Which of the following scenarios would require a facility to comply with 42 CFR part 2?

A facility that takes Medicare insurance is required to comply with 42 CFR part 2 because this regulation is specifically designed to protect the confidentiality of patients in federally assisted substance use disorder treatment programs. Medicare is considered a federally funded program, and any facility that receives federal funding or is regulated by federal laws related to substance use treatment must adhere to these stringent confidentiality requirements.

In contrast, a facility that only accepts private insurance or provides general healthcare services may not be operating under the same federal regulations applicable to substance use disorder treatment. Additionally, a facility that does not prescribe medications may not engage in activities that require compliance with 42 CFR part 2, especially if it does not provide substance use treatment services. In these scenarios, the focus of 42 CFR part 2 may not be applicable, as the intent of the regulation is to enhance the privacy of patients seeking treatment for substance use disorders under specific federally funded conditions.