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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 />

§ 402.154<br />

Complaint<br />

Investigation;<br />

Subpoena<br />

§ 402.501<br />

Grounds for<br />

License Denial<br />

and Disciplinary<br />

Action<br />

§ 451.101<br />

General Powers<br />

and Duties<br />

§ 451.109<br />

Complaints<br />

Related/<br />

Contrary<br />

Related/<br />

Not Contrary<br />

Related/<br />

Not Contrary<br />

Not Related<br />

Related/<br />

Not Contrary<br />

Explanation<br />

This law allows <strong>the</strong> Committee <strong>to</strong> request <strong>the</strong> TDH<br />

Commissioner <strong>to</strong> issue subpoenas for complaint investigation<br />

purposes. It also makes all complaint investigation materials<br />

confidential and makes exceptions <strong>to</strong> that confidentiality.<br />

This law is not contrary <strong>to</strong> HIPAA because this law makes<br />

compliance with <strong>the</strong> subpoena "required by law," and HIPAA<br />

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

by law, 45 C.F.R. § 164.512(a), and it is a health oversight<br />

activity under 45 C.F.R. § 164.512(d). As <strong>to</strong> subsection (h) <strong>of</strong><br />

this law regarding confidentiality, <strong>the</strong> committee is not a covered<br />

entity.<br />

This law sets out grounds for denial <strong>of</strong> license and disciplinary<br />

action. Grounds include (10) addiction and (14) physical illness<br />

causing impairment.<br />

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

a covered entity.<br />

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

Chapter 451: Athletic Trainers<br />

The law sets out general powers and duties <strong>of</strong> <strong>the</strong> Advisory<br />

Board <strong>of</strong> Athletic Trainers. This law does not relate <strong>to</strong> privacy <strong>of</strong><br />

IIHI.<br />

This law requires <strong>the</strong> Advisory Board <strong>to</strong> keep complaints on file<br />

and <strong>to</strong> notify <strong>the</strong> parties <strong>to</strong> <strong>the</strong> complaint <strong>of</strong> <strong>the</strong> status <strong>of</strong> <strong>the</strong><br />

complaint unless <strong>the</strong> notice would jeopardize an undercover<br />

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

that complaints contain IIHI about an individual's physical<br />

condition.<br />

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

Exception<br />

Is State Law<br />

Preempted?<br />

No<br />

No<br />

No<br />

No<br />

Recommendation<br />

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

not a covered entity.<br />

433

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