81R8802 YDB-F By: Deuell S.B. No. 2421 A BILL TO BE ENTITLED AN ACT relating to the confidentiality of newborn screening information. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subchapter B, Chapter 33, Health and Safety Code, is amended by adding Section 33.017 to read as follows: Sec. 33.017. CONFIDENTIALITY. (a) Reports, records, and information obtained or developed by the department under this chapter are confidential and are not subject to disclosure under Chapter 552, Government Code, are not subject to subpoena, and may not otherwise be released or made public except as provided by this section. (b) Notwithstanding other law, reports, records, and information obtained or developed by the department under this chapter may be disclosed: (1) for purposes of diagnosis or follow-up authorized under Section 33.014; (2) with the consent of each identified individual or an individual authorized to consent on behalf of an identified child; (3) as authorized by court order; (4) to a medical examiner authorized to conduct an autopsy on a child or an inquest on the death of a child; or (5) to public health programs of the department for public health research purposes provided that the disclosure is approved by an institutional review board or privacy board of the department as authorized by the federal privacy requirements adopted under the Health Insurance Portability and Accountability Act of 1996 (Pub. L. No. 104-191) contained in 45 C.F.R. Part 160 and 45 C.F.R. Part 164, Subparts A and E. (c) Notwithstanding other law, reports, records, and information that do not identify a child or the family of a child may be released without consent if the disclosure is for: (1) statistical purposes; (2) purposes related to obtaining or maintaining certification, approval, or quality assurance for the department's laboratory or a public or private laboratory to perform newborn screening tests; (3) purposes relating to review, quality assurance, or improvement of the department's newborn screening under this subchapter or the department's newborn screening program services under Subchapter C; (4) research purposes, provided that the disclosure is approved by an institutional review board or privacy board of the department; or (5) quality assurance related to equipment and supplies, provided that: (A) the assessment is performed by a person who is not a laboratory; (B) only newborn screening specimens are disclosed; and (C) the disclosure is approved by an institutional review board or privacy board of the department. (d) A state officer or employee, a department contractor, or a department contractor's employee, officer, director, or subcontractor may not be examined in a civil, criminal, special, or other judicial or administrative proceeding as to the existence or contents of records, reports, or information made confidential by this section unless disclosure is authorized by this section. SECTION 2. This Act takes effect immediately if it receives a vote of two-thirds of all the members elected to each house, as provided by Section 39, Article III, Texas Constitution. If this Act does not receive the vote necessary for immediate effect, this Act takes effect September 1, 2009.