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First Substitute H.B. 212

This document includes House Floor Amendments incorporated into the bill on Thu, Feb 3, 2011 at 11:46 AM by lerror. -->

Representative Francis D. Gibson proposes the following substitute bill:


             1     
CHARGES BY HEALTH PROVIDERS FOR MEDICAL

             2     
RECORDS

             3     
2011 GENERAL SESSION

             4     
STATE OF UTAH

             5     
Chief Sponsor: Francis D. Gibson

             6     
Senate Sponsor: John L. Valentine

             7     
             8      LONG TITLE
             9      General Description:
             10          This bill modifies provisions of the Judicial Code relating to patient access to medical
             11      records.
             12      Highlighted Provisions:
             13          This bill:
             14          .    requires a health care provider to provide medical records to a patient, a patient's
             15      personal representative, or a third party within 30 days after requested; and
             16          .    establishes charges that a health care provider may charge when copying a patient's
             17      medical records; and
             18          .    provides a repeal date.
             19      Money Appropriated in this Bill:
             20          None
             21      Other Special Clauses:
             22          None
             23      Utah Code Sections Affected:
             24      AMENDS:
             25          63I-2-278, as last amended by Laws of Utah 2008, Chapter 3 and renumbered and


             26      amended by Laws of Utah 2008, Chapter 382
             27          78B-5-618, as renumbered and amended by Laws of Utah 2008, Chapter 3
             28     
             29      Be it enacted by the Legislature of the state of Utah:
             30          Section 11. Section 63I-2-278 is amended to read:
             31           63I-2-278. Repeal dates, Title 78A and Title 78B.
             32          (1) Section 78A-9-103 , Practicing law without a license, is repealed May 3, 2012.
             33          (2) Subsections 78B-12-301 (1) and 78B-12-302 (1) are repealed January 1, 2010.
             34          (3) Subsection 78B-5-618 (4) is repealed January 1, 2016.
             35          Section 22. Section 78B-5-618 is amended to read:
             36           78B-5-618. Patient access to medical records.
             37          (1) Pursuant to 45 C.F.R., Parts 160 and 164, Standards for Privacy of Individually
             38      Identifiable Health Information, a patient or a patient's personal representative may inspect or
             39      receive a copy of the patient's records from a health care provider as defined in Section
             40      78B-3-403 , when that health care provider is governed by the provisions of 45 C.F.R., Parts
             41      160 and 164.
             42          (2) When a health care provider as defined in Section 78B-3-403 is not governed by 45
             43      C.F.R., Parts 160 and 164, Standards for Privacy of Individually Identifiable Health
             44      Information, a patient or a patient's personal representative may inspect or receive a copy of the
             45      patient's records unless access to the records is restricted by law or judicial order.
             46          (3) A health care provider who provides a copy of a patient's records to the patient or
             47      the patient's personal representative:
             48          (a) shall provide the copy within 30 days after the request; and
             49          (b) may charge a reasonable cost-based fee [to cover the health care provider's costs.]
             50      provided that the fee includes only the cost of:
             51          (i) copying, including the cost of supplies for and labor of copying; and
             52          (ii) postage, when the patient or patient representative has requested the copy be
             53      mailed.
             54          (4) H. Except for records provided by a health care provider under Sections 26-1-37,
             54a      a [ A ] .H health care provider who provides a copy of a patient's records to a third party
             55      authorized to receive records:
             56          (a) shall provide the copy within thirty days after the request; and


             57          (b) may charge a reasonable fee to cover the health care provider's cost, but may not
             58      exceed the following rates:
             59          (i) $15 for locating a patient's records, per request;
             60          (ii) copying charges may not exceed 50 cents per page; and
             61          (iii) $25 for the retrieval and duplication of a patient's electronic records, per request.


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