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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 />

§ 38.001<br />

Inquiries<br />

Related/<br />

Not Contrary<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 />

No<br />

§ 38.106<br />

Information<br />

Confidential<br />

Related/<br />

Not Contrary<br />

This is not a disclosure statute. It provides that<br />

reports made <strong>to</strong> <strong>the</strong> commissioner under o<strong>the</strong>r<br />

provisions <strong>of</strong> <strong>the</strong> subchapter may not be<br />

disclosed <strong>to</strong> <strong>the</strong> public if <strong>the</strong> commissioner<br />

determines that such information would reveal or<br />

might reveal <strong>the</strong> identity <strong>of</strong> an individual. The<br />

section also provides that <strong>the</strong> information is not<br />

subject <strong>to</strong> public disclosure <strong>to</strong> <strong>the</strong> extent it is<br />

protected under Chapter 552, Gov't Code.<br />

No<br />

§ 38.162<br />

Information<br />

Confidential<br />

Related/<br />

Not Contrary<br />

Provides that <strong>the</strong> information included in a<br />

closed claim report is confidential and may not<br />

be made available by TDI <strong>to</strong> <strong>the</strong> public.<br />

No<br />

Title 6: Organization <strong>of</strong> Insurers and Related Entities<br />

Chapter 843: <strong>Health</strong> Maintenance Organizations<br />

TDI is a health oversight agency and <strong>the</strong> use or<br />

disclosure <strong>of</strong> this information <strong>to</strong> a health<br />

oversight agency is not contrary <strong>to</strong> HIPAA.<br />

§ 843.102<br />

<strong>Health</strong> Maintenance<br />

Organization Quality<br />

Assurance<br />

Related/<br />

Not Contrary<br />

(1) 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 />

(2) HIPAA permits appropriately limited<br />

disclosure <strong>of</strong> PHI that is required by law. 45<br />

C.F.R. § 164.512(a)(1).<br />

(3) HIPAA permits disclosure for certain law<br />

enforcement purposes. 45 C.F.R. § 164.512(f).<br />

No<br />

346

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