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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 />

This law creates exceptions <strong>to</strong> confidentiality <strong>of</strong><br />

communications with and proceedings <strong>of</strong> nursing peer review<br />

committees.<br />

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

Exception<br />

Is State Law<br />

Preempted?<br />

Recommendation<br />

§ 303.007<br />

Disclosure <strong>of</strong><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. Subsection (a) makes disclosure "required by law," and<br />

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

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

For <strong>the</strong> provisions <strong>of</strong> this law that are not "required by law,"<br />

covered entities should note HIPAA contains additional<br />

requirements for 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 />

§ 304.001<br />

Nurse Licensure<br />

Compact<br />

§ 304.005<br />

Enforcement<br />

§ 304.006<br />

Information<br />

Maintained<br />

under Compact<br />

§ 351.053<br />

Membership and<br />

Employee<br />

Restrictions<br />

Not Related<br />

Not Related<br />

Not Related<br />

Not Related<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 definition <strong>of</strong> "Designated Record Set" at § 164.501. See<br />

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

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

Chapter 304: Nurse Licensure Compact<br />

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

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

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

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

Chapter 351: Op<strong>to</strong>metrists and Therapeutic Op<strong>to</strong>metrists<br />

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

No<br />

No<br />

No<br />

No<br />

429

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