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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 creates fur<strong>the</strong>r exceptions <strong>to</strong> <strong>the</strong> confidentiality<br />

provisions <strong>of</strong> § 201.402.<br />

§ 201.404<br />

Exceptions <strong>to</strong><br />

Confidentiality<br />

for O<strong>the</strong>r<br />

Circumstances<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 HIPAA contains additional<br />

requirements including, but not limited <strong>to</strong>: use/disclosure <strong>to</strong><br />

avert a serious threat <strong>to</strong> health or safety, under 45 C.F.R. §<br />

164.512(j)(1)(i) and (ii); use or disclosure for treatment or<br />

payment, 45 C.F.R. § 164.502(a)(1)(ii) and § 164.506; and<br />

de-identification under 45 C.F.R. § 164.514.<br />

No<br />

§ 201.405<br />

Consent for<br />

Release<br />

Related/<br />

Not Contrary<br />

This law defines "chiropractic records," lists requirements for<br />

effective consent <strong>to</strong> disclose, allows <strong>the</strong> person <strong>to</strong> withdraw<br />

consent, and authorizes person who receives <strong>the</strong> confidential<br />

chiropractic information <strong>to</strong> disclose it only <strong>to</strong> <strong>the</strong> extent that <strong>the</strong><br />

disclosure is consistent with purposes for which consent was<br />

obtained.<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 additional<br />

requirements for authorizations under 45 C.F.R. § 164.508.<br />

No<br />

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

Chapter 202: Podiatrists<br />

§ 202.203<br />

Complaint<br />

Records<br />

Related/<br />

Not Contrary<br />

This law requires <strong>the</strong> <strong>Texas</strong> State Board <strong>of</strong> Podiatric Medical<br />

Examiners <strong>to</strong> maintain records <strong>of</strong> each complaint filed, and<br />

requires <strong>the</strong> Board <strong>to</strong> notify <strong>the</strong> parties <strong>to</strong> a complaint <strong>of</strong> its<br />

status.This law relates <strong>to</strong> privacy <strong>of</strong> IIHI <strong>to</strong> <strong>the</strong> extent that<br />

complaints will contain IIHI related <strong>to</strong> patients.<br />

No<br />

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

covered entity under HIPAA.<br />

399

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