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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 />

§ 603.203<br />

Records <strong>of</strong><br />

Complaints<br />

§ 603.204<br />

General Rules<br />

Regarding<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> State Board <strong>of</strong> Examiners <strong>of</strong><br />

Perfusionists <strong>to</strong> keep complaints on file and <strong>to</strong> notify <strong>the</strong> parties<br />

<strong>of</strong> <strong>the</strong> status <strong>of</strong> complaint investigations.<br />

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

contain IIHI. This law is not contrary <strong>to</strong> HIPAA because <strong>the</strong><br />

Board is not a covered entity.<br />

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

complaints and notifying parties.<br />

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

covered entity.<br />

This law allows <strong>the</strong> Board, upon approval by <strong>the</strong> commissioner,<br />

<strong>to</strong> subpoena records for complaint investigation. It also makes<br />

all complaint investigation materials confidential and makes<br />

exceptions <strong>to</strong> confidentiality.<br />

No<br />

No<br />

§ 603.2041<br />

Subpoenas<br />

§ 605.151<br />

General Powers<br />

<strong>of</strong> Board<br />

Related/<br />

Not Contrary<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 />

Covered entities should note HIPAA requirements for use or<br />

disclosurefor health oversight activities, 45 C.F.R. § 164.512(d).<br />

Also, compliance with <strong>the</strong> subpoena would be "required by law,"<br />

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

is required by law, 45 C.F.R. § 164.512(a). As <strong>to</strong> confidentiality,<br />

<strong>the</strong> Board is not a covered entity under HIPAA.<br />

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

Chapter 605: Orthotics and Pros<strong>the</strong>tists<br />

This law allows <strong>the</strong> <strong>Texas</strong> Board <strong>of</strong> Orthotics and Pros<strong>the</strong>tics,<br />

which is part <strong>of</strong> TDH, <strong>to</strong> conduct complaint investigations. This<br />

law relates <strong>to</strong> privacy <strong>of</strong> IIHI <strong>to</strong> <strong>the</strong> extent that complaints<br />

contain IIHI.<br />

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

covered entity.<br />

No<br />

No<br />

449

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