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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 />

§ 48.152<br />

Investigation<br />

Related/<br />

Not Contrary<br />

To <strong>the</strong> extent <strong>the</strong> investigation includes obtaining PHI from<br />

a covered entity:<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 />

§ 48.153<br />

Access <strong>to</strong><br />

Information<br />

Not Related<br />

Concerns procedures for gaining access <strong>to</strong> <strong>the</strong> residence;<br />

does not affect privacy <strong>of</strong> PHI.<br />

No<br />

§ 48.154(a) & (f)<br />

Access <strong>to</strong> Records<br />

or Documents<br />

Related/<br />

Not Contrary<br />

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

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

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

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

No<br />

§ 48.155<br />

Interference With<br />

Investigation or<br />

Services Prohibited<br />

Not Related<br />

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

No<br />

§ 48.156<br />

Agency Reports<br />

Related/<br />

Not Contrary<br />

(1) No covered entity.<br />

(2) If ano<strong>the</strong>r protective service agency is a covered entity,<br />

45 C.F.R. § 164.512(a) permits it <strong>to</strong> disclose information <strong>to</strong><br />

DPRS or a court since this statute requires it.<br />

No<br />

§ 48.157<br />

Report <strong>to</strong> Law<br />

Enforcement Agency<br />

Related/<br />

Not Contrary<br />

To <strong>the</strong> extent that <strong>the</strong> investigating agency is a covered<br />

entity, (e.g. DHS or MHMR), HIPAA permits certain<br />

disclosures about victims <strong>of</strong> abuse, neglect, or domestic<br />

violence <strong>to</strong> a government authority authorized <strong>to</strong> receive<br />

such reports. 45 C.F.R. § 164.512(c)(1).<br />

No<br />

§ 48.202<br />

Service<br />

Determination by<br />

Department or<br />

Agency<br />

Not Related<br />

Requires DPRS determination as <strong>to</strong> <strong>the</strong> services <strong>to</strong> be<br />

provided; does not affect <strong>the</strong> privacy <strong>of</strong> PHI.<br />

No<br />

329

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