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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 />

§ 451.110<br />

Subpoenas<br />

Related/<br />

Not Contrary<br />

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

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

purposes. This law also makes information and materials<br />

subpoenaed or compiled by <strong>the</strong> committee in connection with a<br />

complaint and investigation confidential with some exceptions.<br />

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

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

appropriately limited disclosure <strong>of</strong> PHI that is required by law,<br />

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

under 45 C.F.R. § 164.512(d). As <strong>to</strong> confidentiality, <strong>the</strong><br />

Advisory Board is not a covered entity.<br />

No<br />

Chapter 452<br />

Executive<br />

Council <strong>of</strong><br />

Physical Therapy<br />

and<br />

Occupational<br />

Therapy<br />

Examiners<br />

Not Related<br />

No<br />

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

Chapter 453: Physical Therapists<br />

§ 453.153<br />

Record <strong>of</strong><br />

Complaints<br />

§ 453.154<br />

General Rules<br />

Involving<br />

Complaint<br />

Investigation and<br />

Disposition<br />

Related/<br />

Not Contrary<br />

Related/<br />

Not Contrary<br />

This law requires <strong>the</strong> <strong>Texas</strong> Board <strong>of</strong> Physical Therapist<br />

Examiners <strong>to</strong> keep complaints on file. This law relates <strong>to</strong><br />

privacy <strong>of</strong> IIHI <strong>to</strong> <strong>the</strong> extent that complaints contain IIHI.<br />

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

covered entity.<br />

This law requires <strong>the</strong> Board <strong>to</strong> make rules regarding complaint<br />

investigations procedures for notification <strong>to</strong> <strong>the</strong> complainant and<br />

o<strong>the</strong>rs affected.<br />

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

covered entity, and <strong>the</strong> disclosure under subsection (e) <strong>of</strong> this<br />

law is "required by law," and HIPAA permits appropriately<br />

limited disclosure <strong>of</strong> PHI that is required by law, 45 C.F.R. §<br />

164.512(a).<br />

No<br />

No<br />

434

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