However, Texas right-wing officials have recently mounted a legal challenge to the federal policy in order to access the private medical records of patients who seek abortion care across state lines. Attorney General Ken Paxton is leading the charge nationally among 18 other attorneys general who signed a formal letter to the health department in opposition to the changes last June. Paxton argues that the new rule—as well as the original HIPAA privacy rules from 2000—limit the state’s authority to conduct investigations.

“The Biden Administration’s motive is clear: to subvert lawful state investigations on issues that the courts have said the states may investigate,” said Paxton in a statement. “The federal government is attempting to undermine Texas’s law enforcement capabilities, and I will not allow this to happen.”