Digital Estate Roles · Roles

Health-records representative

The person entitled to a deceased or incapacitated person's health records.

50 jurisdictions · 5 countries · role id health-records-representative

Europe

Germany — federal law

Einsichtsberechtigter in die Behandlungsakte — Person entitled to inspect the medical records

After death, heirs may see the medical record to pursue financial interests and next of kin to pursue non-material ones — unless it would go against the patient's wishes.

Assigned
By status as heir or next of kin Deceased
Starts
On the patient's death Deceased
Ends
Excluded where the patient's express or presumed will is against disclosure Deceased

BGB § 630g

UK — England & Wales

Applicant for a deceased patient's health records

Data protection law covers only living people, so a deceased patient's records are reached through separate statutes. In England, Wales and Scotland the Access to Health Records Act 1990 lets the personal representative, and anyone who may have a claim arising from the death, apply to the record holder. Northern Ireland has a parallel Order from 1993.

Assigned
By statute on death: the patient's personal representative, or any person who may have a claim arising out of the death. No appointment is made Deceased
Starts
On the patient's death, by application to the holder of the record Deceased
Ends
No statutory end date. The right lasts while the person remains personal representative or has a possible claim arising from the death Estate closed

Access to Health Records Act 1990 s 3(1)(f); Access to Health Records (Northern Ireland) Order 1993, SI 1993/1250 (NI 4), art 5(1)(e)

UK — Northern Ireland

Applicant for a deceased patient's health records

Data protection law covers only living people, so a deceased patient's records are reached through separate statutes. In England, Wales and Scotland the Access to Health Records Act 1990 lets the personal representative, and anyone who may have a claim arising from the death, apply to the record holder. Northern Ireland has a parallel Order from 1993.

Assigned
By statute on death: the patient's personal representative, or any person who may have a claim arising out of the death. No appointment is made Deceased
Starts
On the patient's death, by application to the holder of the record Deceased
Ends
No statutory end date. The right lasts while the person remains personal representative or has a possible claim arising from the death Estate closed

Access to Health Records Act 1990 s 3(1)(f); Access to Health Records (Northern Ireland) Order 1993, SI 1993/1250 (NI 4), art 5(1)(e)

UK — Northern Ireland

Personal representative or claimant: access to a deceased patient's health records

After a patient dies, their personal representative, or anyone who may have a claim arising from the death, may apply to the record holder for access. Access is refused if the patient asked for a note that they did not want this.

Assigned
By statute on death (personal representative via will/grant; or claimant) Deceased
Starts
On application to the holder after death Deceased
Ends
Access given or refused (e.g. patient's note under art 6(3)) Deceased

Access to Health Records (Northern Ireland) Order 1993 art 5(1)(e); Access to Health Records (Northern Ireland) Order 1993 art 6(3)

UK — Scotland

Applicant for a deceased patient's health records

Data protection law covers only living people, so a deceased patient's records are reached through separate statutes. In England, Wales and Scotland the Access to Health Records Act 1990 lets the personal representative, and anyone who may have a claim arising from the death, apply to the record holder. Northern Ireland has a parallel Order from 1993.

Assigned
By statute on death: the patient's personal representative, or any person who may have a claim arising out of the death. No appointment is made Deceased
Starts
On the patient's death, by application to the holder of the record Deceased
Ends
No statutory end date. The right lasts while the person remains personal representative or has a possible claim arising from the death Estate closed

Access to Health Records Act 1990 s 3(1)(f); Access to Health Records (Northern Ireland) Order 1993, SI 1993/1250 (NI 4), art 5(1)(e)

North America

Canada — British Columbia

Estate administrator exercising Privacy Act rights for a deceased person (federal institutions)

For personal information held by federal government institutions (including health and benefits records), the Privacy Regulations let a person authorized under federal or provincial law to administer a deceased person's estate exercise that person's Privacy Act rights, only for administering the estate. Information about someone dead more than 20 years is not 'personal information' for the use, disclosure and ATIA s 19 rules.

Assigned
Appointment as estate administrator under provincial law (executor, estate trustee, liquidator, administrator) Deceased
Starts
On authority to administer the estate Deceased
Ends
Estate administration ends (rights exist 'only for the purpose of such administration') Estate closed
More than 20 years after death: the information is excluded from 'personal information' for Privacy Act ss 7, 8 and 26 and ATIA s 19 Estate closed

Privacy Regulations, SOR/83-508, s 10(b); Privacy Act, RSC 1985, c P-21, s 3 "personal information" para (m)

Canada — British Columbia

Person who may act for a deceased individual under BC privacy law

Public bodies such as health authorities fall under FIPPA. There, a committee acting under Patients Property Act s 24, otherwise the personal representative, otherwise the nearest relative, may make access requests and give consents for a deceased adult. Private organizations such as private clinics fall under PIPA. There, the personal representative acts, including an executor named in the will before any grant, otherwise the nearest relative.

Assigned
Status under statute or regulation at death (committee, personal representative, or nearest relative) Deceased
Starts
At death Deceased
Ends
A higher-ranked person (committee or personal representative) exists or becomes available, or the nearest relative ceases to be willing and able (passes to next) Estate administration
PIPA: information about someone dead 20 or more years may be disclosed for archival or historical purposes without consent Estate closed

Freedom of Information and Protection of Privacy Regulation, BC Reg 155/2012, s 5; Personal Information Protection Act Regulations, BC Reg 473/2003, s 3; Personal Information Protection Act, SBC 2003, c 63, s 22

Canada — Ontario

Estate administrator exercising Privacy Act rights for a deceased person (federal institutions)

For personal information held by federal government institutions (including health and benefits records), the Privacy Regulations let a person authorized under federal or provincial law to administer a deceased person's estate exercise that person's Privacy Act rights, only for administering the estate. Information about someone dead more than 20 years is not 'personal information' for the use, disclosure and ATIA s 19 rules.

Assigned
Appointment as estate administrator under provincial law (executor, estate trustee, liquidator, administrator) Deceased
Starts
On authority to administer the estate Deceased
Ends
Estate administration ends (rights exist 'only for the purpose of such administration') Estate closed
More than 20 years after death: the information is excluded from 'personal information' for Privacy Act ss 7, 8 and 26 and ATIA s 19 Estate closed

Privacy Regulations, SOR/83-508, s 10(b); Privacy Act, RSC 1985, c P-21, s 3 "personal information" para (m)

Canada — Ontario

Substitute decision-maker for personal health information (PHIPA)

Under PHIPA, consent about an incapable person's health information goes to a hierarchy that mirrors the HCCA: guardians and attorneys (within their authority), then the Board representative, spouse, and so on. That person can also make access requests. After death, the estate trustee (or whoever has assumed administration if there is none) acts. PHIPA stops applying 50 years after death, or 120 years after the record was created if earlier.

Assigned
By statute: PHIPA s 26 ranking for an incapable individual; s 23(1) para 4 for a deceased individual Incapacitated
Starts
When the individual is found incapable of consenting to collection, use or disclosure. For the estate trustee, on death. Incapacitated
Ends
Individual regains capacity (living SDM) Capable
PHIPA ceases to apply: the earlier of 120 years after record creation and 50 years after death Estate closed

Personal Health Information Protection Act, 2004, SO 2004, c 3, Sched A, ss 25, 26; Personal Health Information Protection Act, 2004, SO 2004, c 3, Sched A, s 23(1) para 4; Personal Health Information Protection Act, 2004, SO 2004, c 3, Sched A, s 9(1)

Canada — Québec

Estate administrator exercising Privacy Act rights for a deceased person (federal institutions)

For personal information held by federal government institutions (including health and benefits records), the Privacy Regulations let a person authorized under federal or provincial law to administer a deceased person's estate exercise that person's Privacy Act rights, only for administering the estate. Information about someone dead more than 20 years is not 'personal information' for the use, disclosure and ATIA s 19 rules.

Assigned
Appointment as estate administrator under provincial law (executor, estate trustee, liquidator, administrator) Deceased
Starts
On authority to administer the estate Deceased
Ends
Estate administration ends (rights exist 'only for the purpose of such administration') Estate closed
More than 20 years after death: the information is excluded from 'personal information' for Privacy Act ss 7, 8 and 26 and ATIA s 19 Estate closed

Privacy Regulations, SOR/83-508, s 10(b); Privacy Act, RSC 1985, c P-21, s 3 "personal information" para (m)

Canada — Québec

Persons entitled to a deceased person's personal or health information

Health and social services bodies fall under R-22.1 (S.Q. 2023, c. 5). Heirs, liquidators and beneficiaries get information needed for their role. A spouse or close relative gets information that helps the grieving process, and a spouse or direct relatives get the cause of death, unless the deceased refused in writing. Private enterprises fall under P-39.1 as amended by Law 25 (S.Q. 2021, c. 25). The grieving-process disclosure (s 40.1) applies there too; other access is limited to what affects the requester's rights.

Assigned
Status at death (heir, liquidator, beneficiary, spouse, close relative, genetic relative) Deceased
Starts
At death; before death, a tutor or homologated mandatary has access to information about an incapable adult held by a health body Deceased
Ends
Liquidator's access tied to the liquidator's rights and obligations; ends with that capacity Estate closed
Private sector: after 30 years from death (health information 100 years from the document date) information may be communicated without consent Estate closed

Act respecting health and social services information, CQLR c R-22.1, ss 27-30 (S.Q. 2023, c. 5); Act respecting the protection of personal information in the private sector, CQLR c P-39.1, ss 30-31; Act respecting the protection of personal information in the private sector, CQLR c P-39.1, ss 40.1, 41 (s 40.1 added by S.Q. 2021, c. 25, s. 129); Act respecting health and social services information, CQLR c R-22.1, s 26 (S.Q. 2023, c. 5, s. 26); Act respecting the protection of personal information in the private sector, CQLR c P-39.1, archival disclosure provision (30 years after death)

US — uniform/model law + federal

HIPAA personal representative

Federal privacy law does not appoint anyone. A health care provider or health plan must treat a person as the patient for HIPAA purposes, such as getting records or signing authorizations, when state or other law gives that person authority: authority over health-care decisions for a living adult, or authority over the decedent or the estate after death. The role is derived: it starts and ends when the underlying state-law role (health care agent, guardian, parent, executor/administrator) starts and ends. For decedents, protection lasts 50 years after death.

Assigned
A person gets authority under state or other applicable law (e.g., health care power of attorney, guardianship, parent of a minor, letters as executor/administrator). HIPAA itself does not assign anyone. Capable
Starts
At the same moment the underlying state-law authority takes effect: authority over health-care decisions (living individual) or authority to act for the decedent or the estate (after death) Incapacitated
Ends
The underlying state-law authority ends (e.g., a health care agent's authority ends at death, or a guardianship is terminated). Status as a personal representative for a living individual lapses with it. Deceased
The authority of the executor, administrator, or other person to act for the decedent or the estate ends under state law Estate closed
50 years after death: the information is no longer protected health information, so a personal representative has no Privacy Rule rights over it Estate closed

45 CFR 164.502(g)(2); 45 CFR 164.502(g)(4); HHS OCR, Personal Representatives (45 CFR 164.502(g)) guidance, last reviewed Jan. 5, 2024; 45 CFR 164.502(g)(1); 45 CFR 164.502(f); 45 CFR 160.103, definition of "protected health information" para. (2)(iv)

US — Arizona

HIPAA personal representative

Federal privacy law does not appoint anyone. A health care provider or health plan must treat a person as the patient for HIPAA purposes, such as getting records or signing authorizations, when state or other law gives that person authority: authority over health-care decisions for a living adult, or authority over the decedent or the estate after death. The role is derived: it starts and ends when the underlying state-law role (health care agent, guardian, parent, executor/administrator) starts and ends. For decedents, protection lasts 50 years after death.

Assigned
A person gets authority under state or other applicable law (e.g., health care power of attorney, guardianship, parent of a minor, letters as executor/administrator). HIPAA itself does not assign anyone. Capable
Starts
At the same moment the underlying state-law authority takes effect: authority over health-care decisions (living individual) or authority to act for the decedent or the estate (after death) Incapacitated
Ends
The underlying state-law authority ends (e.g., a health care agent's authority ends at death, or a guardianship is terminated). Status as a personal representative for a living individual lapses with it. Deceased
The authority of the executor, administrator, or other person to act for the decedent or the estate ends under state law Estate closed
50 years after death: the information is no longer protected health information, so a personal representative has no Privacy Rule rights over it Estate closed

45 CFR 164.502(g)(2); 45 CFR 164.502(g)(4); HHS OCR, Personal Representatives (45 CFR 164.502(g)) guidance, last reviewed Jan. 5, 2024; 45 CFR 164.502(g)(1); 45 CFR 164.502(f); 45 CFR 160.103, definition of "protected health information" para. (2)(iv)

US — California

HIPAA personal representative

Federal privacy law does not appoint anyone. A health care provider or health plan must treat a person as the patient for HIPAA purposes, such as getting records or signing authorizations, when state or other law gives that person authority: authority over health-care decisions for a living adult, or authority over the decedent or the estate after death. The role is derived: it starts and ends when the underlying state-law role (health care agent, guardian, parent, executor/administrator) starts and ends. For decedents, protection lasts 50 years after death.

Assigned
A person gets authority under state or other applicable law (e.g., health care power of attorney, guardianship, parent of a minor, letters as executor/administrator). HIPAA itself does not assign anyone. Capable
Starts
At the same moment the underlying state-law authority takes effect: authority over health-care decisions (living individual) or authority to act for the decedent or the estate (after death) Incapacitated
Ends
The underlying state-law authority ends (e.g., a health care agent's authority ends at death, or a guardianship is terminated). Status as a personal representative for a living individual lapses with it. Deceased
The authority of the executor, administrator, or other person to act for the decedent or the estate ends under state law Estate closed
50 years after death: the information is no longer protected health information, so a personal representative has no Privacy Rule rights over it Estate closed

45 CFR 164.502(g)(2); 45 CFR 164.502(g)(4); HHS OCR, Personal Representatives (45 CFR 164.502(g)) guidance, last reviewed Jan. 5, 2024; 45 CFR 164.502(g)(1); 45 CFR 164.502(f); 45 CFR 160.103, definition of "protected health information" para. (2)(iv)

US — Colorado

HIPAA personal representative

Federal privacy law does not appoint anyone. A health care provider or health plan must treat a person as the patient for HIPAA purposes, such as getting records or signing authorizations, when state or other law gives that person authority: authority over health-care decisions for a living adult, or authority over the decedent or the estate after death. The role is derived: it starts and ends when the underlying state-law role (health care agent, guardian, parent, executor/administrator) starts and ends. For decedents, protection lasts 50 years after death.

Assigned
A person gets authority under state or other applicable law (e.g., health care power of attorney, guardianship, parent of a minor, letters as executor/administrator). HIPAA itself does not assign anyone. Capable
Starts
At the same moment the underlying state-law authority takes effect: authority over health-care decisions (living individual) or authority to act for the decedent or the estate (after death) Incapacitated
Ends
The underlying state-law authority ends (e.g., a health care agent's authority ends at death, or a guardianship is terminated). Status as a personal representative for a living individual lapses with it. Deceased
The authority of the executor, administrator, or other person to act for the decedent or the estate ends under state law Estate closed
50 years after death: the information is no longer protected health information, so a personal representative has no Privacy Rule rights over it Estate closed

45 CFR 164.502(g)(2); 45 CFR 164.502(g)(4); HHS OCR, Personal Representatives (45 CFR 164.502(g)) guidance, last reviewed Jan. 5, 2024; 45 CFR 164.502(g)(1); 45 CFR 164.502(f); 45 CFR 160.103, definition of "protected health information" para. (2)(iv)

US — Delaware

HIPAA personal representative

Federal privacy law does not appoint anyone. A health care provider or health plan must treat a person as the patient for HIPAA purposes, such as getting records or signing authorizations, when state or other law gives that person authority: authority over health-care decisions for a living adult, or authority over the decedent or the estate after death. The role is derived: it starts and ends when the underlying state-law role (health care agent, guardian, parent, executor/administrator) starts and ends. For decedents, protection lasts 50 years after death.

Assigned
A person gets authority under state or other applicable law (e.g., health care power of attorney, guardianship, parent of a minor, letters as executor/administrator). HIPAA itself does not assign anyone. Capable
Starts
At the same moment the underlying state-law authority takes effect: authority over health-care decisions (living individual) or authority to act for the decedent or the estate (after death) Incapacitated
Ends
The underlying state-law authority ends (e.g., a health care agent's authority ends at death, or a guardianship is terminated). Status as a personal representative for a living individual lapses with it. Deceased
The authority of the executor, administrator, or other person to act for the decedent or the estate ends under state law Estate closed
50 years after death: the information is no longer protected health information, so a personal representative has no Privacy Rule rights over it Estate closed

45 CFR 164.502(g)(2); 45 CFR 164.502(g)(4); HHS OCR, Personal Representatives (45 CFR 164.502(g)) guidance, last reviewed Jan. 5, 2024; 45 CFR 164.502(g)(1); 45 CFR 164.502(f); 45 CFR 160.103, definition of "protected health information" para. (2)(iv)

US — Florida

HIPAA personal representative

Federal privacy law does not appoint anyone. A health care provider or health plan must treat a person as the patient for HIPAA purposes, such as getting records or signing authorizations, when state or other law gives that person authority: authority over health-care decisions for a living adult, or authority over the decedent or the estate after death. The role is derived: it starts and ends when the underlying state-law role (health care agent, guardian, parent, executor/administrator) starts and ends. For decedents, protection lasts 50 years after death.

Assigned
A person gets authority under state or other applicable law (e.g., health care power of attorney, guardianship, parent of a minor, letters as executor/administrator). HIPAA itself does not assign anyone. Capable
Starts
At the same moment the underlying state-law authority takes effect: authority over health-care decisions (living individual) or authority to act for the decedent or the estate (after death) Incapacitated
Ends
The underlying state-law authority ends (e.g., a health care agent's authority ends at death, or a guardianship is terminated). Status as a personal representative for a living individual lapses with it. Deceased
The authority of the executor, administrator, or other person to act for the decedent or the estate ends under state law Estate closed
50 years after death: the information is no longer protected health information, so a personal representative has no Privacy Rule rights over it Estate closed

45 CFR 164.502(g)(2); 45 CFR 164.502(g)(4); HHS OCR, Personal Representatives (45 CFR 164.502(g)) guidance, last reviewed Jan. 5, 2024; 45 CFR 164.502(g)(1); 45 CFR 164.502(f); 45 CFR 160.103, definition of "protected health information" para. (2)(iv)

US — Idaho

HIPAA personal representative

Federal privacy law does not appoint anyone. A health care provider or health plan must treat a person as the patient for HIPAA purposes, such as getting records or signing authorizations, when state or other law gives that person authority: authority over health-care decisions for a living adult, or authority over the decedent or the estate after death. The role is derived: it starts and ends when the underlying state-law role (health care agent, guardian, parent, executor/administrator) starts and ends. For decedents, protection lasts 50 years after death.

Assigned
A person gets authority under state or other applicable law (e.g., health care power of attorney, guardianship, parent of a minor, letters as executor/administrator). HIPAA itself does not assign anyone. Capable
Starts
At the same moment the underlying state-law authority takes effect: authority over health-care decisions (living individual) or authority to act for the decedent or the estate (after death) Incapacitated
Ends
The underlying state-law authority ends (e.g., a health care agent's authority ends at death, or a guardianship is terminated). Status as a personal representative for a living individual lapses with it. Deceased
The authority of the executor, administrator, or other person to act for the decedent or the estate ends under state law Estate closed
50 years after death: the information is no longer protected health information, so a personal representative has no Privacy Rule rights over it Estate closed

45 CFR 164.502(g)(2); 45 CFR 164.502(g)(4); HHS OCR, Personal Representatives (45 CFR 164.502(g)) guidance, last reviewed Jan. 5, 2024; 45 CFR 164.502(g)(1); 45 CFR 164.502(f); 45 CFR 160.103, definition of "protected health information" para. (2)(iv)

US — Illinois

HIPAA personal representative

Federal privacy law does not appoint anyone. A health care provider or health plan must treat a person as the patient for HIPAA purposes, such as getting records or signing authorizations, when state or other law gives that person authority: authority over health-care decisions for a living adult, or authority over the decedent or the estate after death. The role is derived: it starts and ends when the underlying state-law role (health care agent, guardian, parent, executor/administrator) starts and ends. For decedents, protection lasts 50 years after death.

Assigned
A person gets authority under state or other applicable law (e.g., health care power of attorney, guardianship, parent of a minor, letters as executor/administrator). HIPAA itself does not assign anyone. Capable
Starts
At the same moment the underlying state-law authority takes effect: authority over health-care decisions (living individual) or authority to act for the decedent or the estate (after death) Incapacitated
Ends
The underlying state-law authority ends (e.g., a health care agent's authority ends at death, or a guardianship is terminated). Status as a personal representative for a living individual lapses with it. Deceased
The authority of the executor, administrator, or other person to act for the decedent or the estate ends under state law Estate closed
50 years after death: the information is no longer protected health information, so a personal representative has no Privacy Rule rights over it Estate closed

45 CFR 164.502(g)(2); 45 CFR 164.502(g)(4); HHS OCR, Personal Representatives (45 CFR 164.502(g)) guidance, last reviewed Jan. 5, 2024; 45 CFR 164.502(g)(1); 45 CFR 164.502(f); 45 CFR 160.103, definition of "protected health information" para. (2)(iv)

US — Indiana

HIPAA personal representative

Federal privacy law does not appoint anyone. A health care provider or health plan must treat a person as the patient for HIPAA purposes, such as getting records or signing authorizations, when state or other law gives that person authority: authority over health-care decisions for a living adult, or authority over the decedent or the estate after death. The role is derived: it starts and ends when the underlying state-law role (health care agent, guardian, parent, executor/administrator) starts and ends. For decedents, protection lasts 50 years after death.

Assigned
A person gets authority under state or other applicable law (e.g., health care power of attorney, guardianship, parent of a minor, letters as executor/administrator). HIPAA itself does not assign anyone. Capable
Starts
At the same moment the underlying state-law authority takes effect: authority over health-care decisions (living individual) or authority to act for the decedent or the estate (after death) Incapacitated
Ends
The underlying state-law authority ends (e.g., a health care agent's authority ends at death, or a guardianship is terminated). Status as a personal representative for a living individual lapses with it. Deceased
The authority of the executor, administrator, or other person to act for the decedent or the estate ends under state law Estate closed
50 years after death: the information is no longer protected health information, so a personal representative has no Privacy Rule rights over it Estate closed

45 CFR 164.502(g)(2); 45 CFR 164.502(g)(4); HHS OCR, Personal Representatives (45 CFR 164.502(g)) guidance, last reviewed Jan. 5, 2024; 45 CFR 164.502(g)(1); 45 CFR 164.502(f); 45 CFR 160.103, definition of "protected health information" para. (2)(iv)

US — Iowa

HIPAA personal representative

Federal privacy law does not appoint anyone. A health care provider or health plan must treat a person as the patient for HIPAA purposes, such as getting records or signing authorizations, when state or other law gives that person authority: authority over health-care decisions for a living adult, or authority over the decedent or the estate after death. The role is derived: it starts and ends when the underlying state-law role (health care agent, guardian, parent, executor/administrator) starts and ends. For decedents, protection lasts 50 years after death.

Assigned
A person gets authority under state or other applicable law (e.g., health care power of attorney, guardianship, parent of a minor, letters as executor/administrator). HIPAA itself does not assign anyone. Capable
Starts
At the same moment the underlying state-law authority takes effect: authority over health-care decisions (living individual) or authority to act for the decedent or the estate (after death) Incapacitated
Ends
The underlying state-law authority ends (e.g., a health care agent's authority ends at death, or a guardianship is terminated). Status as a personal representative for a living individual lapses with it. Deceased
The authority of the executor, administrator, or other person to act for the decedent or the estate ends under state law Estate closed
50 years after death: the information is no longer protected health information, so a personal representative has no Privacy Rule rights over it Estate closed

45 CFR 164.502(g)(2); 45 CFR 164.502(g)(4); HHS OCR, Personal Representatives (45 CFR 164.502(g)) guidance, last reviewed Jan. 5, 2024; 45 CFR 164.502(g)(1); 45 CFR 164.502(f); 45 CFR 160.103, definition of "protected health information" para. (2)(iv)

US — Kansas

HIPAA personal representative

Federal privacy law does not appoint anyone. A health care provider or health plan must treat a person as the patient for HIPAA purposes, such as getting records or signing authorizations, when state or other law gives that person authority: authority over health-care decisions for a living adult, or authority over the decedent or the estate after death. The role is derived: it starts and ends when the underlying state-law role (health care agent, guardian, parent, executor/administrator) starts and ends. For decedents, protection lasts 50 years after death.

Assigned
A person gets authority under state or other applicable law (e.g., health care power of attorney, guardianship, parent of a minor, letters as executor/administrator). HIPAA itself does not assign anyone. Capable
Starts
At the same moment the underlying state-law authority takes effect: authority over health-care decisions (living individual) or authority to act for the decedent or the estate (after death) Incapacitated
Ends
The underlying state-law authority ends (e.g., a health care agent's authority ends at death, or a guardianship is terminated). Status as a personal representative for a living individual lapses with it. Deceased
The authority of the executor, administrator, or other person to act for the decedent or the estate ends under state law Estate closed
50 years after death: the information is no longer protected health information, so a personal representative has no Privacy Rule rights over it Estate closed

45 CFR 164.502(g)(2); 45 CFR 164.502(g)(4); HHS OCR, Personal Representatives (45 CFR 164.502(g)) guidance, last reviewed Jan. 5, 2024; 45 CFR 164.502(g)(1); 45 CFR 164.502(f); 45 CFR 160.103, definition of "protected health information" para. (2)(iv)

US — Kentucky

HIPAA personal representative

Federal privacy law does not appoint anyone. A health care provider or health plan must treat a person as the patient for HIPAA purposes, such as getting records or signing authorizations, when state or other law gives that person authority: authority over health-care decisions for a living adult, or authority over the decedent or the estate after death. The role is derived: it starts and ends when the underlying state-law role (health care agent, guardian, parent, executor/administrator) starts and ends. For decedents, protection lasts 50 years after death.

Assigned
A person gets authority under state or other applicable law (e.g., health care power of attorney, guardianship, parent of a minor, letters as executor/administrator). HIPAA itself does not assign anyone. Capable
Starts
At the same moment the underlying state-law authority takes effect: authority over health-care decisions (living individual) or authority to act for the decedent or the estate (after death) Incapacitated
Ends
The underlying state-law authority ends (e.g., a health care agent's authority ends at death, or a guardianship is terminated). Status as a personal representative for a living individual lapses with it. Deceased
The authority of the executor, administrator, or other person to act for the decedent or the estate ends under state law Estate closed
50 years after death: the information is no longer protected health information, so a personal representative has no Privacy Rule rights over it Estate closed

45 CFR 164.502(g)(2); 45 CFR 164.502(g)(4); HHS OCR, Personal Representatives (45 CFR 164.502(g)) guidance, last reviewed Jan. 5, 2024; 45 CFR 164.502(g)(1); 45 CFR 164.502(f); 45 CFR 160.103, definition of "protected health information" para. (2)(iv)

US — Louisiana

HIPAA personal representative

Federal privacy law does not appoint anyone. A health care provider or health plan must treat a person as the patient for HIPAA purposes, such as getting records or signing authorizations, when state or other law gives that person authority: authority over health-care decisions for a living adult, or authority over the decedent or the estate after death. The role is derived: it starts and ends when the underlying state-law role (health care agent, guardian, parent, executor/administrator) starts and ends. For decedents, protection lasts 50 years after death.

Assigned
A person gets authority under state or other applicable law (e.g., health care power of attorney, guardianship, parent of a minor, letters as executor/administrator). HIPAA itself does not assign anyone. Capable
Starts
At the same moment the underlying state-law authority takes effect: authority over health-care decisions (living individual) or authority to act for the decedent or the estate (after death) Incapacitated
Ends
The underlying state-law authority ends (e.g., a health care agent's authority ends at death, or a guardianship is terminated). Status as a personal representative for a living individual lapses with it. Deceased
The authority of the executor, administrator, or other person to act for the decedent or the estate ends under state law Estate closed
50 years after death: the information is no longer protected health information, so a personal representative has no Privacy Rule rights over it Estate closed

45 CFR 164.502(g)(2); 45 CFR 164.502(g)(4); HHS OCR, Personal Representatives (45 CFR 164.502(g)) guidance, last reviewed Jan. 5, 2024; 45 CFR 164.502(g)(1); 45 CFR 164.502(f); 45 CFR 160.103, definition of "protected health information" para. (2)(iv)

US — Maine

HIPAA personal representative

Federal privacy law does not appoint anyone. A health care provider or health plan must treat a person as the patient for HIPAA purposes, such as getting records or signing authorizations, when state or other law gives that person authority: authority over health-care decisions for a living adult, or authority over the decedent or the estate after death. The role is derived: it starts and ends when the underlying state-law role (health care agent, guardian, parent, executor/administrator) starts and ends. For decedents, protection lasts 50 years after death.

Assigned
A person gets authority under state or other applicable law (e.g., health care power of attorney, guardianship, parent of a minor, letters as executor/administrator). HIPAA itself does not assign anyone. Capable
Starts
At the same moment the underlying state-law authority takes effect: authority over health-care decisions (living individual) or authority to act for the decedent or the estate (after death) Incapacitated
Ends
The underlying state-law authority ends (e.g., a health care agent's authority ends at death, or a guardianship is terminated). Status as a personal representative for a living individual lapses with it. Deceased
The authority of the executor, administrator, or other person to act for the decedent or the estate ends under state law Estate closed
50 years after death: the information is no longer protected health information, so a personal representative has no Privacy Rule rights over it Estate closed

45 CFR 164.502(g)(2); 45 CFR 164.502(g)(4); HHS OCR, Personal Representatives (45 CFR 164.502(g)) guidance, last reviewed Jan. 5, 2024; 45 CFR 164.502(g)(1); 45 CFR 164.502(f); 45 CFR 160.103, definition of "protected health information" para. (2)(iv)

US — Maryland

HIPAA personal representative

Federal privacy law does not appoint anyone. A health care provider or health plan must treat a person as the patient for HIPAA purposes, such as getting records or signing authorizations, when state or other law gives that person authority: authority over health-care decisions for a living adult, or authority over the decedent or the estate after death. The role is derived: it starts and ends when the underlying state-law role (health care agent, guardian, parent, executor/administrator) starts and ends. For decedents, protection lasts 50 years after death.

Assigned
A person gets authority under state or other applicable law (e.g., health care power of attorney, guardianship, parent of a minor, letters as executor/administrator). HIPAA itself does not assign anyone. Capable
Starts
At the same moment the underlying state-law authority takes effect: authority over health-care decisions (living individual) or authority to act for the decedent or the estate (after death) Incapacitated
Ends
The underlying state-law authority ends (e.g., a health care agent's authority ends at death, or a guardianship is terminated). Status as a personal representative for a living individual lapses with it. Deceased
The authority of the executor, administrator, or other person to act for the decedent or the estate ends under state law Estate closed
50 years after death: the information is no longer protected health information, so a personal representative has no Privacy Rule rights over it Estate closed

45 CFR 164.502(g)(2); 45 CFR 164.502(g)(4); HHS OCR, Personal Representatives (45 CFR 164.502(g)) guidance, last reviewed Jan. 5, 2024; 45 CFR 164.502(g)(1); 45 CFR 164.502(f); 45 CFR 160.103, definition of "protected health information" para. (2)(iv)

US — Massachusetts

HIPAA personal representative

Federal privacy law does not appoint anyone. A health care provider or health plan must treat a person as the patient for HIPAA purposes, such as getting records or signing authorizations, when state or other law gives that person authority: authority over health-care decisions for a living adult, or authority over the decedent or the estate after death. The role is derived: it starts and ends when the underlying state-law role (health care agent, guardian, parent, executor/administrator) starts and ends. For decedents, protection lasts 50 years after death.

Assigned
A person gets authority under state or other applicable law (e.g., health care power of attorney, guardianship, parent of a minor, letters as executor/administrator). HIPAA itself does not assign anyone. Capable
Starts
At the same moment the underlying state-law authority takes effect: authority over health-care decisions (living individual) or authority to act for the decedent or the estate (after death) Incapacitated
Ends
The underlying state-law authority ends (e.g., a health care agent's authority ends at death, or a guardianship is terminated). Status as a personal representative for a living individual lapses with it. Deceased
The authority of the executor, administrator, or other person to act for the decedent or the estate ends under state law Estate closed
50 years after death: the information is no longer protected health information, so a personal representative has no Privacy Rule rights over it Estate closed

45 CFR 164.502(g)(2); 45 CFR 164.502(g)(4); HHS OCR, Personal Representatives (45 CFR 164.502(g)) guidance, last reviewed Jan. 5, 2024; 45 CFR 164.502(g)(1); 45 CFR 164.502(f); 45 CFR 160.103, definition of "protected health information" para. (2)(iv)

US — Michigan

HIPAA personal representative

Federal privacy law does not appoint anyone. A health care provider or health plan must treat a person as the patient for HIPAA purposes, such as getting records or signing authorizations, when state or other law gives that person authority: authority over health-care decisions for a living adult, or authority over the decedent or the estate after death. The role is derived: it starts and ends when the underlying state-law role (health care agent, guardian, parent, executor/administrator) starts and ends. For decedents, protection lasts 50 years after death.

Assigned
A person gets authority under state or other applicable law (e.g., health care power of attorney, guardianship, parent of a minor, letters as executor/administrator). HIPAA itself does not assign anyone. Capable
Starts
At the same moment the underlying state-law authority takes effect: authority over health-care decisions (living individual) or authority to act for the decedent or the estate (after death) Incapacitated
Ends
The underlying state-law authority ends (e.g., a health care agent's authority ends at death, or a guardianship is terminated). Status as a personal representative for a living individual lapses with it. Deceased
The authority of the executor, administrator, or other person to act for the decedent or the estate ends under state law Estate closed
50 years after death: the information is no longer protected health information, so a personal representative has no Privacy Rule rights over it Estate closed

45 CFR 164.502(g)(2); 45 CFR 164.502(g)(4); HHS OCR, Personal Representatives (45 CFR 164.502(g)) guidance, last reviewed Jan. 5, 2024; 45 CFR 164.502(g)(1); 45 CFR 164.502(f); 45 CFR 160.103, definition of "protected health information" para. (2)(iv)

US — Minnesota

HIPAA personal representative

Federal privacy law does not appoint anyone. A health care provider or health plan must treat a person as the patient for HIPAA purposes, such as getting records or signing authorizations, when state or other law gives that person authority: authority over health-care decisions for a living adult, or authority over the decedent or the estate after death. The role is derived: it starts and ends when the underlying state-law role (health care agent, guardian, parent, executor/administrator) starts and ends. For decedents, protection lasts 50 years after death.

Assigned
A person gets authority under state or other applicable law (e.g., health care power of attorney, guardianship, parent of a minor, letters as executor/administrator). HIPAA itself does not assign anyone. Capable
Starts
At the same moment the underlying state-law authority takes effect: authority over health-care decisions (living individual) or authority to act for the decedent or the estate (after death) Incapacitated
Ends
The underlying state-law authority ends (e.g., a health care agent's authority ends at death, or a guardianship is terminated). Status as a personal representative for a living individual lapses with it. Deceased
The authority of the executor, administrator, or other person to act for the decedent or the estate ends under state law Estate closed
50 years after death: the information is no longer protected health information, so a personal representative has no Privacy Rule rights over it Estate closed

45 CFR 164.502(g)(2); 45 CFR 164.502(g)(4); HHS OCR, Personal Representatives (45 CFR 164.502(g)) guidance, last reviewed Jan. 5, 2024; 45 CFR 164.502(g)(1); 45 CFR 164.502(f); 45 CFR 160.103, definition of "protected health information" para. (2)(iv)

US — Missouri

HIPAA personal representative

Federal privacy law does not appoint anyone. A health care provider or health plan must treat a person as the patient for HIPAA purposes, such as getting records or signing authorizations, when state or other law gives that person authority: authority over health-care decisions for a living adult, or authority over the decedent or the estate after death. The role is derived: it starts and ends when the underlying state-law role (health care agent, guardian, parent, executor/administrator) starts and ends. For decedents, protection lasts 50 years after death.

Assigned
A person gets authority under state or other applicable law (e.g., health care power of attorney, guardianship, parent of a minor, letters as executor/administrator). HIPAA itself does not assign anyone. Capable
Starts
At the same moment the underlying state-law authority takes effect: authority over health-care decisions (living individual) or authority to act for the decedent or the estate (after death) Incapacitated
Ends
The underlying state-law authority ends (e.g., a health care agent's authority ends at death, or a guardianship is terminated). Status as a personal representative for a living individual lapses with it. Deceased
The authority of the executor, administrator, or other person to act for the decedent or the estate ends under state law Estate closed
50 years after death: the information is no longer protected health information, so a personal representative has no Privacy Rule rights over it Estate closed

45 CFR 164.502(g)(2); 45 CFR 164.502(g)(4); HHS OCR, Personal Representatives (45 CFR 164.502(g)) guidance, last reviewed Jan. 5, 2024; 45 CFR 164.502(g)(1); 45 CFR 164.502(f); 45 CFR 160.103, definition of "protected health information" para. (2)(iv)

US — Nebraska

HIPAA personal representative

Federal privacy law does not appoint anyone. A health care provider or health plan must treat a person as the patient for HIPAA purposes, such as getting records or signing authorizations, when state or other law gives that person authority: authority over health-care decisions for a living adult, or authority over the decedent or the estate after death. The role is derived: it starts and ends when the underlying state-law role (health care agent, guardian, parent, executor/administrator) starts and ends. For decedents, protection lasts 50 years after death.

Assigned
A person gets authority under state or other applicable law (e.g., health care power of attorney, guardianship, parent of a minor, letters as executor/administrator). HIPAA itself does not assign anyone. Capable
Starts
At the same moment the underlying state-law authority takes effect: authority over health-care decisions (living individual) or authority to act for the decedent or the estate (after death) Incapacitated
Ends
The underlying state-law authority ends (e.g., a health care agent's authority ends at death, or a guardianship is terminated). Status as a personal representative for a living individual lapses with it. Deceased
The authority of the executor, administrator, or other person to act for the decedent or the estate ends under state law Estate closed
50 years after death: the information is no longer protected health information, so a personal representative has no Privacy Rule rights over it Estate closed

45 CFR 164.502(g)(2); 45 CFR 164.502(g)(4); HHS OCR, Personal Representatives (45 CFR 164.502(g)) guidance, last reviewed Jan. 5, 2024; 45 CFR 164.502(g)(1); 45 CFR 164.502(f); 45 CFR 160.103, definition of "protected health information" para. (2)(iv)

US — New Jersey

HIPAA personal representative

Federal privacy law does not appoint anyone. A health care provider or health plan must treat a person as the patient for HIPAA purposes, such as getting records or signing authorizations, when state or other law gives that person authority: authority over health-care decisions for a living adult, or authority over the decedent or the estate after death. The role is derived: it starts and ends when the underlying state-law role (health care agent, guardian, parent, executor/administrator) starts and ends. For decedents, protection lasts 50 years after death.

Assigned
A person gets authority under state or other applicable law (e.g., health care power of attorney, guardianship, parent of a minor, letters as executor/administrator). HIPAA itself does not assign anyone. Capable
Starts
At the same moment the underlying state-law authority takes effect: authority over health-care decisions (living individual) or authority to act for the decedent or the estate (after death) Incapacitated
Ends
The underlying state-law authority ends (e.g., a health care agent's authority ends at death, or a guardianship is terminated). Status as a personal representative for a living individual lapses with it. Deceased
The authority of the executor, administrator, or other person to act for the decedent or the estate ends under state law Estate closed
50 years after death: the information is no longer protected health information, so a personal representative has no Privacy Rule rights over it Estate closed

45 CFR 164.502(g)(2); 45 CFR 164.502(g)(4); HHS OCR, Personal Representatives (45 CFR 164.502(g)) guidance, last reviewed Jan. 5, 2024; 45 CFR 164.502(g)(1); 45 CFR 164.502(f); 45 CFR 160.103, definition of "protected health information" para. (2)(iv)

US — New York

HIPAA personal representative

Federal privacy law does not appoint anyone. A health care provider or health plan must treat a person as the patient for HIPAA purposes, such as getting records or signing authorizations, when state or other law gives that person authority: authority over health-care decisions for a living adult, or authority over the decedent or the estate after death. The role is derived: it starts and ends when the underlying state-law role (health care agent, guardian, parent, executor/administrator) starts and ends. For decedents, protection lasts 50 years after death.

Assigned
A person gets authority under state or other applicable law (e.g., health care power of attorney, guardianship, parent of a minor, letters as executor/administrator). HIPAA itself does not assign anyone. Capable
Starts
At the same moment the underlying state-law authority takes effect: authority over health-care decisions (living individual) or authority to act for the decedent or the estate (after death) Incapacitated
Ends
The underlying state-law authority ends (e.g., a health care agent's authority ends at death, or a guardianship is terminated). Status as a personal representative for a living individual lapses with it. Deceased
The authority of the executor, administrator, or other person to act for the decedent or the estate ends under state law Estate closed
50 years after death: the information is no longer protected health information, so a personal representative has no Privacy Rule rights over it Estate closed

45 CFR 164.502(g)(2); 45 CFR 164.502(g)(4); HHS OCR, Personal Representatives (45 CFR 164.502(g)) guidance, last reviewed Jan. 5, 2024; 45 CFR 164.502(g)(1); 45 CFR 164.502(f); 45 CFR 160.103, definition of "protected health information" para. (2)(iv)

US — North Carolina

HIPAA personal representative

Federal privacy law does not appoint anyone. A health care provider or health plan must treat a person as the patient for HIPAA purposes, such as getting records or signing authorizations, when state or other law gives that person authority: authority over health-care decisions for a living adult, or authority over the decedent or the estate after death. The role is derived: it starts and ends when the underlying state-law role (health care agent, guardian, parent, executor/administrator) starts and ends. For decedents, protection lasts 50 years after death.

Assigned
A person gets authority under state or other applicable law (e.g., health care power of attorney, guardianship, parent of a minor, letters as executor/administrator). HIPAA itself does not assign anyone. Capable
Starts
At the same moment the underlying state-law authority takes effect: authority over health-care decisions (living individual) or authority to act for the decedent or the estate (after death) Incapacitated
Ends
The underlying state-law authority ends (e.g., a health care agent's authority ends at death, or a guardianship is terminated). Status as a personal representative for a living individual lapses with it. Deceased
The authority of the executor, administrator, or other person to act for the decedent or the estate ends under state law Estate closed
50 years after death: the information is no longer protected health information, so a personal representative has no Privacy Rule rights over it Estate closed

45 CFR 164.502(g)(2); 45 CFR 164.502(g)(4); HHS OCR, Personal Representatives (45 CFR 164.502(g)) guidance, last reviewed Jan. 5, 2024; 45 CFR 164.502(g)(1); 45 CFR 164.502(f); 45 CFR 160.103, definition of "protected health information" para. (2)(iv)

US — Ohio

HIPAA personal representative

Federal privacy law does not appoint anyone. A health care provider or health plan must treat a person as the patient for HIPAA purposes, such as getting records or signing authorizations, when state or other law gives that person authority: authority over health-care decisions for a living adult, or authority over the decedent or the estate after death. The role is derived: it starts and ends when the underlying state-law role (health care agent, guardian, parent, executor/administrator) starts and ends. For decedents, protection lasts 50 years after death.

Assigned
A person gets authority under state or other applicable law (e.g., health care power of attorney, guardianship, parent of a minor, letters as executor/administrator). HIPAA itself does not assign anyone. Capable
Starts
At the same moment the underlying state-law authority takes effect: authority over health-care decisions (living individual) or authority to act for the decedent or the estate (after death) Incapacitated
Ends
The underlying state-law authority ends (e.g., a health care agent's authority ends at death, or a guardianship is terminated). Status as a personal representative for a living individual lapses with it. Deceased
The authority of the executor, administrator, or other person to act for the decedent or the estate ends under state law Estate closed
50 years after death: the information is no longer protected health information, so a personal representative has no Privacy Rule rights over it Estate closed

45 CFR 164.502(g)(2); 45 CFR 164.502(g)(4); HHS OCR, Personal Representatives (45 CFR 164.502(g)) guidance, last reviewed Jan. 5, 2024; 45 CFR 164.502(g)(1); 45 CFR 164.502(f); 45 CFR 160.103, definition of "protected health information" para. (2)(iv)

US — Oklahoma

HIPAA personal representative

Federal privacy law does not appoint anyone. A health care provider or health plan must treat a person as the patient for HIPAA purposes, such as getting records or signing authorizations, when state or other law gives that person authority: authority over health-care decisions for a living adult, or authority over the decedent or the estate after death. The role is derived: it starts and ends when the underlying state-law role (health care agent, guardian, parent, executor/administrator) starts and ends. For decedents, protection lasts 50 years after death.

Assigned
A person gets authority under state or other applicable law (e.g., health care power of attorney, guardianship, parent of a minor, letters as executor/administrator). HIPAA itself does not assign anyone. Capable
Starts
At the same moment the underlying state-law authority takes effect: authority over health-care decisions (living individual) or authority to act for the decedent or the estate (after death) Incapacitated
Ends
The underlying state-law authority ends (e.g., a health care agent's authority ends at death, or a guardianship is terminated). Status as a personal representative for a living individual lapses with it. Deceased
The authority of the executor, administrator, or other person to act for the decedent or the estate ends under state law Estate closed
50 years after death: the information is no longer protected health information, so a personal representative has no Privacy Rule rights over it Estate closed

45 CFR 164.502(g)(2); 45 CFR 164.502(g)(4); HHS OCR, Personal Representatives (45 CFR 164.502(g)) guidance, last reviewed Jan. 5, 2024; 45 CFR 164.502(g)(1); 45 CFR 164.502(f); 45 CFR 160.103, definition of "protected health information" para. (2)(iv)

US — Pennsylvania

HIPAA personal representative

Federal privacy law does not appoint anyone. A health care provider or health plan must treat a person as the patient for HIPAA purposes, such as getting records or signing authorizations, when state or other law gives that person authority: authority over health-care decisions for a living adult, or authority over the decedent or the estate after death. The role is derived: it starts and ends when the underlying state-law role (health care agent, guardian, parent, executor/administrator) starts and ends. For decedents, protection lasts 50 years after death.

Assigned
A person gets authority under state or other applicable law (e.g., health care power of attorney, guardianship, parent of a minor, letters as executor/administrator). HIPAA itself does not assign anyone. Capable
Starts
At the same moment the underlying state-law authority takes effect: authority over health-care decisions (living individual) or authority to act for the decedent or the estate (after death) Incapacitated
Ends
The underlying state-law authority ends (e.g., a health care agent's authority ends at death, or a guardianship is terminated). Status as a personal representative for a living individual lapses with it. Deceased
The authority of the executor, administrator, or other person to act for the decedent or the estate ends under state law Estate closed
50 years after death: the information is no longer protected health information, so a personal representative has no Privacy Rule rights over it Estate closed

45 CFR 164.502(g)(2); 45 CFR 164.502(g)(4); HHS OCR, Personal Representatives (45 CFR 164.502(g)) guidance, last reviewed Jan. 5, 2024; 45 CFR 164.502(g)(1); 45 CFR 164.502(f); 45 CFR 160.103, definition of "protected health information" para. (2)(iv)

US — Texas

HIPAA personal representative

Federal privacy law does not appoint anyone. A health care provider or health plan must treat a person as the patient for HIPAA purposes, such as getting records or signing authorizations, when state or other law gives that person authority: authority over health-care decisions for a living adult, or authority over the decedent or the estate after death. The role is derived: it starts and ends when the underlying state-law role (health care agent, guardian, parent, executor/administrator) starts and ends. For decedents, protection lasts 50 years after death.

Assigned
A person gets authority under state or other applicable law (e.g., health care power of attorney, guardianship, parent of a minor, letters as executor/administrator). HIPAA itself does not assign anyone. Capable
Starts
At the same moment the underlying state-law authority takes effect: authority over health-care decisions (living individual) or authority to act for the decedent or the estate (after death) Incapacitated
Ends
The underlying state-law authority ends (e.g., a health care agent's authority ends at death, or a guardianship is terminated). Status as a personal representative for a living individual lapses with it. Deceased
The authority of the executor, administrator, or other person to act for the decedent or the estate ends under state law Estate closed
50 years after death: the information is no longer protected health information, so a personal representative has no Privacy Rule rights over it Estate closed

45 CFR 164.502(g)(2); 45 CFR 164.502(g)(4); HHS OCR, Personal Representatives (45 CFR 164.502(g)) guidance, last reviewed Jan. 5, 2024; 45 CFR 164.502(g)(1); 45 CFR 164.502(f); 45 CFR 160.103, definition of "protected health information" para. (2)(iv)

US — Utah

HIPAA personal representative

Federal privacy law does not appoint anyone. A health care provider or health plan must treat a person as the patient for HIPAA purposes, such as getting records or signing authorizations, when state or other law gives that person authority: authority over health-care decisions for a living adult, or authority over the decedent or the estate after death. The role is derived: it starts and ends when the underlying state-law role (health care agent, guardian, parent, executor/administrator) starts and ends. For decedents, protection lasts 50 years after death.

Assigned
A person gets authority under state or other applicable law (e.g., health care power of attorney, guardianship, parent of a minor, letters as executor/administrator). HIPAA itself does not assign anyone. Capable
Starts
At the same moment the underlying state-law authority takes effect: authority over health-care decisions (living individual) or authority to act for the decedent or the estate (after death) Incapacitated
Ends
The underlying state-law authority ends (e.g., a health care agent's authority ends at death, or a guardianship is terminated). Status as a personal representative for a living individual lapses with it. Deceased
The authority of the executor, administrator, or other person to act for the decedent or the estate ends under state law Estate closed
50 years after death: the information is no longer protected health information, so a personal representative has no Privacy Rule rights over it Estate closed

45 CFR 164.502(g)(2); 45 CFR 164.502(g)(4); HHS OCR, Personal Representatives (45 CFR 164.502(g)) guidance, last reviewed Jan. 5, 2024; 45 CFR 164.502(g)(1); 45 CFR 164.502(f); 45 CFR 160.103, definition of "protected health information" para. (2)(iv)

US — Virginia

HIPAA personal representative

Federal privacy law does not appoint anyone. A health care provider or health plan must treat a person as the patient for HIPAA purposes, such as getting records or signing authorizations, when state or other law gives that person authority: authority over health-care decisions for a living adult, or authority over the decedent or the estate after death. The role is derived: it starts and ends when the underlying state-law role (health care agent, guardian, parent, executor/administrator) starts and ends. For decedents, protection lasts 50 years after death.

Assigned
A person gets authority under state or other applicable law (e.g., health care power of attorney, guardianship, parent of a minor, letters as executor/administrator). HIPAA itself does not assign anyone. Capable
Starts
At the same moment the underlying state-law authority takes effect: authority over health-care decisions (living individual) or authority to act for the decedent or the estate (after death) Incapacitated
Ends
The underlying state-law authority ends (e.g., a health care agent's authority ends at death, or a guardianship is terminated). Status as a personal representative for a living individual lapses with it. Deceased
The authority of the executor, administrator, or other person to act for the decedent or the estate ends under state law Estate closed
50 years after death: the information is no longer protected health information, so a personal representative has no Privacy Rule rights over it Estate closed

45 CFR 164.502(g)(2); 45 CFR 164.502(g)(4); HHS OCR, Personal Representatives (45 CFR 164.502(g)) guidance, last reviewed Jan. 5, 2024; 45 CFR 164.502(g)(1); 45 CFR 164.502(f); 45 CFR 160.103, definition of "protected health information" para. (2)(iv)

US — Washington

HIPAA personal representative

Federal privacy law does not appoint anyone. A health care provider or health plan must treat a person as the patient for HIPAA purposes, such as getting records or signing authorizations, when state or other law gives that person authority: authority over health-care decisions for a living adult, or authority over the decedent or the estate after death. The role is derived: it starts and ends when the underlying state-law role (health care agent, guardian, parent, executor/administrator) starts and ends. For decedents, protection lasts 50 years after death.

Assigned
A person gets authority under state or other applicable law (e.g., health care power of attorney, guardianship, parent of a minor, letters as executor/administrator). HIPAA itself does not assign anyone. Capable
Starts
At the same moment the underlying state-law authority takes effect: authority over health-care decisions (living individual) or authority to act for the decedent or the estate (after death) Incapacitated
Ends
The underlying state-law authority ends (e.g., a health care agent's authority ends at death, or a guardianship is terminated). Status as a personal representative for a living individual lapses with it. Deceased
The authority of the executor, administrator, or other person to act for the decedent or the estate ends under state law Estate closed
50 years after death: the information is no longer protected health information, so a personal representative has no Privacy Rule rights over it Estate closed

45 CFR 164.502(g)(2); 45 CFR 164.502(g)(4); HHS OCR, Personal Representatives (45 CFR 164.502(g)) guidance, last reviewed Jan. 5, 2024; 45 CFR 164.502(g)(1); 45 CFR 164.502(f); 45 CFR 160.103, definition of "protected health information" para. (2)(iv)

US — West Virginia

HIPAA personal representative

Federal privacy law does not appoint anyone. A health care provider or health plan must treat a person as the patient for HIPAA purposes, such as getting records or signing authorizations, when state or other law gives that person authority: authority over health-care decisions for a living adult, or authority over the decedent or the estate after death. The role is derived: it starts and ends when the underlying state-law role (health care agent, guardian, parent, executor/administrator) starts and ends. For decedents, protection lasts 50 years after death.

Assigned
A person gets authority under state or other applicable law (e.g., health care power of attorney, guardianship, parent of a minor, letters as executor/administrator). HIPAA itself does not assign anyone. Capable
Starts
At the same moment the underlying state-law authority takes effect: authority over health-care decisions (living individual) or authority to act for the decedent or the estate (after death) Incapacitated
Ends
The underlying state-law authority ends (e.g., a health care agent's authority ends at death, or a guardianship is terminated). Status as a personal representative for a living individual lapses with it. Deceased
The authority of the executor, administrator, or other person to act for the decedent or the estate ends under state law Estate closed
50 years after death: the information is no longer protected health information, so a personal representative has no Privacy Rule rights over it Estate closed

45 CFR 164.502(g)(2); 45 CFR 164.502(g)(4); HHS OCR, Personal Representatives (45 CFR 164.502(g)) guidance, last reviewed Jan. 5, 2024; 45 CFR 164.502(g)(1); 45 CFR 164.502(f); 45 CFR 160.103, definition of "protected health information" para. (2)(iv)

Oceania

Australia — New South Wales

My Health Record authorised representative

Someone who acts in place of an adult, whom the System Operator is satisfied cannot make decisions, for everything the My Health Records Act allows. It is first a person authorised under Commonwealth, state or territory law or by a court or tribunal (for example an attorney or guardian), otherwise another appropriate person. While one exists, the recipient cannot act for themselves. Also covers parents of children under 14.

Assigned
System Operator is satisfied the adult is not capable of making decisions and that the person is authorised under law or a court/tribunal decision (or is otherwise appropriate) Incapacitated
Starts
At the time the System Operator is so satisfied. The representative may then do anything the Act authorises the recipient to do, and must seek out and follow the recipient's will and preferences. Incapacitated
Ends
The System Operator is no longer satisfied the adult lacks decision-making capacity. Status exists only 'at a time when' the recipient has an authorised representative. Capable
Death of the healthcare recipient: the System Operator must cancel the registration. Uploaded records are kept (not destroyed) until 30 years after death. Deceased

My Health Records Act 2012 (Cth) s 6, Compilation No. 18 (1 Jul 2026); My Health Records Act 2012 (Cth) s 6(7); My Health Records Act 2012 (Cth) s 7A; My Health Records Act 2012 (Cth) s 51(1), (6), (7); My Health Records Act 2012 (Cth) s 17(2)–(4)

Australia — New South Wales

My Health Record nominated representative

An individual the healthcare recipient chooses by agreement and notifies to the System Operator. They can act on the record within the limits the recipient sets, alongside (not instead of) the recipient.

Assigned
Recipient and individual agree the individual will be nominated representative, and the recipient notifies the System Operator Capable
Starts
While the agreement is in force and has been notified. The recipient may still act personally. Capable
Ends
Agreement no longer in force (e.g. ended by the recipient or representative) Capable
Death of the healthcare recipient: registration cancelled; records retained until 30 years after death Deceased

My Health Records Act 2012 (Cth) s 7; My Health Records Act 2012 (Cth) s 7(4); My Health Records Act 2012 (Cth) s 51(1), (6), (7); My Health Records Act 2012 (Cth) s 17(2)–(4)

Australia — New South Wales

Authorised representative under the Health Records and Information Privacy Act

For NSW health-privacy purposes, an enduring attorney, guardian, person responsible, parent of a child, or other person empowered by law can act for an individual. The scope depends on that underlying role.

Assigned
Holding one of the listed underlying roles Capable
Starts
When the underlying authority is in effect (for example, the enduring guardian's appointment takes effect) Incapacitated
Ends
Underlying authority ends, or acting would be inconsistent with a court or tribunal order Deceased

Health Records and Information Privacy Act 2002 (NSW) s 8; Guardianship Act 1987 (NSW) s 6E

Australia — Queensland

My Health Record authorised representative

Someone who acts in place of an adult, whom the System Operator is satisfied cannot make decisions, for everything the My Health Records Act allows. It is first a person authorised under Commonwealth, state or territory law or by a court or tribunal (for example an attorney or guardian), otherwise another appropriate person. While one exists, the recipient cannot act for themselves. Also covers parents of children under 14.

Assigned
System Operator is satisfied the adult is not capable of making decisions and that the person is authorised under law or a court/tribunal decision (or is otherwise appropriate) Incapacitated
Starts
At the time the System Operator is so satisfied. The representative may then do anything the Act authorises the recipient to do, and must seek out and follow the recipient's will and preferences. Incapacitated
Ends
The System Operator is no longer satisfied the adult lacks decision-making capacity. Status exists only 'at a time when' the recipient has an authorised representative. Capable
Death of the healthcare recipient: the System Operator must cancel the registration. Uploaded records are kept (not destroyed) until 30 years after death. Deceased

My Health Records Act 2012 (Cth) s 6, Compilation No. 18 (1 Jul 2026); My Health Records Act 2012 (Cth) s 6(7); My Health Records Act 2012 (Cth) s 7A; My Health Records Act 2012 (Cth) s 51(1), (6), (7); My Health Records Act 2012 (Cth) s 17(2)–(4)

Australia — Queensland

My Health Record nominated representative

An individual the healthcare recipient chooses by agreement and notifies to the System Operator. They can act on the record within the limits the recipient sets, alongside (not instead of) the recipient.

Assigned
Recipient and individual agree the individual will be nominated representative, and the recipient notifies the System Operator Capable
Starts
While the agreement is in force and has been notified. The recipient may still act personally. Capable
Ends
Agreement no longer in force (e.g. ended by the recipient or representative) Capable
Death of the healthcare recipient: registration cancelled; records retained until 30 years after death Deceased

My Health Records Act 2012 (Cth) s 7; My Health Records Act 2012 (Cth) s 7(4); My Health Records Act 2012 (Cth) s 51(1), (6), (7); My Health Records Act 2012 (Cth) s 17(2)–(4)

Australia — Victoria

My Health Record authorised representative

Someone who acts in place of an adult, whom the System Operator is satisfied cannot make decisions, for everything the My Health Records Act allows. It is first a person authorised under Commonwealth, state or territory law or by a court or tribunal (for example an attorney or guardian), otherwise another appropriate person. While one exists, the recipient cannot act for themselves. Also covers parents of children under 14.

Assigned
System Operator is satisfied the adult is not capable of making decisions and that the person is authorised under law or a court/tribunal decision (or is otherwise appropriate) Incapacitated
Starts
At the time the System Operator is so satisfied. The representative may then do anything the Act authorises the recipient to do, and must seek out and follow the recipient's will and preferences. Incapacitated
Ends
The System Operator is no longer satisfied the adult lacks decision-making capacity. Status exists only 'at a time when' the recipient has an authorised representative. Capable
Death of the healthcare recipient: the System Operator must cancel the registration. Uploaded records are kept (not destroyed) until 30 years after death. Deceased

My Health Records Act 2012 (Cth) s 6, Compilation No. 18 (1 Jul 2026); My Health Records Act 2012 (Cth) s 6(7); My Health Records Act 2012 (Cth) s 7A; My Health Records Act 2012 (Cth) s 51(1), (6), (7); My Health Records Act 2012 (Cth) s 17(2)–(4)

Australia — Victoria

My Health Record nominated representative

An individual the healthcare recipient chooses by agreement and notifies to the System Operator. They can act on the record within the limits the recipient sets, alongside (not instead of) the recipient.

Assigned
Recipient and individual agree the individual will be nominated representative, and the recipient notifies the System Operator Capable
Starts
While the agreement is in force and has been notified. The recipient may still act personally. Capable
Ends
Agreement no longer in force (e.g. ended by the recipient or representative) Capable
Death of the healthcare recipient: registration cancelled; records retained until 30 years after death Deceased

My Health Records Act 2012 (Cth) s 7; My Health Records Act 2012 (Cth) s 7(4); My Health Records Act 2012 (Cth) s 51(1), (6), (7); My Health Records Act 2012 (Cth) s 17(2)–(4)

Australia — Victoria

Authorised representative / legal representative under the Health Records Act 2001

For a living person who cannot consent or request access, an authorised representative may exercise their Health Records Act rights to the extent needed for the representative's functions. Authorised representatives include a guardian, an enduring attorney, a medical treatment decision maker or an administrator. The Act protects deceased persons for 30 years after death. During that period a legal representative (executor with probate, or administrator) exercises the deceased's rights.

Assigned
Derived from another role (guardian, enduring attorney, medical treatment decision maker, administrator; after death, executor with probate or administrator) Incapacitated
Starts
When the individual is incapable of consenting or requesting access (living); on grant of probate or administration (deceased) Incapacitated
Ends
Underlying authority ends or individual regains capacity Capable
Individual has been dead for more than 30 years: Act no longer applies Estate closed

Health Records Act 2001 (Vic) s 85(6); Health Records Act 2001 (Vic) s 3(1) (def. legal representative); Health Records Act 2001 (Vic) s 95

The interactive viewer carries the lifecycle diagram, the state machine and the full source list, including the quoted text of each provision. Not legal advice. This is a research aid summarising primary legal sources as retrieved on the dates shown; always read the cited current text and consult a lawyer licensed in the jurisdiction.