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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 />

Requires hospitals <strong>to</strong> establish pro<strong>to</strong>col that includes inquiries<br />

about potential donors; may necessitate asking persons o<strong>the</strong>r<br />

than legally authorized representatives about this information.<br />

§ 692.014<br />

Procedures<br />

§ 693.002<br />

Removal <strong>of</strong> Body<br />

Part or Tissue...<br />

§ 693.012<br />

Removal <strong>of</strong><br />

Corneal Tissue...<br />

§ 716.154<br />

Pacemakers<br />

Related/<br />

Not Contrary<br />

Related/<br />

Not Contrary<br />

Related/<br />

Not Contrary<br />

Related/<br />

Not Contrary<br />

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

(1) Disclosure is among <strong>the</strong> Conditions <strong>of</strong> Participation, and<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 />

(2) HIPAA provides an organ donation exception.<br />

Title 8: Death and Disposition <strong>of</strong> <strong>the</strong> Body<br />

Chapter 693: Removal <strong>of</strong> Body Parts, Body Tissue, and Corneal Tissue<br />

Standing alone, does not seem <strong>to</strong> call for a use or disclosure<br />

by a covered entity.<br />

Any disclosures requested by <strong>the</strong> Medical Examiner are not<br />

contrary, as HIPAA permits certain disclosures about<br />

decedents <strong>to</strong> coroners and medical examiners. 45 C.F.R. §<br />

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

Standing alone, does not seem <strong>to</strong> call for a use or disclosure<br />

by a covered entity.<br />

Any disclosures requested by <strong>the</strong> Medical Examiner are not<br />

contrary, as HIPAA permits certain disclosures about<br />

decedents <strong>to</strong> coroners and medical examiners. 45 C.F.R. §<br />

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

Title 8: Death and Disposition <strong>of</strong> <strong>the</strong> Body<br />

Chapter 716: Crema<strong>to</strong>ries<br />

Subsection (a) provides that a crema<strong>to</strong>ry cannot knowingly<br />

cremate a body with a pacemaker or o<strong>the</strong>r potentially<br />

hazardous implant.<br />

This is not contrary <strong>to</strong> HIPAA because a crema<strong>to</strong>rium is not a<br />

covered entity.<br />

Title 9: Safety<br />

Chapter 771: State Administration <strong>of</strong> Emergency Communiations<br />

No<br />

No<br />

No<br />

No<br />

316

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