In April of this year, the Department of Health and Human Services adopted new privacy rules under HIPPA designed to protect women (and those who assist them) who travel out of state for an abortion that is not legal in their state of residence. The rules prohibit doctors, clinics and insurance companies from disclosing information about patients' reproductive health care that is lawful where provided when the information is sought by the patient's home state for the purpose of an investigation that may lead to civil or criminal liability there. (See prior posting.) In Purl v. U.S. Department of Health and Human Services, (ND TX, Dec. 22, 2024), a Texas federal district court issued a preliminary injunction barring enforcement of the rule against the physician and the clinic that are plaintiffs in the suit. The court held that the HHS rule violates a provision of HIPPA protecting state rules requiring reporting of child abuse. The court said in part:
Congress mandated that HIPPA cannot be "construed to invalidate or limit the authority, power, or procedures established under any law providing for the reporting of disease or injury, child abuse, birth, or death, public health surveillance, or public health investigation or intervention." ...
Plaintiffs argue that the 2024 Rule "unlawfully limits disclosures about child abuse" to states like Texas..... They aver HHS limits such disclosures by curtailing doctors' ability to freely report suspected "child abuse" and instead forces them into a "labyrinth of criteria" to determine what can and cannot be disclosed....
The 2024 Rule "limits" practitioners from reporting "child abuse" in several ways. It requires "covered entities" to determine whether the relevant "reproductive healthcare" was "lawful" under the circumstances it was acquired....
But, of course, many "covered entities" are not prepared or equipped to make nuanced legal judgments....
Again, even if a more nuanced reading of the 2024 Rule allowed child-abuse reporting to Texas CPS, a nonlawyer licensed physician is not equipped to navigate these intersecting legal labyrinths. And it is precisely such restraints and impediments that Congress forbade when it comes to child-abuse reporting.
