Under 42 CFR Part 2, redisclosure of substance use treatment records generally requires what?

• A. Redisclosure is generally prohibited without patient consent, with exceptions.
• B. Redisclosure is always allowed.
• C. Redisclosure requires court order in all cases.
• D. Redisclosure is allowed without permission for health care operations.

Answer: (A)

Under 42 CFR Part 2, the protection of substance use treatment records is strong: you don’t share them again without the patient’s written consent, except for very limited, specific circumstances. This design helps individuals seek treatment without fearing that their information will be freely circulated. So the general rule is that redisclosure is prohibited unless the patient has given consent, with narrowly defined exceptions that allow disclosures in emergencies, for certain authorized purposes like research or audits with safeguards, or when legally compelled by a court or similar process. That’s why the best answer states redisclosure is generally prohibited without patient consent, with exceptions.