HIPAA Compliance
HIPAA Compliance

Texas HB 300: How It Expands HIPAA Protections

May 28, 2025

Texas HB 300, or House Bill 300, is a significant piece of legislation that beefs up privacy protection for health information in Texas, taking HIPAA standards and giving them a Texas-sized boost. This bill ensures that Texans’ medical records stay secure and private, but how exactly does it expand on HIPAA protections? Let's take a closer look at what makes Texas HB 300 stand out and how it affects healthcare providers and patients in the Lone Star State.

What Makes Texas HB 300 Different?

At its core, Texas HB 300 expands on the federal Health Insurance Portability and Accountability Act (HIPAA) by setting stricter standards for the protection of health information. While HIPAA provides a baseline for privacy and security, HB 300 raises the bar. One of the biggest distinctions is the broader definition of a "covered entity." In Texas, it's not just healthcare providers and insurers who must comply with the law; any individual or organization that handles protected health information (PHI) must meet these standards.

This broader scope means businesses like schools, law firms, and accounting companies, if they deal with PHI, are also held accountable. This is crucial because it acknowledges the diverse ways health information can be used and shared, ensuring a higher level of protection across various sectors.

Mandatory Employee Training

Under Texas HB 300, mandatory employee training is a must. It's not enough to just have a privacy policy in place; employees must be trained on how to handle PHI properly. Training must occur within 90 days of hiring and be repeated at least once every two years. This requirement is particularly relevant for organizations that may handle PHI but aren’t traditionally associated with healthcare. For instance, a school counselor who discusses a student's medical condition now needs training on how to manage that information securely.

This training emphasizes the importance of understanding privacy policies and procedures, which helps in minimizing accidental disclosures and breaches. It’s about creating a culture of privacy and accountability that extends beyond healthcare settings, reaching any workplace where PHI might pass through.

Stricter Penalties for Non-Compliance

The penalties for non-compliance under Texas HB 300 are notably more severe than those under HIPAA. Texas takes a hard stance on privacy violations, with fines that can reach up to $1.5 million per year for repeated violations. The penalty structure is tiered based on the severity of the violation and the entity's compliance history.

For a first-time offender, the fines might be less severe, but if an organization is found to have committed a violation intentionally or with a disregard for the law, the consequences can be substantial. This stringent penalty system underscores the importance of compliance and acts as a deterrent against negligence in handling PHI.

Patient Access to Electronic Health Records

Texas HB 300 also expedites patient access to electronic health records (EHRs). While HIPAA requires patient requests to be fulfilled within 30 days, HB 300 shortens this timeframe to just 15 days. This change underscores the importance of timely access to medical information, empowering patients to manage their health more effectively.

Timely access to EHRs can be crucial, especially for patients seeking second opinions or transferring care to another provider. By ensuring quicker access, Texas HB 300 helps eliminate potential delays that could impact patient care and treatment decisions.

Protecting Electronic Health Information

In today's digital-centric world, protecting electronic health information is more critical than ever. Texas HB 300 emphasizes the security of electronic PHI (ePHI) by requiring risk assessments and the implementation of security measures to prevent unauthorized access. This can include encryption, secure user authentication, and regular audits of access logs.

The focus on ePHI protection reflects the reality that more health records are being stored and shared electronically. It acknowledges that while technology can enhance healthcare delivery, it also introduces new risks. By addressing these risks, Texas HB 300 aims to prevent data breaches that could compromise patient privacy.

The Role of Business Associates

Business associates, under Texas HB 300, are also held to high standards. These are organizations or individuals that perform services involving PHI on behalf of a covered entity. Think of IT service providers, billing companies, or even shredding services. If they're handling PHI, they're responsible for maintaining its security and confidentiality.

This means that business associates must follow the same training requirements and face similar penalties for breaches as covered entities. By holding these third parties accountable, Texas HB 300 closes potential gaps in the protection of PHI, ensuring that privacy is maintained throughout the healthcare ecosystem.

Feather’s Role in Compliance

Here at Feather, we understand the complexities of maintaining compliance with regulations like Texas HB 300. Our HIPAA-compliant AI assistant is designed to help healthcare professionals manage documentation, coding, and compliance tasks efficiently. Whether it's summarizing notes or drafting letters, Feather can handle it swiftly and securely, ensuring that privacy and compliance remain front and center.

By using Feather, healthcare providers can focus more on patient care and less on administrative burdens, all while staying compliant with stringent privacy laws. Feather offers the tools necessary to manage PHI responsibly, reducing the risk of breaches and keeping patient data safe.

Impact on Healthcare Providers

For healthcare providers, Texas HB 300 means taking a proactive stance on privacy and security. This involves regular updates to privacy policies, conducting risk assessments, and ensuring all staff are adequately trained. Providers must also invest in technology and infrastructure that supports the safe handling of PHI, such as secure electronic health record systems.

While these measures may require additional resources and effort, they ultimately contribute to a safer healthcare environment. Patients are more likely to trust providers who demonstrate a commitment to protecting their information, which can enhance patient-provider relationships and improve care outcomes.

Patient Empowerment and Trust

From a patient perspective, Texas HB 300 represents a commitment to their privacy and security. Knowing that their information is protected by some of the strictest laws in the country can enhance trust in the healthcare system. Patients can feel more at ease sharing sensitive information, confident that it will be handled with care.

This trust is crucial in fostering open communication between patients and providers, which can lead to better diagnosis and treatment. By prioritizing patient privacy, Texas HB 300 not only enhances security but also contributes to a more effective healthcare experience.

Final Thoughts

Texas HB 300 significantly enhances HIPAA protections, ensuring that patient privacy is a top priority across various sectors. With stricter standards and penalties, it holds both covered entities and business associates accountable, fostering a culture of security and trust. For healthcare providers, using tools like Feather can streamline compliance efforts, allowing them to focus on patient care while maintaining privacy. Feather helps eliminate busywork and boosts productivity, making it an invaluable asset in navigating the complexities of healthcare regulations.

Feather is a team of healthcare professionals, engineers, and AI researchers with over a decade of experience building secure, privacy-first products. With deep knowledge of HIPAA, data compliance, and clinical workflows, the team is focused on helping healthcare providers use AI safely and effectively to reduce admin burden and improve patient outcomes.

linkedintwitter

Other posts you might like

HIPAA Terms and Definitions: A Quick Reference Guide

HIPAA compliance might sound like a maze of regulations, but it's crucial for anyone handling healthcare information. Whether you're a healthcare provider, an IT professional, or someone involved in medical administration, understanding HIPAA terms can save you a lot of headaches. Let’s break down these terms and definitions so you can navigate the healthcare compliance landscape with confidence.

Read more

HIPAA Security Audit Logs: A Comprehensive Guide to Compliance

Keeping track of patient data securely is not just a best practice—it's a necessity. HIPAA security audit logs play a pivotal role in ensuring that sensitive information is handled with care and compliance. We'll walk through what audit logs are, why they're important, and how you can effectively manage them.

Read more

HIPAA Training Essentials for Dental Offices: What You Need to Know

Running a dental office involves juggling many responsibilities, from patient care to administrative tasks. One of the most important aspects that can't be ignored is ensuring compliance with HIPAA regulations. These laws are designed to protect patient information, and understanding how they apply to your practice is crucial. So, let's walk through what you need to know about HIPAA training essentials for dental offices.

Read more

HIPAA Screen Timeout Requirements: What You Need to Know

In healthcare, ensuring the privacy and security of patient information is non-negotiable. One of the seemingly small yet crucial aspects of this is screen timeout settings on devices used to handle sensitive health information. These settings prevent unauthorized access when devices are left unattended. Let's break down what you need to know about HIPAA screen timeout requirements, and why they matter for healthcare professionals.

Read more

HIPAA Laws in Maryland: What You Need to Know

HIPAA laws can seem like a maze, especially when you're trying to navigate them in the context of Maryland's specific regulations. Understanding how these laws apply to healthcare providers, patients, and technology companies in Maryland is crucial for maintaining compliance and protecting patient privacy. So, let's break down the essentials of HIPAA in Maryland and what you need to know to keep things running smoothly.

Read more

HIPAA Correction of Medical Records: A Step-by-Step Guide

Sorting through medical records can sometimes feel like unraveling a complex puzzle, especially when errors crop up in your healthcare documentation. Fortunately, the Health Insurance Portability and Accountability Act (HIPAA) provides a clear path for correcting these medical records. We'll go through each step so that you can ensure your records accurately reflect your medical history. Let's break it down together.

Read more