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

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Texas Administrative Code Section Path Related/ Contrary Explanation Preemption Exception Is State Law Preempted? Recommendation 28 TAC § 11.2601 General Provisions Part 1 (Tex. Dept. of Insurance) - Ch. 11 (Health Maintenance Organizations) - Subch. AA Not Related No 28 TAC § 11.2603 Requirements for Delegation by HMOs 28 TAC § 12.4 - 12.301 Applicability - Complaints and Information Part 1 (Tex. Dept. of Insurance) - Ch. 11 (Health Maintenance Organizations) - Subch. AA Part 1 (Tex. Dept. of Insurance) - Ch. 12 (Independent Review Organizations) - Subch. A - D Related/Not Contrary Related/Not Contrary HIPAA permits certain uses and disclosures pursuant to a contract between a covered entity and business associate, including the delegation at issue here. 45 C.F.R. § 164.504(e)(1). (1) Independent Review Org. (IRO) is agent of TDI, and is not a covered entity or business associate. (2) Ins. Code art. 21.58A, 6A(2) requires a utilization review agent to provide information to IRO, and HIPAA permits appropriately limited disclosure of PHI that is required by law. 45 C.F.R. § 164.512(a)(1). No No 51
Texas Administrative Code Section Path Related/ Contrary Explanation Preemption Exception Is State Law Preempted? Recommendation Section (b) relates to release of confidential information to individual or third parties. Some elements required by section (b) of the rule for the authorization are as stringent as HIPAA, some are not. See Report, "Recurring Issues - Written Authorizations." 28 TAC § 19.1714 Confidentiality Part 1 (Tex. Dept. of Insurance) - Ch. 19 (Agents' Licensing) - Subch. R Related/Not Contrary Section (c) relates to release of confidential information for health care operations. HIPAA permits the use and disclosure of IIHI in the course of certain treatment, payment, and health care operations. 45 C.F.R. § 164.506. Section (d) relates to responding to a request by the individual for information. Section (g) states records should be destroyed when the agent determines the information is no longer needed and section (m) provides that records should be maintained for at least two years if the information relates to a case for which an adverse decision was made at any point or if the information relates to a case which may be reopened. See text of Report "Recurring Issues-Records Retention." No 52
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REPORT OF THE OFFICE OF THE ATTORNE
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Preemption Analysis of Texas Laws Relating to the Privacy of Health ...

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