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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 />

§ 81.046<br />

Confidentiality<br />

Related/<br />

Not Contrary<br />

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

(1) Section does not appear <strong>to</strong> apply <strong>to</strong> any covered entity.<br />

(2) To <strong>the</strong> extent a covered entity is involved, HIPAA permits<br />

disclosure for certain public health activities. 45 C.F.R. §<br />

164.512(b).<br />

(3) As <strong>to</strong> (b): HIPAA permits disclosure for certain law<br />

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

See also 25 TAC §§ 97.08 and 97.10 for corresponding rules.<br />

No<br />

§ 81.047<br />

Epidemiological<br />

Reports<br />

Related/<br />

Not Contrary<br />

No<br />

§ 81.048<br />

Notification <strong>of</strong><br />

Emergency<br />

Personnel, Peace<br />

Officers, and Fire<br />

Fighters<br />

Related/<br />

Not Contrary<br />

Not contrary <strong>to</strong> HIPAA because HIPAA permits disclosure for<br />

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

(Subject <strong>to</strong> <strong>the</strong> minimum necessary standards in 45 C.F.R. §<br />

164.502(b)(1).) See 25 TAC § 97.11 for corresponding rule.<br />

No<br />

§ 81.049<br />

Failure <strong>to</strong> Report;<br />

Criminal Penalty<br />

Related/<br />

Not Contrary<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 />

§ 81.050<br />

Manda<strong>to</strong>ry<br />

Testing <strong>of</strong><br />

Persons<br />

Suspected <strong>of</strong><br />

Exposing Certain<br />

O<strong>the</strong>r Persons <strong>to</strong><br />

Reportable<br />

Diseases,<br />

Including HIV<br />

Infection<br />

Related/<br />

Not Contrary<br />

See 25 TAC § 97.13 for corresponding rules.<br />

No<br />

§ 81.051<br />

Partner<br />

Notification<br />

Programs; HIV<br />

Infection<br />

Related/<br />

Not Contrary<br />

No<br />

156

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