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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 />

This relates <strong>to</strong> process <strong>to</strong> determine consent and PHI must<br />

be used in process. HIPAA follows state law for who can be<br />

a personal representative <strong>of</strong> an incompetent adult or child;<br />

consistent with 45 C.F.R. § 164.502(g).<br />

§ 597.044<br />

Application for<br />

Treatment<br />

Decision<br />

Related/<br />

Not Contrary<br />

This particular situation is not specifically addressed in<br />

HIPAA regulations--but initial determination would be that:<br />

(1) 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 />

(2) The disclosure is entirely internal.<br />

No<br />

§ 597.045<br />

Notice <strong>of</strong> Review<br />

<strong>of</strong> Application for<br />

Treatment<br />

Decision<br />

Related/<br />

Not Contrary<br />

See 40 TAC Chapter 8, subchapter J for corresponding<br />

rules.<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 />

See 40 TAC Chapter 8, subchapter J for corresponding rules.<br />

No<br />

§ 597.046<br />

Prereview <strong>of</strong><br />

Application<br />

Related/<br />

Not Contrary<br />

PHI is used in application process; consistent with 45 C.F.R.<br />

§ 164.510(b)(3) and directly relevant <strong>to</strong> <strong>the</strong> individual's<br />

involvement.<br />

See 40 TAC Chapter 8, subchapter J for corresponding rules.<br />

No<br />

§ 597.047<br />

Confidential<br />

Information<br />

Related/<br />

Not Contrary<br />

Requires health care pr<strong>of</strong>essionals <strong>to</strong> provide PHI <strong>to</strong> <strong>the</strong><br />

committee. Not contrary <strong>to</strong> HIPAA because HIPAA permits<br />

<strong>the</strong> use and disclosure <strong>of</strong> IIHI in <strong>the</strong> course <strong>of</strong> certain<br />

treatment, payment, and health care operations. 45 C.F.R. §<br />

164.506.<br />

No<br />

See 40 TAC Chapter 8, subchapter J for corresponding rules.<br />

§ 597.048<br />

Review <strong>of</strong><br />

Application<br />

Related/<br />

Not Contrary<br />

PHI will be released during review <strong>of</strong> application; consistent<br />

with 45 C.F.R. § 164.510(b)(3) and directly relevant <strong>to</strong><br />

individual's involvement.<br />

See 40 TAC Chapter 8, subchapter J for corresponding rules.<br />

No<br />

304

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