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Bank of America 
        May 28, 2004  Robert E. FeldmanExecutive Secretary
 Federal Deposit Insurance Corporation
 550 17th Street, NW
 Washington, DC 20429
 Attention: RIN No. 3064-AC81
 Public Information RoomOffice of the Comptroller of the Currency
 250 E Street, SW
 Mail Stop 1-5
 Washington, DC 20219
 Attention: Docket No. 04-09
 Jennifer J. JohnsonSecretary
 Board of Governors of the Federal
 Reserve System
 20th Street and Constitution Avenue, NW
 Washington, DC 20551
 Attention: Docket No. R-1188
 Re: Fair Credit Reporting Medical Information Regulations  Ladies and Gentlemen:  Bank of America Corporation (“Bank of America”) welcomes the 
        opportunity to comment on the Notice and Request for Comment issued by 
        the Federal Deposit Insurance Corporation (“FDIC”), Federal Reserve 
        Board (“Board”), Office of the Comptroller of the Currency (“OCC”), 
        Office of Thrift Supervision (“OTS”) and the National Credit Union 
        Administration (“NCUA”) (collectively, the “Agencies”) regarding the 
        notice of proposed rulemaking (“Proposed Rule”) for the medical privacy 
        regulations under the Fair and Accurate Credit Transactions Act of 2003 
        (“FACT Act”). Bank of America is one of the world's largest financial 
        institutions, serving individual consumers, small businesses and large 
        corporations with a full range of banking, investing, asset management 
        and other financial and risk-management products and services. The 
        company provides unmatched convenience in the United States, serving 33 
        million consumer relationships with 5,700 retail banking offices, more 
        than 16,000 ATMs and award-winning online banking with more than ten 
        million active users.  Bank of America supports the Agencies in their effort to create 
        regulations containing exemptions for obtaining, using and sharing 
        medical information to allow institutions and lenders to continue to 
        serve their customers while protecting against the concerns of using 
        such sensitive information in inappropriate ways. At the same time, 
        however, we are concerned that the scope of the Proposed Rule is too 
        narrow and will negatively impact the availability of credit in the 
        United States through creating an imbalance among various participants 
        in the secondary market for financial products. In addition, we believe 
        that the Proposed Rule permitting obtaining and using medical 
        information in certain circumstances through a combination of 
        definitions, rules of construction and outright exceptions is overly 
        complex and could be simplified. We also have some concerns that the 
        rules should be further clarified and in some situations expanded to 
        ensure that legitimate and appropriate activities involving the receipt 
        and use of medical information, in many cases for the purpose of 
        directly benefiting borrowers, will continue to be permitted.  Scope  The prohibition on creditors obtaining and using medical information 
        contained in Section 604(g)(5)(A) of the FCRA, as added by section 
        411(a) of the FACT Act is not limited in its applicability to certain 
        entities subject to the jurisdiction of the Agencies. It covers all 
        “creditors” as defined by the Equal Credit Opportunity Act (“ECOA”), 
        including persons arranging credit, and certain assignees of a loan, as 
        well as the actual creditor. In addition, it includes creditors 
        generally subject to the jurisdiction of the Federal Trade Commission. 
        If the exceptions set forth in the Proposed Rule are only available to 
        the limited group of creditors subject to the usual jurisdiction of the 
        Agencies, there will be many types of creditors that will not be able to 
        obtain and use medical information under the same types of circumstances 
        that the Agencies have identified as being “necessary and appropriate to 
        protect legitimate operational, transactional, risk, consumer, and other 
        needs.”1 This would include creditors that arrange credit and 
        sell it to national banks and other institutions covered by the Proposed 
        Rule, such as state-licensed lenders, mortgage brokers, auto dealers and 
        medical care providers. If those creditors are not permitted to obtain 
        medical information in the situations set forth in the Proposed Rule, 
        the banks will also not be able to receive such information and will not 
        be able to make informed purchase decisions about such loans. This will 
        result in consumers having less credit available or making it more 
        expensive. Moreover, the underlying products delivered by these parties 
        may in some cases be securitized or otherwise sold to investors via the 
        secondary market. If a class of assets is created under the Proposed 
        Rule which is perceived to be of lesser credit quality, the 
        marketability of these securities may be impaired.  In addition, section 604(g)(5)(A), which sets forth the rule and the 
        Agencies’ direction to prescribe regulations setting forth exceptions, 
        does not limit the applicability of the exceptions promulgated in such 
        regulations to the types of entities over which the Agencies have 
        general regulatory authority. If Congress had intended such a 
        limitation, it could have clearly articulated that restriction. In fact, 
        in section 604(g)(3)(C), which addresses the sharing of medical 
        information among affiliates, Congress specifically limited the 
        exception-making authority of the Agencies to those entities over which 
        they had jurisdiction. Thus, the statute does not restrict the Agencies’ 
        authority to grant exceptions that have broader applicability than the 
        institutions they directly regulate and such a limitation is 
        inconsistent with the direction of Congress that the Agencies must 
        specify appropriate exceptions. Bank of America strongly urges the 
        Agencies to remove the restriction on the applicability of the Proposed 
        Rule.  Exceptions from Coverage  The Proposed Rule uses several means to grant exceptions to permit 
        creditors to obtain and use medical information. These include excluding 
        certain activities from the definition of “eligibility or continued 
        eligibility for credit,” a rule of construction for when a creditor 
        “obtains” medical information under the rule, and outright exceptions. 
        As stated above, Bank of America believes that this manner of providing 
        for obtaining and using medical information under circumstances deemed 
        permissible and appropriate, adds unnecessary complication to the rule. 
        However, we will comment separately on the individual exceptions as they 
        are proposed.  Definition of “Eligibility, or Continued Eligibility, for Credit”
 Section ___.30(a)(2)(i)(B) of the Proposed Rule specifically excludes 
        “any determination of whether the provisions of a debt cancellation 
        contract, debt suspension agreement, credit insurance product, or 
        similar forbearance practices or programs are triggered.” While Bank of 
        America agrees that institutions should be permitted to use medical 
        information to make such determinations, we also believe that 
        institutions need to be able to obtain and use medical information when 
        determining eligibility or fulfillment of such products, programs or 
        practices. To limit the provision only to “triggering” events would fail 
        to adequately protect the use of medical information in connection with 
        other aspects of debt cancellation contracts or debt suspension 
        agreements that may affect the credit available to the consumer. This 
        exception should be expanded to cover the granting and administration of 
        debt cancellation contracts, debt suspension agreements, credit 
        insurance or similar forbearance practices or programs. In addition, we 
        would prefer to see this provision as an explicit exception in section 
        ___.30(d) rather than a exclusion from the definition of “eligibility.”
         We also believe that the Agencies should clarify in the final rule 
        that “similar forbearance practice or program” includes informal 
        forbearance practices by creditors. For example, consumers often request 
        that a creditor defer collecting on a loan because of a health 
        condition. Consumers would be disadvantaged if creditors could not take 
        this information into account in exercising discretion on whether to 
        provide additional credit or defer debt collection. Similarly, 
        administrative costs would increase, thereby increasing the cost of 
        credit to the consumer, if formal forbearance agreements would need to 
        be executed in all such situations.  Section __.30(a)(2)(i)(C) of the Proposed Rule excludes from the 
        definition of “eligibility, or continued eligibility, for credit” 
        “[a]uthorizing, processing, or documenting a payment or transaction on 
        behalf of the consumer in a manner that does not involve a determination 
        of the consumer’s eligibility, or continued eligibility, for credit.” We 
        understand that this exception is intended to include all aspects of the 
        authorization and approval process for individual credit card 
        transactions regardless of whether such authorization or approval would 
        involve over-limit transactions. In over-limit transactions, a credit 
        card issuer often cannot tell when the transaction is approved, or 
        whether the transaction will actually result in exceeding the consumer’s 
        credit limit. We believe that the final rule should clarify this point.
         Rule of Construction for “Obtaining” Medical Information  Section __.30(b) of the Proposed Rule provides as a rule of 
        construction regarding a situation that will not be treated as covered. 
        As proposed, a creditor does not “obtain” medical information for 
        purposes of the prohibition on obtaining and using medical information 
        if the receipt of such information was unsolicited and the creditor 
        “does not use that information in determining whether to extend or 
        continue to extend credit to the consumer and the terms on which credit 
        is offered or continued.” For practical purposes, it may be difficult 
        for a creditor to demonstrate that it did not use the unsolicited 
        medical information. We believe that this section should be clarified to 
        place the burden of proof on the person who claims his or her 
        information was used in a determination to extend or continue to extend 
        credit  Exceptions  Section ___.30(d)(ii) permits obtaining and using medical information 
        “to comply with applicable requirements of local, state, or federal 
        laws.” Bank of America is concerned that this may not be sufficient to 
        permit obtaining and using (as well as disclosing) medical information 
        in connection with governmental (or quasi-governmental) programs such as 
        the Federal Housing Administration, Department of Veteran Affairs or 
        Government Sponsored Enterprise (such as Fannie Mae and Freddie Mac) 
        loan programs. These agencies operate special programs requiring the 
        creditor to obtain and use medical information in ways not necessarily 
        covered by other exceptions. In addition, these are often set out as 
        program requirements rather than as specific legal requirements.  Section ___.30(d)(vi) provides an exception for the consumer’s 
        consent to obtain and/or use specific medical information for a specific 
        purpose. The consent must be in writing and signed and must specify the 
        medical information and the particular use. Many creditors include a 
        section on their credit application for the consumer to describe special 
        circumstances that the creditor should consider in reviewing the 
        application. Often, the consumer may have experienced extenuating 
        circumstances that can explain a period of bad credit in an otherwise 
        good credit history. Often these special circumstances involve medical 
        information. We believe that this exception should be expanded to permit 
        a consumer to provide this information for the purpose of considering 
        the credit application. Since this section of an application is often 
        completed by the consumer, who may not understand exactly what they need 
        to say to trigger such an exception, we recommend that this exception be 
        loosened so that it is not dependent on use of specific language or 
        restrictions. The fact that the customer has supplied the information 
        together with the credit application should be sufficient to constitute 
        consent to use the information in connection with consideration of that 
        application.  Bank of America also believes that the Agencies should make it clear, 
        either through an exception or as part of the definition of “medical 
        information,” that coded medical information provided by the consumer 
        reporting agencies does not come within the meaning of the rule and is 
        not restricted as to use or sharing.  Sharing Medical Information with Affiliates  Bank of America believes that the exceptions proposed by the Agencies 
        in the Proposed Rule, that would permit financial institutions to 
        continue to share medical information with affiliates in the situations 
        specified, should be retained in the final rule. As mentioned above, the 
        Agencies’ ability to grant exceptions to this provision is limited to 
        the institutions over which they have respective jurisdiction. Thus, 
        some affiliates, such as insurance affiliates, may not be covered by the 
        exceptions and thus may not be able to provide medical information to 
        other affiliates, such as the banks.  Effective Date  The Agencies specifically requested comment on whether an effective 
        date of 90 days after the publication of the final rules is appropriate, 
        or whether a different effective date should be established. We believe 
        that the proposed effective date should remain the same, but that the 
        final rule should provide for a longer implementation period for full 
        compliance with the rule, in order to permit covered entities to 
        adequately assess their practices. The FACT Act provides that the 
        prohibition on obtaining and using medical information shall not take 
        effect until the implementing regulations become effective, or as 
        otherwise provided by regulation. It is important that the Agencies 
        synchronize the effective date for the prohibition on the using and 
        obtaining of medical information with the effective date of the 
        regulatory exceptions thereto. Bank of America appreciates the opportunity to comment on the 
        Agency’s proposal. If you have any questions regarding our comments, 
        please contact Kathryn D. Kohler, Assistant General Counsel, at (704) 
        386-9644.
 Very truly yours,  Kathryn D. KohlerAssistant General Counsel
 Bank of America
 101 South Tryon Street
 Charlotte, NC 28255
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