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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 />

40 TAC § 4.5<br />

Regulations and<br />

Statutes Governing<br />

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

Protected <strong>Health</strong><br />

Information<br />

Path<br />

Part 1 (Department<br />

<strong>of</strong> Aging and<br />

Disability Services) -<br />

Ch. 4 (Rights and<br />

Protection <strong>of</strong><br />

Individuals<br />

Receiving Mental<br />

Retardation<br />

Services) - Subch.<br />

A<br />

Related/<br />

Contrary<br />

Related/Not<br />

Contrary<br />

Explanation<br />

This regulation may affect <strong>the</strong> flow <strong>of</strong> information<br />

from facilities; but on its face, <strong>the</strong> regulation is not<br />

contrary.<br />

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

Exception<br />

Is State Law<br />

Preempted?<br />

No<br />

Recommendation<br />

40 TAC § 6.310<br />

Consent <strong>to</strong><br />

Treatment by<br />

Surrogate<br />

Decision-Makers<br />

40 TAC § 8.624<br />

Rights <strong>of</strong> All Clients<br />

Receiving Mental<br />

Retardation<br />

Services<br />

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

Aging and Disability<br />

Services) - Ch. 6<br />

(ICF/MR Programs<br />

– Contracting) -<br />

Subch. G<br />

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

Human Services) -<br />

Ch. 8 (Client<br />

Care--Mental<br />

Retardation<br />

Services) - Subch.<br />

Y<br />

Related/Not<br />

Contrary<br />

Related/Not<br />

Contrary<br />

No<br />

No<br />

40 TAC § 19.2006<br />

Reporting Incidents<br />

and Complaints<br />

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

Human Services) -<br />

Ch. 19 (Nursing<br />

Facility<br />

Requirements for<br />

Licensure and<br />

Medicaid<br />

Certification) -<br />

Subch.U<br />

Related/Not<br />

Contrary<br />

Completed inspection reports are subject <strong>to</strong> <strong>the</strong><br />

Public Information Act. DHS ( and now DADS)<br />

interprets applicable law <strong>to</strong> require release <strong>of</strong> federal<br />

inspection reports with only certain information<br />

removed. It has also interpreted state law <strong>to</strong> require<br />

<strong>the</strong> release <strong>of</strong> state inspection reports with only<br />

certain specified information removed, such as<br />

names. See also 40 TAC 19.2010(a). <strong>Analysis</strong><br />

assumes facility address would not be removed.<br />

No<br />

57

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