definiens: means collectively : ( a ) the Health Insurance Portability and Accountability Act of 1996 ( Pub . L. No . 104 - 191 ), including but notlimited to its implementing rules and regulations with respect to privacy, security of health information, and transactions and code sets ; ( b ) the HealthInformation Technology for Economic and Clinical Health Act ( Title XIII of the American Recovery and Reinvestment Act of 2009 ) ; ( c ) the OmnibusRule effective March 26, 2013 ( 78 Fed . Reg . 5566 ), and other implementing rules regulations at 45 CFR Parts 160 and 164 and related binding guidancefrom the United States Department of Health and Human Services and ( d ) any federal, state and local laws regulating the privacy and/or security ofindividually identifiable information, in each case, as the same may be amended, modified or supplemented from time to time