Texas 2025 - 89th Regular

Texas House Bill HB4503

Filed
3/12/25  
Out of Senate Committee
 
Voted on by Senate
 
Governor Action
 
Bill Becomes Law
 

Caption

Relating to electronic health record requirements; authorizing a civil penalty.

Impact

This bill introduces a framework that regulates how electronic health records are stored, accessed, and managed. It imposes penalties for violations and authorizes the attorney general to take civil actions against entities that do not comply with outlined requirements. Notably, covered entities must also implement reasonable safeguards to maintain the confidentiality of patient records, addressing growing concerns about data breaches and unauthorized access, especially in light of the increasing role of technology in healthcare. This act is positioned to significantly alter the legal landscape around patient data management in Texas.

Summary

House Bill 4503 seeks to establish comprehensive requirements for electronic health records (EHR) in Texas, emphasizing the importance of maintaining patient confidentiality and integrity of health information. The bill mandates that covered entities, which include health care practitioners, are responsible for ensuring that all electronic records containing patient information are stored within the United States. The intent is to enhance the security of sensitive medical data and establish clear parameters around access and handling of such information, particularly concerning the biological sex of individuals and their health conditions.

Sentiment

Reactions to HB 4503 appear to be mixed. Supporters, primarily from health care and regulatory backgrounds, view it as a necessary safeguard to protect patient information amid rising tech use in healthcare settings. Conversely, there may be concern from certain groups regarding how the provisions about biological sex are framed and which directly impact individuals with sexual development disorders. The bill's approach to amending biological sex records has sparked debate over inclusivity and accuracy in medical documentation.

Contention

The discussions surrounding the bill have highlighted issues of contention, particularly regarding the specifications for documenting biological sex within electronic health records. Opposition may arise from advocacy groups who feel that the language could further marginalize individuals with non-binary identities or those questioning their gender identity. Additionally, the bill stipulates significant penalties for non-compliance which could be seen as punitive rather than supportive for entities striving to adhere to the new regulations. The overall implications for patient-care relationships and how such legal frameworks enforce compliance remain central to the ongoing dialogue.

Companion Bills

TX SB1188

Identical Relating to electronic health record requirements; authorizing a civil penalty.

Similar Bills

TX SB1188

Relating to electronic health record requirements; authorizing a civil penalty.

MS HB245

Medical records; set maximum amounts of fees that may be charged for providing in electronic format.

MS HB862

Medical records; set maximum amounts of fees that may be charged for providing in electronic format.

TX HB2171

Relating to information maintained in the immunization registry with the consent of an individual after the individual becomes an adult.

NM SB404

Healthcare Privacy Protections

TX HB2382

Relating to information submitted to and maintained in the immunization registry after an individual becomes an adult.

TX SB346

Relating to information submitted to and maintained in the immunization registry after an individual becomes an adult.

NM HB389

State Health Data Utility