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Do state privacy laws override HIPAA?

No. The HIPAA privacy rule is much more formal than the patient confidentiality laws physicians have traditionally adhered to. State law should only be followed:
  • when it is more stringent than federal law,
  • or it provides for the reporting of disease or injury, child abuse, birth, or death,
  • or for public health surveillance, investigation, or intervention, or requires certain health plan reporting, such as for management or financial audits.
For more information on the relationship between HIPAA and state privacy laws, see 45 C.F.R. Part 160, Subpart B, for specific requirements related to preemption of State law. An unofficial version of the Privacy Rule (55-page PDF file; About PDFs) and the preemption requirements may be accessed on the Health and Human Services web site.
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