Texas 2025 - 89th Regular

Texas Senate Bill SB1188

Filed
2/7/25  
Out of Senate Committee
3/31/25  
Voted on by Senate
4/7/25  
Out of House Committee
5/15/25  
Bill Becomes Law
 

Caption

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

Impact

The implementation of SB1188 will significantly influence state laws concerning the management and legislation of electronic health records. By requiring that records are stored domestically, the bill may enhance patient data security. The formal documentation requirements during health care interactions are intended to raise the standard of care. Additionally, the provisions for civil penalties for violations — which can reach up to $250,000 for severe breaches — underline the state's commitment to maintaining stringent oversight in healthcare compliance.

Summary

SB1188 introduces regulations surrounding electronic health records (EHR), primarily focusing on how these records should be stored, accessed, and utilized. The bill requires that all electronic health records containing patient information must be maintained in the United States and accessible only to authorized individuals performing duties related to health care operations. Furthermore, it establishes specific requirements for collecting and documenting communications regarding an individual's metabolic health, as well as mandates that certain demographic information, such as 'biological sex', be recorded and made available within the medical records. This is intended to ensure that treatment decisions take into account essential biological information.

Sentiment

Overall, the sentiment surrounding SB1188 appears to be supportive among health industry stakeholders who advocate for improved data integrity and privacy measures. However, some concerns have been raised about the implications of mandating the recording of 'biological sex' and its potential effects on patient identity and treatment approaches. The sentiments from community advocates emphasize the need for sensitivity regarding how demographic data is collected and represented in medical records.

Contention

Notable contention within discussions about SB1188 centers around the handling of biological data, particularly the requirement to document biological sex and any developmental disorders. Critics argue that this may not only complicate the patient care process but could also risk misrepresenting or oversimplifying patient identities in records. Others have raised issues regarding how the civil penalties might disproportionately impact smaller health care providers who might lack the resources to comply uniformly with the new regulations. This tension indicates a broader debate on balancing regulatory enforcement and patient-centric approaches in healthcare.

Companion Bills

TX HB4503

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

Similar Bills

TX HB4503

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