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II. <br />13t;stNEss ;\ssur i,l I I r\DDENDUM <br />HXr iltl|r "A'! -[o r"r-rE {](x ,rAr.r ro wHrcH rr rs ATTACT{ED <br />l-his Addtirrtluttt is irlcrirltttrittfrl irtrr: the cLrllrr.rL'i t' rr.[rich this document is attachecl betrveenKittitas C0ttttl-t Wilshiltgron on h,,-half rrf th* {}f"t"rr.c r"rr Depafiment thereof (,.Covered Enrity,,)and the otltrt pat'lr or p;trlics lhcrclo l"flusrrreros Assuciate"), Thc singular shall inclucte the pluraland the plural thr: singuiar as rcqrrilcd by tlr L(lnrs.r:i. <br />The [Jttsiriesr r\'{sttLralc ,rckna$'let^lgcs ar:.1 i!l:i*cr lhilr irrotected Health lnformaticln (pHI) in anyformat, inclrriiing cl*c'tl"otttc Ill ll tcxllll). e.rn h.'rrscii. sliared, created, retained ortransferrcdonly rvithill litc 1:aratttr:icrs ol-this rir,crrnrenr ;r*d ths Dtpanment of Health and Hunran Se^,icesPrivacy Rcgttlattotrs. {--"ortc uf [-'ctl*ft:l ltegril{ltiriils. i"(-'I]R"), Title 45, Sections 160 and 164, oras rcquircd ht ll,,r, <br />CFR Titlc 45' Secttt;nr 160 anri Ii'r-l nntl anr .pplr.:;rhlc washington statutory larv (.,RCW,,) orAdrninistrartr.. Llrrdu ( '\\"\( 'llttt,,,rirrrr (1'rrit':;rl ilrrri statestaiutory orrcgulatory standardsapplicablc lr tlrrr iirliie ltduft irr!. c*lircrrvcil. re lcrrcel to as ,.lay,,) are by rvay of reference, anintegral part oltltis ,'\iiclenclttrn its it'rnccrilruarrrl in lirli. Business Associate is charged rvirh theknorvlcrlpe 'l'lttttl itgr{ds to nhid* bl th* tcrrn" .*rl c,ntlrrions of larv. To the extentihrt onyapphcable pri*'isiiln *I'R'C\\/ r:r \\r;\(-j pror id*-; lor ul nandates any standard differing fronrthose of Fedcrill ln*.111* slanclard r:rorr re.qrricrr!'tj t)l'Liisclosure shallcontrolsubject to federalpreemptiorr: tltts itpf li{E thrttuglitut tius Atillcntlrrrl r,r ithout regard to any lurrhei explicitreference to RC'\\, or" \\iA( pror.isiergs <br />J'his Adden'"lrtttt ts tlti;ct:rc lllx)ll )rgnnlg nt"tl,r:.rn;tilhiltent or the contracr to rvhich it isattached. ri !rrclrrr e r ts priiir lt) lnl.i{ <br />P_U&rQ,!!, <br />The Corcrt'cl l'"'ttrrtr nccds ln tttnkc lvllilli'ric arititor rlisclose to the Business Associatr certainPHI lbr lnan;lgrlllclll. arhttirititriiircn. arlri L'uai rcsponsibiliries during lhe nornral course olbusiness irr-lrrrrll tlrt' ;rarrtcs lts rcl'urerrecrl ir: the ctrnlract or other agreentenl to rvhich thisdoctttttertt ts ;tt(ite ltcd *nti lttcurgroratecl h1 rctcrurrec. fhis document is intended to deline andincorpttrnt* httt nr.rt lrrnit tlre ol-rlrsArrons,rf't|,; flrrsrgess Associale rvith regard lo its use andprotectlirn ul" tlirrt l)l.l i <br />'l"hc []usrrrers Assrrci;rte hcrrh.r, agrdcs rr] {h irl{ rirllrrrving: <br />A lircilrd l)isciqsrrLe Usr'andrur drsclos* l'1ll nnll as permitted or required by thisAddcntltrltr. lir:aith ltrsttt'i*tce llortnhilirr ;rnd AEcourrrability Act (HIpAA). and thclleulrll lttlr"trrtLlir$n -l'ucltli*i*gt liir l:ior':rrtilrc arrtl clinical Health Act (Division A. TitleXIil *l-lh* Attt*rtciln RL-corcil anil ftdil:i'eitrilcnr Act of 2009, pub. Law il l-5, 2009Hft ll{"lll-l'lr("1t").'l-he lJtrsinessArsrciatcclrall useanddiscloseplllonlyifsuchuse <br />or disrlosttre. rcsprctivelr', rs in con:pii;tncr: u'ith each applicable requirement of 45 CFR <br />$164'50-lletor (ilil(r lilrl' ihr !lusrnrsr ;\:scre r;rte is directly responsiblc for full <br />Fl ,\ A Ati.!ihrli,irtr lr:r** I of _i