Medical care providers who are subject to state or federal regulation, including
Medicare/Medicaid Conditions of Participation, must allow inspectors from these
programs access to their medical records. These inspectors may view the
entire record, including the patient identifiers, without the permission of the
patients. This is justified under the police powers as a reasonable intrusion
based on a greater societal need, the same legal basis as that used for
requiring patient information to be reported for various statistical and disease
control purposes (see
public health reporting
). State medical care practitioner
licensing agencies have the right to inspect medical records under certain
circumstances.