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SCHEDULE 5.3 BUSINESS ASSOCIATE ADDENDUM This Business Associate Addendum (`BAA") is incorporated into and is an integral part of the Pre-Hospital Medical Direction Services Agreement between the City of Roseville ("Covered Entity") and Regions Hospital dated January 1, 2016 (`Business Associate") ("Underlying Agreement") and has the same Effective Date as the Underlying Agreement. This BAA establishes the required, permitted, and prohibited Uses and Disclosures of Protected Health Information by Business Associate in connection with the Underlying Agreement and sets forth other expectations of the parties. Business Associate and Covered Entity are committed to complying with applicable law with regard to Protected Health Information received, created, maintained, used, transmitted, or disclosed to or by Business Associate in connection with the Underlying Agreement. These laws include, but are not limited to the Privacy Regulation and the Security Regulation promulgated under the Health Insurance Portability and Accountability Act of 1996, as amended ("HIPAA"). 1. DEFINITIONS. In general. Except as modified by this BAA, each capitalized term in this BAA has the meaning of that term as set forth in 45 C.F.R. Parts 160, 162 and 164. For purposes of this BAA, the following terms have the meaning given: 1.1. "Privacy Regulation" ineans 45 C.F.R. Parts 160 and 164, subparts A, D, and E. 1.2. "Protected Health Information" or "PHI" has the meaning set forth in 45 C.F.R. § 160.103, but limited to information Used, Disclosed, received, created, maintained, or transmitted by Business Associate on behalf of Covered Entity pursuant to the Underlying Agreement. 1.3. "Regulations" means the Privacy Regulation and the Security Regulation. 1.4. "Secretary" means the Secretary of the United States Department of Health and Human Services. 1.5. "Security Regulation" means 45 C.F.R. Parts 160 and 164, subparts A and C. 1.6. "Services" means the services Business Associate performs for Covered Entity pursuant to the Underlying Agreement. 1.7. "Subcontractor" means a person or entity to whom Business Associate delegates a function, activity, or service under the Underlying Agreement ar this BAA that involves PHI in any manner, other than delegation to a member of Business Associate's Workforce, 1.8. "Unsecured Protected Health Information" or "Unsecured PHI" means PHI that is not rendered unusable, unreadable, or indecipherable to unauthorized individuals through the use of a technology or methodology specified in guidance issued in accordance with 45 C.F.R. § 164.402. 1032762-6 E