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3.1 Subject to any limitations in this Agreement, Vendor may disclose PHI to any third party as necessary to perform its <br /> obligations under the Business Arrangements and as permitted or required by applicable law. Vendor agrees not to <br /> disclose PHI in a manner that would violate the Confidentiality Requirements if the PHI was disclosed by the Covered <br /> Entity in the same manner. Further, Vendor may disclose PHI for the proper management and administration of Vendor; <br /> provided that:(i)such disclosures are required by law; or(ii)Vendor:(a)obtains reasonable assurances from any third <br /> • party to whom the PHI is disclosed that the PHI will be held confidential and used and disclosed only as required by law <br /> or for the purpose for which it was disclosed to third party,and(b)requires the third party to agree to immediately notify <br /> Vendor of any instances of which it is aware that PHI is being used or disclosed for a purpose that is not otherwise • <br /> provided for in this Agreement or for a purpose not expressly permitted by the Confidentiality Requirements. Vendor <br /> shall report to Covered Entity any use or disclosure of PHI not permitted by this Agreement of which it becomes aware. <br /> Such report shall be made within five(5)business days of Vendor becoming aware of such use or disclosure. <br /> 3.2 If Vendor uses or contracts with any agent,including a subcontractor(collectively"Subcontractors")that uses,discloses, <br /> accesses, creates, receives, maintains or transmits PHI on behalf of Vendor, Vendor shall require all Subcontractors to <br /> agree in writing to the same restrictions and conditions that apply to Vendor under this Agreement. In addition to <br /> Vendor's obligations under Section 9, Vendor agrees to mitigate, to the extent practical and unless otherwise requested <br /> by the Covered Entity, any harmful effect that is known to Vendor and is the result of a use or disclosure of PHI by <br /> Vendor or any Subcontractor in violation of this Agreement. Additionally, Vendor shall ensure that all disclosures of <br /> PHI by Vendor and its Subcontractors comply with the principle of"minimum necessary use and disclosure,"(i.e., in <br /> accordance with 45 C.F.R.§164.502(b),only the minimum PHI that is necessary to accomplish the intended purpose may <br /> be disclosed). <br /> 4. Individual Rights Regarding Designated Record Sets. <br /> If Vendor maintains a Designated Record Set on behalf of Covered Entity,Vendor shall:(i)provide access to and permit inspection <br /> and copying of PHI by Covered Entity under conditions and limitations required under 45 C.F.R. §I64.524,as it may be amended from time <br /> to time;and(ii)amend PHI maintained by Vendor as required by Covered Entity. Vendor shall respond to any request from Covered Entity <br /> for access by an individual within ten(10)business days of such request and shall make any amendment requested by Covered Entity within <br /> twenty(20)business days of such request. Any information requested under this Section 4 shall be provided in a form or format requested.if <br /> it is readily producible in such form or format. Vendor may charge a reasonable fee based upon Vendor's labor costs in responding to a <br /> request.for electronic information(or a cost-based fee for the production of non-electronic media copies). Vendor shall notify Covered Entity <br /> within ten(10)business days of receipt of any request for access or amendment by an individual. <br /> 5. Accounting of Disclosures. <br /> Vendor shall make available to Covered Entity within ten (10) business days of a request by Covered Entity the information <br /> required for an accounting of disclosures of PHI in accordance with 45 C.F.R. §164.528(or such shorter time as may be required by state or <br /> federal law). Such accounting must be provided without cost if it is the first accounting requested within any twelve(12)month period. For <br /> subsequent accountings within the same twelve(12)month period,Vendor may charge a reasonable fee based upon Vendor's labor costs in <br /> responding to a request for electronic information(or a cost-based fee for the production of non-electronic media copies)only after Vendor <br /> informs Covered Entity and Covered Entity informs the individual in advance of the fee, and the individual is afforded an opportunity to <br /> withdraw or modify the request. Such accounting obligations shall survive termination or expiration of this Agreement and with respect to <br /> any disclosure,whether on or before the termination of this Agreement,shall continue for a minimum of seven(7)years following the date of <br /> such disclosure. <br /> 6. Withdrawal of Authorization. <br /> If the use or disclosure of PHI under this Agreement is based upon an individual's specific authorization regarding the use of his or <br /> her PHI, and: (i) the individual revokes such authorization in writing; (ii)the effective date of such authorization has expired; or(iii) the <br /> authorization is found to be defective in any manner that renders it invalid for whatever reason,then Vendor agrees, if it has received notice <br /> from Covered Entity of such revocation or invalidity, to cease the use and disclosure of any such individual's PHI except to the extent <br /> Vendor has relied on such use or disclosure,or where an exception under the Confidentiality Requirements expressly applies. <br /> 7. Records and Audit. <br /> Vendor shall make available to HHS or its agents its internal practices,books,and records relating to the compliance of Vendor and <br /> Covered:Entity with the Confidentiality Requirements, such internal practices, books and records to be provided in the time and manner <br /> designated by HHS or its agents. <br /> 8. Implementation of Security Standards;Notice of Security Incidents. <br /> Vendor will comply with the Security Standards and, by way of example and not limitation,use appropriate safeguards to prevent <br /> the use or disclosure of PHI other than as expressly permitted under this Agreement. In accordance with the Security Standards,Vendor will <br /> implement administrative,physical,and technical safeguards that protect the confidentiality, integrity and availability of the PHI that it uses, <br /> ESO Solutions,Inc. <br /> Subscription Agreement 092214 <br /> Page 10 of 13 <br />