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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 />

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

Exception<br />

Is State Law<br />

Preempted?<br />

Recommendation<br />

510<br />

Confidentiality <strong>of</strong><br />

Mental <strong>Health</strong><br />

Information in Civil<br />

Cases<br />

Related/Not Contrary<br />

The Rule does not require a "pr<strong>of</strong>essional" (a<br />

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

prescribe <strong>the</strong> circumstances under which a<br />

"pr<strong>of</strong>essional" may or must disclose PHI.<br />

No<br />

511<br />

Waiver <strong>of</strong> Privilege<br />

by Voluntary<br />

Disclosure<br />

Related/Not Contrary<br />

The patient holds <strong>the</strong> privilege. Even if waived,<br />

HIPAA still applies <strong>to</strong> <strong>the</strong> covered entity.<br />

No<br />

Article VI: Witnesses<br />

612<br />

Writing Used <strong>to</strong><br />

Refresh Memory<br />

Related/Not Contrary<br />

If a covered entity is testifying, <strong>the</strong> covered entity<br />

can comply with both <strong>the</strong> Rule and HIPAA, as<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 />

Article VII: Opinions and Expert Testimony<br />

705<br />

Disclosure <strong>of</strong> Facts<br />

or Data Underlying<br />

Expert Opinion<br />

Related/Not Contrary<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 />

Article VIII: Hearsay<br />

803<br />

Hearsay<br />

Exceptions;<br />

Availability <strong>of</strong><br />

Declarant<br />

Immaterial<br />

Related/Not Contrary<br />

Court is not ordering disclosure <strong>of</strong> information, but<br />

says what is admissible; requires have a court order<br />

<strong>to</strong> disclose information.<br />

No<br />

464

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