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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 />

§ 464.007<br />

Application and<br />

Inspection Fees<br />

§ 464.008<br />

Alcohol and Drug<br />

Abuse Treatment<br />

Licensure Fund<br />

§ 464.009<br />

Rules and<br />

Standards<br />

Not Related<br />

Not Related<br />

Not Related<br />

This establishes rules and standards for chemical<br />

dependency facilities.<br />

This allows reporting <strong>of</strong> PHI and access <strong>to</strong> PHI for suspected<br />

abuse or neglect; consistent with 164.512(b) and (c).<br />

No<br />

No<br />

No<br />

§ 464.010<br />

Reports <strong>of</strong> Abuse<br />

or Neglect<br />

§ 464.011<br />

Disclosure <strong>of</strong><br />

Commission<br />

Records<br />

§ 464.012<br />

HIV Infection<br />

Education,<br />

Testing, and<br />

Counseling<br />

§ 464.013<br />

Commission<br />

Interaction with<br />

<strong>Texas</strong><br />

Department <strong>of</strong><br />

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

Related/<br />

Not Contrary<br />

Related/<br />

Not Contrary<br />

Not Related<br />

Not Related<br />

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

(1) HIPAA permits certain disclosures about victims <strong>of</strong> abuse,<br />

neglect, or domestic violence <strong>to</strong> a government authority<br />

authorized <strong>to</strong> receive such reports. 45 C.F.R. §<br />

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

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

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

Disclosure is not by a covered entity-- but if <strong>the</strong> Commission<br />

was a covered entity, it is not clear that requirements for<br />

164.512(b) or -(f) would be met.<br />

Discusses powers <strong>of</strong> Tex. Dept. <strong>of</strong> <strong>Health</strong> and this section.<br />

No<br />

No<br />

No<br />

No<br />

288

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