Your Privacy Is Protected: What You Need to Know About CFR 42 Part 2 and Substance Use Disorder Treatment

At Pioneer Recovery Center, we understand that seeking help for a substance use disorder (SUD) can feel overwhelming. For many, the fear of judgment—or worse, the fear that others might find out—can be a huge barrier to taking that first courageous step toward healing. That’s why it’s important to know: your privacy is protected by law.

One of the most powerful—and often misunderstood—protections in place is called 42 CFR Part 2.

What Is 42 CFR Part 2?

42 CFR Part 2 is a federal regulation designed specifically to protect the confidentiality of individuals receiving treatment for substance use disorders. It applies to any program that provides diagnosis, treatment, or referral for SUD and receives federal funding, which includes the vast majority of treatment centers across the country—including Pioneer Recovery Center.

This law was originally created in the 1970s, when the stigma around addiction was even more intense than it is today. It was designed to encourage people to seek treatment without fear of legal or social consequences. It remains a crucial protection today.

What Does 42 CFR Part 2 Do?

In short, it keeps your information private. Here’s what that means:

  • Your treatment records can’t be shared without your written consent—not with your employer, not with a school, not even with other healthcare providers.
  • Even confirming that you are in treatment is protected. Staff members at PRC cannot confirm your attendance, participation, or status to anyone unless you’ve given written permission.
  • Your information is not part of general medical records unless you allow it. That means even if you go to a hospital or primary care clinic, they won’t automatically see your SUD treatment history unless you authorize it.
  • Law enforcement and the courts can’t access your records without your consent or a very specific court order that meets strict legal standards.

These protections go above and beyond the usual HIPAA regulations and are designed to build trust between you and your care team.

Why Does It Matter?

Stigma, shame, and fear of exposure can stop people from getting the help they need. We hear it often: “What if someone finds out?” “Will this be used against me?” “Will it affect my job or my custody?” These are valid concerns—but 42 CFR Part 2 exists to protect you from those exact risks.

You deserve to feel safe, respected, and supported when seeking care. At Pioneer Recovery Center, your story is yours to share, not ours.

How Do We Practice Confidentiality at PRC?

We take your privacy seriously. Here’s how we honor CFR 42 Part 2 every day:

  • All staff are trained on confidentiality and your rights under the law.
  • We will never share your information with others—not family, partners, employers, or government agencies—unless you sign a release.
  • You can choose what information to share, who to share it with, and for how long.
  • If you change your mind, you can revoke your consent at any time.

You Are More Than Your Diagnosis

We know that substance use is often tied to trauma, pain, and unmet needs—not a moral failing. Everyone deserves compassion, care, and dignity.

You don’t have to carry this alone. And you don’t have to worry about your privacy when you walk through our doors.


If you or someone you love is considering treatment but still has questions or concerns about confidentiality, please don’t hesitate to reach out. We’re here to walk with you—confidentially, compassionately, and without judgment.

Call us today at (218) 879-6844 to learn more.


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