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In this tutorial, Lori Boyer emphasizes the importance of compliance with the Telephone Consumer Protection Act (TCPA) in addition to HIPAA. The TCPA prohibits sending text messages without express written consent, even if patients initiate the communication. To text about health matters, healthcare providers must inform patients that communication occurs via an unsecured channel, ensure they understand the associated risks, and document their consent. If a patient is uncomfortable with the risks of texting, providers should offer to switch to a secure communication method. The tutorial also mentions some exceptions to the consent requirement.