Ohio Admin. Code 3304-1-15 - Employee access to confidential information

The "Opportunities for Ohioans with Disablities" (OOD) promulgates this rule in accordance with Chapter 1347. of the Revised Code.

(A) All personal information systems of the opportunities for Ohioans with disabilities agency (OOD) shall be maintained in accordance with Chapter 1347. of the Revised Code.

(A) (B) For the purposes of this rule, the following definitions apply:

(1) "Access" as a noun means an opportunity to copy, view, or otherwise perceive whereas "access" as a verb means to copy, view, or otherwise perceive.

(2) "Acquisition of a new computer system" means the purchase of a "computer system" as defined in this rule, that is not a computer system currently in place or one for which the acquisition process has been initiated as of the effective date of this rule.

(3) "Computer system" means a "system" as defined by section 1347.01 of the Revised Code, that stores, maintains, or retrieves personal information using electronic data processing equipment.

(4) "Confidential personal information" (CPI) has the meaning as defined by division (A)(1) of section 1347.15 of the Revised Code and identified by rules promulgated by the agency in accordance with division (B)(3) of section 1347.15 of the Revised Code that reference the federal or state statutes or administrative rules that make personal information maintained by the agency confidential.

(5) "Employee of the state agency" means each employee of a state agency OOD regardless of whether he/she holds an elected or appointed office or position within the state agency. "Employee of the state agency" is limited to the specific employing state agency the employee is a public official or public employee.

(6) "Incidental contact" means contact with the information that is secondary or tangential to the primary purpose of the activity that resulted in the contact.

(7) "Individual" means a natural person or the natural person's authorized representative, legal counsel, legal custodian, or legal guardian.

(8) "Information owner" means the individual appointed in accordance with division (A) of section 1347.05 of the Revised Code to be directly responsible for a system.

(9) "Person" means natural person.

(10) "Personal information" has the same meaning as defined in division (E) of section 1347.01 of the Revised Code.

(11) "Personal information system" means a "system" that "maintains" "personal information" as those terms are defined in section 1347.01 of the Revised Code. "System" includes manual and computer systems.

(12) "Research" means a methodical investigation into a subject.

(13) "Routine" means common place, regular, habitual or ordinary.

(14) "Routine information that is maintained for the purpose of internal office administration, the use of which would not adversely affect a person" as that phrase is used in division (F) of section 1347.01 of the Revised Code means personal information relating to the agency's OOD's employees that is maintained by the agency OOD for administrative and human resources resource purposes.

(15) "System" has the same meaning as defined by division (F) of section 1347.01 of the Revised Code.

(16) "Upgrade" means a substantial redesign of an existing computer system for the purpose of providing a substantial amount of new application functionality, or application modifications that would involve substantial administrative or fiscal resources to implement, but would not include maintenance, minor updates and patches, or modifications that entail a limited addition of functionality due to changes in business or legal requirements.

(B) (C) Procedures for accessing confidential personal information. For personal information systems, whether manual or computer systems, that contain, confidential personal information, OOD shall do the following:

(1) Criteria Establish criteria for accessing confidential personal information. Personal information systems of the agency are managed on a "need-to-know" basis whereby the information owner determines the level of access required for an OOD employee of the agency to fulfill his/her the employee's job duties. The determination of access to confidential personal information shall be approved by the employee's supervisor and the information owner prior to providing the employee with access to confidential personal information within a personal information system. OOD shall establish procedures for determining a revision to an employee's access to confidential personal information upon on a change to that employee's job duties including, but not limited to, transfer or termination. Whenever an employee's job duties no longer require access to confidential personal information in a personal information system, the employee's access to confidential personal information shall be removed.

(2) Individual's Respond to an individual's request for a list of confidential personal information. upon On the signed written request of any individual for a list of confidential personal information about the individual maintained by the agency OOD, the agency OOD shall do all of the following:

(a) Verify the identity of the individual by a method that provides safeguards commensurate with the risk associated with the confidential personal information;

(b) Provide to the individual the list of confidential personal information that does not relate to an investigation about the individual or is otherwise not excluded from the scope of Chapter 1347. of the Revised Code; and

(c) If all information relates to an investigation about that individual, inform Inform the individual that the agency OOD has no confidential personal information about the individual that is responsive to the individual's request if all information maintained by OOD relates to an investigation about the individual.

(C) (D) Notice of invalid access Notify an individual whose confidential personal information maintained by OOD is accessed for an invalid reason.

(1) upon On discovery or notification that confidential personal information of a person has been accessed by an employee for an invalid reason, OOD shall notify the person individual whose information was invalidly accessed as soon as practical and to the extent known at the time. However, the agency OOD shall delay notification for a period of time necessary to ensure that the notification would not delay or impede an investigation of invalid access or jeopardize homeland or national security. Additionally, OOD may delay the notification consistent with any measures necessary to determine the scope of the invalid access, including which individuals' confidential personal information invalidly was accessed, and to restore the reasonable integrity of the manual or computer system that contains the confidential personal information that was invalidly accessed.

"Investigation" as used in this paragraph means the investigation of the circumstances and involvement of an employee surrounding the invalid access of the confidential personal information. Once the agency OOD determines that notification would not delay or impede an investigation, the agency OOD shall disclose the access to confidential personal information made for an invalid reason to the person individual.

(2) Notification provided by the agency OOD shall inform the person individual of the type of confidential personal information accessed and, if known, the date(s) of the invalid access.

(3) Notification may be made by any method reasonably designed to accurately inform the person individual of the invalid access, including written, electronic, or telephone notice.

(D) (E) Appointment of Appoint a data privacy point of contact. The agency administrator OOD executive director or designee shall designate an employee of the agency OOD to serve as the data privacy point of contact. The data privacy point of contact shall work with the chief privacy officer within the state of Ohio's office of information technology to assist the agency OOD with both the implementation of privacy protections for the confidential personal information that the agency OOD maintains and compliance with section 1347.15 of the Revised Code and the rules adopted pursuant to the authority provided by that chapter.

(E) (F) Completion of Complete a privacy impact assessment. The agency administrator shall designate an employee of the agency to serve as the data privacy point of contact who for OOD shall timely complete the privacy impact assessment form developed by the office of information technology.

(F) (G) Pursuant to the requirements of division (B)(2) of section 1347.15 of the Revised Code, this rule contains a list of valid reasons, directly related to OOD's exercise of its powers or duties, for which only authorized OOD employees of the agency may access confidential personal information (CPI) regardless of whether the personal information system is a manual system or computer system:

Performing the following functions constitute valid reasons for authorized employees of the agency to access confidential personal information:

(1) Responding to a public records request;

(2) Responding to a request from an individual for the list of CPI the agency OOD maintains on that individual;

(3) Administering a constitutional provision or duty;

(4) Administering a statutory provision or duty;

(5) Administering an administrative rule provision or duty;

(6) Complying with any state or federal program requirements;

(7) Processing or payment of claims, other financial activities, or otherwise administering a program with individual participants or beneficiaries;

(8) Auditing purposes;

(9) Licensure, permit, eligibility, and filing processes;

(10) Investigation or law enforcement purposes;

(11) Administrative hearings or evidentiary review by a hearing examiner;

(12) Litigation, complying with an order of the court, or subpoena;

(13) Human resource matters (e.g., hiring, promotion, demotion, discharge, salary/ compensation issues, leave requests/issues, time card approvals/issues, payroll, Federal Medical Leave Act issues, disability issues, employee assistance program issues);

(14) Complying with an executive order or policy;

(15) Complying with an agency OOD policy or procedure, or a state administrative policy or directive issued by the department of administrative services (DAS), the office of budget and management (OBM), or other similar state agency; or

(16) Complying with a collective bargaining agreement provision. ;

(17) Administering an OOD program;

(18) Facilitating operational efficiencies or responding to complaints, grievances or appeals against OOD; or

(19) Maintaining data systems or performing information technology responsibilities.

(G) (H) Confidentiality. The following federal statues or regulations or state statues and administrative rules make personal information maintained by OOD confidential:

(1) Social security numbers pursuant to 5 U.S.C. 552a, unless the individual was told that the number would be disclosed;

(2) Bureau of criminal investigation and information criminal records check results pursuant to section 4776.04 of the Revised Code;

(3) Personal information identified by the state vocational rehabilitation services program in pursuant to 34 C.F.R. 361.38 in effect on the effective date of this rule;

(4) Any personal information identified in rule 3304-2-63 of the Administrative Code;

(5) Any personal information that is considered confidential under section 149.43 and section 3304.21 of the Revised Code.

(6) Employee assistance program records as stated in section 124.88 of the Revised Code.

(7) Medical records of OOD employees or their family members: "Family Medical Leave Act of 1993," Pub. L. No. 103-3; 29 U.S.C. Sec. 260 as implemented in 29 C.F.R. 825.500; Section I of the "Americans with Disabilities Act of 1990,"42 U.S.C. Sec. 12112(d).

(H) (I) For personal information systems that are computer systems and contain confidential personal information, the agency OOD shall do the following:

(1) Access restrictions. Access to confidential personal information that is kept electronically shall require a password or other authentication measure.

(2) Acquisition of a new computer system. When the agency OOD acquires a new computer system that stores, manages or contains confidential personal information, the agency OOD shall include a mechanism for recording specific access by employees of the agency OOD to confidential personal information in the system.

(3) Upgrading existing computer systems. When the agency OOD modifies an existing computer system that stores, manages or contains confidential personal information, the agency OOD shall make a determination whether the modification constitutes an upgrade. Any upgrades to a computer system, or acquisition of a new computer system, shall include a mechanism for recording specific access by OOD employees of the agency to confidential personal information in the system.

(I) (J) Logging requirements regarding confidential personal information in existing computer systems.

(1) The agency shall require employees of the agency Employees who access confidential personal information within computer systems to shall maintain a log that records that access unless a mechanism automatically records specific access by OOD employees to that computer system.

(2) Access to personal confidential information is not required to be entered into the log under the following circumstances:

(a) The OOD employee of the agency is accessing confidential personal information for official agency OOD purposes, including research, and the access is not specifically directed toward a specifically named individual or a group of specifically named individuals.

(b) The OOD employee of the agency is accessing confidential personal information for routine office procedures and the access is not specifically directed toward a specifically named individual or a group of specifically named individuals.

(c) The OOD employee of the agency comes into incidental contact with confidential personal information and the access of the information is not specifically directed toward a specifically named individual or a group of specifically named individuals;

(d) The OOD employee of the agency accesses confidential personal information about an individual based upon a request made under either of the following circumstances:

(i) The individual requests confidential personal information about himself/herself. ; or

(ii) The individual makes a request that OOD takes some action on that individual's behalf and accessing the confidential personal information is required in order to consider or process that request.

(3) For purposes of this paragraph, the agency may choose the form or forms of logging, whether in electronic or paper formats.

(J) (K) Log management. The agency shall issue a policy that specifies the following:

(1) The form or forms for logging and in what format;

(1) (2) Who shall maintain the log;

(2) (3) What information shall be captured in the log;

(3) (4) How the log shall be stored; and

(4) (5) How long information kept in the log is to be retained.

(L) Nothing in this rule limits OOD from requiring logging in any circumstance that it deems necessary.

Notes

Ohio Admin. Code 3304-1-15

Effective: 5/15/2021
Five Year Review (FYR) Dates: 2/26/2021 and 05/15/2026
Promulgated Under: 119.03
Statutory Authority: 3304.15(C)(1), 3304.21
Rule Amplifies: 1347.15, 1347.99
Prior Effective Dates: 10/11/2010, 10/29/2015