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

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<strong>Texas</strong> Occupations Code<br />

Section<br />

Related/<br />

Contrary<br />

Explanation<br />

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

Exception<br />

Is State Law<br />

Preempted?<br />

Recommendation<br />

§ 153.007<br />

Authority <strong>to</strong><br />

Issue Subpoena<br />

or Administer<br />

Oath<br />

Related/<br />

Not Contrary<br />

This law allows <strong>the</strong> BME <strong>to</strong> subpoena records and documents.<br />

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

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

45 C.F.R. § 164.512(a)(1).<br />

Requires BME <strong>to</strong> maintain a record <strong>of</strong> its proceedings, and<br />

deems such records "public information."<br />

No<br />

§ 153.008<br />

Board Records<br />

Related/<br />

Not Contrary<br />

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

covered entity. Also, <strong>the</strong> disclosure <strong>of</strong> public information<br />

pursuant <strong>to</strong> <strong>the</strong> Public Information Act is not contrary, because<br />

HIPAA permits appropriately limited disclosure <strong>of</strong> PHI that is<br />

required by law. 45 C.F.R. § 164.512(a)(1).<br />

No<br />

Title 3: <strong>Health</strong> Pr<strong>of</strong>essions<br />

Chapter 154: Public Interest Information and Complaint Procedures<br />

§ 154.003<br />

Information for<br />

Physicians<br />

Not Related<br />

Requires BME <strong>to</strong> report twice a year information <strong>of</strong> significant<br />

interest <strong>to</strong> <strong>Texas</strong> physicians, including disciplinary orders made<br />

against physicians licensed in <strong>Texas</strong>.<br />

This law does not relate <strong>to</strong> privacy <strong>of</strong> IIHI.<br />

No<br />

§ 154.004<br />

Disclosure <strong>of</strong><br />

Disciplinary<br />

Orders<br />

Not Related<br />

Requires BME <strong>to</strong> disclose <strong>to</strong> public disciplinary orders, date <strong>of</strong><br />

order, and <strong>the</strong> current status <strong>of</strong> <strong>the</strong> order. This law does not<br />

relate <strong>to</strong> privacy <strong>of</strong> IIHI.<br />

No<br />

§ 154.006<br />

Physician<br />

Pr<strong>of</strong>iles<br />

Related/<br />

Not Contrary<br />

Requires <strong>the</strong> BME <strong>to</strong> create physician pr<strong>of</strong>iles and make <strong>the</strong>m<br />

available for <strong>the</strong> public; physician pr<strong>of</strong>iles must include specific<br />

information and details including complaints filed against <strong>the</strong><br />

physicians and "may not include any patient identifying<br />

information."<br />

No<br />

Not contrary because BME is not a covered entity under HIPAA.<br />

386

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