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Trump Administration Demands Hospitals Share Emergency Room Records

The agency says the records will modernize injury surveillance, while hospitals and experts question its legal authority and privacy safeguards.

  • The Consumer Product Safety Commission is pressuring hospitals nationwide to share millions of identifiable emergency room patient records with private contractor Konza Health, marking a dramatic expansion of injury surveillance beyond product-related cases.
  • Historically, the voluntary National Electronic Injury Surveillance System relied on roughly 70 hospitals reporting injuries without patient identifiers, but this new initiative seeks comprehensive records for most injuries, from broken bones to suicide attempts.
  • In correspondence, Konza representatives described participation as "mandatory," yet former CPSC chair Alexander Hoehn-Saric warned the collection contradicts the agency's manual, which restricts identifiable information to fewer than 1% of cases.
  • Several major hospital systems, including Mass General Brigham in Boston, have declined to participate, citing patient privacy protections, while CPSC officials suggested non-compliance could trigger "information blocking" penalties.
  • The CPSC aims to integrate at least 100 hospitals by year-end, with spokesperson Steve Roney stating the agency is "modernizing" its surveillance system to detect hazards faster and improve data quality.
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KFF Health News broke the news in San Francisco, United States on Monday, July 27, 2026.
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