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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 />

It is not impossible for a covered entity <strong>to</strong> comply<br />

with both HIPAA and Subsections (a), (b), (c)(1)<br />

& (3), and (e) <strong>of</strong> this statute.<br />

§ 1551.063<br />

Confidentiality <strong>of</strong><br />

Certain Records<br />

Related/<br />

Not Contrary<br />

Subsection (c)(2) authorizes <strong>the</strong> board <strong>of</strong><br />

trustees <strong>to</strong> release <strong>the</strong> records <strong>to</strong> ano<strong>the</strong>r<br />

governmental entity. HIPAA permits a covered<br />

entity <strong>to</strong> disclose PHI in <strong>the</strong> course <strong>of</strong> a judicial<br />

or administrative proceeding in response <strong>to</strong> a<br />

court order. 45 C.F.R. § 164.512(e)(1)(i). If<br />

such disclosure is not made pursuant <strong>to</strong> 45<br />

C.F.R. § 164.512(e)(1)(i) or ano<strong>the</strong>r authorized<br />

use or disclosure provision <strong>of</strong> HIPAA, <strong>the</strong><br />

governmental authority must comply with<br />

HIPAA's restrictions on use or disclosure.<br />

No<br />

Subsection (c)(4) authorizes release <strong>to</strong> a party in<br />

response <strong>to</strong> a subpoena issued under applicable<br />

law. HIPAA permits a covered entity <strong>to</strong> disclose<br />

PHI in response <strong>to</strong> subpoenas. 45 C.F.R. §<br />

164.512(f)(1)(i)(A).<br />

Title 8: <strong>Health</strong> Insurance and O<strong>the</strong>r <strong>Health</strong> Coverage<br />

Chapter 1575: <strong>Texas</strong> Public School Employees Group Benefits Program<br />

§ 1575.255<br />

Pro<strong>of</strong> <strong>of</strong> Compliance<br />

Not Related<br />

No<br />

§ 1575.360<br />

Confidentiality<br />

Related/<br />

Not Contrary<br />

Not contrary because HIPAA recognizes <strong>the</strong><br />

confidentiality <strong>of</strong> credentialing committee<br />

records in definition <strong>of</strong> "health care operations."<br />

HIPAA permits <strong>the</strong> use and disclosure <strong>of</strong> IIHI in<br />

<strong>the</strong> course <strong>of</strong> certain treatment, payment, and<br />

health care operations. 45 C.F.R. § 164.506.<br />

No<br />

348

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