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Easier Sharing of Health Info to Prevent Harm

Full Title:
Personal Health Information Act (amended)

Summary#

This bill changes when health-care workers in Nova Scotia can share a patient’s personal health information without consent to prevent harm. It replaces a stricter test that required an “imminent and significant” danger with a clearer, broader rule about a “risk of serious harm.”

  • Lets a provider share information to prevent or lessen a risk of serious harm to the patient or to another person.
  • Removes the need for the danger to be “imminent,” so action can happen earlier.
  • Focuses on harm to a specific person (the patient or another person), rather than to “any person or class of persons.”
  • Applies to doctors, nurses, hospitals, clinics, and other custodians of health information.

What it means for you#

  • Patients

    • Your doctor or another provider may share some of your health information without your permission if they believe it could prevent or reduce a serious risk of harm to you or to someone else.
    • This sharing can happen even if the danger is not immediate.
  • Families and caregivers

    • You may be contacted or given limited information in a crisis if a provider believes it will help prevent serious harm to your loved one or to someone else.
  • Health-care providers and clinics

    • You have clearer authority to disclose information to prevent or lessen a serious risk of harm, without needing to judge if the danger is “imminent.”
    • You may share with people who can help prevent harm, such as family members, other providers, or, when needed, police.
  • Police and first responders

    • You may receive relevant health information more readily in situations where there is a serious risk of harm to a person.

Expenses#

No publicly available information.

Proponents' View#

  • Makes it easier to step in early to prevent suicide, violence, or other serious harm.
  • Reduces hesitation and confusion among providers about when they can share information in a crisis.
  • Better protects both patients and people around them by allowing timely, targeted sharing.
  • Aligns the law’s language with common safety practices in mental health and emergency care.

Opponents' View#

  • Lowers privacy protections by using a broader, more flexible standard that could lead to more disclosures.
  • May discourage some people, especially those with mental health or addiction issues, from being fully open with their providers.
  • The term “risk of serious harm” can be subjective, raising concerns about inconsistent judgments and potential over-sharing.
  • By focusing on the patient or “another person,” it may limit warnings aimed at broader groups when a risk affects many people.