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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 states that disclosure <strong>to</strong> <strong>the</strong> affected dentist <strong>of</strong><br />

confidential peer review committee information pertinent <strong>to</strong> <strong>the</strong><br />

matter under review does not waive confidentiality.<br />

§ 261.053<br />

Disclosure <strong>to</strong><br />

Affected Dentist<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. Peer review activities under this law are consistent with<br />

<strong>the</strong> 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 § 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 § 164.524. See definition<br />

<strong>of</strong> "Designated Record Set" at § 164.501. See also comments<br />

at 65 Fed. Reg. 82554.<br />

This law relates <strong>to</strong> evidentiary inadmissibility and privilege in<br />

administrative or civil action <strong>of</strong> confidential information in <strong>the</strong><br />

possession <strong>of</strong> a dental peer review committee member.<br />

§ 261.054<br />

Committees<br />

Evidentiary<br />

Privilege<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. Peer review activities under this law are consistent with<br />

<strong>the</strong> 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 § 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 § 164.524. See definition<br />

<strong>of</strong> "Designated Record Set" at § 164.501. See also comments<br />

at 65 Fed. Reg. 82554.<br />

418

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