY 2026

Effective January 1, the application fee is $750 for institutional providers who are: Initially enrolling in the Medicare or Medicaid programs or the Children’s Health Insurance Program (CHIP) Revalidating their Medicare, Medicaid, or CHIP enrollment Adding a new...

read more