HHS Secretary Robert F. Kennedy Jr. has reportedly sought access to Americans’ medical records since spring 2025 for research into his claimed vaccine-autism link, despite the scientific consensus that vaccines do not cause autism. The effort would place highly sensitive, identifiable health data in a centralized repository, raising concerns over breach exposure, secondary uses without consent, reidentification, and potential government misuse.
HIPAA limits how covered health providers, insurers, and their business associates may use or disclose protected health information, but it does not universally protect health data—particularly information generated outside covered entities or data after it leaves their systems. Critics also question assurances that records can be safely anonymized: research published in June 2026 found uneven protection against membership-inference attacks on AI models, while U.S. health-aid agreements with countries including Uganda and Kenya have reportedly sought access to national health-data systems under contested anonymization terms.

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A June 2026 Nature study assessed membership-inference attacks against AI diagnostic models trained on chest X-rays, electrocardiograms, and electronic health records. It found that some patients faced near-certain reidentification risk and that underrepresented groups faced disproportionate risk despite low average identification rates.
Since spring 2025, HHS Secretary Robert F. Kennedy Jr. has sought federal access to Americans' medical records to investigate a claimed link between vaccines and autism. HHS reportedly approached state health information exchanges about using identifiable patient records for the research.
Kenya made a health-data access agreement with the United States similar to Uganda's, while Zambia, Zimbabwe, and Ghana declined the initial terms. The U.S. government said data obtained through the foreign agreements would be aggregated and anonymized.
Under the Trump administration's global health plan, Uganda agreed to provide the United States real-time access for seven years to nine health-data systems in exchange for up to $1.7 billion over five years. The agreement reportedly includes access to Uganda's central health-information repository and individual electronic medical-record system.
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