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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 />

§ 12.095<br />

Board Panels;<br />

Powers and<br />

Duties<br />

Related/<br />

Not Contrary<br />

The section authorizes <strong>the</strong> <strong>Texas</strong> Department <strong>of</strong> Public<br />

Safety (DPS) <strong>to</strong> require medical exams and/or medical<br />

records review. There will be no conflict with HIPAA,<br />

however, because <strong>the</strong> examination will be <strong>the</strong> result <strong>of</strong> an<br />

individual seeking a driver's license. The individual will give<br />

consent <strong>to</strong> <strong>the</strong> testing in seeking <strong>the</strong> license.<br />

Additionally:<br />

(1) HIPAA permits disclosure for certain public health<br />

activities. 45 C.F.R. § 164.512(b).<br />

(2) HIPAA permits disclosure for certain law enforcement<br />

purposes. 45 C.F.R. § 164.512(f).<br />

(3) HIPAA permits a covered entity <strong>to</strong> disclose PHI in <strong>the</strong><br />

course <strong>of</strong> a judicial or administrative proceeding in response<br />

<strong>to</strong> a court order. 45 C.F.R. § 164.512(e)(1)(i).<br />

No<br />

§ 12.096<br />

Physician Report<br />

Related/<br />

Not Contrary<br />

Disclosures made <strong>to</strong> <strong>the</strong> <strong>Texas</strong> Department <strong>of</strong> Public Safety<br />

(DPS) under this subsection are not contrary <strong>to</strong> HIPAA, as<br />

HIPAA permits disclosure for certain public health activities.<br />

45 C.F.R. § 164.512(b).<br />

No<br />

§ 12.097<br />

Confidentiality<br />

Requirements<br />

Related/<br />

Not Contrary<br />

Disclosures made <strong>to</strong> <strong>the</strong> <strong>Texas</strong> Department <strong>of</strong> Public Safety<br />

(DPS) under this subsection are not contrary <strong>to</strong> HIPAA, as<br />

HIPAA permits disclosure for certain public health activities.<br />

45 C.F.R. § 164.512(b).<br />

No<br />

§ 13.002<br />

Admission <strong>of</strong><br />

O<strong>the</strong>r Patients<br />

§ 13.005<br />

Care and<br />

Treatment <strong>of</strong><br />

Certain Patients<br />

Related/<br />

Not Contrary<br />

Related/<br />

Not Contrary<br />

Title 2: <strong>Health</strong><br />

Chapter 13: <strong>Health</strong> Department Hospitals and Respira<strong>to</strong>ry Facilities<br />

Tex. Board <strong>of</strong> <strong>Health</strong> is not a covered entity.<br />

No<br />

No<br />

133

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