Looks like HIPPA, ADA and other rules are going to clash here quite a bit. Man, I regret not going to law school.
Many of these bad laws came about due to the coddling of AIDS victims. For example, the right to be anonymous while carrying a deadly disease, while the feds ask you but don’t require you to tell a partner or dentist or caregiver.
The other cause of the insanity on medical privacy is due to abortion. Like the privacy laws so your spouse or parents cannot find out you had an abortion or STD, though they may have to pay the bill for “medical services”.