Integrating digital identity credentials and the digital wallet ID in Nebraska.
Updated August 1, 2023
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Will the goals set by the ID2020 Alliance be implemented in Nebraska? If so, how close are we to incorporating vaccination status, ESG scores, and other social credit scores, like those implemented in China, such as traffic tickets, unpaid taxes, or legal disputes, into our digital wallets? Are there other sources, besides those below, that would indicate a timeline?
Summaries
Nebraska Health Information Technology (HIT) Board
Link to current HIT Board meeting information and communications
The Nebraska Health Information Technology Board is contained within the Population Health Information Act, and was signed into law May 2021 requiring collection and reporting of health data from most health care facilities through a contract with CyncHealth, a member of the CARIN Alliance. CARIN is a multi-sector alliance developing digital identity credentials. In coordination with the Vaccine Credentials Initiative, CARIN, the World Health Organization, and the other global stakeholders, including the World Economic Forum, Microsoft, Salesforce, and MITRE are leading the development and implementation of the open source SMART Health Card Framework, part of the United Nations 2016 ID2020 initiative in response to United Nations Sustainability Goal 16.9. In December 2020 the Alliance announced a “Digital Identity and Federation White Paper,” to provide information on their work to develop digital identity credentials in order to provide individuals access to their personal health information via an application of their choice. This ability for choice, they note, was accelerated by passage of The 21st Century Cures Act, the ONC Cures Act Final Rule, and the CMS Interoperatilbity and Patient Access rule.
The Population Health Information Act, Section 71-2454 and 71-2455, requires a public-private exchange (CyncHealth) to establish a system of prescription drug monitoring. Patients are prohibited from opting out of the prescription drug monitoring system per Section 71-2454 2(a). A patient may opt out of the statewide health information exchange per Section 71-2454 2(e). A link to the “Opting In or Out” brochure is available at CyncHealth here, and the opt out form is here. CyncHealth FAQs.
Nebraska Department of Motor Vehicles REAL ID and Voter ID
Nebraska DMV contracts with global identity firm IDEMIA to design and produce new security features for the Nebraska REAL ID compliant driver’s license or state ID. State contract search for Idemia:
- 1/1/2017 $19.3M
- 4/15/19 $45.9M
- 12/1/22 $2.4M
Muckrock public records request to the Nebraska DMV regarding the IDEMIA contract for mobile digital ID and Apple Wallet
“DMVs are the best positioned government entity to lead the transformation of identity from the physical to the digital identity, particularly since the DMV is the one place where most Americans go through a robust identity vetting process.”
“IDEMIA is coining a new term for mDLs to now call them ‘mobile identity’ or mID. mID is a biometrically authenticated identity bound to a verified devise and digitally transmitted through a standards-based protocol”
Todd Feathers request to the Nebraska DMV IDEMIA Documents and Emails
Timeline
The timeline detail will be updated as time permits.
Access some news article links by logging into Lincoln City Libraries Online Resources
- November 23, 2023, Researchers successfully bypass Windows Hello passkey fingerprint authentication
- July 25, 2023, Chase Shuts Down Bank Accounts of Mercola and Key Employees, debanking and Nigel Farage
- July 1, 2023, The World Health Organization (WHO) takes up the EU system of digital COVID-19 certification to establish a global system that will help protect citizens across the world from on-going and future health threats, including pandemics.
- June 28, 2023, Windows 11’s new passkey feature lets you talk to the hand (or face) and kiss those annoying passwords goodbye
- June 14, 2024, We will never know exactly how effective digital health passes were: Ada Lovelace report
- March 16, 2023, Governor Ron DeSantis Leads Alliance of 18 States to Fight Against Biden’s ESG Financial Fraud, including Nebraska
- April 18, 2023, A Public Private Health Data Utility Model – Five of the Nation’s Leading Health Data Organizations Launch Health Data Utility Maturity Model – The maturity model supports state health and policy leaders in planning and advancing their states’ information infrastructure, Business Wire, The Consortium for State and Regional Interoperability (CSRI), a collection of the nation’s largest and most robust nonprofit health data organizations, announced today the release of the CSRI Health Data Utility Maturity Model at the HIMSS23 conference, which takes place in Chicago from April 17 to 21.
- April 9, 2023, Omaha’s first medical respite program aims to help people facing homelessness, Lincoln Journal Star, Hospitals refer patients to the respite program through the online Unite Nebraska platform sponsored by CyncHealth, and has been working to link patient records collected by physicians, hospitals, pharmacists and other health care providers in Nebraska and western Iowa for more than a decade. Respite rooms provide a transition from hospital to shelter for recovering homeless, according to E. J. Kuiper, CHI Health’s CEO saves lives, improves health outcomes and reduces health care costs by decreasing readmission to hospitals. CyncHealth examined records of 450 homeless people averaged two emergency visits per person in 2020, 531 initial hospital admissions, followed by 2,062 readmissions within 30 days of release. Article quotes Rachel Heinz, program manager with CyncHealth’s social care and public health teams.
- February 28, 2023, Is Windows 11 spying on you? New report details eye-opening levels of telemetry, Video “Has Windows become Spyware” Scorecard Research, Full Circle Studies, Inc., Comscore Market Research, PrivacyPortal.OneTrust.com
- February 9, 2023, Bill debate set to start, Covers Voter ID proposals LB 228, 230, 535, 675 and 742 and how to register for notifications
- January 9, 2023, Two from Gothenburg Health served on Health Info Technology Board, Lexington Clipper-Herald
- December 6, 2022, Nebraska Attorney General releases “The Endgame of ESG: Why it matters to policymakers and enforcers.”
- November 18, 2022, Health and Housing Coalition Launches First-Ever Medical Respite Program in Nebraska, Omaha Star. CyncHealth, the designated health information exchange for Nebraska and western Iowa, will provide the IT infrastructure to support the program.
- October 31, 2022, State pays overdue $11 million in bills to provider of health care data, Nebraska Examiner
- September 26, 2022, Award honors work with mothers, Omaha World Herald. CyncHealth and partners win DHHS Racial Equity Challenge and $40,000 in federal funding for innovative postpartum care.
- September 23, 2022, Hospitals, other providers question State of Nebraska’s failure to pay health data provider, Nebraska Examiner
- June 3, 2022, Newt’s World: CyncHealth on Improving Health Care Outcomes with Data
- May 2021, Governor Pete Ricketts signed legislation requiring collection and reporting of health data via the health information exchange (HIE) administered by the Health Information Technology Board, established by the State in 2020, through CyncHealth, a member of the CARIN Alliance. . Most health care facilities, including diagnostic labs, are required to participate in the HIE on, or before, September 30, 2021.
- June 17, 2021, the Lincoln Journal Star reported that the Nebraska Department of Motor Vehicles contracted with global identity firm Idemia to design and produce new security features on the Nebraska REAL ID driver’s license, including new hardware and software. Idemia provides identity solutions, including biometrics, “empowering people to enjoy life through augmented identity.”
- June 16, 2020, Nebraska Health Information Initiative (NEHII) and Unite Us Introduce Unite Nebraska: A Statewide Coordinated Care Network to address Social Determinants of Health, NEHII mission to bring trust and value to health information technology by creating solutions for moving health data forward.
- May 17, 2020, Midlands Voices: Nebraska must change course on TestNebraska, Omaha World Herald. Nomi Health and Nebraska Health Information Exchange
- The State of Nebraska contracts with CyncHealth, a member of the CARIN Alliance, for HIE services. CyncHealth was rebranded from the Nebraska Health Information Initiative in January 2021. CARIN is a multi-sector alliance developing digital identity credentials.
- CARIN, in coordination with the Vaccine Credentials Initiative, the World Health Organization, and other global stakeholders, including the World Economic Forum, are leading the development and implementation of the open source SMART Health Card Framework, part of the United Nations 2016 initiative . The CARIN Alliance describes itself as “a non-partisan, multi-sector alliance focused on providing digital health information to consumers where, when, and how they want to achieve their goals.” In December 2020 the Alliance announced a “Digital Identity and Federation White Paper,” to provide information on their work to develop digital identity credentials in order to provide individuals access to their personal health information via an application of their choice. This ability for choice, they note, was accelerated by passage of The 21st Century Cures Act, the ONC Cures Act Final Rule, and the CMS Interoperatilbity and Patient Access rule.
- The CARIN Alliance is a member, with Microsoft, Salesforce, MITRE, and others, of the Vaccine Credentials Initiative (VCI), a voluntary coalition of public and private organizations “leading the development and implementation of the open-source SMART Health Card Framework and specifications.” On January 14, 2021, Business Wire reported the creation of the VCI noting that the initiative is, “committed to empowering individuals with digital access to their vaccination records based on open, interoperable standards… using the open, interoperable SMART Health Cards specifications.” According to the article, the vision of VCI is to “empower individuals to obtain an encrypted digital copy of their immunization credentials to store in a digital wallet of their choice.” Using W3C verifiable credentials, Business Wire quotes Paul Meyer, CEO of The Commons Project Foundation, “The goal of the Vaccination Credential Initiative is to empower individuals with digital access to their vaccination records so they can use tools like CommonPass to safely return to travel, work, school, and life, while protecting their data privacy.” Meyer continues, “Open standards and interoperability are at the heart of VCI’s efforts and we look forward to supporting the World Health Organization and other global stakeholders in implementing and scaling open global standards for health data interoperability.” “As the world begins to recover from the pandemic, having electronic access to vaccination, testing, and other medical records will be vital to resuming travel and more,” said Mike Sicilia, executive vice president of Oracle’s Global Business Units. “This process needs to be as easy as online banking. We are committed to working collectively with the technology and medical communities, as well as global governments, to ensure people will have secure access to this information where and when they need it.”