2023 Texas Statutes › Health and Safety Code › Title 2 - Health › Subtitle D - Prevention, Control, and Reports of Diseases; Public Health Disasters and Emergencies › Chapter 82 - Cancer Registry › Section 82.008. Data From Medical Records

Sec. 82.008.  DATA FROM MEDICAL RECORDS.  (a)  To ensure an accurate and continuing source of data concerning cancer, each health care facility, clinical laboratory, and health care practitioner shall furnish to the department, on request, data the executive commissioner considers necessary and appropriate that is derived from each medical record pertaining to a case of cancer that is in the custody or under the control of the health care facility, clinical laboratory, or health care practitioner.  The department may not request data that is more than three years old unless the department is investigating a possible cancer cluster.  At the request and with the authorization of the applicable health care facility, clinical laboratory, or health care practitioner, data may be furnished to the department through a health information exchange as defined by Section 182.151.
(b)  A health care facility, clinical laboratory, or health care practitioner shall furnish the data requested under Subsection (a) in a reasonable format prescribed by department rule and within six months of the patient's admission, diagnosis, or treatment for cancer unless a different period is prescribed by the United States Department of Health and Human Services.
(c)  The data required to be furnished under this section must include patient identification and diagnosis.
(d)  The department may access medical records that would identify cases of cancer, establish characteristics or treatment of cancer, or determine the medical status of any identified patient from the following sources:
(1)  a health care facility or clinical laboratory providing screening, diagnostic, or therapeutic services to a patient with respect to cancer;  or
(2)  a health care practitioner diagnosing or providing treatment to a patient with cancer, except as described by Subsection (g).
(e)  The executive commissioner shall adopt procedures that ensure adequate notice is given to the health care facility, clinical laboratory, or health care practitioner before the department accesses data under Subsection (d).
(f)  A health care facility, clinical laboratory, or health care practitioner that knowingly or in bad faith fails to furnish data as required by this chapter shall reimburse the department or its authorized representative for the costs of accessing and reporting the data.  The costs reimbursed under this subsection must be reasonable, based on the actual costs incurred by the department or by its authorized representative in the collection of data under Subsection (d), and may include salary and travel expenses.  The department may assess a late fee on an account that is 60 days or more overdue.  The late fee may not exceed one and one-half percent of the total amount due on the late account for each month or portion of a month the account is not paid in full.  A health care facility, clinical laboratory, or health care practitioner may request that the department conduct a hearing to determine whether reimbursement to the department under this subsection is appropriate.
(g)  The department may not require a health care practitioner to furnish data or provide access to records if:
(1)  the data or records pertain to cases reported by a health care facility providing screening, diagnostic, or therapeutic services to cancer patients that involve patients referred directly to or previously admitted to the facility;  and
(2)  the facility reported the same data the practitioner would be required to report.
(h)  The data required to be furnished under this section may be shared with cancer registries of health care facilities subject to the confidentiality provisions in Section 82.009.
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.  Amended by Acts 1991, 72nd Leg., ch. 14, Sec. 35, eff. Sept. 1, 1991;  Acts 1997, 75th Leg., ch. 343, Sec. 1, eff. May 27, 1997;  Acts 1999, 76th Leg., ch. 1411, Sec. 23.01, eff. Sept. 1, 1999;  Acts 2001, 77th Leg., ch. 589, Sec. 5, eff. Sept. 1, 2001.
Amended by:
Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 3.0255, eff. April 2, 2015.
Acts 2015, 84th Leg., R.S., Ch. 1085 (H.B. 2641), Sec. 5, eff. September 1, 2015.