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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 />

§ 242.135<br />

Duties <strong>of</strong> Law<br />

Enforcement;<br />

Joint<br />

Investigation<br />

§ 242.151<br />

Physician<br />

Services<br />

§ 242.152<br />

Physician<br />

Services for<br />

Residents<br />

Younger Than 18<br />

Years <strong>of</strong> Age<br />

§ 242.153<br />

Direc<strong>to</strong>r <strong>of</strong><br />

Nursing Services<br />

§ 242.154<br />

Nursing Services<br />

§ 242.155<br />

Pediatric Nursing<br />

Services<br />

§ 242.156<br />

Required Medical<br />

Examination<br />

§ 242.157<br />

Dental<br />

Examination<br />

§ 242.158<br />

Identification <strong>of</strong><br />

Certain Nursing<br />

Home Residents<br />

§ 242.181<br />

Definitions<br />

Related/<br />

Not Contrary<br />

Not Related<br />

Not Related<br />

Not Related<br />

Not Related<br />

Not Related<br />

Not Related<br />

Not Related<br />

Related/<br />

Not Contrary<br />

Not Related<br />

This requires a joint investigation which will cause IIHI <strong>to</strong> be<br />

shared. This is not contrary as HIPAA permits appropriately<br />

limited disclosure <strong>of</strong> PHI that is required by law. 45 C.F.R. §<br />

164.512(a)(1).<br />

Not Contrary <strong>to</strong> HIPAA because:<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 <strong>the</strong> use and disclosure <strong>of</strong> IIHI in <strong>the</strong><br />

course <strong>of</strong> certain treatment, payment, and health care<br />

operations. 45 C.F.R. § 164.506.<br />

No<br />

No<br />

No<br />

No<br />

No<br />

No<br />

No<br />

No<br />

No<br />

No<br />

239

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