Texas SB 1188 now requires healthcare websites to keep patient data in the US.
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STATUTORY VANGUARD

The Sentry Compliance Standard

A comprehensive technical and legal framework designed specifically for the Texas healthcare ecosystem. We navigate the complexities of SB 1188 and HB 149 so you can focus on patient care.

Texas Legislative Mandates

📍
Texas Senate Bill
SB 1188

Data Sovereignty & Residency Requirements

📊 Sovereign Regions

All PHI (Protected Health Information) must reside on servers physically located within US domestic boundaries. Offshore cloud storage and CDN edge caching outside the US are prohibited.

🔄 CDN & Edge Cache Analysis

Content Delivery Networks must be configured to serve Texas patients exclusively from US-based edge nodes. European or Asian cache propagation triggers non-compliance.

📧 MX Record Pathing

Email infrastructure (MX records) routing patient communications through foreign mail servers constitutes a violation.

⚖️ Sub-Processor Audit

Third-party service providers (payment processors, analytics, chatbots) must demonstrate US-only data residency.

⚠️ Penalty: Up to $250,000

Per violation for offshore data storage of PHI

🤖
Texas House Bill
HB 149

AI Transparency & Disclosure Requirements

📢 Conspicuous AI Disclosure Text

Any AI-powered tools (chatbots, scheduling assistants, symptom checkers) must display clear, prominent disclosure text in at least 14px font. "Fine print" disclaimers do not satisfy the legal standard.

🎨 Dark Pattern Detection

UI techniques that obscure AI disclosures (low opacity, hidden z-index layers, micro-fonts) are explicitly prohibited and trigger penalties.

🩺 Diagnostic AI Disclaimer

AI tools providing medical advice or diagnosis must include explicit disclaimers stating that final decisions require licensed practitioner review.

💬 Chatbot Notice Requirements

AI chatbots must disclose their non-human nature at the start of every patient interaction.

⚠️ Penalty: Up to $250,000

Per violation for undisclosed or deceptive AI implementations

Enforcement Timeline

Sept 2024
Laws Enacted

SB 1188 and HB 149 signed into Texas law. Grace period begins.

Jan 2025
Enforcement Begins

Active enforcement period begins. Penalties now apply for non-compliance.

Q1 2025
Audits Begin

Texas Attorney General begins systematic compliance audits of healthcare providers.

Understand Your Compliance Status

Run a comprehensive Sentry Scan to identify potential violations across data sovereignty and AI transparency requirements.