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Amend CSHB 1831, Senate committee report version, by adding 
the appropriately numbered SECTIONs:
	SECTION ____.  Section 81.046, Health and Safety Code, is 
amended by amending Subsections (a), (c), and (f) and adding 
Subsection (g) to read as follows:
	(a)  Reports, records, and information received from any 
source, including from a federal agency or from another state,
furnished to a public health district, a health authority, a local 
health department, or the department that relate to cases or 
suspected cases of diseases or health conditions are confidential 
and may be used only for the purposes of this chapter.
	(c)  Medical or epidemiological information may be released:                   
		(1)  for statistical purposes if released in a manner 
that prevents the identification of any person;
		(2)  with the consent of each person identified in the 
information;         
		(3)  to medical personnel treating the individual, 
appropriate state agencies in this state or another state, a health 
authority or local health department in this state or another 
state, or federal, county, or [and] district courts to comply with 
this chapter and related rules relating to the control and 
treatment of communicable diseases and health conditions or under 
another state or federal law that expressly authorizes the 
disclosure of this information;

		(4)  to appropriate federal agencies, such as the 
Centers for Disease Control and Prevention of the United States 
Public Health Service, but the information must be limited to the 
name, address, sex, race, and occupation of the patient, the date of 
disease onset, the probable source of infection, and other 
requested information relating to the case or suspected case of a 
communicable disease or health condition; or
		(5)  to medical personnel to the extent necessary in a 
medical emergency to protect the health or life of the person 
identified in the information.
	(f)  Reports, records, and information relating to cases or 
suspected cases of diseases or health conditions may be released to 
the extent necessary during a public health disaster to law 
enforcement personnel solely for the purpose of protecting the 
health or life of the person identified in the report, record, or 
information.  Only the minimum necessary information may be 
released under this subsection, as determined by the health 
authority, the local health department, or the department.
	(g)  A judge of a county or district court may issue a 
protective order or take other action to limit disclosure of 
medical or epidemiological information obtained under this section 
before that information is entered into evidence or otherwise 
disclosed in a court proceeding.
	SECTION ____.  Section 81.103, Health and Safety Code, is 
amended by amending Subsection (b) and adding Subsection (k) to 
read as follows:
	(b)  A test result may be released to:                                         
		(1)  the department under this chapter;                                       
		(2)  a local health authority if reporting is required 
under this chapter;  
		(3)  the Centers for Disease Control and Prevention of 
the United States Public Health Service if reporting is required by 
federal law or regulation;
		(4)  the physician or other person authorized by law 
who ordered the test;  
		(5)  a physician, nurse, or other health care personnel 
who have a legitimate need to know the test result in order to 
provide for their protection and to provide for the patient's 
health and welfare;
		(6)  the person tested or a person legally authorized 
to consent to the test on the person's behalf;
		(7)  the spouse of the person tested if the person tests 
positive for AIDS or HIV infection, antibodies to HIV, or infection 
with any other probable causative agent of AIDS;
		(8)  a person authorized to receive test results under 
Article 21.31, Code of Criminal Procedure, concerning a person who 
is tested as required or authorized under that article; [and]
		(9)  a person exposed to HIV infection as provided by 
Section 81.050; and
		(10)  a county or district court to comply with this 
chapter or rules relating to the control and treatment of 
communicable diseases and health conditions.
	(k)  A judge of a county or district court may issue a 
protective order or take other action to limit disclosure of a test 
result obtained under this section before that information is 
entered into evidence or otherwise released in a court proceeding.