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The business associate amendment requires that a provider cannot request Google use or disclose PHI in any manner that would not be permissible under HIPAA, if done by a covered entity itself (unless otherwise expressly permitted under HIPAA for a Business Associate).
Basically, if your organization interacts with protected health information (PHI) from a health provider, health insurer, or similar covered entity (CE) your organization is considered a business associate (BA) which must comply with all HIPAA/HITECH regulations and be HIPAA compliant.
Answer: A business associate contract is not required with persons or organizations whose functions, activities, or services do not involve the use or disclosure of protected health information, and where any access to protected health information by such persons would be incidental, if at all.
Who Needs a Business Associate Agreement? Any Business Associate you share PHI or ePHI with over the course of the work they've been hired to do is who needs a Business Associate Agreement.
The HIPAA Privacy Rule requires covered entities to enter into written contracts or other arrangements with business associates which protect the privacy of protected health information; but covered entities are not required to monitor or oversee the means by which their business associates carry out privacy safeguards ...
HIPAA defines businesses associates as a person or entity that provides services to a covered entity that involves the disclosure of PHI. Businesses that would be considered business associates when working with covered entities are: Software companies with access to PHI. Companies in claims processing or collections.
What is the Omnibus Rule? HHS updated HIPAA and HITECH in 2013 when they finalized the Omnibus Rule. Consequently, Business Associates are now directly liable for any non-compliance and any fines associated with the non-compliance.