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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 allows communications made <strong>to</strong> a podiatric peer<br />

review committee and <strong>the</strong> records and proceedings <strong>of</strong> a peer<br />

review committee <strong>to</strong> be disclosed <strong>to</strong>: (1) Ano<strong>the</strong>r podiatric peer<br />

review committee; (2) An appropriate state or federal agency;<br />

(3) National accreditation body; or (4) Board or <strong>the</strong> state board<br />

<strong>of</strong> registration or licensing <strong>of</strong> podiatrists in ano<strong>the</strong>r state.<br />

§ 202.452<br />

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

Communications<br />

Made <strong>to</strong> 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 relevant comments.<br />

§ 202.453<br />

Information<br />

Provided <strong>to</strong><br />

Affected<br />

Podiatrist<br />

Not Related<br />

This law requires notice <strong>to</strong> a podiatrist who is <strong>the</strong> subject <strong>of</strong><br />

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

403

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