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Texas Statutes (Last Updated: January 4, 2014) |
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INSURANCE CODE |
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Title 6. ORGANIZATION OF INSURERS AND RELATED ENTITIES |
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Subtitle C. LIFE, HEALTH, AND ACCIDENT INSURERS AND RELATED ENTITIES |
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Chapter 843. HEALTH MAINTENANCE ORGANIZATIONS |
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Subchapter A. GENERAL PROVISIONS |
Sec. 843.007. CONFIDENTIALITY OF MEDICAL AND HEALTH INFORMATION
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(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;
(C) Subchapter B, Chapter 1507;
(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.