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Preemption Analysis of Texas Laws Relating to the Privacy of Health ...

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<strong>Texas</strong> Government Code<br />

Section<br />

Related/<br />

Contrary<br />

Explanation<br />

Title 4: Executive Branch<br />

Chapter 403: Comptroller <strong>of</strong> Public Accounts<br />

<strong>Preemption</strong><br />

Exception<br />

Is State Law<br />

Preempted?<br />

Recommendation<br />

§ 403.011<br />

General Powers<br />

Related/<br />

Not Contrary<br />

Allows comptroller <strong>to</strong> audit claims for payment, which includes<br />

Medicaid and CHIP claims that contain PHI.<br />

HIPAA permits appropriately limited disclosure <strong>of</strong> PHI that is<br />

required by law. 45 C.F.R. § 164.512(a)(1).<br />

No<br />

§ 403.028(c)<br />

<strong>Health</strong> Care<br />

Fraud Study<br />

§ 414.008<br />

Privileged<br />

Information<br />

Related/<br />

Not Contrary<br />

Not Related<br />

HIPAA permits certain disclosures for <strong>the</strong> purpose <strong>of</strong> health care<br />

oversight. 45 C.F.R. § 164.512(d)(1).<br />

Title 4: Executive Branch<br />

Chapter 414: Crime S<strong>to</strong>ppers Advisory Council<br />

Does not affect <strong>the</strong> privacy <strong>of</strong> PHI.<br />

Title 4: Executive Branch<br />

Chapter 418: Emergency Management<br />

No<br />

No<br />

§ 418.175<br />

Certain<br />

Information<br />

Confidential<br />

Related/<br />

Not Contrary<br />

To <strong>the</strong> extent <strong>the</strong> provision applies <strong>to</strong> a covered entity and <strong>the</strong><br />

information made confidential by this provision is PHI, <strong>the</strong><br />

confidentiality under this law does not prevent a covered entity<br />

from disclosing a designated record set <strong>to</strong> which an individual has<br />

a right <strong>of</strong> access under 45 C.F.R § 164.524. See 45 C.F.R. §<br />

164.501 (defining designated records set).<br />

No<br />

§ 420.010<br />

Confidentiality<br />

Related/<br />

Not Contrary<br />

Title 4: Executive Branch<br />

Chapter 420: Sexual Assault Prevention and Crisis Services<br />

The at<strong>to</strong>rney general is not a covered entity. As a business<br />

associate <strong>of</strong> a covered entity, <strong>the</strong> at<strong>to</strong>rney general is bound by <strong>the</strong><br />

business associate agreement. See 45 C.F.R. § 160.103<br />

(defining business associate).<br />

No<br />

117

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