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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 />

§ 40.0524(b)&<br />

(c)(suppl)<br />

Multidisciplinary<br />

Teams<br />

§ 42.045(b) & (c)<br />

Records<br />

§ 48.038(a) & (b)<br />

§ 48.051<br />

Report<br />

Related/<br />

Contrary<br />

Explanation<br />

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

Exception<br />

Is State Law<br />

Preempted?<br />

To <strong>the</strong> extent that members <strong>of</strong> <strong>the</strong> multidisciplinary team<br />

are covered entities and information exchanged is<br />

PHI:<br />

(1) HIPAA permits disclosure <strong>to</strong> a governmental authority<br />

Related/<br />

authorized <strong>to</strong> receive reports <strong>of</strong> child abuse or neglect. 45<br />

No<br />

Not Contrary<br />

C.F.R. § 164.512(b)(1)(ii).<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 />

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

Chapter 42: Regulation <strong>of</strong> Certain Facilities, Homes, and Agencies that Provide Child Care Services<br />

Related/<br />

Not Contrary<br />

To <strong>the</strong> extent a child placing agency has designated itself<br />

as a covered entity, and <strong>to</strong> <strong>the</strong> extent <strong>the</strong> information<br />

furnished under this statute <strong>to</strong> DPRS and <strong>to</strong> <strong>the</strong> Bureau <strong>of</strong><br />

Vital Statistics is PHI, HIPAA permits appropriately limited<br />

disclosure <strong>of</strong> PHI that is required by law. 45 C.F.R. §<br />

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

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

Chapter 48: Investigations and Protective Services for Elderly and Disabled Persons<br />

Related/<br />

Not Contrary<br />

Repealed<br />

No<br />

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

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

Not Contrary authorized <strong>to</strong> receive such reports. 45 C.F.R. §<br />

No<br />

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

No<br />

Recommendation<br />

327

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