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Bustt rsss AssoctRrl AnoeNnutt <br />EXHItslr "D" To lHr coxrRacr ro wHICt-r rf rs ATTACHHT) <br />This Addendunt is incoqrtlrated itrto the contract to rvhigh this clocurnent is attacliecl bctrveerr <br />Kinitas County lVashington on behalf of the otlce or Depaftnrent thereof (.'Coverecl Eptity,.) <br />ancl the othcr parly or parties thereto ("Busincss Associate"). The singular shall i'clucie tle <br />'lur.aland the plural the singular as required by tlrc context. <br />The Business Associate acknorvledges nuclagrees tlial Protectecl Flealth Intbrrnation (plll) irr any <br />lbnlrat' including elcctronic PLtl (ePIIl). can be usecl, shared. createcl. rctained or tr.a'sltrrecl <br />only ll'ithin tlte paranrelers of this clocurnent and the Departrnent of l-Icalrh and Flunttn Services <br />PrivacyRegulations'CloclcofFcdertilRcgulations,("CFR"),Title45.Sections l60antl l64.or <br />as requircd by larv. <br />CFR Title 45, Sections 160 ancl 164 anclany applicable lVashington staturory law (..RCW',) or <br />AdnlinistrntiVe Code ("wAC") prnvision (Feclcral arrd State siatutory or regulatory stanclarcls <br />lpplicable to this addenilurn are collcctively rel'erred to as "larv"i are by rvay ol'ref'erensi;., an <br />integralpar-t of tlris Addcnclutll as if incorporatecl in fLrll. Business.Associare is chnrged wirh the <br />kno'uvledgc'of and agrees to abide by the temrs and conclitions of la.',v. To the extent thnt any <br />applicable provision oIRCW or WAC provicles for or manclates any standard clil.l'ering fpom <br />those of Federal law, the stirrrclarcJ tnore restrictive of clisclosure shallcorrtr.olsubjcct to t-cclcrat <br />preenrption, tlris applies throughout this Addendum rvithout regar-cl to an,v lirrthr,.r explicit <br />refererrce to RUW or WAC provisions. <br />This Addendunr is efleclive upnn signing olthis attachrrent or tlre contractto rvhich it is <br />atiached, li,hiclrevcr is pr.ior in tinre. <br />PURPpSE <br />The Covered Entity necds to make available anel/or clisclose to fhe Br.rsiness Associale certain <br />PHI for rnanagem{lnt, acltlinisLlation, and legal respousibilities cluring the nornral course of <br />bttsiness betr'veen the parties as relerenced in tlre contract or other agreenrent to rvhich this <br />document is attached and incorporated by ret'erence. This documenl is intenclecl to definc and <br />incorpor:rte but ttot limit thc obligtrtions of the Business Associa{.c rvith r.egard to its usc alcl <br />protection of that PHI. <br />SIBILI S OF BUS INESS AS A"T'E <br />The Business Associate hereby agrees to do the fcrllowing: <br />r\' Use and Disclosure: Use and/or disclose PHI only ns perrnitted or r-equircd by this <br />Addendunr, Healrh llsurance Portabitiry and Accountabiliry Act (HIpAA), and the <br />Health llformation Technology for Economic and Clinical Health Act (Division A. TitleXlll of the American Recovery and Reinvestment Act of 2009, pub. Larv I I l-5, 2009 <br />l-lR l) ("HITECI-1").'l-he Bttsiness Associate shall use and clisclose PFll only if such use <br />or disclosure, respectively, is in compliance with eaoh applicable recluirernent of 45 Cl;R <br />$ 164.50a(c) or other law. The Business Associate is clirectly responsible for ftill <br />T <br />It. <br />B. A. A. Anaclrment Page I of 5