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Bu-SINESS A.S.SOC'JATF ADDENNDf M <br />EXHIBIT "D" TO TIDE: COrNTRAC'T TO WHICH IT IS ATTAC'HW <br />This Addendum is incorporated into the contract to %vhich this document is attached bct►\,�cii <br />ICittitas County 11'a1511iltgton Oil heltalfafthe Office or Dcpartntent thereof("C'avered 1-ntit�") <br />and the other party or parties thereto ("Business Associate"). The singular shall include tl'-e plural <br />and the plural the singular as required by the context. <br />The BIISiness Associate acknowled-es and agrees that Protected I lealth Inlijrmation (I'fI1) in , v <br />format, including electronie P111 (epl-11), cart be used, shared, created, reEained or transferred <br />only within the parameters of this document and the Department of llcalth and 1 lunlarl Services <br />Privacy ReLlulations, C'odc of Federal Regulations. ("C'FR"), Title 45, Sections 160 and 164. or <br />as required by law. <br />CFR Title 45, Sections 160 and 164 and any applicable Washington stitittc�ry la« ("RCW"t or <br />Administrative Code ("WAC"') provision (Federal and State statutoly 01- regulatory standards <br />applicable to this adden(ltun are collectively referred to as "Jaw") are by wily of reference, an <br />integral part of this Addendum as if incorporated in full. Business Associate is ch'ai-ed %vith the <br />knowledge of and agrees to abide by the teniii and conditions of law. To the extent that any <br />applicable provision of RCW or WAC provides for or mandates any stattd:ird differing from <br />those orFederaf la1A, the standard "'Ore reshictive Ol'disclOstire shall control subject to fedcral <br />preemption; this applies throughout this Addendum without regard to any liia-tft4r etplicit <br />reference to RCW or WAC provisions. <br />This AddendLini is effectiVC upon signing of this attachment or the contract to t%hich It Is <br />attached, whichever is prior in time. <br />I. PURPOSE <br />The Covered Entity needs to make available and/or disclose to the Business Associate eettain <br />PHI for management, administration, and legal responsibilities during, the normal course of <br />business between the parties as referenced in the contract or otheraareement to t\--hich this <br />document is attached and incorporated by reference. This document is intended to define and <br />incorporate but ltot limit the obligations of the BttSiness Associate with regard to its use and <br />protection of that PHI. <br />H. RESPONSIBILITIES OF BUSINESS ASSOCIATE <br />The Business Associate hereby agrees to do the following: <br />A. Use and Disclosure: Use and/or disclose PHI only as permitted or required by this <br />Addendum, Health Insurance Portability and Accountability Act (HIPAA), and the <br />Health Information Technology for Economic and Clinical Health Act (Division A, Title <br />alll of the American Recovery and Reinvestment Act of 2009, Pub. Laic If 1-5, 2009 <br />HR 1) ("HITECH"). The Business Associate shall use and disclose PIII only if Snell Ilse <br />or disclosure, respectively, is in compliance with each applicable requirement of 45 C1`R <br />§ 164.504(c) or other law. The Business Associate is directly responsible for full <br />B. A. A. Attachment Page t of 5 <br />