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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 />

This law makes confidential all proceedings, records, and<br />

communications by or <strong>to</strong> a medical peer review committee.<br />

This law also creates exceptions <strong>to</strong> confidentiality for disclosure<br />

<strong>to</strong> various entities.<br />

§ 160.007<br />

Confidentiality<br />

<strong>Relating</strong> <strong>to</strong><br />

Medical Peer<br />

Review<br />

Committee<br />

Related/<br />

Not Contrary<br />

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

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

Peer review activities under this law are consistent with <strong>the</strong><br />

HIPAA allowable use and disclosure for health oversight<br />

activities under 45 C.F.R § 164.512(d), and use and disclosure<br />

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

No<br />

Confidentiality under this law does not prevent a covered entity<br />

from disclosing a Designated Record Set <strong>to</strong> which an individual<br />

has a right <strong>of</strong> access under HIPAA at 45 C.F.R. § 164.524.<br />

See 45 C.F.R. § 164.501 (defining "Designated Record Set");<br />

see also 65 Fed. Reg. 82,554 for comments.<br />

This law permits use <strong>of</strong> o<strong>the</strong>rwise confidential information as<br />

evidence in a civil proceeding by any defendant in any civil<br />

action filed as a result <strong>of</strong> participation in peer review.<br />

§ 160.008<br />

Use <strong>of</strong> Certain<br />

Confidential<br />

Information<br />

Related/<br />

Not 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 <strong>the</strong> HIPAA requirements for use<br />

and disclosure in a judicial or administrative proceeding under<br />

45 C.F.R. § 164.512(e), or pursuant <strong>to</strong> a valid authorization<br />

under 45 C.F.R. § 164.508.<br />

No<br />

393

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