Confidentiality Rules in the School Setting

Confidentiality+Rules+in+the+School+Setting%0d%0aJuan+J.+Cruz%0d%0aGeneral+Counsel+for+United+I.S.D.+www.escamillaponeck.com%0d%0a%0d%0a%0cMany+Laws+Regarding+Health+Records+of+School+Employees+and+Students%0d%0a%ef%83%bc+%ef%83%bc+Health+Insurance+Portability+and+Accountability+Act+(HIPAA)+Americans+With+Disabilities+Act+(ADA)%0d%0a%0d%0a%ef%83%bc%0d%0a%ef%83%bc%0d%0a%0d%0aFamily+Educational+Rights+and+Privacy+Act+(FERPA)%0d%0aState+Laws+and+District+Regulations%0d%0a%0d%0a%0cWhat+Is+HIPAA%3f%0d%0a%e2%80%a2+Health+Insurance+Portability+%26+Accountability+Act+Enacted+in+1996+%e2%80%a2+Affordability+and+accessibility+of+health+insurance+%e2%80%a2+Number+of+Provisions+%e2%80%a2+Privacy+Rules+%e2%80%a2+Gives+Individual%e2%80%99s+Rights+With+Respect+to+their+protected+health+information+(PHI)%0d%0a%0d%0a%0cPrivacy+Rule%0d%0a%e2%80%a2+Privacy+Regulations+known+as+the+%e2%80%9cPrivacy+Rules.%e2%80%9d+%e2%80%a2+Governs+the+use+and+disclosure+of+protected+health+information+(PHI)+by+covered+entities+%e2%80%a2+Establishes+individual+rights+regarding+health+information+%e2%80%a2+Establishes+administrative+requirements+to+ensure+confidentiality+%26+appropriate+use+of+health+information%0d%0a%0d%0a%0cProtected+Health+Information+(PHI)%0d%0a%0d%0a%e2%80%a2+Individually+identifiable+health+information+%e2%80%a2+Transmitted+by+electronic+media%0d%0a%0d%0a%e2%80%a2+Maintained+in+electronic+media%2c+or%0d%0a%e2%80%a2+Transmitted+or+maintained+in+any+other+form+or+medium%0d%0a%0d%0a%0cHOWEVER%0d%0aHIPAA+Specifically+excludes+the+following+records%3a%0d%0a%e2%80%a2+Records+covered+by+FERPA+%e2%80%a2+Employment+records+held+by%0d%0a%0d%0aa+covered+entity+in+its+role+as+employer%0d%0a%ef%83%98+Confidentiality+issues%0d%0a%0d%0astill+exist+and+we%e2%80%99ll+discuss+these+records+later...%0d%0a%0d%0a%0cIndividually+Identifiable+Information%0d%0a%e2%80%a2+Includes+demographic+information+%e2%80%a2+Created+or+received+from+a+health+care+provider%2c+health+plan%2c+employer%2c+or+health+care+clearinghouse+AND+%e2%80%a2+Relates+to+the+past%2c+present%2c+or+future+physical+or+mental+health+or+condition+of+individual%2c+the+provision+of+health+care+to+an+individual%3b+or+the+past%2c+present%2c+or+future+payment+for+the+provision+of+health+care+to+an+individual+AND+%e2%80%a2+IDs+the+individual+or+there+is+a+reasonable+basis+to+believe+the+information+can+be+used+to+ID+the+individual%0d%0a%0d%0a%0cWhat+Does+This+Mean+TO+YOU%3f%0d%0a%e2%80%a2+Treat+ALL+medical+Information+as+Confidential%0d%0a%e2%80%a2+District+administration+has+internal+procedures+designed+to+follow+laws%0d%0a%0d%0a%e2%80%a2+Is+information+%e2%80%9cPHI%e2%80%9d%3f+Or%0d%0a%e2%80%a2+Is+it+related+to+employment+and+excluded+as+PHI%3f+%e2%80%a2+Don%e2%80%99t+ask+%e2%80%93+just+treat+all+medical+information+as+confidential%0d%0a%0d%0a%0cWHY%3f%0d%0a%e2%80%a2+Many+misconceptions+regarding+HIPAA%0d%0a%e2%80%a2+Complaint+process+involves+investigation%0d%0a%0d%0a%e2%80%a2+Investigation+takes+district+resources%0d%0a%e2%80%a2+Penalties+for+noncompliance+include+monetary+penalties+%e2%80%a2+Reasonable+diligence+is+an+affirmative+defense%0d%0a%0d%0a%0cSo...Employer+Receives+Health+Information+As+Employer+%3a%0d%0a%e2%80%a2+Pre-employment+physicals%0d%0a%e2%80%a2+Fitness-for-Duty+physicals+%e2%80%a2+Department+of+Transportation+Required+Physicals+%e2%80%a2+Physicals+received+in+role+of+employer+incur+no+HIPAA+related+responsibilities+%e2%80%a2+These+are+not+PHI+but+confidentiality+rules+still+exist...and+violation+can+still+lead+to+complaints+and+investigations%0d%0a%0d%0a%0cSick+Employees%0d%0a%e2%80%a2+Employee+provide+doctor%e2%80%99s+notes+to+you+as+employer%0d%0a%e2%80%a2+Employee+provides+this+directly+from+doctor+%e2%80%a2+FMLA%2fADA+-receive+information+in+role+as+employer+%e2%80%a2+Can+be+made+a+condition+of+employment+%e2%80%a2+Other+confidentiality+requirements+may+still+exist+%e2%80%a2+No+release+%26+no+information+%3d+no+qualifying+time%2fno+accommodations%0d%0a%0d%0a%0cFamily+Medical+Leave+Act+(FMLA)%0d%0a%e2%80%a2+Federal+statute+%e2%80%93+enacted+1993+and+effective+August+1993+%e2%80%a2+Allows+certain+eligible+employees+the+opportunity+to+take+up+to+12+weeks+of+unpaid+leave+in+the+event+of+a+personal+or+family+member%e2%80%99s+serious+health+condition+or+because+of+the+birth%2c+adoption+or+foster+placement+of+a+child%0d%0a%0d%0a%0cMedical+certification+is+required...%0d%0a%e2%80%a2+United+ISD+Policy+Requires+this+certification+after+five+(5)+days+of+absence%0d%0a%e2%80%a2+%e2%80%9cAn+employee+absent+more+than+five+(5)+consecutive+workdays+because+of+personal+illness+or+illness+in+the+immediate+family+shall+submit+medical+certification+to+the+department+of+human+resources.+%e2%80%a2+HEALTH+CARE+PROVIDER+Medical+certification+shall+be+made+by+a+health+care+provider+as+defined+by+the+Family+and+Medical+Leave+Act.%e2%80%9d+DEC+(LOCAL)%0d%0a%0d%0a%0cTHEREFORE...%0d%0a%e2%80%a2+The+doctor%e2%80%99s+note+that+an+employee+brings+to+work+after+a+five+(5)+day+absence+for+illness+has+federal+law+implications%0d%0a%e2%80%a2+Therefore%2c+these+should+be+submitted+to+the+appropriate+administrator+without+delay+%e2%80%a2+AND+Confidentiality+Laws+Will+Apply%0d%0a%0d%0a%0cSerious+Health+Condition%0d%0aIllness%2c+injury+or+physical+or+mental+condition+that+includes+any+one+of+the+following%3a%0d%0a1.%0d%0a%0d%0aIn-patient+care%2c+subsequent+treatment%2c+and+the+time+needed+to+recover%0d%0a%0d%0a2.%0d%0a%0d%0aContinuing+treatment+by+a+health+care+provider+that+involves+incapacity+of+more+than+3+days+and+2+or+more+treatments%0d%0a%0d%0a%0cSerious+Health+Condition+(cont.)%0d%0a%e2%80%a2+Incapacity+b%2fc+of+pregnancy+or+prenatal+care+%e2%80%a2+Incapacity+because+of+a+chronic+health+condition+that+requires+periodic+visits+to+a+health+care+provider%2c+continues+over+an+extended+period+of+time+and+causes+episodic+periods+of+incapacity+%e2%80%a2+Permanent+or+long-term+incapacity+because+of+a+condition+that+cannot+be+treated+effectively+%e2%80%a2+Any+period+of+absence+to+receive+multiple+treatments+for+a+condition+that+would+result+in+an+absence+of+%3e+3+days+if+left+untreated+%e2%80%a2+Treatment+for+substance+abuse%0d%0a%0d%0a%0cProof+of+a+Serious+Health+Condition%0d%0a%e2%80%a2+Medical+certification%0d%0a%0d%0a%e2%80%a2%0d%0a%0d%0aBasic+health+information%3a%0d%0a%ef%81%b6+%ef%81%b6+%ef%81%b6+%ef%81%b6+%ef%81%b6%0d%0a%0d%0aDate+that+the+condition+began+Probable+duration+of+the+condition+Statement+that+the+employee+is+unable+to+perform+functions+of+the+job+Or+statement+that+employee+is+needed+to+care+for+family+member+Appropriate+medical+facts+regarding+condition%0d%0a%0d%0a%0cHealth+Care+Provider%3a%0d%0a%e2%80%a2+%e2%80%a2+Doctors+of+Medicine+or+Osteopathy+Other+individuals+capable+of+providing+health+care+services+Podiatrist+%e2%80%a2+%e2%80%a2+%e2%80%a2+%e2%80%a2+%e2%80%a2+Chiropractor+(limited+circumstances)+Nurse+practitioner+or+midwife+Clinical+social+worker+Christian+Science+practitioners+Any+health+care+provider+from+whom+an+employer+or+the+employer%e2%80%99s+group+health+plan%e2%80%99s+benefits+manager+will+accept+certification...%0d%0a%0d%0a%e2%80%a2%0d%0a%0d%0a%e2%80%a2%0d%0a%e2%80%a2+%e2%80%a2+%e2%80%a2%0d%0a%0d%0aDentist%0d%0aClinical+Psychiatrist+Optometrist+Health+care+provider+outside+USA%0d%0a%0d%0a%0cNotice%0d%0a%e2%80%a2+%e2%80%a2+%e2%80%a2+Unless+the+leave+is+not+foreseeable%2c+employee+must+provide+notice+of+FMLA+absence+30+days+or%2c+if+not+foreseeable%2c+%e2%80%9cas+soon+as+practicable%e2%80%9d+Notice+via+alternate+method+(fax%2c+spokesperson)+when+unforeseeable+is+okay%0d%0a%0d%0a%e2%80%a2%0d%0a%0d%0aNotice+can+be+waived+or+can+delay+FMLA+until+30+days+after+notice+provided%0d%0a%ef%81%b6%0d%0a%0d%0a(if+leave+foreseeable)%0d%0a%0d%0a%0cHOWEVER...%0d%0a%e2%80%a2+Leave+is+not+always+foreseeable%0d%0a%0d%0a%e2%80%a2+Any+absence+related+to+illness+that+lasts+five+(5)+days+or+longer+is+certainly+a+potential+FMLA+related+absence%0d%0a%e2%80%a2+Therefore%2c+all+Health+Care+Related+Employee+Information+Must+Be+Collected+and+Maintained+in+accordance+with+federal+laws+related+to+confidentiality+of+this+information...%0d%0a%0d%0a%0cAll+Information+That+Could+Ultimately+Pertain+to+FMLA+Situation%0d%0a%0d%0a%e2%80%a2+Must+be+immediately+delivered+to+Human+Resources+Department+%e2%80%a2+Maintained+in+Human+Resources+Department+%e2%80%a2+Each+piece+of+documentation+related+to+health+of+employee+has+unforeseeable+purposes+and+consequences%0d%0a%ef%81%b6+Requires+careful+handling+%ef%81%b6+Immediate+transfer+to+appropriate+department%0d%0a%0d%0a%0c%e2%80%a2+Medical+certification%0d%0a%e2%80%a2+Medical+recertification+%e2%80%a2+Medical+history+related+to+employee+or+employee%e2%80%99s+family+members%0d%0a%0d%0a%e2%80%a2+Created+for+purposes+of+FMLA%0d%0a%e2%80%a2+Specific+confidentiality+requirements+set+forth+in+federal+law%0d%0a%0d%0a%0cConfidentiality+Requirements%3a%0d%0a%e2%80%a2+Collected+and%0d%0a%e2%80%a2+Maintained+%e2%80%a2+On+separate+forms+and+%e2%80%a2+In+separate+medical+files+from+usual+personnel+files+and+%e2%80%a2+Be+treated+as+confidential+medical+records%0d%0a%0d%0a%0cAmericans+With+Disabilities+Act+(ADA)+Language%0d%0a%0d%0a%e2%80%a2+FMLA+references+confidentiality+requirements+found+in+ADA+%e2%80%a2+Reasonable+accommodations+required+for+employees+who+are+%e2%80%9cotherwise+qualified%e2%80%9d+to+perform+%e2%80%9cessential+functions%e2%80%9d+of+the+job+%e2%80%a2+AND+%e2%80%a2+A+person+with+a+physical+or+mental+impairment+that+%e2%80%9csignificantly+limits%e2%80%9d+one+or+more+%e2%80%9cmajor+life+activities%0d%0a%0d%0a%0cRequirements%3a%0d%0a%e2%80%a2+Medical+examinations+as+part+of+employment+contain+information+regarding+medical+condition+or+medical+history+of+employee%2fpotential+employee+for+ADA+purposes%0d%0a%e2%80%a2+Must+be+collected+and+maintained+on+separate+forms+and+in+separate+medical+files+and+be+treated+as+confidential+medical+records%0d%0a%0d%0a%0cExceptions%3a%0d%0a%e2%80%a2+Supervisors+and+managers+may+be+informed+re%3a+necessary+restrictions+on+the+work+or+duties+of+the+employee+and+necessary+accommodations+%e2%80%a2+First+aid+and+safety+personnel+may+be+informed%2c+when+appropriate%2c+if+the+disability+may+require+emergency+treatment+%e2%80%a2+Government+officials+investigating+compliance+must+be+provided+relevant+information+on+request%0d%0a%0d%0a%0cConfidentiality+Laws+Apply+to+other+Employee%2fEmployer+health+care+related+situations%3a%0d%0a%e2%80%a2+Health+fairs%2c+flu+shots%2c+blood+drives%2c+fitness+centers+%e2%80%a2+Disability+insurance%2c+life+insurance%2c+Worker%e2%80%99s+Compensation%2c+etc.%0d%0a%0d%0a%e2%80%a2+Employee+advocacy%2fombudsman%0d%0a%e2%80%a2+ADA+confidentiality+requirements+apply%0d%0a%0d%0a%0cVoluntary+Employee+Health+Programs%0d%0a%e2%80%a2+Covered+by+ADA+confidentiality+Laws%0d%0a%e2%80%a2+Any+voluntary+activities+must+be+treated+as+confidential%0d%0a%0d%0a%0cLet%e2%80%99s+Review...%0d%0a%e2%80%a2+Medical+documentation+related+to+employee+or+family+member+must+be+kept+confidential+in+accordance+with+ADA+confidentiality+laws+%e2%80%a2+FMLA+references+ADA+confidentiality+laws+%e2%80%a2+Must+be+collected+on+separate+forms+%e2%80%a2+Must+be+kept+separate+from+personnel+files+by+law%0d%0a%0d%0a%0cWhat+Else%3f%0d%0a%e2%80%a2+Information+regarding+medical+condition+or+history+of+any+employee+collected+as+part+of+a+job-related+medical+examination+or+inquiry%0d%0a%e2%80%a2+Shall+not+be+used+for+any+inconsistent+purpose%0d%0a%0d%0a%0cState+Laws%0d%0a%e2%80%a2+Texas+Public+Information+Act%0d%0a%e2%80%a2+Formerly+known+as+the+Texas+Open+Records+Act+%e2%80%a2+Most+information+maintained+by+public+school+district+must+be+released+upon+request+%e2%80%a2+Even+personnel+information+unless+an+exception+applies%0d%0a%0d%0a%0cWhat+Personnel+Information+Falls+Within+Exception%3f%0d%0a%0d%0a%e2%80%a2+Information+in+personnel+file%e2%80%a6the+disclosure+of+which+would+constitute+a+clearly+unwarranted+invasion+of+personal+privacy%2c+except+that+all+information+in+personnel+file+of+employee+of+governmental+body+is+to+be+made+available+to+employee+or+representative%0d%0a%0d%0a%0cHOWEVER...%0d%0a%e2%80%a2+By+law%2c+Medical+certification%2c+Medical+recertification+and+Medical+history+related+to+employee+or+employee%e2%80%99s+family+members+was+created+for+purposes+of+FMLA%0d%0a%e2%80%a2+Must+be+Collected+and+Maintained+%e2%80%a2+On+separate+forms+and+In+separate+medical+files+from+usual+personnel+files+and+%e2%80%a2+Be+treated+as+confidential+medical+records%0d%0a%0d%0a%0cALSO%0d%0a%e2%80%a2+Medical+examinations+as+part+of+employment+contain+information+regarding+medical+condition+or+medical+history+of+employee%2fpotential+employee+for+ADA+purposes%0d%0a%e2%80%a2+Must+be+collected+and+maintained+on+separate+forms+and+in+separate+medical+files+and+be+treated+as+confidential+medical+records+%e2%80%a2+Therefore%2c+this+information+should+not+be+kept+in+the+personnel+file%e2%80%a6%0d%0a%0d%0a%0cEmployee+Files+%e2%80%93+Not+Subject+to+Disclosure%0d%0a%e2%80%a2+%e2%80%a2+%e2%80%a2+%e2%80%a2+%e2%80%a2+%e2%80%a2+%e2%80%a2%0d%0a%e2%80%a2+%e2%80%a2+%e2%80%a2+%e2%80%a2+%e2%80%a2%0d%0a%0d%0aAddress%2c+Phone+Number+(if+employee+objected+to+release)+Social+Security+Number+Driver%e2%80%99s+License+Information+Appraisals+of+Certified+Educators+and+related+documentation+Attorney-Client+Information+Litigation+Information+Financial+Information+(retirement+program+participation%2c+credit+cards)+Child+abuse-related+information+Criminal+history+information+Employee+Transcripts+Notes%2frecords+containing+student+information+Family+violence%0d%0a%0d%0a%0cEmployee+Files+%e2%80%93+Things+Subject+To+Disclosure%0d%0aRecommendation%2freference+letters+Witness+statements%2fcomplaints+E-mail+records+Applications+Interview+documentation+Reasons+of+termination%2c+demotion%2c+promotion%2c+resignation+%e2%80%a2+1st+page+of+police+report+%e2%80%a2+Complaint+against+police+officers+%e2%80%a2+%e2%80%a2+%e2%80%a2+%e2%80%a2+%e2%80%a2+%e2%80%a2%0d%0a%0d%0a%0c%0cAccess+To+Student+Records%0d%0a%e2%80%a2+A+parent+is+entitled+to+access+to+all+written+records+of+a+school+district+concerning+the+parent%e2%80%99s+child%2c+including%3a%0d%0a%e2%80%a2+%e2%80%a2+%e2%80%a2+%e2%80%a2+%e2%80%a2+%e2%80%a2+%e2%80%a2+%e2%80%a2+%e2%80%a2+%e2%80%a2+attendance+records+test+scores+grades+disciplinary+records+counseling+records+psychological+records+application+for+admission+health+and+immunization+information+teacher+and+counselor+evaluations%3b+and%2c+reports+of+behavioral+patterns%0d%0a%0d%0a%0cFamily+Educational+Rights+and+Privacy+Act+(FERPA)%0d%0a%e2%80%a2+Federal+funds+are+conditioned+on+district+maintaining+confidentiality+of+education+records%0d%0a%e2%80%a2+Education+records+%3d+records+that+are+directly+related+to+a+student+and+are+maintained+by+the+school+district%0d%0a%0d%0a%e2%80%a2+Information+recorded+in+any+way+including%2c+but+not+limited+to%2c+handwriting%2c+print%2c+computer+media%2c+video+or+audio+tape%2c+film%2c+microfilm+and+microfiche.%0d%0a%e2%80%a2+Educations+records+%3d+information+about+a+student%0d%0a%0d%0a%e2%80%a2+This+information+is+confidential!%0d%0a%0d%0a%0cWhat+Must+Occur%3f%0d%0a%e2%80%a2+Parents+must+be+provided+the+right+to+consent+to+disclosures+of+personally+identifiable+information+contained+in+student%e2%80%99s+education+records+prior+to+its+disclosure%0d%0a%e2%80%a2+Directory+information+can+be+disclosed+if+proper+procedures+are+followed%0d%0a%0d%0a%0cPersonally+Identifiable+Information+Under+FERPA%0d%0aAny+data+or+information+that+includes%3a%0d%0a%0d%0a%e2%80%a2+Name+of+the+student%2c+student%e2%80%99s+parents+or+other+family+member%3b%0d%0a%e2%80%a2+Address+of+the+student%3b+%e2%80%a2+Any+personal+identifier+(i.e.%2c+social+security+number)+%e2%80%a2+A+list+of+personal+characteristics+that+would+make+it+possible+to+identify+the+student%3b+%e2%80%a2+Any+other+information+which+would+make+the+student%e2%80%99s+identity+easily+traceable+(i.e.%2c+students%e2%80%99+handwriting)%3b%0d%0a%0d%0a%0cConfidentiality+of+Education+Records%0d%0a%e2%80%a2+Requires+prior+written+consent+from+parents+before+disclosure+%e2%80%a2+Information+that+is+directory+information+can+be+disclosed+without+prior+written+consent+if%3a%0d%0a%0d%0a%e2%80%a2+Parents+are+annually+given+public+notice+of+the+types+of+information+designated+as+directory+information+AND%0d%0a%e2%80%a2+Given+opportunity+to+refuse%0d%0a%0d%0a%e2%80%a2+Reasonable+timeframe+for+parent+response%0d%0a%0d%0a%0cDirectory+Information%0d%0a%e2%80%a2+Determined+by+the+District%0d%0a%e2%80%a2+Can+be+disclosed+w%2fo+getting+consent+%e2%80%a2+Parents+have+a+right+to+%e2%80%9copt+out%e2%80%9d+at+the+beginning+of+school+or+upon+enrollment+%e2%80%a2+Must+be+given+a+reasonable+time%0d%0a%0d%0a%0cUnited+ISD+has+designated+the+following+information+as+%e2%80%9cDirectory+Information%e2%80%9d+%e2%80%a2+Student+name%2c+address%2c+telephone+listing%2c+e-mail+address%2c%0d%0a%e2%80%a2+Student+photograph+%e2%80%a2+Date+and+place+of+student%e2%80%99s+birth+%e2%80%a2+Major+field+of+study%3b+degrees%3b+honors%3b+awards+received+%e2%80%a2+Dates+of+attendance%3b+grade+level%3b+and+most+recent+educational+institution+attended%3b%0d%0a%e2%80%a2+Participation+in+officially+recognized+activities+and+sports%3b+and+%e2%80%a2+Weight+and+height+of+students+on+athletic+teams%0d%0a%0d%0a%0cOtherwise+%e2%80%93+Cannot+be+disclosed+w%2fo+consent+unless+exception+applies%0d%0a%e2%80%a2+Disclosure+is+to+other+school+officials%2c+including+teachers%2c+within+the+agency+or+institution+whom+have+been+determined+to+have+a+legitimate+educational+interest%0d%0a%0d%0a%0cSchool+Official%0d%0a%e2%80%a2+Person+employed+by+the+district+as+an+administrator%2c%0d%0a%0d%0asupervisor%2c+instructor%2c+or+support+staff+member+(including+health+or+medical+staff+and+law+enforcement+unit+personnel)%0d%0a%e2%80%a2+Person+serving+on+the+School+Board%0d%0a%0d%0a%e2%80%a2+Person+or+company+with+the+District+has+contracted+to%0d%0a%0d%0aperform+a+special+task+(such+as+an+attorney%2c+auditor%2c+medical+consultant%2c+or+therapist)%0d%0a%e2%80%a2+Parent+or+student+serving+on+an+official+committee%2c+such%0d%0a%0d%0aas+a+disciplinary+or+grievance+committee+or+assisting+another+school+official+in+performing+his+or+her+tasks%0d%0a%0d%0a%0cThere+are+other+exceptions%3a%0d%0a%0d%0a%e2%80%a2+Relate+to+law+enforcement+%e2%80%a2+Relate+to+actual+treatment+of+student+and+are+made+and+maintained+by+physician%2c+psychiatrist%2c+psychologist+or+other+recognized+professional+or+paraprofessional+acting+in+that+capacity+(these+will+be+rare+even+in+special+education+context)%0d%0a%0d%0a%0cSole+Possession+Records%0d%0a%e2%80%a2+Sole+possession+records+are+exempt+from+parent+access%2c+challenge+and+control+if+they+meet+the+following+test%3a%0d%0a%ef%81%b6+Must+be+private+note+created+solely+by+the+individual%0d%0a%0d%0apossessing+it%0d%0a%ef%81%b6+Must+be+a+personal+memory+aid+%ef%81%b6+Information+in+the+note+must+not+be+accessible+or%0d%0a%0d%0arevealed+to+any+other+person+(except+possessor%e2%80%99s+temporary+substitute)%0d%0a%ef%81%b6+Confidentiality+of+%e2%80%9csole+possession+record%e2%80%9d+is+KEY%0d%0a%0d%0a%0cState+Law+Regarding+HIV+Status%0d%0a%0d%0a%e2%80%a2+Prohibits+a+person+who+possesses+or+has+knowledge+of+an+HIV+test+result+from+releasing+or+disclosing+the+test+result+or+allowing+the+test+result+to+become+known+except+under+limited+circumstances%0d%0a%0d%0a%e2%80%a2+Class+C+Misdemeanor%0d%0a%e2%80%a2+Tex.+Health+and+Safety+Code%2c+Section+81%0d%0a%0d%0a%0cTest+Result%0d%0a%e2%80%a2+Any+statement+that+indicates+that+an+identifiable+individual+has+or+has+not+been+tested+for+AIDS+or+HIV+infection%2c+antibodies+to+HIV%2c+or+infection+with+any+other+probable+causative+agent+of+AIDS%0d%0a%e2%80%a2+Including+a+statement+or+assertion+that+the+individual+is+positive%2c+negative%2c+at+risk%2c+or+has+or+does+not+have+a+certain+level+of+antigen+or+antibody+%e2%80%93+This+relates+to+Information+Pertaining+to+Student+or+Employee%0d%0a%0d%0a%0cImmunity%0d%0a%e2%80%a2+Governmental+entities+and+school+district+emplo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