Title 42The Public Health and WelfareRelease 119-73

§1320d–7 Effect on State law

Title 42 › Chapter CHAPTER 7— - SOCIAL SECURITY › Subchapter SUBCHAPTER XI— - GENERAL PROVISIONS, PEER REVIEW, AND ADMINISTRATIVE SIMPLIFICATION › Part Part C— - Administrative Simplification › § 1320d–7

Last updated Apr 6, 2026|Official source

Summary

Federal rules under this part and the standards set under sections 1320d–1 through 1320d–3 must override any state law that says something different, including laws that force medical or health plan records to be kept or sent on paper instead of electronically. A federal rule will not override a state law if the Secretary finds the state law is needed to prevent fraud or abuse, to allow proper state regulation of insurance and health plans, for state reporting on health care delivery or costs, for other necessary purposes, or if it deals with controlled substances. It also will not override state laws about privacy of individually identifiable health information, subject to section 264(c)(2) of the Health Insurance Portability and Accountability Act of 1996. Nothing here takes away state power to require reporting of disease, injury, child abuse, birth, or death, or to do public health tracking, investigation, or interventions. States can still make health plans report or provide information for management and financial audits, program monitoring and evaluation, and for facility or individual licensure or certification.

Full Legal Text

Title 42, §1320d–7

The Public Health and Welfare — Source: USLM XML via OLRC

(a)(1)Except as provided in paragraph (2), a provision or requirement under this part, or a standard or implementation specification adopted or established under sections 1320d–1 through 1320d–3 of this title, shall supersede any contrary provision of State law, including a provision of State law that requires medical or health plan records (including billing information) to be maintained or transmitted in written rather than electronic form.
(2)A provision or requirement under this part, or a standard or implementation specification adopted or established under sections 1320d–1 through 1320d–3 of this title, shall not supersede a contrary provision of State law, if the provision of State law—
(A)is a provision the Secretary determines—
(i)is necessary—
(I)to prevent fraud and abuse;
(II)to ensure appropriate State regulation of insurance and health plans;
(III)for State reporting on health care delivery or costs; or
(IV)for other purposes; or
(ii)addresses controlled substances; or
(B)subject to section 264(c)(2) of the Health Insurance Portability and Accountability Act of 1996, relates to the privacy of individually identifiable health information.
(b)Nothing in this part shall 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.
(c)Nothing in this part shall limit the ability of a State to require a health plan to report, or to provide access to, information for management audits, financial audits, program monitoring and evaluation, facility licensure or certification, or individual licensure or certification.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

References in Text

section 264(c)(2) of the Health Insurance Portability and Accountability Act of 1996, referred to in subsec. (a)(2)(B), is section 264(c)(2) of Pub. L. 104–191, which is set out as a note under section 1320d–2 of this title.

Reference

Citations & Metadata

Citation

42 U.S.C. § 1320d–7

Title 42The Public Health and Welfare

Last Updated

Apr 6, 2026

Release point: 119-73