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Texas Insurance Code - INS § 843.007. Confidentiality of Medical and Health Information

Current as of January 01, 2024 | Updated by Findlaw Staff

(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;

(B) Subchapter A, Chapter 1452;  1

(C) Subchapter B, Chapter 1507;  2

(D) Chapter 222, 251, or 258, as applicable to a health maintenance organization; or

(E) Chapter 1271 or 1272;

(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.

1 V.T.C.A., Insurance Code § 1452.001 et seq.
2 V.T.C.A., Insurance Code § 1507.051 et seq.
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Cite this article: FindLaw.com - Texas Insurance Code - INS § 843.007. Confidentiality of Medical and Health Information - last updated January 01, 2024 | https://codes.findlaw.com/tx/insurance-code/ins-sect-843-007/

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