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Preemption Analysis of Texas Laws Relating to the Privacy of Health ...

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<strong>Texas</strong> Rules <strong>of</strong> Evidence<br />

Rule<br />

Related/Contrary<br />

Explanation<br />

Article IV: Relevancy and Its Limits<br />

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

Exception<br />

Is State Law<br />

Preempted?<br />

Recommendation<br />

402<br />

Relevant Evidence<br />

Generally<br />

Admissible;<br />

Irrelevant Evidence<br />

Inadmissible<br />

Not Related<br />

(1) To <strong>the</strong> extent <strong>the</strong> relevant information includes<br />

PHI, <strong>the</strong> rule does not require a covered entity <strong>to</strong><br />

disclose information, but only limits <strong>the</strong> evidence that<br />

can be admitted <strong>to</strong> what is relevant.<br />

(2) Fur<strong>the</strong>rmore, <strong>the</strong> rule contains <strong>the</strong> proviso,<br />

"except as o<strong>the</strong>rwise provided by . . . statute . . . or<br />

by o<strong>the</strong>r rules prescribed pursuant <strong>to</strong> statu<strong>to</strong>ry<br />

authority." Thus, if not permitted under HIPAA, <strong>the</strong><br />

information is not admissible even if relevant.<br />

No<br />

(3) HIPAA permits a covered entity <strong>to</strong> disclose PHI<br />

in <strong>the</strong> course <strong>of</strong> a judicial or administrative<br />

proceeding in response <strong>to</strong> a court order. 45 C.F.R. §<br />

164.512(e)(1)(i).<br />

412<br />

Evidence <strong>of</strong><br />

Previous Sexual<br />

Conduct in Criminal<br />

Cases<br />

Related/Not Contrary<br />

The information at issue is not PHI.<br />

No<br />

Article V: Privileges<br />

509<br />

Physician-Patient<br />

Privilege<br />

Related/Not Contrary<br />

This rule does not require a physician (a covered<br />

entity) <strong>to</strong> disclose PHI. Nor does it prescribe <strong>the</strong><br />

circumstances under which a physician may or must<br />

disclose PHI.<br />

With regard <strong>to</strong> both civil and criminal proceedings,<br />

HIPAA permits a covered entity <strong>to</strong> disclose PHI in<br />

<strong>the</strong> course <strong>of</strong> a judicial or administrative proceeding<br />

in response <strong>to</strong> a court order. 45 C.F.R. §<br />

164.512(e)(1)(i).<br />

No<br />

463

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