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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 />

DPRS has not identified itself as a covered entity.<br />

§ 48.101<br />

Confidentiality and<br />

Disclosure <strong>of</strong><br />

Information; Agency<br />

Exchange <strong>of</strong><br />

Information<br />

Related/<br />

Not Contrary<br />

To <strong>the</strong> extent <strong>the</strong> information is PHI maintained by <strong>the</strong><br />

Department <strong>of</strong> Human Service, subsection (b) requires<br />

disclosure <strong>of</strong> confidential information only as provided by<br />

applicable federal law.<br />

It is not impossible for <strong>the</strong> Department <strong>of</strong> Human Services<br />

<strong>to</strong> comply with this provision and <strong>the</strong> <strong>Privacy</strong> Rule, and <strong>the</strong><br />

provision is not an obstacle <strong>to</strong> <strong>the</strong> accomplishment <strong>of</strong><br />

HIPAA.<br />

No<br />

§ 48.102(a) & (b)<br />

Reports <strong>of</strong><br />

Investigations in<br />

Schools<br />

§ 48.103<br />

Notification <strong>of</strong><br />

Licensing or<br />

Contracting Agency<br />

Related/<br />

Not Contrary<br />

Related/<br />

Not Contrary<br />

No covered entity; associated rules are not contrary.<br />

No covered entity; DPRS is sharing information with DHS<br />

and o<strong>the</strong>r agencies. The information remains confidential<br />

when exchanged.<br />

No<br />

No<br />

Subsection (a) is related.<br />

§ 48.151<br />

Action on Report<br />

Related/<br />

Not Contrary<br />

To <strong>the</strong> extent <strong>the</strong> investigation requires a covered entity <strong>to</strong><br />

disclose PHI:<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 certain disclosures about victims <strong>of</strong><br />

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

authority authorized <strong>to</strong> receive such reports. 45 C.F.R. §<br />

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

No<br />

328

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