The Health Information Technology for Economic and Clinical Health Act was included in the 2009 stimulus bill known as the American Recovery and Reinvestment Act (ARRA) to promote the adoption of electronic health record (EHR) and health information exchange technology in the US. Among other things, it extends HIPAA requirements to business associates of covered entities and extends breach notification requirements to medical records (which was already the law in California) and calls for immediate patient access to electronic records.