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TITLE 26HEALTH AND HUMAN SERVICES
PART 1HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 88STATE LONG-TERM CARE OMBUDSMAN PROGRAM
SUBCHAPTER DREQUIREMENTS OF A LOCAL OMBUDSMAN ENTITY
RULE §88.304Disclosure of Confidential Information; Exclusion from Reporting Requirements Regarding Abuse, Neglect, or Exploitation; and Provision of Records to the Office

(a) Information identifying a resident or complainant is confidential. Such information includes:

  (1) the name of the resident or complainant;

  (2) information about the resident’s medical condition;

  (3) the resident’s medical history;

  (4) the resident’s social history, which includes occupation, residences, and information about a resident’s family;

  (5) the resident’s source of payment;

  (6) information about the resident’s personal life; and

  (7) information from a communication between a resident and a representative of the Office.

(b) A local ombudsman entity must ensure that a disclosure of confidential information that is not written information complies with the Older Americans Act, §712(d), 45 CFR §1324.11(e)(3), and the Ombudsman Policies and Procedures Manual.

(c) A response to a request to disclose written confidential information must be in accordance with this subsection.

  (1) If a representative of the Office receives a request to disclose written confidential information as described in subsection (a) of this section, including a subpoena, the representative must immediately:

    (A) notify the State Ombudsman of the request; and

    (B) provide the State Ombudsman with any communication from the requestor.

  (2) If the State Ombudsman receives a request to disclose written confidential information, the State Ombudsman:

    (A) sends written acknowledgement of receipt of the request to the representative of the Office;

    (B) reviews the request and responds to the requestor within a time frame required by applicable state or federal law; and

    (C) sends a copy of the response to the local ombudsman entity.

(d) In accordance with 45 CFR §1324.11(e)(3)(iv), a representative of the Office must not, except as provided in §1324.19(b)(5) - (8), report allegations of abuse, neglect, or exploitation under state law, including Texas Human Resources Code, Chapter 48, without appropriate consent or court order. This prohibition applies:

  (1) regardless of whether a representative of the Office is required to report allegations of abuse, neglect, or exploitation under professional licensure standards; and

  (2) to a representative of the Office only in the performance of functions of the Ombudsman Program.

(e) A local ombudsman entity must, at the request of the Office, immediately provide Ombudsman Program records to the Office.


Source Note: The provisions of this §88.304 adopted to be effective April 5, 2018, 43 TexReg 2007

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