S.B. No. 1188 introduces new regulations regarding electronic health records (EHR) in Texas, establishing Chapter 183 in the Health and Safety Code. The bill mandates that covered entities must ensure that electronic health records containing patient information are stored within the United States or its territories. It also requires that these records include specific medical history information, such as communications related to an individual's metabolic health and diet for chronic disease treatment. Additionally, the bill prohibits the collection, storage, or sharing of information regarding an individual's credit score or voter registration status in their EHR.

The legislation further stipulates that EHRs must document an individual's biological sex and any sexual development disorders, with provisions for amending this information under certain conditions. It allows the use of artificial intelligence by healthcare practitioners for diagnostic purposes, provided they adhere to specific guidelines. The bill also establishes civil penalties for violations, with fines based on the nature of the violation, and outlines the process for investigations and disciplinary actions by regulatory agencies. The act is set to take effect on September 1, 2025, with certain provisions applying to records stored from January 1, 2026, onward.

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