The issue is not so much your State, it currently boils down to buying a gun and failing to disclose drug use when you fill out that fed form. If you tell the truth, you're not getting a gun; if you don't, you've perjured. Ask Hunter Biden, that's one of the get out of jail free cards his daddy just handed him.
We all need to be aware that government agencies do, in fact, have access to pertinent information. If they can't get it in "legal" ways, it can't be used in court. But be sure they have it. For example, your internet (including phone) use is widely surveilled and available. If something suspicious is encountered, a simple "confidential informant" message is enough pc for a warrant, court order, etc. to see your hipaa info.
Is it routine? No, but it's there. Back to the intial part: you go buy a gun, fill out the fed form and leave off your use of whatever drugs they're asking about these days, you just committed a crime, and if they wantcha, they gotcha.
Just for googgles, I checked on "under what circumstances can law enforcement obtain hipaa records", and here's the top, AI, reply.
Law enforcement can obtain protected health information (PHI) under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) in a number of circumstances, including:
Legal requirements: When required by law, such as through a court order, subpoena, or administrative request
Public safety: To prevent or lessen a serious threat to the health or safety of an individual or the public
Evidence of a crime: When the covered entity believes the PHI is evidence of a crime, such as one that occurred on their premises
Medical emergencies: When necessary to inform law enforcement about a crime that occurred off-site, such as the location of victims or the perpetrator
Death: When the covered entity suspects that criminal activity caused the death
Identifying a suspect: To identify or locate a suspect, fugitive, witness, or missing person
Public health emergencies: To disclose information to public officials responding to a public health emergency