If I ask my doctor to order a blood test, can they refuse? In New York, USA, If I go to my doctor's office and request that they order a specific blood test for me, can they refuse? Is there anything in HIPAA (or other laws) that compels a medical professional to order a test that has been requested by their patient?
There is no such legal requirement coming from federal or NY state law. Doctors can refuse treatment when the patient is abusive or the matter is outside the scope of their practice, and that can include a test which requires skills, equipment or a contractual relationship that they don't have. Also if a procedure conflicts with their professional duties (that is a large loophole), they do not have to perform a requested service: an example is prescribing antibiotics for a viral infection. There is also a federal regulation known as the conscience rule which is conceivably applicable. If the test is medically unnecessary (e.g. a covid antibody test &quot;just for the heck of it&quot;) it would be illegal for the physician to perform the test and bill the insurance, though not illegal to do the test and have the patient pay, unless their agreement with the insurance company precludes any and all unnecessary treatments (regardless of whether the patient pays). That is, you cannot compel the doctor to breach his contract with the insurance company. If they do perform the test, then according to HIPAA, they have to tell you the results.
When you refer to customs, that necessarily denotes travel to a foreign county, such that each county will have their own laws, rules, and regulations that govern these issues. It is more than likely that if you refuse to answer the questions of customs officials in ANY country, you will be denied admittance. The same is true if you refuse or balk at being searched (personally or your possessions), and keep in mind that this is without reasonable suspicion or probable cause. The best thing to do is to answer the questions honestly and accurately, but also as narrowly as possible to completely answer. Trying to argue with them will only send up red flags and you will be there longer. Remember it is a privilege, not a right, to enter a sovereign nation of which you are not a citizen. For example, in the U.S., customs reserves the right to detain for questioning, search you, your car, your children, your bags, packages, purse/wallet, or any other travel item with full legal authority to do sol they can even examine your electronics (content and hardware). You place your stuff on the exam station and open it. (After the exam is completed, you will be asked to repack and close the baggage.) If you are unhappy with the way you are being treated, you do have the right to ask to speak to a CBP supervisor, but I cannot see anything good coming of it, unless they were super rude without provocation or broke something of value. The authority to delay and speak with travelers derives from the United States Code (section citations below) enables CBP to prevent the entry of persons who are inadmissible under the Immigration and Nationality Act, and to prevent the smuggling of merchandise, including narcotics and other contraband items, into the United States. Speaking with travelers and examining merchandise coming into or leaving the United States is just one of the mechanisms used to identify illegal or prohibited items, and to determine whether or not someone is trying to enter the U.S. for unlawful or fraudulent purposes. Unless exempt by diplomatic status, all travelers entering the United States, including U.S. citizens, are subjected to routine Customs examinations. At times, people make the mistake of thinking their civil rights are being violated by being asked questions about their trip, personal background and history, etc. That is not the case. Supreme Court decisions have upheld the doctrine that CBP's search authority is unique and does not violate the fourth amendment's protection against unreasonable searches and seizures. U.S. Customs website has a detailed Q&amp;A section. Most modern countries do as well.
Without the patient's permission, the doctor cannot legally share the patient's health information with the patient's employer. Your Rights Under HIPAA: [...] without your authorization, your provider generally cannot [...] give your information to your employer Remedies for confidentiality violations include civil actions, administrative fines, and criminal charges. (Remedies for Violation of HIPAA Privacy Rights and Medical Confidentiality, HIPAA Violations and Enforcement, What is the Penalty for a HIPAA Violation) Individual states also have confidentiality laws that are violated by the hypothetical in the question.
You have an agreement with the store that allows you to use scan and go technology. Part of that agreement a bit that says we may ask you to help us confirm that the service is working effectively by allowing us to check your goods against the scanner or to re-scan your shopping They also say that they are entitled to withdraw your right to use the Scan and Go service at any time if you do not comply with these Terms and Conditions. If we do that, the legal agreement created between ASDA and you under these Terms and Conditions will come to an end immediately, although any relevant statutory rights that you may have will not be affected. More generally, ASDA reserves the right to withdraw the Scan and Go Service at any time, at its sole discretion You have implicitly consented to a brief stop for a rescan. I don't see any implication that they assert a right to search your person. You can refuse a re-scan and they can process you like an ordinary customer. As for shoplifting, as this article summarizes, security can make a citizen's arrest if they suspect that you have committed a crime (theft). They have to have reasonable grounds for thinking that an arrest is necessary to prevent the loss. Hence they can detain you until the constable arrives.
The rule applies to &quot;A covered entity or business associate&quot;, who may not &quot;use or disclose protected health information&quot; except as permitted. The set of covered entities and business associates is pretty large, and certainly covers nurses, also secretaries working for the hospital or insurance company. It is not restricted to the doctor-patient relationship. However, the restriction is not absolute: a patient can consent to the disclosure of such information: but, the consent must be written. This raises an interpretive challenge, in case patient A reveals a medical fact to a friend B who happens to be a medical professional. Person B probably is a &quot;covered entity&quot;, since they are undoubtedly A health care provider who transmits any health information in electronic form in connection with a transaction covered by this subchapter. The information also is &quot;protected&quot;: Protected health information means individually identifiable health information: (1) Except as provided in paragraph (2) of this definition, that is: (i) Transmitted by electronic media; (ii) Maintained in electronic media; or (iii) Transmitted or maintained in any other form or medium. (2) Protected health information excludes individually identifiable health information: (i) In education records covered by the Family Educational Rights and Privacy Act, as amended, 20 U.S.C. 1232g; (ii) In records described at 20 U.S.C. 1232g(a)(4)(B)(iv); (iii) In employment records held by a covered entity in its role as employer; and (iv) Regarding a person who has been deceased for more than 50 years. Para 5 on prohibited uses and disclosures explicitly lists the prohibited disclosures (genetic information for insurance underwriting, sale of PHI), so idle gossip is not explicitly prohibited. It is also not explicitly allowed. But again, the regulation says: may not use or disclose protected health information, except as permitted or required by this subpart Nothing in the rules limits the obligation of a &quot;covered entity&quot;, in terms of how they came to be in possession of PHI. Given the definition of &quot;covered entity&quot;, the fact of being a covered entity is a property does not depend on obtaining information electronically. So without written consent, B who is a covered entity cannot gossip about A's medical status.
united-states Speed limits can be enforced by any means (except photo-radar) in most U.S. jurisdictions without notice that it is being used. Those laws are close to being uniform in the U.S. due to federal coordination on federally funded roads, even though state and local laws are what governs them directly. Some U.S. jurisdictions prohibit the issuance of photo-radar speeding tickets without notice before entering the photo-radar picture taking zone. I'd have to research further to see if New York City does. The purpose of the language on the sign is to make drivers more fearful of being caught in circumstances where they don't see someone trying to enforce the law, not to have greater legal effect.
There are no legal requirements for official certification of BSL-1 and BSL-2 laboratories in the US. There are legal requirements for higher-level labs that deal with Select Agents. The CDC has a page on certification laws and regulations, which is &quot;about&quot; samples derived from the human body. Organizations (such as universities) have offices that perform inspections and approve (or not) a particular laboratory, by reference to standard professional guidelines. This is, of course, different from the situation in Europe. There may be state-level legal requirements.
It's probably not unlawful to ask, but an answer cannot be required immediately. Per the Department of Labor, Susan has 60 days to elect COBRA coverage (the qualifying event here being the termination of Susan's employment): Your plan must give you at least 60 days to choose whether or not to elect COBRA coverage, beginning from the date the election notice is provided or the date you would otherwise lose coverage under your group health plan due to the qualifying event, whichever is later. It would be unlikely for an employer to discourage an employee from electing COBRA coverage due to costs to the employer, as you suggest: Susan is still employed and thus could be treated differently in her last two weeks depending on how she responds because the company is struggling financially and is looking for every opportunity to save money. Susan electing to use COBRA coverage is unlikely to cost the company money, because the employer is permitted to charge her the entire cost of the coverage, plus 2 percent to cover the cost of administering it (additional DoL source). As far as privacy goes, I don't think anything illegal has occurred here. The most prevalent law regarding privacy of health information, HIPAA, generally does not apply to employers. Susan could, of course, request a private discussion, and any response from Emily could not rise to the level of illegal harassment or create a hostile work environment.