Texas AG Files Lawsuit to Block Federal Abortion Privacy Rule

‘This new rule actively undermines Congress’s clear statutory meaning when HIPAA was passed,’ the attorney general says.
Texas AG Files Lawsuit to Block Federal Abortion Privacy Rule
A protester holds a sign as she demonstrates in Miami after the U.S. Supreme Court ruled in the Dobbs v. Jackson Women’s Health Organization abortion case, overturning the landmark Roe v. Wade abortion decision, on June 24, 2022. Marco Bello/Reuters
Jack Phillips
Updated:
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The state of Texas filed a lawsuit against a federal rule that aims to provide medical privacy for women who seek abortions who live in states that ban abortion and who travel out of state for the procedure.

In a lawsuit filed Wednesday in a federal court in Lubbock, Texas Attorney General Ken Paxton’s office is asking a federal judge to scrap the federal rule that was issued in June that enhanced the 1996 Health Insurance Portability Act (HIPAA) Privacy Rule. It prohibits the disclosure of health information in connection to abortions or other related health care, and providers and insurers must fully comply with the new rule by December.
“This new rule actively undermines Congress’s clear statutory meaning when HIPAA was passed,” Paxton said in a statement accompanying the lawsuit. “The federal government is attempting to undermine Texas’s law enforcement capabilities, and I will not allow this to happen.”

Paxton also alleged in his statement that the federal government is making a “backdoor attempt” at targeting Texas’s laws on state law enforcement investigations into medical procedures.

Texas is also asking the court to block a separate rule issued in 2000, which said health care providers and insurers can only hand over information if it is relevant to a legitimate law enforcement inquiry and is limited in scope.

The state said in its lawsuit that providers frequently cite the 2000 rule as a reason for not responding to subpoenas from state investigators, and have begun invoking the new rule as well. It also claimed that that the Department of Health and Human Services (HHS) went beyond its authority under HIPAA in passing both rules, because the law preserves states’ authority to conduct investigations.

“As is relevant here, the final rules purport to limit the circumstances when a HIPAA covered entity can share information with state officials and law enforcement,” the Texas suit said. “HIPAA covered entities that share information with State investigators in contravention of these rules incur criminal liability.”

But the federal rules may contravene HIPAA because “the HIPAA statute explicitly preserves state investigative authority, and thus, the rules are contrary to the statute,” according to the suit.

HIPPA also does not grant the federal government the capacity to “promulgate rules limiting how regulated entities may share information with state government,” it further added. “These rules significantly harm the State of Texas’s investigative abilities because covered entities frequently cite” the 2000 rule for not being able to “comply with a valid investigative subpoena for documents, and have already begun invoking the 2024 Privacy Rule for similar purpose,” it added.

The Epoch Times contacted HHS, which is named as a defendant in the lawsuit, for comment but didn’t receive a reply by publication time.

In April, when the rule was announced, HHS Secretary Xavier Becerra said the rule is needed because Americans, namely women visiting a doctor, “are scared their private medical information will be ... shared, misused, and disclosed without permission.”

“The Biden–Harris Administration is providing stronger protections to people seeking lawful reproductive health care regardless of whether the care is in their home state or if they must cross state lines to get it,” the statement said. “With reproductive health under attack by some lawmakers, these protections are more important than ever.”

An HHS official, Melanie Fontes Rainer, said in the April statement that the government has received reports of “concerns” from health care providers that “when patients travel to their clinics,” their records may be sought by state law enforcement officials where they live.

Texas is one of more than 20 states that have banned or restricted abortion since the U.S. Supreme Court’s 2022 decision to overturn Roe v. Wade, which effectively turned the issue back to the states.

Reuters contributed to this report.
Jack Phillips
Jack Phillips
Breaking News Reporter
Jack Phillips is a breaking news reporter who covers a range of topics, including politics, U.S., and health news. A father of two, Jack grew up in California's Central Valley. Follow him on X: https://twitter.com/jackphillips5
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