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Preemption Analysis of Texas Laws Relating to the Privacy of Health ...

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<strong>Texas</strong> Human Resources Code<br />

Section<br />

Related/<br />

Contrary<br />

Explanation<br />

<strong>Preemption</strong><br />

Exception<br />

Is State Law<br />

Preempted?<br />

Recommendation<br />

Although <strong>the</strong> transition between programs may include <strong>the</strong><br />

transfer <strong>of</strong> PHI, this statute does not directly affect <strong>the</strong><br />

privacy <strong>of</strong> PHI, but requires DHS <strong>to</strong> develop procedures for<br />

<strong>the</strong> transfer <strong>of</strong> all necessary information.<br />

§ 32.0262<br />

Eligibility Transition<br />

Related/<br />

Not Contrary<br />

To <strong>the</strong> extent <strong>the</strong>se rules require <strong>the</strong> disclosure <strong>of</strong> PHI:<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 />

§ 32.0263<br />

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

Orientation<br />

Not Related<br />

Does not affect privacy <strong>of</strong> health information.<br />

No<br />

§ 32.028(k)<br />

Fees, Charges, and<br />

Rates<br />

Related/<br />

Not Contrary<br />

The law includes a HIPAA compliance provision.<br />

No<br />

§ 32.0291<br />

Prepayment Reviews<br />

and Postpayment<br />

Holds<br />

Related as <strong>to</strong><br />

(a)<br />

To <strong>the</strong> extent <strong>the</strong> prepayment review requires DPRS <strong>to</strong><br />

obtain PHI, HIPAA permits <strong>the</strong> use and disclosure <strong>of</strong> IIHI in<br />

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

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

No<br />

§ 32.032<br />

Prevention and<br />

Detection <strong>of</strong> Fraud<br />

and Abuse<br />

Not Related<br />

No intent <strong>to</strong> affect privacy <strong>of</strong> PHI.<br />

No<br />

§ 32.033<br />

Subrogation<br />

§ 32.038<br />

Collection <strong>of</strong><br />

Insurance Payments<br />

Not Related<br />

Related/<br />

Not Contrary<br />

Does not affect <strong>the</strong> privacy <strong>of</strong> PHI.<br />

To <strong>the</strong> extent payments include PHI <strong>to</strong> which <strong>the</strong><br />

Department is entitled under <strong>the</strong> Insurance Code:<br />

(1) HIPAA permits appropriately limited disclosure <strong>of</strong> PHI<br />

that is required by law. 45 C.F.R. § 164.512(a)(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 />

322

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