88R12984 JG-D
 
  By: Vasut H.B. No. 4589
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to restrictions on the use of digital identification
  systems for patient health care records.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subtitle I, Title 2, Health and Safety Code, is
  amended by adding Chapter 183 to read as follows:
  CHAPTER 183. DIGITAL IDENTIFICATION SYSTEMS FOR HEALTH CARE
  RECORDS
         Sec. 183.001.  DEFINITIONS. In this chapter:
               (1)  "Covered entity" has the meaning assigned by
  Section 181.001.
               (2)  "Digital identification system" means an
  electronic system that uses digital technology throughout the
  process of identifying an individual, including:
                     (A)  data capture, validation, storage, and
  transfer;
                     (B)  credential management; and
                     (C)  identity verification and authentication.
               (3)  "Health care provider" means a person who is
  licensed, certified, or otherwise authorized to provide or render
  health care in this state in the ordinary course of business or
  practice of a profession.
         Sec. 183.002.  CONSENT REQUIREMENT FOR USE OF DIGITAL
  IDENTIFICATION SYSTEMS. (a) Unless a covered entity or health care
  provider obtains a patient's written informed consent, the entity
  or provider may not:
               (1)  use a digital identification system, including a
  system created or operated by this state, to store a patient's
  health care records, including genetic or biological information;
  or
               (2)  require the use of a digital identification system
  for a patient to access the patient's health care records.
         (b)  A health care provider may not coerce a patient to
  consent to the use of a digital identification system, including by
  requiring consent as a condition of receiving health care services
  or treatment from the provider.
         Sec. 183.003.  COMMERCIAL USE PROHIBITED WITHOUT
  COMPENSATION. A covered entity or health care provider who obtains
  a patient's written informed consent under Section 183.002 may not
  use the patient's health care records for commercial gain in any
  manner unless the entity or provider provides reasonable
  compensation to the patient.
         Sec. 183.004.  CONFIDENTIALITY. (a)  A covered entity or
  health care provider who obtains a patient's written informed
  consent under Section 183.002 shall ensure the patient's health
  care records are kept confidential in accordance with applicable
  state and federal law.
         (b)  A covered entity or health care provider shall ensure
  that a patient's health care records do not include identifying
  information when the entity or provider shares the records in
  accordance with the patient's written informed consent provided
  under Section 183.002.
         Sec. 183.005.  ENFORCEMENT. A violation of this chapter by a
  covered entity or health care provider constitutes a violation of
  Chapter 181 and the entity or provider is subject to enforcement
  actions under Subchapter E of that chapter, including disciplinary
  action by the appropriate licensing authority.
         Sec. 183.006.  RULES. The executive commissioner shall
  adopt rules to implement this chapter.
         SECTION 2.  Chapter 183, Health and Safety Code, as added by
  this Act, applies only to the use of a digital identification system
  that occurs on or after the effective date of this Act.
         SECTION 3.  This Act takes effect September 1, 2023.