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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 />

Chapter/<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 requires disclosure <strong>of</strong> genetic test results <strong>to</strong> <strong>the</strong><br />

individual who submitted <strong>to</strong> <strong>the</strong> genetic test or <strong>to</strong> a physician<br />

designated by <strong>the</strong> individual.<br />

§ 21.404<br />

Employment<br />

Discrimination; Disclosure<br />

<strong>of</strong> Test Results <strong>to</strong><br />

Individual Tested<br />

Related/Not<br />

Contrary<br />

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

could comply with this law and with <strong>the</strong> requirements under<br />

HIPAA.<br />

Covered entities should note HIPAA requirements for denial <strong>of</strong><br />

access <strong>to</strong> PHI listed at 45 C.F.R. ' 164.524(a)(2) and (a)(3).<br />

For instance, access may be denied if a licenced health care<br />

pr<strong>of</strong>essional determines provision <strong>of</strong> access is reasonably<br />

likely <strong>to</strong> endanger or cause harm <strong>to</strong> <strong>the</strong> individual or ano<strong>the</strong>r<br />

person under 45 C.F.R. § 164.524(a)(3)(i), (ii), and (iii).<br />

No<br />

§ 21.405<br />

Employment<br />

Discrimination;<br />

Destruction <strong>of</strong> Sample<br />

Material; Exceptions<br />

Related/Not<br />

Contrary<br />

This law requires material obtained from an individual for a<br />

genetic test <strong>to</strong> be destroyed except in certain circumstances.<br />

Sample "material" may be "information" under HIPAA, at 45<br />

C.F.R. § 160.103, with respect <strong>to</strong> which <strong>the</strong>re is a reasonable<br />

basis <strong>to</strong> believe <strong>the</strong> information can be used <strong>to</strong> identify <strong>the</strong><br />

individual.<br />

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

could comply with this law and with <strong>the</strong> requirements under<br />

HIPAA. Covered entities should note HIPAA contains<br />

additional requirements for a written authorization under 45<br />

C.F.R. § 164.508, or for research under 45 C.F.R. §<br />

164.512(i), use and disclosure for judicial proceedings at 45<br />

C.F.R. § 164.512(e), and for public health activities at 45<br />

C.F.R. § 164.512(b).<br />

No<br />

369

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