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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 />

§ 36.003(a)<br />

Documentary<br />

Material in<br />

Possession <strong>of</strong> State<br />

Agency<br />

§ 36.054(b) & (e)<br />

Civil Investigative<br />

Demand<br />

Related/<br />

Contrary<br />

Related/<br />

Not Contrary<br />

Related/<br />

Not Contrary<br />

<strong>Preemption</strong> Is State Law<br />

Explanation<br />

Exception Preempted?<br />

Title 2: Dept. <strong>of</strong> Human Services and Dept. <strong>of</strong> Protective and Regula<strong>to</strong>ry Services<br />

Chapter 36: Medicaid Fraud Prevention<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 disclosure <strong>of</strong> PHI <strong>to</strong> a health oversight<br />

agency for oversight activities authorized by law, including<br />

certain oversight <strong>of</strong> government benefit plans. 45 C.F.R. §<br />

164.512(d)(2).<br />

(1) As <strong>to</strong> (a),(d), and (g): HIPAA permits disclosure <strong>of</strong><br />

PHI <strong>to</strong> a health oversight agency for oversight activities<br />

authorized by law, including certain oversight <strong>of</strong><br />

government benefit plans. 45 C.F.R. § 164.512(d)(2).<br />

(2) As <strong>to</strong> (e): Statute contains a consent provision;<br />

At<strong>to</strong>rney General is not a covered entity, but may be<br />

subject <strong>to</strong> a business associate agreement with regard <strong>to</strong><br />

<strong>the</strong> release <strong>of</strong> information obtained from an agency. 45<br />

C.F.R. § 164.504(e)(1).<br />

No<br />

No<br />

Recommendation<br />

§ 36.102(a) & (b)<br />

Initiation <strong>of</strong> Action<br />

Related/<br />

Not Contrary<br />

(1) If "person" is not a covered entity, <strong>the</strong> HIPAA <strong>Privacy</strong><br />

Rule does not apply.<br />

(2) If "person" is a covered entity, HIPAA permits certain<br />

disclosures <strong>to</strong> <strong>the</strong> At<strong>to</strong>rney General for <strong>the</strong> purpose <strong>of</strong><br />

health care oversight. 45 C.F.R. § 164.512(d)(1).<br />

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

that is required by law. 45 C.F.R. § 164.512(a)(1).<br />

No<br />

§ 40.005(b), (c) &<br />

(d)<br />

Confidentiality <strong>of</strong><br />

Information<br />

Related/<br />

Not Contrary<br />

Title 2: Dept. <strong>of</strong> Human Services and Dept. <strong>of</strong> Protective and Regula<strong>to</strong>ry Services<br />

Chapter 40: Department <strong>of</strong> Protective and Regula<strong>to</strong>ry Services<br />

No covered entity<br />

No<br />

326

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