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

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<strong>Texas</strong> Administrative Code<br />

Section<br />

25 TAC § 157.4<br />

Audits<br />

25 TAC § 157.11<br />

Requirements for<br />

an EMS Provider<br />

License<br />

25 TAC § 157.25<br />

Out-<strong>of</strong>-Hospital Do<br />

Not Resuscitate<br />

(DNR) Order<br />

25 TAC § 181.9<br />

Access <strong>to</strong> Paternity<br />

Files<br />

25 TAC § 181.10<br />

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

Records <strong>to</strong> Ensure<br />

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

Adoption<br />

Placement<br />

25 TAC § 181.11<br />

Requests for<br />

Personal Data<br />

Path<br />

Part 1 (Tex. Dept. <strong>of</strong><br />

State <strong>Health</strong><br />

Services) - Ch. 157<br />

(Emergency<br />

Medical Care) -<br />

Subch. A<br />

Part 1 (Tex. Dept. <strong>of</strong><br />

State <strong>Health</strong><br />

Services) - Ch. 157<br />

(Emergency<br />

Medical Care) -<br />

Subch. B<br />

Part 1 (Tex. Dept. <strong>of</strong><br />

State <strong>Health</strong><br />

Services) - Ch. 157<br />

(Emergency<br />

Medical Care) -<br />

Subch. B<br />

Part 1 (Tex. Dept. <strong>of</strong><br />

State <strong>Health</strong><br />

Services) - Ch. 181<br />

(Vital Statistics) -<br />

Subch. A<br />

Part 1 (Tex. Dept. <strong>of</strong><br />

State <strong>Health</strong><br />

Services) - Ch. 181<br />

(Vital Statistics) -<br />

Subch. A<br />

Part 1 (Tex. Dept. <strong>of</strong><br />

State <strong>Health</strong><br />

Services) - Ch. 181<br />

(Vital Statistics) -<br />

Subch. A<br />

Related/<br />

Contrary<br />

Related/Not<br />

Contrary<br />

Related/Not<br />

Contrary<br />

Related/Not<br />

Contrary<br />

Related/Not<br />

Contrary<br />

Related/Not<br />

Contrary<br />

Related/Not<br />

Contrary<br />

Explanation<br />

HIPAA permits certain disclosures for <strong>the</strong> purpose <strong>of</strong><br />

health care oversight. 45 C.F.R. § 164.512(d)(1).<br />

Provisions, in particular subsection (l)(6), are<br />

consistent with HIPAA.<br />

None <strong>of</strong> <strong>the</strong> provisions <strong>of</strong> this or o<strong>the</strong>r vital statistics<br />

chapters is contrary. The Department is not a<br />

covered entity. Fur<strong>the</strong>rmore, any uses or disclosures<br />

required <strong>of</strong> covered entities who provide information<br />

<strong>to</strong> <strong>the</strong> Department would come within <strong>the</strong> permitted<br />

disclosures for public health activities, 45 C.F.R. '<br />

164.512(b).<br />

None <strong>of</strong> <strong>the</strong> provisions <strong>of</strong> this or o<strong>the</strong>r vital statistics<br />

chapters is contrary. The Department is not a<br />

covered entity. Fur<strong>the</strong>rmore, any uses or disclosures<br />

required <strong>of</strong> covered entities who provide information<br />

<strong>to</strong> <strong>the</strong> Department would come within <strong>the</strong> permitted<br />

disclosures for public health activities, 45 C.F.R. '<br />

164.512(b).<br />

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

Exception<br />

Is State Law<br />

Preempted?<br />

No<br />

No<br />

No<br />

No<br />

No<br />

No<br />

Recommendation<br />

45

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