Understanding 42 CFR Part 2: Confidentiality of Substance Use Disorder Patient Records, Regulations and Updates

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1.5 CME Credits
25 STUDENTS ENROLLED

This course provides a clear and practical overview of 42 CFR Part 2, the federal confidentiality regulation that protects Substance Use Disorder (SUD) treatment records. Participants will learn the purpose and scope of Part 2, how it differs from HIPAA, and what recent regulatory updates mean for clinical practice in Maine.

Learning Objectives

At the end of this course, participants will be able to:

Describe the purpose, scope, and core protections of 42 CFR Part 2.

Identify lawful pathways for disclosure of Part 2 information, including valid patient consent requirements and limited exceptions for disclosure without consent.

Consider potential updates to current patient consent practices.

Course Structure

This course is self-paced and available to any user who registers with the Maine Medical Association, Center for Quality Improvement Learning Lab. The course consists of multiple sub-sections or units and will contain various elements, including pre- and post-tests, video lessons, and hyperlinks to readings and web resources.

Estimated Time to Complete: 90 minutes

Note: This course is divided into short digestible units (10-20 mins) that can be completed in small increments.

Disclosures

The planners and presenters for this course have no relevant financial relationships to disclose.

Speaker
Ashley J. Bliss, J.D.
Maine Medical Association, Intern Spring 2026

Planners
Anne Sedlack, MSW, Esq.
Director of Advocacy
Maine Medical Association

Amy Carter, BSHA-M
Director
Maine Medical Association, Center for Quality Improvement

Janet Johnson
Executive Assistant
Maine Medical Association, Center for Quality Improvement

Funding Statement
This course is made possible by the generous support and funding from our partners at the Maine Board of Licensure in Medicine.

Joint Providership Statement
The Hanley Center for Health Leadership and Education designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credit(s)â„¢. Physicians should only claim credit commensurate with the extent of their participation in the activity.

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Hanley Center for Health Leadership and Education and the Maine Medical Association, Center for Quality Improvement. The Hanley Center for Health Leadership and Education is accredited by the Maine Medical Association Committee on Continuing Medical Education and Accreditation to provide continuing medical education for physicians.

Launch: July 9, 2026
Expires: June 30, 2029

Assessment and Grading

This course begins with a pre-test that will test your knowledge and allow you to gauge your baseline understanding of the topics to be covered. At the end of the course, there is a post-test. A comparison of your pre-test score and post-test score will help you assess how much knowledge you’ve gained on the topic.

To Obtain a CME Certificate or a CME Certificate of Participation

  • Complete all the units within the course
  • Complete the Survey Monkey evaluation at the end of the course

Upon completion of the evaluation in Survey Monkey, including the required demographic information, a CME Certificate will be emailed to M.D.s and D.O.s and a CME Certificate of Participation will be emailed to all other learners. These certificates will be emailed within 10 business days of completing the evaluation.

Table of Contents

Getting Started

42 CFR Part 2-Pre-Test

Course Units

  • Unit 1: Welcome & Course Overview
  • Unit 2: Background & Purpose of 42 CFR Part 2
  • Unit 3: Further Defining Scope of Part 2
  • Unit 4: Understanding the Core Requirements
  • Unit 5: Differentiating Part 2 & HIPAA Privacy Rule
  • Unit 6: Part 2 & Maine Law
  • Unit 7: Enforcement
  • Unit 8: Final Tips
  • Unit 9: Resources

Course Wrap Up

  • 42 CFR Part 2-Post-Test
  • 42 CFR Part 2-Course Evaluation

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