Find out about HIPAA Legal issues, including the preemption of State laws.

Questions or comments about the content of this page should be directed to Suzanne Giorgi, Senior Staff Counsel, at sgiorgi2@ohi.ca.gov.

 

Quick Page Reference

• Preemption Analyses of State Privacy Laws
• Preemption Analyses of State Security and Transactions and Code Sets Laws
• Exception Determinations
• Preemption Related CalOHii Policy/Information Memoranda
• General Information

 

 

 Preemption Analyses of State Privacy Laws

 

Selected Provisions of the Knox-Keene Health Care Service Plan Act of 1975
(Health & Safety Code 1340, et seq.)

• Preemption Analysis (DOC - 210K)
• Knox-Keene Health Care Service Plan Act of 1975

Patient Access to Health Records
(Health and Safety Code Sec. 123100, et seq.)

• Preemption Analysis (402K - DOC)
• Patient Access to Health Records Provisions (Health and Safety Code Sec. 123100, et seq.)

California Public Records Act
(Gov. Code Sec. 6250, et seq.)

• Preemption Analysis (156K - DOC)
• California Public Records Act (Gov. Code Sec. 6250, et seq.)

Information Practices Act of 1977
(Civ. Code Sec. 1798, et seq.)

• Preemption Analysis (829K - DOC)
• Information Practices Act of 1977 (Civ. Code Sec. 1798, et seq.)

Confidentiality of Medical Information Act - Portions of this preemption analysis are under review based on recent changes due to the HITECH Act.  Check back for updates to this premption analysis. 
(Civ. Code Sec. 56, et seq.)

Selected Provisions of the Elder Abuse and Dependent Adult Civil Protection Act
(Welf. & Inst. Code Sec. 15600, et seq.)

• Preemption Analysis (192 - DOC)
• Selected Provisions of the Elder Abuse and Dependent Adult Civil Protection Act (Welf. & Inst. Code Sec. 15600, et seq.)

Selected Provisions of the Child Abuse and Neglect Reporting Act
(Pen. Code Sec. 11164, et seq.) (Not Including Death Review Team-related Statutes)

• Preemption Analysis (220K - DOC)
• Penal Code Section 11164, et seq

State Employee Disciplinary Proceedings
(Govt. Code Sec. 19574.1)

• Preemption Analysis (161K - DOC)
• State Employee Disciplinary Proceedings (Govt. Code Sec. 19574.1)

Reporting Lapses of Consciousness
(Health & Safety Code Sec. 103900)

• Preemption Analysis (160K - DOC)
• Reporting Lapses of Consciousness (Health & Safety Code Sec. 103900)

 

 

Preemption Analyses of State Security and Transactions & Code Sets Laws

 

Civil Code Section 1798.21

• Preemption Analysis (154K - DOC)
• Civil Code Section 1798.21

Health and Safety Code Section 123149

• Preemption Analysis (160K - DOC)
• Health and Safety Code Section 123149

 

 

Exception Determinations

• Notice of Address for Submission of Requests for Preemption Exception Determinations (44K - PDF)
• The Exception Determination Request Process (126K - DOC)
• Pending Exception Determination Requests - None
• Exception Determinations - None

 

CalOHI Legal Related Policy/Information Memoranda

The policies reflect laws at the time the policies were written and do not reflect changes due to HITECH, other federal law, or other state law changes.  Policies will be updated as needed. 

2004-42

• Identification and Analysis of State Law for Preemption by HIPAA: Unique Health Identifier for Health Care Providers Standards (103K - DOC)

2003-30

• Identification and Analysis of State Law for Preemption of HIPAA Security and Electronic Transaction Standards (101K - DOC)

2003-25

• State Agency Requests for Preemption Exception Determinations (126K - DOC)

2003-24

• Preemption Analyses of the Patient Access to Health Records Act (PAHRA) (327K - DOC)

2003-19

• Adoption of HIPAA-Related Regulations (103K - DOC)

2002-17

• Enactment of S.B. 1914 (Health & Safety Code Section 130311.5) and CalOHI Implementation Plans and Procedures for covered entity State departments (134K - DOC)
• Attachment 1 (81K - DOC)
• Attachment 2 (81K - XLS)

2002-16

• Preemption Analysis of the Confidentiality of the Lanterman, Petris, Short Act (LPS) (105K - DOC)

2002-12

• Preemption Analyses of the Confidentiality of Medical Information Act (CMIA) (133K - PDF)

2002-06

• Preemption Analyses (Draft) of the Information Practices Act and the California Public Records Act (148K - PDF)

2002-04

• HIPAA Privacy State Law Baseline (143K - PDF)
• Worksheet (234K - XLS)

 

STATE LAW PREEMPTION

Identification and HIPAA preemption analyses of State law.

PREEMPTION ANALYSIS PROCESS/TOOLS

• Preemption Fact Sheet (146K - PDF)
• Subpart B of Part 160 of Subtitle A of the Title 45 of the Code of Federal Regulations (136K - PDF)
• Section 1178 of Section 262 and 264(c)(2) of Public Law 104-191 (92K - DOC)
• Privacy Regulation Preemption Extract -- August 14, 2002 (164K - PDF)
• Privacy Regulation Preemption Extract -- March 27, 2002 (145K - PDF)
• Privacy Regulation Preemption Extract -- December 28, 2000 (1.0M - PDF)
• Privacy Regulation Preemption Extract -- November 13, 1999 (369K - PDF)
• Security Regulation Preemption Extract -- August 11, 2003 (140K - PDF)
• Transactions and Code Sets Preemption Extract -- August 20, 2003 (113K - PDF)
• Preemption Analysis Template - Under Construction