"any lawful or authorized government agency" is an exception in your private form that you are made to read or sign.
Furthermore, under HIPAA legislation, the exchange of health insurance claims data with the federal database at DoHHS was encoded into law. That data feeds the national id DB at DHS which in turn feeds fusion centers.
In other words if your state and local fusion have the memos of understanding in place, they already know what you saw a psych for (based on diag codes on the claim), what you were treated for and what meds you are on.
They already have that data TODAY.
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