Well, they are putting all that healthcare info under government control... so I am willing to bet its all just for show. The "opt-out" form that they are saying people can use still records all of their data, it just restricts access to their data except for "emergencies", which could be literally anything for any reason.If you're a patient, you should probably assume your personal health information can't legally be shared with the news media or your relative's nosy spouse. Beyond that there's probably a way it will get shared, perhaps beyond your desire.
As for the penalties and "whistleblower protections", I certainly hope they don't work the way they do in .gov, because they're just for show there.