How does Texas handle protected health information and privacy in long-term care?

• A. PHI can be shared freely to coordinate care.
• B. Compliance with HIPAA; protect PHI, control access, secure records, and train staff in confidentiality.
• C. PHI privacy is optional in Texas LTC facilities.
• D. Texas uses a state-specific policy that replaces HIPAA.

Answer: (B)

In long-term care, protecting protected health information is governed by HIPAA, and Texas facilities must follow those requirements to safeguard PHI. A Texas LTC facility must ensure PHI is protected with proper access controls so only authorized staff can view it, keep records secure both physically and electronically, and provide ongoing training to staff on confidentiality and breach prevention. These safeguards are required to coordinate care, prevent unnecessary disclosures, and uphold patients’ privacy rights. While Texas may have additional laws, they do not replace HIPAA; HIPAA remains the baseline standard. The other options conflict with this framework by suggesting PHI can be shared freely, privacy is optional, or state policy substitutes for HIPAA.