Texas HB 300 and Patient Privacy Rights

Texas House Bill 300 of 2011 is a state law that enhances patient privacy rights by imposing strict regulations on the disclosure of protected health information, requiring healthcare providers and entities to implement security measures, and granting patients greater control over their medical information, thereby establishing a framework to safeguard the confidentiality and privacy of individuals’ health-related data in the state of Texas. This legislative framework aims to strike a balance between facilitating the efficient exchange of health information for legitimate purposes and safeguarding the confidentiality and privacy of individuals’ health-related data.

HB 300 addresses the importance of protecting sensitive health information in a time characterized by the prevailing digitization of healthcare data and the consequent vulnerabilities associated with electronic health records (EHRs). This legislative measure is aligned with the national mandate to enhance data security and privacy standards in the healthcare sector, as exemplified by the Health Insurance Portability and Accountability Act (HIPAA) at the federal level.

HB 300 highlights the principle that individuals possess the right to control access to their health information. The law places strict requirements and standards for healthcare providers and entities to ensure the safeguarding of PHI. PHI includes any information, whether oral or recorded in any form or medium, that relates to an individual’s past, present, or future physical or mental health condition, healthcare services provided, or payment for such services. HB 300 explicitly requires covered entities to implement security measures to protect the confidentiality, integrity, and availability of PHI. This includes the adoption of encryption technologies, access controls, and audit trails to monitor and track access to health information. By mandating robust security protocols, the legislation acknowledges the need to mitigate the risk of unauthorized access, disclosure, alteration, or destruction of sensitive health data.

The legislation defines circumstances under which the disclosure of PHI is permissible. Covered entities are permitted to share health information for treatment, payment, and healthcare operations without obtaining explicit authorization from the individual. However, the law introduces a stricter standard for the disclosure of psychotherapy notes, substance abuse treatment records, and certain sensitive information, demanding explicit authorization from the patient. HB 300 establishes individual rights regarding health information. Patients are granted the right to receive notice of privacy practices, access their health records, and request amendments to inaccuracies therein. Individuals also have the authority to restrict the disclosure of certain information to health plans if the services have been paid for out-of-pocket.

HB 300 also includes data breach notification requirements. Covered entities are obligated to notify affected individuals, the Texas Attorney General, and, in certain cases, prominent media outlets in the event of a breach of unsecured PHI. This measure serves to inform affected individuals promptly and enhances transparency and accountability within the healthcare ecosystem. HB 300 introduces a framework for enforcement and penalties to ensure compliance with its provisions. The Texas Attorney General is authorized to investigate potential violations and impose civil penalties for non-compliance. These penalties can range from monetary fines to injunctive relief, depending on the nature and severity of the violation. The legislation thus establishes a clear deterrent against lax security measures and unauthorized disclosures of PHI.


Texas House Bill 300 represents a step in elevating the standards of patient privacy protection within the state’s healthcare industry. By imposing security requirements, individual rights, and enforcement mechanisms, the legislation creates a way to safeguard sensitive health information. This framework aligns with the national trends in healthcare data protection and reflects the evolving healthcare technology and the need to adapt legal frameworks accordingly. As healthcare professionals, adherence to the provisions of Texas HB 300 becomes important to ensuring ethical, lawful, and patient-centric healthcare practices in the state of Texas.