Tex.
Ins. Code Section 843.007
Confidentiality of Medical and Health Information
(a)
Any information relating to the diagnosis, treatment, or health of an enrollee or applicant obtained by a health maintenance organization from the enrollee or applicant or from a physician or provider shall be held in confidence and may not be disclosed to any person except:(1)
to the extent necessary to accomplish the purposes of this chapter or:(A)
Section 1367.053 (Coverage Required);(B)
Subchapter A (Applicability of Certain Definitions), Chapter 1452 (Physician and Provider Credentials);(C)
Subchapter B (Purpose), Chapter 1507 (Consumer Choice of Benefits Plans);(D)
Chapter 222 (Life, Health, and Accident Insurance Premium Tax), 251 (General Provisions), or 258 (Health Maintenance Organizations), as applicable to a health maintenance organization; or(E)
Chapter 1271 (Benefits Provided by Health Maintenance Organizations; Evidence of Coverage; Charges) or 1272 (Delegation of Certain Functions by Health Maintenance Organization);(2)
with the express consent of the enrollee or applicant;(3)
in compliance with a statute or court order for the production or discovery of evidence; or(4)
in the event of a claim or litigation between the enrollee or applicant and the health maintenance organization in which the information is pertinent.(b)
A health maintenance organization is entitled to claim the statutory privilege against disclosure that the physician or provider who provides the information to the health maintenance organization is entitled to claim.
Source:
Section 843.007 — Confidentiality of Medical and Health Information, https://statutes.capitol.texas.gov/Docs/IN/htm/IN.843.htm#843.007 (accessed Jun. 5, 2024).
