INDIANA HEALTH LAW REVIEW VOLUME2 DEDICATION William Snyder Hall: In Memorium Eleanor D. Kinney ARTICLES IssUE 1 Genetic Discrimination in Health Insurance - Robert F. Rich, Julian Ziegler Comprehensive Legal Solutions for a (not so) Special Problem? Hospital Chaplaincy Under the HIPAA Privacy Rule: Stacey A. Tovino Health Care or "Just Visiting the Sick"? Creating Human Embryos for Research: Emilie W. Clemmens A Scientist's Perspective on Managing the Legal and Ethical Issues Of Pills and Needles: Involuntarily Medicating the Julie D. Cantor Psychotic Inmate when Execution Looms Serving Economic Efficiencies or Anticompetitive . Julie C. Klish Purposes? The Future of Group Purchasing Organizations and the Antitrust Safety Zone NOTES Prenatal Testing Gone Awry: The Birth of a Conflict of Ethics and Liability A Chimera in Every Sense: Standard of Care for Physicians Practicing Complementary and Alternative Medicine Understanding the Disparity in Availability of Prescription Drugs in the United States: Compromise May Be the Answer Patient Safety or Profit: What Incentives are Blood Shield Laws and FDA Regulations Creating for the Tissue Banking Industry? 2005 Elizabeth A. Ackmann J. Brad Kallmyer Natalie J. Tanner Jason L. Williams Indiana Health Law Review Volume2 2005 Editor-in-Chief Adriane E. Siefert Executive M111111ging Editor Jason L. Williams Executive Production Editor Kendra L. Conover Executive Development Editor Calvin R. Chambers Note Development Editors Elizabeth A. Ackmann Erin M. Drummy J. Brad Kallmyer David J. Lichtenberger Paula J. Beller Paul J. Carroll Joshua A. Claybourn Cedric A. D Hue Deborah C. Edwards Kathryn A. Fox C. Jason Hannagan Richelle M. Harris BrentE.Hawkins Timothy J. Hixson Meghann E. LaBadie Members Executive Notes Editor Shannon L. Logsdon Executive Artkles Editors Bryon W. Miller Julia E. Ohl Articles Editors Jennifer M. Hamilton Theodore G. Hammond Natalie J. Tanner Cynthia M. VanVooren Christopher J. McElwee Kelly A. MacKinnon April A. Marshall April E. Meade Travis P. Meek Tammy R Murray Jaclyn M. Palos Chad A. Robertson Erin W. Southwell Richard W. Swett, Jr. Robin S. Tubesing Kristen C. Waldman FIICulty Advisors Lawrence P. Wilkins (Chair) Eleanor D. Kinney David Orentlicher Robert A. Katz INDIANA HEALTH LAW REVIEW (ISSN 1549-3199) Content. The Indiana Health Law Review publishes articles submitted by academics, practitioners, and students on the topics ofhealth law and policy. The scope includes bioethics, malpractice liability, managed care, anti-trust, health care orgapm.,tions, medical-legal research, legal medicine, and food and drug law. 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B.A., LL.B., University of Natal; LL.M., Cambridge University; PhD., University of Canterbury; Ph.D., Cambridge University. THoMAS B. ALLINGTON, Associate Dean for Technology and Professor of Law. B.S., J.D., University ofNebraska; LL.M., New York University. JEFFREY W. GROVE, Associate Dean for Graduate Studies, Professor of Law, and Director, China Summer Program. AB., Juniata College; J.D., George Washington University Law School. ANDREWR. Kl.EJN, Associate Dean for Academic Affairs and Paul E. Beam Professor of Law. B.A., University of WISCOnsin; J.D., Emory University School ofLaw. CYNTHIA BAKER, Director, Program on Law and State Government. B.A., J.D., Valparaiso University. TERESA (TERRI) J. CUElLAR, Director of Technology Services. B.S., St. Bonaventure University, New York. ANGELA M. ESPADA, Assistant Dean for Admissions. J.D., Indiana University School of Law-Bloomington. Jo-ANN B. FELTMAN, Director of Administration and Finance. B.A., DePaul University. CLAIRE GROVE, Director of the LL.M. Program. B.A., Indiana University; J.D., Indiana University School of Law-Indianapolis. PATRICIA KIMBERLY KINNEY, Director of Admissions. B.S., Purdue University; J.D., Indiana University School of Law-Indianapolis. JONNA KANE MAcDOUGAlL, Assistant Dean for External Affairs. J.D., Indiana University SchoolofLaw-Indianapolu. CAROL B. NEARY, Director of Development. B.A., Indiana University. SHANNON L. WILLIAMS, Director of Professional Development. B.S., Indiana University. Faculty CYNTHIAM. ADAMS, Clinical Associate Professor of Law. B.A., Kentucky Wesleyan College; J.D., Indiana University School of Law-Indianapolis. THOMAS B. ALLINGTON, Associate Dean for Technology and Professor of Law. B.S., J.D., University ofNebraska; LL.M., New York University School of Law. JUDITH FORD ANSPACH, Professor of Law and Director, Ruth Lilly Law Library. B.S., M.L.S., Kent State University; J.D., Mississippi College School of Law. GERAlD L. BEPKO,Indiana University-Purdue University-Indianapolis Chancellor Emeritus, Indiana University Trustee Professor and Professor of Law. B.S., Northern illinois University; J.D., ITT/Chicago-Kent College of Law; LL.M., Yale Law School. FRANK BOWMAN, M. Dale Palmer Professor of Law. B.A., Colorado College; J.D., Harvard Law School. WILLIAM C. BRADFORD, Assistant Professor of Law. B.A., M.A, University ofMiami; Ph.D., Northwestern University; J.D., UniversityofMiami School ofLaw; LL.M., Harvard Law School. KAREN E. BRAVO, Assistant Professor Law. B.A., The University of the West Indies; J.D., Columbia University School ofLaw; LL.M., New York University School ofLaw. ROBERT BROOKINS, Professor of Law. B.S., University of South Florida; J.D., Ph.D., Cornell University. KENNETH D. CHEsTEK, Clinical Associate Professor of Law. B.A., Pennsylvania State University; J.D., University of Pittsburgh School of Law. DANIEL H. CoLE, R. Bruce Townsend Professor of Law. A.B., Occidental College; A.M., University of Chicago; J.D., Lewis and Clark Law School; J.S.M., J.S.D., Stanford Law School. JEFFREYO. COOPER, Associate Professor of Law. A.B., Harvard University; J.D., University of Pennsylvania Law School. PAtJL.N. Cox, Centennial Professor of Law. B.S., Utah State University; J.D., University of . Utah College of Law; LL.M., University of Virginia School of Law .. ROJJIN KUNDIS CRAIG, Associate Professor of Law. B.A., Pomona College; M.A., The Johns Hopkins University; Ph.D., University of California; J.D., Lewis and Clark Law School. KENNBm D. CREWS, Associate Dean of the Faculties for Copyright Management; Samuel R. Rosen Professor of Law; Professor of Library and Information Science, and Director, Center for Intellectual Property Law and Innovation. B.A., Northwestern University; J.D., Washington University School of Law; M.L.S., University of California, Los Angeles; Ph.D., University of California, Los Angeles. JAMES D. DIMITRI, Clinical Associate Professor of Law. B.S., Indiana University; J.D., Valparaiso University School of Law. JENNIFER ANN DROBAC, Associate Professor of Law. B.A., M.A., Stanford University; J.D., J.S.D., Stanford Law School. GEORGE E. EDWARDS,ProfessorofLaw and Director, Program in International Human Rights Law. B.A., North Carolina State University; J.D., Harvard Law School. FRANK EMMERT, JohnS. Grimes Professor of Law and Executive Director, Center for International and Comparative Law. Erstes Juristisches Staatsexamen (J.D.), University of Munich Law School; LL.M., The University of Michigan Law School; Ph.D., University of Maastricht; Diploma, European University Institute. NICHOLAS GEORGAKOPOULOS, Professor of Law. Ptyhion Nomikis, Athens University School of Law; LL.M., S.J.D., Harvard Law School. JEFFREYW. GROVE, Associate Dean, Professor of Law, and Director, China Summer Program. A.B., Juniata College; J.D., George Washington University Law School. FRANCES WATSON HARDY, Clinical Associate Professor of Law. B.S., Ball State University; J.D., Indiana University School of Law-Indianapolis. JOHN LAWRENCE HILL, Professor of Law. B.A., Northern lllinois University; J.D., Ph.D., Georgetown University. LAWRENCE A. JEGEN, lll, Thomas F. Sheehan Professor of Tax Law and Policy. A.B., Beloit College; J.D., M.B.A., The University of Michigan; LL.M., New York University SchoolofLaw. HENRY C. KARLsoN, Professor of Law. A.B., J.D., LL.M., University of Illinois College of Law. ROBERT A. KATZ, Associate Professor of Law. A.B., Harvard College; J.D., University of Chicago Law School. LINDA KELLY-HILL, Professor of Law. B.A., J.D., University of Virginia. ELEANOR D. KINNEY, Hall Render Professor of Law and Co-Director of the Center for Law · and Health. B.A., Duke University; M.A., University of Chicago; J.D., Duke University School of Law; M.P.H., University ofNorth Carolina. ANDREW R. KLEIN, Associate Dean and Paul E. Beam Professor of Law. B.A., University of Wisconsin; J.D., Emory University School ofLaw. ROBERT E. LANCASTER, Clinical Associate Professor of Law. B.A., Millsaps College; J.D., Tulane Law School. NORMANLEFsTEIN, Professor of Law and Dean Emeritus. LL.B., University oflllinois College of Law; LL.M., Georgetown University Law School. MARfA P AB6N L6PEZ, Assistant Professor of Law and Co-Director, Latin American Law Program. B.A., Princeton University; J.D., University of Pennsylvania Law School. GERARDN.MAGUOCCA,AssociateProfessorofLaw. B.A., Stanford Unive~sity; J.D., Yale Law School. ALLISON MARTIN, Clinical Associate Professor Law. B.S., J.D., University of Illinois. DEBORAH MCGREGOR, Clinical Associate Professor of Law and Assistant Director of Legal Analysis, Research and Communication. B.A., University of Evansville; J.D., Georgetown University Law School. SUSANAH M. MEAD, Professor of Law. B.A., Smith College; J.D., Indiana University School of Law-Indianapolis. MARY H. MITCHElL, Alan H. Cohen Professor of Law. A.B., Butler University; J.D., Cornell Law School. NOVElLA NEDEFF, Clinical Associate Professor of Law. B.A., J.D., Indiana University. JAMES P. NEHF, Cleon H. Foust Fellow, Professor of Law, and Director, European Law Program. B.A., Knox College; J.D., University ofNorth Carolina Law School. DAVID ORENTLICHER, Samuel R. Rosen Professor of Law and Co-Director of the Center for Law and Health. A.B., Brandeis University; J.D., M.D., Harvard College. JOANNE ORR, Clinical Associate Professor qf Law. B.S., Indiana State University; J.D., California Western School ofLaw. ANToNY PAOE, Assistant Professor of Law. B. Comm., McGill University; M.B.A., Simon Fraser University; J.D., Stanford Law School. H. KAnn.EEN PATCHEL, A~ociate Professor of Law. A.B., Huntington College; J.D., University ofNorth Carolina Law School; LL.M., Yale Law School. FLORENCE WAGMAN ROISMAN, MIChael D. McCormick Professor of Law. B.A., University of Connecticut; LL.B., Harvard Law School. JoAN M. RUHI'ENBERG, Clinical Professor of Law and Director of Legal Analysis, Research and Communication. B.A., Mississippi UniversilY for Women; J.D., Indiana University School of Law-Indianapolis. JOELM. SCHUMM, Clinical Assistant ProfessorofLaw. B.A., Ohio Wesleyan University; M.A., University of Cincinnati; J.D., Indiana University School of Law-Indianapolis. ANTHONY A. TARR, Dean and Professor of Law. B.A., LL.B., University of Natal; LL.M., Cambridge University; Ph.D., University of Canterbury; Ph.D., Cambridge University. JULIE-ANNE TARR, Professor of Law. B.A., University ofW'ISConsin-Madison; J.D., Cornell University; LL.M., Monash University; Ph.D., University ofQueensl.OO, JAMBS W. TORKE. Carl M. Grfl)' Professor of Law. B.S., J.D., University ofWi~in. LAWRENCE P. WILKINS, William R. Neale Professor of Law. B.A., The Ohio State University; J.D., Capital University Law School; LL.M., University of Texas School ofLaw, LLOYD T. WILSON, JR., Associate Professor of Law and Director, Central and Eastern European Law Program. B.A., Wabash College; M.A., Duke University; J.D., Indiana University School ofLaw-Bloomington. MARY T. Wou, Clinical Professor of Law and Director of Clinical Programs. B.A., Saint Xavier College; J.D., Upiversity oflowa College of Law. R. GEORGE WRIGHT, MIChael D. McCormick Professor of Law. A.B., University of Virginia; Ph.D., Indiana University; J.D., Indiana University School of Law-Indianapolis. Eoierlti EDWARD P. ARCHER, Professor of Law Emeritus. B.M.E., Renesselaer Polytechnic Institute; J.D., LL.M., Georgetown University Law School. JAMES F. BAILEY, Ul, Professor of Law Emeritus. A.B., J.D., M.A.L.S., The University of Michigan. AGNES P. BARREn, Associate Professor of Law Emerita. B.S., J.D.,~ University. CLYDE HARRISON CROCKETT, Professor of Law Emeritus. A.B., J.D., University of Texas; LL.M., University of London (The London School of Economics and Political Science). DEBRA A. F ALENDER, Professor of Law Emerita. A.B., Mount Holyoke College; J.D., Indiana University School ofLaw-Indianapolis. DAVID A. FUNK, Professor of Law Emeritus. A.B., College of Wooster; J.D., Case Western Reserve University School of Law; M.A., The Ohio State University; LL.M., Case Western Reserve University; LL.M., Columbia Law School. PAUL J. GALANTI, Professor of L(IW Emeritus. A.B., Bowdoin College; J.D., University of Chicago Law School. HELBN P. GARFIElD, Professor of Law Emerita. B.SJ., Northwestern University; J.D., University of Colorado School of Law. HAROlD GREENBERG, Professor of Law Emeritus. A.B., Temple University; J.D., University · of Pennsylvania Law School. WILLIAM F. HARVEY, Carl M Gray Professor of Law & Advocacy Emeritus. A.B., University ofMissouri; J.D., LL.M., Georgetown University Law School. W. WILLIAM HODES, Professor of Law Emeritus, A.B., Harvard College; J.D., Rutgers University School of Law-Newark. WILLIAM ANDREW KERR, Professor of Law Emeritus. A.B., West University; B.S., Duke · University; J.D., LL.M., Harvard Law School. WILLIAM E. MARsH, Professor of Law Emeritus. B.S., J.D., University ofNebraska. RoNAlD W. POLSTON, Professor of Law Emeritus. B.S., Eastern Illinois University; LL.B., University of Illinois College ofLaw. KENNETH M. STROUD, Professor of Law Emeritus. A.B., J.D., Indiana University­ Bloomington. JAMES PATRICK WHITE, Professor of Law Emeritus. A.B., University of Iowa; J.D., LL.M., George Washington University Law School. Law Library Faculty JUDITH FORD ANSPACH, Professor of Law and Director, Ruth Lilly Law Library. B.S., M.L.S., Kent State University; J.D., Mississippi College School ofLaw. DRAOOMIR COSANICJ.HeadofReference. B.A., Michigan State University; M.I.L.S., University of Michigan; J.D., University ofKansas. DEBRADENSLAW, Reference Librarian. B.A., Franklin College; M.S., University of Illinois, Urbana-Champaign; J.D., Valparaiso School of Law. MARY HUDSON, Reference/Circulation Librarian. B.A., Ball State; M.L.S., Indiana University. RICHARD HUMPHREY, Reference Librarian. A.A., Brewton-Parker Junior College; B.A., Georgia Southwestern College; M.L.S., University of Kentucky. WENDElL E. JOHNTING, Assistant Director for Technical Services. A.B., Taylor University; M.L.S., Indiana University. CHRis E. LoNG, Catalog Librarian. B.A., Indiana University; M.A., Indiana University; M.L.S., Indiana University. . MAHNAZK. MOSHFE.GH,Acquisition/Serials Librarian. B.A., National University oflran; M.S., Tehran University; M.A., Ball State University; M.L.S., Ph.D., Indiana University. MIRIAM A. MURPHY,AssociateDirectorofLaw Library. B.A., Purdue University; J.D., M.L.S., Indiana University-Bloomington. KIYOSHI OTsu, Computer System Specialist. A.A., Parkland College; A.B., M.S., C.AS., University of ffiinois. INDIANA HEALTH LAW REVIEW Volume2 Issue 1 TABLE OF CONTENTS William Snyder Hall: In Memorium .......... Eleanor D. Kinney xv ARTICLES Genetic Discrimination in Health Insurance - Comprehensive Legal Solutions for a (not so) Special Problem? . . . . . . . . . . . . . . Robert F. Rich, Julian Ziegler 1 Hospital Chaplaincy Under the HIP AA Privacy Rule: Health Care or "Just Visiting the Sick''? ....... Stacey A. Tovino 49 Creating Human Embryos for Research: A Scientist's Perspective on Managing the Legal and Ethicallssues ............•............ Emilie W. Clemmens 93 Of Pills and Needles: Involuntarily Medicating the Psychotic Inmate when Execution Looms . . . . . . . . . . . . . . . . • . . . . . . . . . . . . . . • . Julie D. Cantor 117 Serving Economic Efficiencies or Anticompetitive Purposes? The Future of Group Purchasing Organizations and the Antitrust Safety Zone ....................... Julie C. Klish 171 NOTES Prenatal Testing Gone Awry: The Birth of a Conflict of Ethics and Liability ................... Elizabeth A. Ackmann 199 A Chimera in Every Sense: Standard of Care for Physicians Practicing Complementary and Alternative Medicine ............................... J. Brad Kallmyer 225 Understanding the Disparity in Availability ofPrescription Drugs in the United States: Compromise May Be the Answer .......................... Natalie J. Tanner 261 Patient Safety or Profit: What Incentives are Blood Shield Laws and FDA Regulations Creating for the Tissue Banking Industry? . . . . . . . . . . . . . . . . . . . . . . Jason L. Williams 295 2005