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It. <br />B uslrurss Assocl..\n Anorxptl rvl <br />EXHItsr'f "D" ro tHt: cr:xrRer,T To wHrcu r.r. rs r\TrAr,Hr--l) <br />'l-ltis Addc'ndtttu is iltcotlorirl€d into thc contrilct to rvhich rhis docurrrcnt is attached bcln.*c-rrKittitas Counly \\'asltingron orr behalf of the oll]ce or Delurlnrent thereof (."coverc,(l llrrrirf..)ancl thc othcr p;rrty or parties tltereto ("Busincss Assoe irtc";. Ttre singulirr"shall inclrr<lc tt:c pluralaud tlrc- plural tlr* sinsular as requirecl by thc corrte.rt. <br />The Business As^sociflle uckrtotr{t'clges artd a*qrees thlt Protectccl llealth Infirr.nrrtiorr (pl ll } irr anyfonnat. includin-c elcctronic Plll (ePl.tl). carr be usetl. slraled. creilted. rr.taincd or tralrsterrr..rl <br />ottl.v x ithin tlte patatneters of this docruilc'nt tnd the Deparhnent of Ilcalth arld I lunrnrr Srn,ircsPrivucy Regulltions, C'odc of Fedcrirl Rcgularions. (.,CFR.,). Tirle 45, Secriorr* l(i0 rntl l6_1. oras requircd by larr,. <br />cFR Titlc 45' Scctions l(r0 ancl 164 <br />"ncl <br />lny applicablc \vaslrington stahrtr)ry la*, (..RClv..l.r <br />Adlrrini.sLrnti\.r'Code 1..lVAC,') provision (Fectcral crrd Stare statutorv or regulltory stuntlardslpplicnble to this addcndrrrn are collectively relened to a.s ..llrv,,) lre by rvay ol.re.l.crerrc,... irnirrtegral part oltlris Adtlcnclunr as if inctrrporoted in ftrll. Btminess Associirtc is chrrgetl u.irlr tlreknou'lcdgc'of antl agrees to abide by the tenrrs and coudiliorrs ol'larv. To lhc cxtcnt rhlt irrryapplicablc Plor ision of RCW or \['AC proviclcs for or mandatcs any srlndud cli fl'crirrg ti.ornthose of Federnl la$', the -stitntlitttl ltore restlictive ol'chsclort,r* sh,,il corrtrol subjcct to li,rL,r*lpreenrptiott; this applies throttghout this r\cldc'ndunr rl'ithout regud to nn1.. lirr.r6cr erplicit <br />refererrce ro RCIV or WAC provisions. <br />This 'Adderrdunt is cfFccti\'c tlpotl siguing of this attachnrent or llrc contr:rcr to r'hir-h rt isaturched, rvhichevr,.r is pr.ior in tirnc. <br />PUqfosE <br />The Covct'r:d Entity rrccds to ntirke nvailatrle ancllor disclose to the Business Associale cer.rnirrPl-ll tbr nratlagenlt'nl. administraliotr, and legal resporrsibilitie.s cturing the nonnal course ofbusittess betu'een tlreparties as referenccct in the contract olollrcrngreenrenl torr,hich tlrisdocum'"nl is uttached and incorporated by rcf.Lrence. Tlris docunrent is interrdecl lo dcfinc andincorporate but nsl linrit thc obligations of the Business Ass'ciutc' rvith rcgarrl to its use anclptotecrion of tlrar PHl. <br />Thc Business Associate rrerr.by il-srces to do the foilorving: <br />r\' Use and Disclo.surq: Use and/or disclose PHI only as pc'nnirted or requircd by rhis <br />Addendunt' Healrh Lrsttritnce Por"tabiliry nnd Accountabiliry Act (HlpAA), *nd theHealtlr hfomralion Technology for Econonric nnd Clinical Health Acr (Divisi6n A, TitlcXlll of the Anterican Recovery and Reinvestnrent Act of 2009, pub. Larv I I l-5, 2009HR l) (*HlTEcH"). The Btsittess Associatr: shall use and disclose plll only if such useor disclosure, respectivcly' is in complinnce with cash applicable requlrclrclt of 45 CtliR <br />ss 164'50-1{c) or ottrer law' The Business Associate is directly responsible ftx ftlll <br />B. A..{. Anltchmcnr pirge I uf 5