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

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<strong>Texas</strong> Insurance Code<br />

Section/Article<br />

Related/<br />

Contrary<br />

Explanation<br />

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

Exception<br />

Is State Law<br />

Preempted?<br />

Recommendation<br />

The Supervisor or Conserva<strong>to</strong>r <strong>of</strong> an insurer<br />

placed in supervision or conservation under Art.<br />

21.28A is an agent <strong>of</strong> <strong>the</strong> Commissioner <strong>of</strong><br />

Insurance.<br />

Art. 21.28-A<br />

Insurer<br />

Delinquencies and<br />

Prevention <strong>of</strong> Insurer<br />

Delinquencies;<br />

Supervision <strong>of</strong><br />

Insurers and<br />

Proceedings,<br />

Conserva<strong>to</strong>rships,<br />

Liquidations -<br />

Additional and<br />

Alternate Provisions<br />

Related/ Not<br />

Contrary<br />

TDI is considered a health oversight agency.<br />

HIPAA permits certain disclosures for <strong>the</strong><br />

purpose <strong>of</strong> health care oversight. 45 C.F.R. §<br />

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

Moreover, any disclosure <strong>to</strong> <strong>the</strong> Supervisor or<br />

Conserva<strong>to</strong>r would be required by law, and<br />

HIPAA permits appropriately limited disclosure<br />

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

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

Such disclosure would also be pursuant <strong>to</strong><br />

judicial or administrative order, and HIPAA<br />

permits a covered entity <strong>to</strong> disclose PHI in <strong>the</strong><br />

course <strong>of</strong> a judicial or administrative proceeding<br />

in response <strong>to</strong> a court order. 45 C.F.R. §<br />

164.512(e)(1)(i).<br />

No<br />

Art. 21.49-3b<br />

Joint Underwriting<br />

Associations<br />

Not Related<br />

No<br />

Art. 21.49-19<br />

<strong>Health</strong> Benefit Claim<br />

Cost Information<br />

Required <strong>to</strong> be<br />

Provided <strong>to</strong><br />

Employer<br />

Not Related<br />

Statute specifically requires de-identified<br />

information.<br />

No<br />

341

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