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

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<strong>Texas</strong> <strong>Health</strong> & Safety Code<br />

Section/<br />

Chapter<br />

Related/<br />

Contrary<br />

Explanation<br />

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

Exception<br />

Is State Law<br />

Preempted?<br />

Recommendation<br />

§ 12.018<br />

Unannounced<br />

Inspections<br />

Related/<br />

Not Contrary<br />

Any disclosures that covered entities must make <strong>to</strong> Tex.<br />

Dept. <strong>of</strong> <strong>Health</strong> will be consistent with HIPAA.<br />

(1) HIPAA permits certain disclosures for <strong>the</strong> purpose <strong>of</strong><br />

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

(2) HIPAA permits certain disclosures pursuant <strong>to</strong> "public<br />

health investigations." 45 C.F.R. § 164.512(b)(1)(i)<br />

No<br />

§ 12.032<br />

Fees for Public<br />

<strong>Health</strong> Services<br />

§ 12.033<br />

Distribution and<br />

Administration <strong>of</strong><br />

Certain Vaccines<br />

and Sera<br />

§ 12.092<br />

Medical Advisory<br />

Board; Board<br />

Members<br />

§ 12.093<br />

Administration;<br />

Rules<br />

Not Related<br />

Not Related<br />

Related/<br />

Not Contrary<br />

Related/<br />

Not Contrary<br />

Financial eligibility determination would not involve use or<br />

disclosure <strong>of</strong> IIHI.<br />

Requires Medical Assistance Board (MAB) <strong>to</strong> provide<br />

assistance <strong>to</strong> DPS for certain determinations that may/will<br />

necessitate transfer <strong>of</strong> PHI.<br />

Subsection (b)(2) authorizes <strong>the</strong> Medical Assistance Board<br />

(MAB) <strong>to</strong> "collect and maintain <strong>the</strong> individual medical records<br />

necessary for use" by <strong>the</strong> MAB and its panels.<br />

Not contrary <strong>to</strong> HIPAA because:<br />

(1) MAB is not a covered entity.<br />

(2) HIPAA permits certain disclosures for <strong>the</strong> purpose <strong>of</strong><br />

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

25 TAC § 1.152.<br />

No<br />

No<br />

No<br />

No<br />

132

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