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

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<strong>Texas</strong> Labor Code<br />

Section<br />

Related/<br />

Contrary<br />

Explanation<br />

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

Exception<br />

Is State Law<br />

Preempted?<br />

Recommendation<br />

This law relates <strong>to</strong> employment discrimination based<br />

on genetic information, which is defined generally as<br />

<strong>the</strong> presence or absence <strong>of</strong> genetic characteristics<br />

which are medically and scientifically believed <strong>to</strong><br />

predispose an individual <strong>to</strong> a disease, disorder, or<br />

syndrome.<br />

§ 21.403<br />

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

Genetic Information<br />

Related/<br />

Not Contrary<br />

This provision states: "Except as provided by §<br />

21.4031, genetic information is confidential and<br />

privileged regardless <strong>of</strong> <strong>the</strong> source <strong>of</strong> <strong>the</strong><br />

information" and "a person who holds genetic<br />

information about an individual may not disclose or<br />

be compelled <strong>to</strong> disclose, by subpoena or o<strong>the</strong>rwise,<br />

that information unless <strong>the</strong> disclosure is specifically<br />

authorized as provided by § 21.4032 [allowing<br />

disclosure if written authorization]."<br />

No<br />

This law is not contrary <strong>to</strong> HIPAA because a<br />

covered entity could comply with this law and with<br />

<strong>the</strong> requirements under HIPAA. In a sense, this law<br />

is more stringent than HIPAA because HIPAA<br />

permits disclosure <strong>of</strong> PHI in response <strong>to</strong> a subpoena<br />

if <strong>the</strong> requesting party provides satisfac<strong>to</strong>ry<br />

assurances, such as an attempt <strong>to</strong> obtain a qualified<br />

protective order, pursuant <strong>to</strong> 45 C.F.R. §<br />

164.512(e)(1)(ii), dealing with uses and disclosures<br />

related <strong>to</strong> judicial or administrative proceedings.<br />

351

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