9 | 9 | | Page 1 of 21 |
---|
10 | 10 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
11 | 11 | | |
---|
12 | 12 | | |
---|
13 | 13 | | |
---|
14 | 14 | | A bill to be entitled 1 |
---|
15 | 15 | | An act relating to patient access to records; amending 2 |
---|
16 | 16 | | s. 394.4615, F.S.; requiring a service provider to 3 |
---|
17 | 17 | | furnish and provide access to records within a 4 |
---|
18 | 18 | | specified timeframe after receiving a request for such 5 |
---|
19 | 19 | | records; requiring that certain service provider s 6 |
---|
20 | 20 | | furnish such records in the manner chosen by the 7 |
---|
21 | 21 | | requester; amending s. 395.3025, F.S.; removing 8 |
---|
22 | 22 | | provisions requiring a licensed facility to furnish 9 |
---|
23 | 23 | | patient records only after discharge to conform to 10 |
---|
24 | 24 | | changes made by the act; revising provisions relating 11 |
---|
25 | 25 | | to the appropriate disclosure of patient records 12 |
---|
26 | 26 | | without consent; amending s. 397.501, F.S.; requiring 13 |
---|
27 | 27 | | a service provider to furnish and provide access to 14 |
---|
28 | 28 | | records within a specified timeframe after receiving a 15 |
---|
29 | 29 | | request from an individual or the individual's legal 16 |
---|
30 | 30 | | representative; requiring that certain service 17 |
---|
31 | 31 | | providers furnish such records in the manner chosen by 18 |
---|
32 | 32 | | the requester; amending s. 400.145, F.S.; revising the 19 |
---|
33 | 33 | | timeframe within which a nursing home facility must 20 |
---|
34 | 34 | | provide access to and copies of resident records after 21 |
---|
35 | 35 | | receiving a request for such records; creating s. 22 |
---|
36 | 36 | | 408.833, F.S.; defining the term "legal 23 |
---|
37 | 37 | | representative"; requiring a provider to furnish and 24 |
---|
38 | 38 | | provide access to records within a specified timeframe 25 |
---|
39 | 39 | | |
---|
46 | 46 | | Page 2 of 21 |
---|
47 | 47 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
48 | 48 | | |
---|
49 | 49 | | |
---|
50 | 50 | | |
---|
51 | 51 | | after receiving a request from a client or the 26 |
---|
52 | 52 | | client's legal representative; requiring that certain 27 |
---|
53 | 53 | | providers furnish such records in the manner chosen by 28 |
---|
54 | 54 | | the requester; authorizing a provider to impose 29 |
---|
55 | 55 | | reasonable terms necessary to preserve such records; 30 |
---|
56 | 56 | | providing exceptions; amending s. 456.057, F.S.; 31 |
---|
57 | 57 | | requiring certain licensed health care practitioners 32 |
---|
58 | 58 | | to furnish and provide access to copies of reports and 33 |
---|
59 | 59 | | records within a specified timeframe after receiving a 34 |
---|
60 | 60 | | request from a patient or the patient's legal 35 |
---|
61 | 61 | | representative; requiring that certain l icensed health 36 |
---|
62 | 62 | | care practitioners furnish such reports and records in 37 |
---|
63 | 63 | | the manner chosen by the requester; defining the term 38 |
---|
64 | 64 | | "legal representative"; authorizing such licensed 39 |
---|
65 | 65 | | health care practitioners to impose reasonable terms 40 |
---|
66 | 66 | | necessary to preserve such re ports and records; 41 |
---|
96 | | - | requested records in the manner chosen by the requester, 59 |
---|
97 | | - | including, but not limited to, an electronic format, submission 60 |
---|
98 | | - | through a patient's electronic personal health record, or access 61 |
---|
99 | | - | through a web-based patient portal if the service provider 62 |
---|
100 | | - | maintains a patient portal. 63 |
---|
101 | | - | Section 2. Subsections (4) through (11) of section 64 |
---|
102 | | - | 395.3025, Florida Statutes, are renumbered as subsections (2) 65 |
---|
103 | | - | through (9), respectively, and subsections (1), (2), and (3), 66 |
---|
104 | | - | paragraph (e) of present subsection (4), paragraph (a) of 67 |
---|
105 | | - | present subsection (7), and present subsection (8) of that 68 |
---|
106 | | - | section, are amended to read: 69 |
---|
107 | | - | 395.3025 Patient and personnel records; copy costs copies; 70 |
---|
108 | | - | examination.— 71 |
---|
109 | | - | (1) Any licensed facility shall, upon written request, and 72 |
---|
110 | | - | only after discharge of the patient, furnish, in a timely 73 |
---|
111 | | - | manner, without delays for legal review, to any person admitted 74 |
---|
112 | | - | therein for care and treatment or treated thereat, or to any 75 |
---|
| 96 | + | requested records in the manner chosen by the requester which 59 |
---|
| 97 | + | must include electronic format, access through a web -based 60 |
---|
| 98 | + | patient portal, or submission through a patient's elect ronic 61 |
---|
| 99 | + | personal health record. 62 |
---|
| 100 | + | Section 2. Subsections (4) through (11) of section 63 |
---|
| 101 | + | 395.3025, Florida Statutes, are renumbered as subsections (2) 64 |
---|
| 102 | + | through (9), respectively, and subsections (1), (2), and (3), 65 |
---|
| 103 | + | paragraph (e) of present subsection (4), paragr aph (a) of 66 |
---|
| 104 | + | present subsection (7), and present subsection (8) of that 67 |
---|
| 105 | + | section, are amended to read: 68 |
---|
| 106 | + | 395.3025 Patient and personnel records; copy costs copies; 69 |
---|
| 107 | + | examination.— 70 |
---|
| 108 | + | (1) Any licensed facility shall, upon written request, and 71 |
---|
| 109 | + | only after discharge of the patient, furnish, in a timely 72 |
---|
| 110 | + | manner, without delays for legal review, to any person admitted 73 |
---|
| 111 | + | therein for care and treatment or treated thereat, or to any 74 |
---|
| 112 | + | such person's guardian, curator, or personal representative, or 75 |
---|
125 | | - | such person's guardian, curator, or personal representative, or 76 |
---|
126 | | - | in the absence of one of those persons, to the next of kin of a 77 |
---|
127 | | - | decedent or the parent of a minor, or to anyone designated by 78 |
---|
128 | | - | such person in writing, a true and correct copy of all patient 79 |
---|
129 | | - | records, including X rays, and insuranc e information concerning 80 |
---|
130 | | - | such person, which records are in the possession of the licensed 81 |
---|
131 | | - | facility, provided the person requesting such records agrees to 82 |
---|
132 | | - | pay a charge. The exclusive charge for copies of patient records 83 |
---|
133 | | - | may include sales tax and actual post age, and, except for 84 |
---|
134 | | - | nonpaper records that are subject to a charge not to exceed $2, 85 |
---|
135 | | - | may not exceed $1 per page. A fee of up to $1 may be charged for 86 |
---|
136 | | - | each year of records requested. These charges shall apply to all 87 |
---|
137 | | - | records furnished, whether directly from the facility or from a 88 |
---|
138 | | - | copy service providing these services on behalf of the facility. 89 |
---|
139 | | - | However, a patient whose records are copied or searched for the 90 |
---|
140 | | - | purpose of continuing to receive medical care is not required to 91 |
---|
141 | | - | pay a charge for copying or for the sea rch. The licensed 92 |
---|
142 | | - | facility shall further allow any such person to examine the 93 |
---|
143 | | - | original records in its possession, or microforms or other 94 |
---|
144 | | - | suitable reproductions of the records, upon such reasonable 95 |
---|
145 | | - | terms as shall be imposed to assure that the records will n ot be 96 |
---|
146 | | - | damaged, destroyed, or altered. 97 |
---|
147 | | - | (2) This section does not apply to records maintained at 98 |
---|
148 | | - | any licensed facility the primary function of which is to 99 |
---|
149 | | - | provide psychiatric care to its patients, or to records of 100 |
---|
| 125 | + | in the absence of one of thos e persons, to the next of kin of a 76 |
---|
| 126 | + | decedent or the parent of a minor, or to anyone designated by 77 |
---|
| 127 | + | such person in writing, a true and correct copy of all patient 78 |
---|
| 128 | + | records, including X rays, and insurance information concerning 79 |
---|
| 129 | + | such person, which records are i n the possession of the licensed 80 |
---|
| 130 | + | facility, provided the person requesting such records agrees to 81 |
---|
| 131 | + | pay a charge. The exclusive charge for copies of patient records 82 |
---|
| 132 | + | may include sales tax and actual postage, and, except for 83 |
---|
| 133 | + | nonpaper records that are subject to a charge not to exceed $2, 84 |
---|
| 134 | + | may not exceed $1 per page. A fee of up to $1 may be charged for 85 |
---|
| 135 | + | each year of records requested. These charges shall apply to all 86 |
---|
| 136 | + | records furnished, whether directly from the facility or from a 87 |
---|
| 137 | + | copy service providing these servi ces on behalf of the facility. 88 |
---|
| 138 | + | However, a patient whose records are copied or searched for the 89 |
---|
| 139 | + | purpose of continuing to receive medical care is not required to 90 |
---|
| 140 | + | pay a charge for copying or for the search. The licensed 91 |
---|
| 141 | + | facility shall further allow any such p erson to examine the 92 |
---|
| 142 | + | original records in its possession, or microforms or other 93 |
---|
| 143 | + | suitable reproductions of the records, upon such reasonable 94 |
---|
| 144 | + | terms as shall be imposed to assure that the records will not be 95 |
---|
| 145 | + | damaged, destroyed, or altered. 96 |
---|
| 146 | + | (2) This section does not apply to records maintained at 97 |
---|
| 147 | + | any licensed facility the primary function of which is to 98 |
---|
| 148 | + | provide psychiatric care to its patients, or to records of 99 |
---|
| 149 | + | treatment for any mental or emotional condition at any other 100 |
---|
162 | | - | treatment for any mental or emotional cond ition at any other 101 |
---|
163 | | - | licensed facility which are governed by the provisions of s. 102 |
---|
164 | | - | 394.4615. 103 |
---|
165 | | - | (3) This section does not apply to records of substance 104 |
---|
166 | | - | abuse impaired persons, which are governed by s. 397.501. 105 |
---|
167 | | - | (2)(4) Patient records are confidential and must not be 106 |
---|
168 | | - | disclosed without the consent of the patient or his or her legal 107 |
---|
169 | | - | representative, but appropriate disclosure may be made without 108 |
---|
170 | | - | such consent to: 109 |
---|
171 | | - | (e) The Department of Health agency upon subpoena issued 110 |
---|
172 | | - | pursuant to s. 456.071, but the records obta ined thereby must be 111 |
---|
173 | | - | used solely for the purpose of the department agency and the 112 |
---|
174 | | - | appropriate professional board in its investigation, 113 |
---|
175 | | - | prosecution, and appeal of disciplinary proceedings. If the 114 |
---|
176 | | - | department agency requests copies of the records, the facilit y 115 |
---|
177 | | - | shall charge no more than its actual copying costs, including 116 |
---|
178 | | - | reasonable staff time. The records must be sealed and must not 117 |
---|
179 | | - | be available to the public pursuant to s. 119.07(1) or any other 118 |
---|
180 | | - | statute providing access to records, nor may they be available 119 |
---|
181 | | - | to the public as part of the record of investigation for and 120 |
---|
182 | | - | prosecution in disciplinary proceedings made available to the 121 |
---|
183 | | - | public by the department agency or the appropriate regulatory 122 |
---|
184 | | - | board. However, the department agency must make available, upon 123 |
---|
185 | | - | written request by a practitioner against whom probable cause 124 |
---|
186 | | - | has been found, any such records that form the basis of the 125 |
---|
| 162 | + | licensed facility which are governed b y the provisions of s. 101 |
---|
| 163 | + | 394.4615. 102 |
---|
| 164 | + | (3) This section does not apply to records of substance 103 |
---|
| 165 | + | abuse impaired persons, which are governed by s. 397.501. 104 |
---|
| 166 | + | (2)(4) Patient records are confidential and must not be 105 |
---|
| 167 | + | disclosed without the consent of the patient or h is or her legal 106 |
---|
| 168 | + | representative, but appropriate disclosure may be made without 107 |
---|
| 169 | + | such consent to: 108 |
---|
| 170 | + | (e) The Department of Health agency upon subpoena issued 109 |
---|
| 171 | + | pursuant to s. 456.071, but the records obtained thereby must be 110 |
---|
| 172 | + | used solely for the purpose of the department agency and the 111 |
---|
| 173 | + | appropriate professional board in its investigation, 112 |
---|
| 174 | + | prosecution, and appeal of disciplinary proceedings. If the 113 |
---|
| 175 | + | department agency requests copies of the records, the facility 114 |
---|
| 176 | + | shall charge no more than its actual copying costs, inc luding 115 |
---|
| 177 | + | reasonable staff time. The records must be sealed and must not 116 |
---|
| 178 | + | be available to the public pursuant to s. 119.07(1) or any other 117 |
---|
| 179 | + | statute providing access to records, nor may they be available 118 |
---|
| 180 | + | to the public as part of the record of investigation for a nd 119 |
---|
| 181 | + | prosecution in disciplinary proceedings made available to the 120 |
---|
| 182 | + | public by the department agency or the appropriate regulatory 121 |
---|
| 183 | + | board. However, the department agency must make available, upon 122 |
---|
| 184 | + | written request by a practitioner against whom probable cause 123 |
---|
| 185 | + | has been found, any such records that form the basis of the 124 |
---|
| 186 | + | determination of probable cause. 125 |
---|
199 | | - | determination of probable cause. 126 |
---|
200 | | - | (5)(7)(a) If the content of any record of patient 127 |
---|
201 | | - | treatment is provided under this section, the recipient , if 128 |
---|
202 | | - | other than the patient or the patient's representative, may use 129 |
---|
203 | | - | such information only for the purpose provided and may not 130 |
---|
204 | | - | further disclose any information to any other person or entity, 131 |
---|
205 | | - | unless expressly permitted by the written consent of the 132 |
---|
206 | | - | patient. A general authorization for the release of medical 133 |
---|
207 | | - | information is not sufficient for this purpose. The content of 134 |
---|
208 | | - | such patient treatment record is confidential and exempt from 135 |
---|
209 | | - | the provisions of s. 119.07(1) and s. 24(a), Art. I of the State 136 |
---|
210 | | - | Constitution. 137 |
---|
211 | | - | (6)(8) Patient records at hospitals and ambulatory 138 |
---|
212 | | - | surgical centers are exempt from disclosure under s. 119.07(1), 139 |
---|
213 | | - | except as provided by subsections (2) and (3) (1)-(5). 140 |
---|
214 | | - | Section 3. Paragraphs (a) through (j) of subsection (7) of 141 |
---|
215 | | - | section 397.501, Florida Statutes, are redesignated as 142 |
---|
216 | | - | paragraphs (c) through (l), respectively, and new paragraphs (a) 143 |
---|
217 | | - | and (b) are added to that subsection, to read: 144 |
---|
218 | | - | 397.501 Rights of individuals. —Individuals receiving 145 |
---|
219 | | - | substance abuse services from any service provider are 146 |
---|
220 | | - | guaranteed protection of the rights specified in this section, 147 |
---|
221 | | - | unless otherwise expressly provided, and service providers must 148 |
---|
222 | | - | ensure the protection of such rights. 149 |
---|
223 | | - | (7) RIGHT TO ACCESS AND CONFIDENTIALITY OF INDIVIDUAL 150 |
---|
| 199 | + | (5)(7)(a) If the content of any record of patient 126 |
---|
| 200 | + | treatment is provided under this section, the recipient , if 127 |
---|
| 201 | + | other than the patient or the patient's representative , may use 128 |
---|
| 202 | + | such information only for the purpose provided and may not 129 |
---|
| 203 | + | further disclose any information to any other person or entity, 130 |
---|
| 204 | + | unless expressly permitted by the written consent of the 131 |
---|
| 205 | + | patient. A general authorization for the release of medical 132 |
---|
| 206 | + | information is not sufficient for this purpose. The content of 133 |
---|
| 207 | + | such patient treatment record is confidential and exempt from 134 |
---|
| 208 | + | the provisions of s. 119.07(1) and s. 24(a), Art. I of the State 135 |
---|
| 209 | + | Constitution. 136 |
---|
| 210 | + | (6)(8) Patient records at hospitals and ambulatory 137 |
---|
| 211 | + | surgical centers are exempt from disclosure under s. 119.07(1), 138 |
---|
| 212 | + | except as provided by subsections (2) and (3) (1)-(5). 139 |
---|
| 213 | + | Section 3. Paragraphs (a) through (j) of subsection (7) of 140 |
---|
| 214 | + | section 397.501, Florida Statutes, are redesignated as 141 |
---|
| 215 | + | paragraphs (c) through ( l), respectively, and new paragraphs (a) 142 |
---|
| 216 | + | and (b) are added to that subsection, to read: 143 |
---|
| 217 | + | 397.501 Rights of individuals. —Individuals receiving 144 |
---|
| 218 | + | substance abuse services from any service provider are 145 |
---|
| 219 | + | guaranteed protection of the rights specified in this section, 146 |
---|
| 220 | + | unless otherwise expressly provided, and service providers must 147 |
---|
| 221 | + | ensure the protection of such rights. 148 |
---|
| 222 | + | (7) RIGHT TO ACCESS AND CONFIDENTIALITY OF INDIVIDUAL 149 |
---|
| 223 | + | RECORDS.— 150 |
---|
236 | | - | RECORDS.— 151 |
---|
237 | | - | (a) Within 14 worki ng days after receiving a written 152 |
---|
238 | | - | request from an individual or an individual's legal 153 |
---|
239 | | - | representative, a service provider shall furnish a true and 154 |
---|
240 | | - | correct copy of all records in the possession of the service 155 |
---|
241 | | - | provider. The service provider may furnish the re quested records 156 |
---|
242 | | - | in paper form or, upon request, in an electronic format. A 157 |
---|
243 | | - | service provider that maintains an electronic health record 158 |
---|
244 | | - | system shall furnish the requested records in the manner chosen 159 |
---|
245 | | - | by the requester, including, but not limited to, an elect ronic 160 |
---|
246 | | - | format, submission through a patient's electronic personal 161 |
---|
247 | | - | health record, or access through a web -based patient portal if 162 |
---|
248 | | - | the service provider maintains a patient portal. For purposes of 163 |
---|
249 | | - | this section, the term "legal representative" has the same 164 |
---|
250 | | - | meaning as provided in s. 408.833(1). 165 |
---|
251 | | - | (b) Within 10 working days after receiving such a request 166 |
---|
252 | | - | from an individual or an individual's legal representative, a 167 |
---|
253 | | - | service provider shall provide access to examine the original 168 |
---|
254 | | - | records in its possession, or microfor ms or other suitable 169 |
---|
255 | | - | reproductions of the records. The service provider may impose 170 |
---|
256 | | - | any reasonable terms necessary to ensure that the records will 171 |
---|
257 | | - | not be damaged, destroyed, or altered. 172 |
---|
258 | | - | Section 4. Subsection (1) of section 400.145, Florida 173 |
---|
259 | | - | Statutes, is amended to read: 174 |
---|
260 | | - | 400.145 Copies of records of care and treatment of 175 |
---|
| 236 | + | (a) Within 14 working days after receiving a written 151 |
---|
| 237 | + | request from an individu al or an individual's legal 152 |
---|
| 238 | + | representative, a service provider shall furnish a true and 153 |
---|
| 239 | + | correct copy of all records in the possession of the service 154 |
---|
| 240 | + | provider. The service provider may furnish the requested records 155 |
---|
| 241 | + | in paper form or, upon request, in an elec tronic format. A 156 |
---|
| 242 | + | service provider that maintains an electronic health record 157 |
---|
| 243 | + | system shall furnish the requested records in the manner chosen 158 |
---|
| 244 | + | by the requester which must include electronic format, access 159 |
---|
| 245 | + | through a web-based patient portal, or submission thr ough a 160 |
---|
| 246 | + | patient's electronic personal health record. For purposes of 161 |
---|
| 247 | + | this section, the term "legal representative" has the same 162 |
---|
| 248 | + | meaning as provided in s. 408.833(1). 163 |
---|
| 249 | + | (b) Within 10 working days after receiving such a request 164 |
---|
| 250 | + | from an individual or an indivi dual's legal representative, a 165 |
---|
| 251 | + | service provider shall provide access to examine the original 166 |
---|
| 252 | + | records in its possession, or microforms or other suitable 167 |
---|
| 253 | + | reproductions of the records. The service provider may impose 168 |
---|
| 254 | + | any reasonable terms necessary to ensure t hat the records will 169 |
---|
| 255 | + | not be damaged, destroyed, or altered. 170 |
---|
| 256 | + | Section 4. Subsection (1) of section 400.145, Florida 171 |
---|
| 257 | + | Statutes, is amended to read: 172 |
---|
| 258 | + | 400.145 Copies of records of care and treatment of 173 |
---|
| 259 | + | resident.— 174 |
---|
| 260 | + | (1) Upon receipt of a written request that complies with 175 |
---|
273 | | - | resident.— 176 |
---|
274 | | - | (1) Upon receipt of a written request that complies with 177 |
---|
275 | | - | the federal Health Insurance Portability and Accountability Act 178 |
---|
276 | | - | of 1996 (HIPAA) and this section, a nursing home fac ility shall 179 |
---|
277 | | - | furnish to a competent resident, or to a representative of that 180 |
---|
278 | | - | resident who is authorized to make requests for the resident's 181 |
---|
279 | | - | records under HIPAA or subsection (2), copies of the resident's 182 |
---|
280 | | - | paper and electronic records that are in possession o f the 183 |
---|
281 | | - | facility. Such records must include any medical records and 184 |
---|
282 | | - | records concerning the care and treatment of the resident 185 |
---|
283 | | - | performed by the facility, except for progress notes and 186 |
---|
284 | | - | consultation report sections of a psychiatric nature. The 187 |
---|
285 | | - | facility shall provide a resident with access to the requested 188 |
---|
286 | | - | records within 24 hours, excluding weekends and holidays, and 189 |
---|
287 | | - | provide copies of the requested records within 2 14 working days 190 |
---|
288 | | - | after receipt of a request relating to a current resident or 191 |
---|
289 | | - | within 30 working days after receipt of a request relating to a 192 |
---|
290 | | - | former resident. 193 |
---|
291 | | - | Section 5. Section 408.833, Florida Statutes, is created 194 |
---|
292 | | - | to read: 195 |
---|
293 | | - | 408.833 Client access to medical records. — 196 |
---|
294 | | - | (1) For purposes of this section, the term "legal 197 |
---|
295 | | - | representative" means an attorney who has been designated by a 198 |
---|
296 | | - | client to receive copies of the client's medical, care and 199 |
---|
297 | | - | treatment, or interdisciplinary records; a legally recognized 200 |
---|
| 273 | + | the federal Health Insurance Portability and Accountability Act 176 |
---|
| 274 | + | of 1996 (HIPAA) and this section, a nursing home facility shall 177 |
---|
| 275 | + | furnish to a competent resident, or to a representative of that 178 |
---|
| 276 | + | resident who is authorized to make requests for t he resident's 179 |
---|
| 277 | + | records under HIPAA or subsection (2), copies of the resident's 180 |
---|
| 278 | + | paper and electronic records that are in possession of the 181 |
---|
| 279 | + | facility. Such records must include any medical records and 182 |
---|
| 280 | + | records concerning the care and treatment of the resident 183 |
---|
| 281 | + | performed by the facility, except for progress notes and 184 |
---|
| 282 | + | consultation report sections of a psychiatric nature. The 185 |
---|
| 283 | + | facility shall provide a resident with access to the requested 186 |
---|
| 284 | + | records within 24 hours, excluding weekends and holidays, and 187 |
---|
| 285 | + | provide copies of the requested records within 2 14 working days 188 |
---|
| 286 | + | after receipt of a request relating to a current resident or 189 |
---|
| 287 | + | within 30 working days after receipt of a request relating to a 190 |
---|
| 288 | + | former resident. 191 |
---|
| 289 | + | Section 5. Section 408.833, Florida Statutes, is created 192 |
---|
| 290 | + | to read: 193 |
---|
| 291 | + | 408.833 Client access to medical records. — 194 |
---|
| 292 | + | (1) For purposes of this section, the term "legal 195 |
---|
| 293 | + | representative" means an attorney who has been designated by a 196 |
---|
| 294 | + | client to receive copies of the client's medical, care and 197 |
---|
| 295 | + | treatment, or interdisciplinary records; a legally recognized 198 |
---|
| 296 | + | guardian of the client; a court -appointed representative of the 199 |
---|
| 297 | + | client; or a person designated by the client or by a court of 200 |
---|
310 | | - | guardian of the clien t; a court-appointed representative of the 201 |
---|
311 | | - | client; or a person designated by the client or by a court of 202 |
---|
312 | | - | competent jurisdiction to receive copies of the client's 203 |
---|
313 | | - | medical, care and treatment, or interdisciplinary records. 204 |
---|
314 | | - | (2) Within 14 working days after receiving a written 205 |
---|
315 | | - | request from a client or client's legal representative, a 206 |
---|
316 | | - | provider shall furnish a true and correct copy of all records, 207 |
---|
317 | | - | including medical, care and treatment, and interdisciplinary 208 |
---|
318 | | - | records, as applicable, in the possession of the provi der. A 209 |
---|
319 | | - | provider may furnish the requested records in paper form or, 210 |
---|
320 | | - | upon request, in an electronic format. A provider that maintains 211 |
---|
321 | | - | an electronic health record system shall furnish the requested 212 |
---|
322 | | - | records in the manner chosen by the requester, including, bu t 213 |
---|
323 | | - | not limited to, an electronic format, submission through a 214 |
---|
324 | | - | patient's electronic personal health record, or access through a 215 |
---|
325 | | - | web-based patient portal if the service provider maintains a 216 |
---|
326 | | - | patient portal. 217 |
---|
327 | | - | (3) Within 10 working days after receiving a reques t from 218 |
---|
328 | | - | a client or a client's legal representative, a provider shall 219 |
---|
329 | | - | provide access to examine the original records in its 220 |
---|
330 | | - | possession, or microforms or other suitable reproductions of the 221 |
---|
331 | | - | records. A provider may impose any reasonable terms necessary to 222 |
---|
332 | | - | ensure that the records will not be damaged, destroyed, or 223 |
---|
333 | | - | altered. 224 |
---|
334 | | - | (4) This section does not apply to: 225 |
---|
| 310 | + | competent jurisdiction to receive copies of the client's 201 |
---|
| 311 | + | medical, care and treatment, or interdisci plinary records. 202 |
---|
| 312 | + | (2) Within 14 working days after receiving a written 203 |
---|
| 313 | + | request from a client or client's legal representative, a 204 |
---|
| 314 | + | provider shall furnish a true and correct copy of all records, 205 |
---|
| 315 | + | including medical, care and treatment, and interdisciplinary 206 |
---|
| 316 | + | records, as applicable, in the possession of the provider. A 207 |
---|
| 317 | + | provider may furnish the requested records in paper form or, 208 |
---|
| 318 | + | upon request, in an electronic format. A provider that maintains 209 |
---|
| 319 | + | an electronic health record system shall furnish the requested 210 |
---|
| 320 | + | records in the manner chosen by the requester which must include 211 |
---|
| 321 | + | electronic format, access through a web -based patient portal, or 212 |
---|
| 322 | + | submission through a patient's electronic personal health 213 |
---|
| 323 | + | record. 214 |
---|
| 324 | + | (3) Within 10 working days after receiving a request from 215 |
---|
| 325 | + | a client or a client's legal representative, a provider shall 216 |
---|
| 326 | + | provide access to examine the original records in its 217 |
---|
| 327 | + | possession, or microforms or other suitable reproductions of the 218 |
---|
| 328 | + | records. A provider may impose any reasonable terms necessary to 219 |
---|
| 329 | + | ensure that the records will not be damaged, destroyed, or 220 |
---|
| 330 | + | altered. 221 |
---|
| 331 | + | (4) This section does not apply to: 222 |
---|
| 332 | + | (a) Records maintained at a licensed facility, as defined 223 |
---|
| 333 | + | in s. 395.002, the primary function of which is to provide 224 |
---|
| 334 | + | psychiatric care to its patients, or to records o f treatment for 225 |
---|
347 | | - | (a) Records maintained at a licensed facility, as defined 226 |
---|
348 | | - | in s. 395.002, the primary function of which is to provide 227 |
---|
349 | | - | psychiatric care to its patients, or to records of treatment for 228 |
---|
350 | | - | any mental or emotional condition at any other licensed facility 229 |
---|
351 | | - | which are governed by s. 394.4615; 230 |
---|
352 | | - | (b) Records of substance abuse impaired persons which are 231 |
---|
353 | | - | governed by s. 397.501; or 232 |
---|
354 | | - | (c) Records of a resident of a nursi ng home facility. 233 |
---|
355 | | - | Section 6. Subsection (6) of section 456.057, Florida 234 |
---|
356 | | - | Statutes, is amended to read: 235 |
---|
357 | | - | 456.057 Ownership and control of patient records; report 236 |
---|
358 | | - | or copies of records to be furnished; disclosure of 237 |
---|
359 | | - | information.— 238 |
---|
360 | | - | (6)(a) Any health care practitioner licensed by the 239 |
---|
361 | | - | department or a board within the department who makes a physical 240 |
---|
362 | | - | or mental examination of, or administers treatment or dispenses 241 |
---|
363 | | - | legend drugs to, any patient person shall, upon request of such 242 |
---|
364 | | - | patient person or the patient's person's legal representative, 243 |
---|
365 | | - | furnish, within 14 working days after such request in a timely 244 |
---|
366 | | - | manner, without delays for legal review , copies of all reports 245 |
---|
367 | | - | and records relating to such examination or treatment, including 246 |
---|
368 | | - | X rays and insurance information. A health care practitioner may 247 |
---|
369 | | - | furnish the requested reports and records in paper form or, upon 248 |
---|
370 | | - | request, in an electronic format. A health care practitioner who 249 |
---|
371 | | - | maintains an electronic health record system shall furnish the 250 |
---|
| 347 | + | any mental or emotional condition at any other licensed facility 226 |
---|
| 348 | + | which are governed by s. 394.4615; 227 |
---|
| 349 | + | (b) Records of substance abuse impaired persons which are 228 |
---|
| 350 | + | governed by s. 397.501; or 229 |
---|
| 351 | + | (c) Records of a resident of a nursing home facilit y. 230 |
---|
| 352 | + | Section 6. Subsection (6) of section 456.057, Florida 231 |
---|
| 353 | + | Statutes, is amended to read: 232 |
---|
| 354 | + | 456.057 Ownership and control of patient records; report 233 |
---|
| 355 | + | or copies of records to be furnished; disclosure of 234 |
---|
| 356 | + | information.— 235 |
---|
| 357 | + | (6)(a) Any health care practitioner li censed by the 236 |
---|
| 358 | + | department or a board within the department who makes a physical 237 |
---|
| 359 | + | or mental examination of, or administers treatment or dispenses 238 |
---|
| 360 | + | legend drugs to, any patient person shall, upon request of such 239 |
---|
| 361 | + | patient person or the patient's person's legal representative, 240 |
---|
| 362 | + | furnish, within 14 working days after such request in a timely 241 |
---|
| 363 | + | manner, without delays for legal review , copies of all reports 242 |
---|
| 364 | + | and records relating to such examination or treatment, including 243 |
---|
| 365 | + | X rays and insurance information. A health care practitioner may 244 |
---|
| 366 | + | furnish the requested reports and records in paper form or, upon 245 |
---|
| 367 | + | request, in an electronic format. A health care practitioner who 246 |
---|
| 368 | + | maintains an electronic health record system shall furnish the 247 |
---|
| 369 | + | requested reports and records in the manner chose n by the 248 |
---|
| 370 | + | requester which must include electronic format, access through a 249 |
---|
| 371 | + | web-based patient portal, or submission through a patient's 250 |
---|
384 | | - | requested reports and records in t he manner chosen by the 251 |
---|
385 | | - | requester, including, but not limited to, an electronic format, 252 |
---|
386 | | - | submission through a patient's electronic personal health 253 |
---|
387 | | - | record, or access through a web -based patient portal if the 254 |
---|
388 | | - | service provider maintains a patient portal. For p urposes of 255 |
---|
389 | | - | this section, the term "legal representative" means a patient's 256 |
---|
390 | | - | attorney who has been designated by the patient to receive 257 |
---|
391 | | - | copies of the patient's medical records, a legally recognized 258 |
---|
392 | | - | guardian of the patient, a court -appointed representative of the 259 |
---|
393 | | - | patient, or any other person designated by the patient or by a 260 |
---|
394 | | - | court of competent jurisdiction to receive copies of the 261 |
---|
395 | | - | patient's medical records. 262 |
---|
396 | | - | (b) Within 10 working days after receiving a written 263 |
---|
397 | | - | request by a patient or a patient's legal represe ntative, a 264 |
---|
398 | | - | healthcare practitioner must provide access to examine the 265 |
---|
399 | | - | original reports and records, or microforms or other suitable 266 |
---|
400 | | - | reproductions of the reports and records in the healthcare 267 |
---|
401 | | - | practitioner's possession. The healthcare practitioner may 268 |
---|
402 | | - | impose any reasonable terms necessary to ensure that the reports 269 |
---|
403 | | - | and records will not be damaged, destroyed, or altered. 270 |
---|
404 | | - | (c) However, When a patient's psychiatric, chapter 490 271 |
---|
405 | | - | psychological, or chapter 491 psychotherapeutic records are 272 |
---|
406 | | - | requested by the patient or the patient's legal representative, 273 |
---|
407 | | - | the health care practitioner may provide a report of examination 274 |
---|
408 | | - | and treatment in lieu of copies of records. Upon a patient's 275 |
---|
| 384 | + | electronic personal health record. For purposes of this section, 251 |
---|
| 385 | + | the term "legal representative" means a patient's attorne y who 252 |
---|
| 386 | + | has been designated by the patient to receive copies of the 253 |
---|
| 387 | + | patient's medical records, a legally recognized guardian of the 254 |
---|
| 388 | + | patient, a court-appointed representative of the patient, or any 255 |
---|
| 389 | + | other person designated by the patient or by a court of 256 |
---|
| 390 | + | competent jurisdiction to receive copies of the patient's 257 |
---|
| 391 | + | medical records. 258 |
---|
| 392 | + | (b) Within 10 working days after receiving a written 259 |
---|
| 393 | + | request by a patient or a patient's legal representative, a 260 |
---|
| 394 | + | healthcare practitioner must provide access to examine the 261 |
---|
| 395 | + | original reports and records, or microforms or other suitable 262 |
---|
| 396 | + | reproductions of the reports and records in the healthcare 263 |
---|
| 397 | + | practitioner's possession. The healthcare practitioner may 264 |
---|
| 398 | + | impose any reasonable terms necessary to ensure that the reports 265 |
---|
| 399 | + | and records will not be damaged, destroyed, or altered. 266 |
---|
| 400 | + | (c) However, When a patient's psychiatric, chapter 490 267 |
---|
| 401 | + | psychological, or chapter 491 psychotherapeutic records are 268 |
---|
| 402 | + | requested by the patient or the patient's legal representative, 269 |
---|
| 403 | + | the health care practitioner may provide a report of examination 270 |
---|
| 404 | + | and treatment in lieu of copies of records. Upon a patient's 271 |
---|
| 405 | + | written request, complete copies of the patient's psychiatric 272 |
---|
| 406 | + | records shall be provided directly to a subsequent treating 273 |
---|
| 407 | + | psychiatrist. The furnishing of such report or cop ies may shall 274 |
---|
| 408 | + | not be conditioned upon payment of a fee for services rendered. 275 |
---|
421 | | - | written request, complete copies of the patient's psychiatric 276 |
---|
422 | | - | records shall be provided di rectly to a subsequent treating 277 |
---|
423 | | - | psychiatrist. The furnishing of such report or copies may shall 278 |
---|
424 | | - | not be conditioned upon payment of a fee for services rendered. 279 |
---|
425 | | - | Section 7. Paragraph (f) of subsection (1) of section 280 |
---|
426 | | - | 316.1932, Florida Statutes, is amended to read: 281 |
---|
427 | | - | 316.1932 Tests for alcohol, chemical substances, or 282 |
---|
428 | | - | controlled substances; implied consent; refusal. — 283 |
---|
429 | | - | (1) 284 |
---|
430 | | - | (f)1. The tests determining the weight of alcohol in the 285 |
---|
431 | | - | defendant's blood or breath shall be administered at the request 286 |
---|
432 | | - | of a law enforcement officer substantially in accordance with 287 |
---|
433 | | - | rules of the Department of Law Enforcement. Such rules must 288 |
---|
434 | | - | specify precisely the test or tests that are approved by the 289 |
---|
435 | | - | Department of Law Enforcement for reliability of result and ease 290 |
---|
436 | | - | of administration, an d must provide an approved method of 291 |
---|
437 | | - | administration which must be followed in all such tests given 292 |
---|
438 | | - | under this section. However, the failure of a law enforcement 293 |
---|
439 | | - | officer to request the withdrawal of blood does not affect the 294 |
---|
440 | | - | admissibility of a test of blood withdrawn for medical purposes. 295 |
---|
441 | | - | 2.a. Only a physician, certified paramedic, registered 296 |
---|
442 | | - | nurse, licensed practical nurse, other personnel authorized by a 297 |
---|
443 | | - | hospital to draw blood, or duly licensed clinical laboratory 298 |
---|
444 | | - | director, supervisor, technologist, or t echnician, acting at the 299 |
---|
445 | | - | request of a law enforcement officer, may withdraw blood for the 300 |
---|
| 421 | + | Section 7. Paragraph (f) of subsection (1) of section 276 |
---|
| 422 | + | 316.1932, Florida Statutes, is amended to read: 277 |
---|
| 423 | + | 316.1932 Tests for alcohol, chemical substances, or 278 |
---|
| 424 | + | controlled substances; implied consent; refusal. — 279 |
---|
| 425 | + | (1) 280 |
---|
| 426 | + | (f)1. The tests determining the weight of alcohol in the 281 |
---|
| 427 | + | defendant's blood or breath shall be administered at the request 282 |
---|
| 428 | + | of a law enforcement officer substantially in accordance with 283 |
---|
| 429 | + | rules of the Department of Law En forcement. Such rules must 284 |
---|
| 430 | + | specify precisely the test or tests that are approved by the 285 |
---|
| 431 | + | Department of Law Enforcement for reliability of result and ease 286 |
---|
| 432 | + | of administration, and must provide an approved method of 287 |
---|
| 433 | + | administration which must be followed in all such tests given 288 |
---|
| 434 | + | under this section. However, the failure of a law enforcement 289 |
---|
| 435 | + | officer to request the withdrawal of blood does not affect the 290 |
---|
| 436 | + | admissibility of a test of blood withdrawn for medical purposes. 291 |
---|
| 437 | + | 2.a. Only a physician, certified paramedic, reg istered 292 |
---|
| 438 | + | nurse, licensed practical nurse, other personnel authorized by a 293 |
---|
| 439 | + | hospital to draw blood, or duly licensed clinical laboratory 294 |
---|
| 440 | + | director, supervisor, technologist, or technician, acting at the 295 |
---|
| 441 | + | request of a law enforcement officer, may withdraw blood for the 296 |
---|
| 442 | + | purpose of determining its alcoholic content or the presence of 297 |
---|
| 443 | + | chemical substances or controlled substances therein. However, 298 |
---|
| 444 | + | the failure of a law enforcement officer to request the 299 |
---|
| 445 | + | withdrawal of blood does not affect the admissibility of a test 300 |
---|
458 | | - | purpose of determining its alcoholic content or the presence of 301 |
---|
459 | | - | chemical substances or controlled substances therein. However, 302 |
---|
460 | | - | the failure of a law enforcement office r to request the 303 |
---|
461 | | - | withdrawal of blood does not affect the admissibility of a test 304 |
---|
462 | | - | of blood withdrawn for medical purposes. 305 |
---|
463 | | - | b. Notwithstanding any provision of law pertaining to the 306 |
---|
464 | | - | confidentiality of hospital records or other medical records, if 307 |
---|
465 | | - | a health care provider, who is providing medical care in a 308 |
---|
466 | | - | health care facility to a person injured in a motor vehicle 309 |
---|
467 | | - | crash, becomes aware, as a result of any blood test performed in 310 |
---|
468 | | - | the course of that medical treatment, that the person's blood -311 |
---|
469 | | - | alcohol level meets or exceeds the blood -alcohol level specified 312 |
---|
470 | | - | in s. 316.193(1)(b), the health care provider may notify any law 313 |
---|
471 | | - | enforcement officer or law enforcement agency. Any such notice 314 |
---|
472 | | - | must be given within a reasonable time after the health care 315 |
---|
473 | | - | provider receives the test result. Any such notice shall be used 316 |
---|
474 | | - | only for the purpose of providing the law enforcement officer 317 |
---|
475 | | - | with reasonable cause to request the withdrawal of a blood 318 |
---|
476 | | - | sample pursuant to this section. 319 |
---|
477 | | - | c. The notice shall consist only of the name of the pers on 320 |
---|
478 | | - | being treated, the name of the person who drew the blood, the 321 |
---|
479 | | - | blood-alcohol level indicated by the test, and the date and time 322 |
---|
480 | | - | of the administration of the test. 323 |
---|
481 | | - | d. Nothing contained in s. 395.3025(2) s. 395.3025(4), s. 324 |
---|
482 | | - | 456.057, or any applicable practice act affects the authority to 325 |
---|
| 458 | + | of blood withdrawn for medical purposes. 301 |
---|
| 459 | + | b. Notwithstanding any provision of law pertaining to the 302 |
---|
| 460 | + | confidentiality of hospital records or other medical records, if 303 |
---|
| 461 | + | a health care provider, who is providing medical care in a 304 |
---|
| 462 | + | health care facility to a person injured in a motor vehicle 305 |
---|
| 463 | + | crash, becomes aware, as a result of any blood test performed in 306 |
---|
| 464 | + | the course of that medical treatment, that the person's blood -307 |
---|
| 465 | + | alcohol level meets or exceeds the blood -alcohol level specified 308 |
---|
| 466 | + | in s. 316.193(1)(b), the health care provider may notify any law 309 |
---|
| 467 | + | enforcement officer or law enforcement agency. Any such notice 310 |
---|
| 468 | + | must be given within a reasonable time after the health care 311 |
---|
| 469 | + | provider receives the test result. Any such notice shall be used 312 |
---|
| 470 | + | only for the purpose of providing the law enforcement officer 313 |
---|
| 471 | + | with reasonable cause to request the withdrawal of a blood 314 |
---|
| 472 | + | sample pursuant to this section. 315 |
---|
| 473 | + | c. The notice shall consist only of the name of the person 316 |
---|
| 474 | + | being treated, the name of the person who drew the blood, the 317 |
---|
| 475 | + | blood-alcohol level indicated by the test, and the date and time 318 |
---|
| 476 | + | of the administration of the test. 319 |
---|
| 477 | + | d. Nothing contained in s. 395.3025(2) s. 395.3025(4), s. 320 |
---|
| 478 | + | 456.057, or any applicable practice act affects the authority to 321 |
---|
| 479 | + | provide notice under this section, and the healt h care provider 322 |
---|
| 480 | + | is not considered to have breached any duty owed to the person 323 |
---|
| 481 | + | under s. 395.3025(2) s. 395.3025(4), s. 456.057, or any 324 |
---|
| 482 | + | applicable practice act by providing notice or failing to 325 |
---|
495 | | - | provide notice under this section, and the health care provider 326 |
---|
496 | | - | is not considered to have breached any duty owed to the person 327 |
---|
497 | | - | under s. 395.3025(2) s. 395.3025(4), s. 456.057, or any 328 |
---|
498 | | - | applicable practice act by providing notice or failing to 329 |
---|
499 | | - | provide notice. It shall not be a breach of any ethical, moral, 330 |
---|
500 | | - | or legal duty for a health care provider to provide notice or 331 |
---|
501 | | - | fail to provide notice. 332 |
---|
502 | | - | e. A civil, criminal, or administrative action ma y not be 333 |
---|
503 | | - | brought against any person or health care provider participating 334 |
---|
504 | | - | in good faith in the provision of notice or failure to provide 335 |
---|
505 | | - | notice as provided in this section. Any person or health care 336 |
---|
506 | | - | provider participating in the provision of notice or fail ure to 337 |
---|
507 | | - | provide notice as provided in this section shall be immune from 338 |
---|
508 | | - | any civil or criminal liability and from any professional 339 |
---|
509 | | - | disciplinary action with respect to the provision of notice or 340 |
---|
510 | | - | failure to provide notice under this section. Any such 341 |
---|
511 | | - | participant has the same immunity with respect to participating 342 |
---|
512 | | - | in any judicial proceedings resulting from the notice or failure 343 |
---|
513 | | - | to provide notice. 344 |
---|
514 | | - | 3. The person tested may, at his or her own expense, have 345 |
---|
515 | | - | a physician, registered nurse, other personnel authorized by a 346 |
---|
516 | | - | hospital to draw blood, or duly licensed clinical laboratory 347 |
---|
517 | | - | director, supervisor, technologist, or technician, or other 348 |
---|
518 | | - | person of his or her own choosing administer an independent test 349 |
---|
519 | | - | in addition to the test administered at the direction of the law 350 |
---|
| 495 | + | provide notice. It shall not be a breach of any ethical, moral, 326 |
---|
| 496 | + | or legal duty for a health care provider to provide notice or 327 |
---|
| 497 | + | fail to provide notice. 328 |
---|
| 498 | + | e. A civil, criminal, or administrative action may not be 329 |
---|
| 499 | + | brought against any person or health care provider participating 330 |
---|
| 500 | + | in good faith in the provision of notice or failure to provide 331 |
---|
| 501 | + | notice as provided in this section. Any person or health care 332 |
---|
| 502 | + | provider participating in the provision of notice or failure to 333 |
---|
| 503 | + | provide notice as provided in this section shall be immune from 334 |
---|
| 504 | + | any civil or criminal liability and from any pr ofessional 335 |
---|
| 505 | + | disciplinary action with respect to the provision of notice or 336 |
---|
| 506 | + | failure to provide notice under this section. Any such 337 |
---|
| 507 | + | participant has the same immunity with respect to participating 338 |
---|
| 508 | + | in any judicial proceedings resulting from the notice or failur e 339 |
---|
| 509 | + | to provide notice. 340 |
---|
| 510 | + | 3. The person tested may, at his or her own expense, have 341 |
---|
| 511 | + | a physician, registered nurse, other personnel authorized by a 342 |
---|
| 512 | + | hospital to draw blood, or duly licensed clinical laboratory 343 |
---|
| 513 | + | director, supervisor, technologist, or technician, or other 344 |
---|
| 514 | + | person of his or her own choosing administer an independent test 345 |
---|
| 515 | + | in addition to the test administered at the direction of the law 346 |
---|
| 516 | + | enforcement officer for the purpose of determining the amount of 347 |
---|
| 517 | + | alcohol in the person's blood or breath or the prese nce of 348 |
---|
| 518 | + | chemical substances or controlled substances at the time 349 |
---|
| 519 | + | alleged, as shown by chemical analysis of his or her blood or 350 |
---|
532 | | - | enforcement officer for the purpose of determining the amount of 351 |
---|
533 | | - | alcohol in the person's blood or breath or the presence of 352 |
---|
534 | | - | chemical substances or controlled substances at the time 353 |
---|
535 | | - | alleged, as shown by chemical analysis of his or her blood or 354 |
---|
536 | | - | urine, or by chemical or physical test of his or her breath. The 355 |
---|
537 | | - | failure or inability to obtain an independent test by a person 356 |
---|
538 | | - | does not preclude the admissibility in evidence of the test 357 |
---|
539 | | - | taken at the direction of the law enforcement officer. The law 358 |
---|
540 | | - | enforcement officer shall not interfere with the person's 359 |
---|
541 | | - | opportunity to obtain the independent test and shall provide the 360 |
---|
542 | | - | person with timely telephone access to secure the test, but the 361 |
---|
543 | | - | burden is on the person to arrange and secure the test at the 362 |
---|
544 | | - | person's own expense. 363 |
---|
545 | | - | 4. Upon the request of the person tested, full information 364 |
---|
546 | | - | concerning the results of the test taken at the direction of the 365 |
---|
547 | | - | law enforcement officer shall be made available to the person or 366 |
---|
548 | | - | his or her attorney. Full information is limited to the 367 |
---|
549 | | - | following: 368 |
---|
550 | | - | a. The type of test administered and the procedures 369 |
---|
551 | | - | followed. 370 |
---|
552 | | - | b. The time of the collection of the blood or breath 371 |
---|
553 | | - | sample analyzed. 372 |
---|
554 | | - | c. The numerical results of the test indicating the 373 |
---|
555 | | - | alcohol content of the blood and breath. 374 |
---|
556 | | - | d. The type and status of any permit issued by the 375 |
---|
| 532 | + | urine, or by chemical or physical test of his or her breath. The 351 |
---|
| 533 | + | failure or inability to obtain an independent test by a person 352 |
---|
| 534 | + | does not preclude the admissibility in evidence of the test 353 |
---|
| 535 | + | taken at the direction of the law enforcement officer. The law 354 |
---|
| 536 | + | enforcement officer shall not interfere with the person's 355 |
---|
| 537 | + | opportunity to obtain the independent test and shall provide the 356 |
---|
| 538 | + | person with timely telephone access to secure the test, but the 357 |
---|
| 539 | + | burden is on the person to arrange and secure the test at the 358 |
---|
| 540 | + | person's own expense. 359 |
---|
| 541 | + | 4. Upon the request of the person tested, full information 360 |
---|
| 542 | + | concerning the results of the test taken at the direction o f the 361 |
---|
| 543 | + | law enforcement officer shall be made available to the person or 362 |
---|
| 544 | + | his or her attorney. Full information is limited to the 363 |
---|
| 545 | + | following: 364 |
---|
| 546 | + | a. The type of test administered and the procedures 365 |
---|
| 547 | + | followed. 366 |
---|
| 548 | + | b. The time of the collection of the blood or breath 367 |
---|
| 549 | + | sample analyzed. 368 |
---|
| 550 | + | c. The numerical results of the test indicating the 369 |
---|
| 551 | + | alcohol content of the blood and breath. 370 |
---|
| 552 | + | d. The type and status of any permit issued by the 371 |
---|
| 553 | + | Department of Law Enforcement which was held by the person who 372 |
---|
| 554 | + | performed the test. 373 |
---|
| 555 | + | e. If the test was administered by means of a breath 374 |
---|
| 556 | + | testing instrument, the date of performance of the most recent 375 |
---|
569 | | - | Department of Law Enforcement which was held by the person who 376 |
---|
570 | | - | performed the test. 377 |
---|
571 | | - | e. If the test was administered by means of a breath 378 |
---|
572 | | - | testing instrument, the date of performance of the most recent 379 |
---|
573 | | - | required inspection of such instrument. 380 |
---|
574 | | - | 381 |
---|
575 | | - | Full information does not include manuals, schematics, or 382 |
---|
576 | | - | software of the instrument used to test the person or any other 383 |
---|
577 | | - | material that is not in the actual possession of the state. 384 |
---|
578 | | - | Additionally, full information does not include information in 385 |
---|
579 | | - | the possession of the manufacturer of the test instrument. 386 |
---|
580 | | - | 5. A hospital, clinical laboratory, medical clinic, or 387 |
---|
581 | | - | similar medical institution or physician, certified paramedic, 388 |
---|
582 | | - | registered nurse, licensed practical nurse, other personnel 389 |
---|
583 | | - | authorized by a hospital to draw blood, or duly licensed 390 |
---|
584 | | - | clinical laboratory director, supervisor, technologist, or 391 |
---|
585 | | - | technician, or other person assisting a law enforcement officer 392 |
---|
586 | | - | does not incur any civil or criminal liability as a result of 393 |
---|
587 | | - | the withdrawal or analysis o f a blood or urine specimen, or the 394 |
---|
588 | | - | chemical or physical test of a person's breath pursuant to 395 |
---|
589 | | - | accepted medical standards when requested by a law enforcement 396 |
---|
590 | | - | officer, regardless of whether or not the subject resisted 397 |
---|
591 | | - | administration of the test. 398 |
---|
592 | | - | Section 8. Paragraph (a) of subsection (2) of section 399 |
---|
593 | | - | 316.1933, Florida Statutes, is amended to read: 400 |
---|
| 569 | + | required inspection of such instrument. 376 |
---|
| 570 | + | 377 |
---|
| 571 | + | Full information does not include manuals, schematics, or 378 |
---|
| 572 | + | software of the instrument used to test the pe rson or any other 379 |
---|
| 573 | + | material that is not in the actual possession of the state. 380 |
---|
| 574 | + | Additionally, full information does not include information in 381 |
---|
| 575 | + | the possession of the manufacturer of the test instrument. 382 |
---|
| 576 | + | 5. A hospital, clinical laboratory, medical clinic, or 383 |
---|
| 577 | + | similar medical institution or physician, certified paramedic, 384 |
---|
| 578 | + | registered nurse, licensed practical nurse, other personnel 385 |
---|
| 579 | + | authorized by a hospital to draw blood, or duly licensed 386 |
---|
| 580 | + | clinical laboratory director, supervisor, technologist, or 387 |
---|
| 581 | + | technician, or other person assisting a law enforcement officer 388 |
---|
| 582 | + | does not incur any civil or criminal liability as a result of 389 |
---|
| 583 | + | the withdrawal or analysis of a blood or urine specimen, or the 390 |
---|
| 584 | + | chemical or physical test of a person's breath pursuant to 391 |
---|
| 585 | + | accepted medical standa rds when requested by a law enforcement 392 |
---|
| 586 | + | officer, regardless of whether or not the subject resisted 393 |
---|
| 587 | + | administration of the test. 394 |
---|
| 588 | + | Section 8. Paragraph (a) of subsection (2) of section 395 |
---|
| 589 | + | 316.1933, Florida Statutes, is amended to read: 396 |
---|
| 590 | + | 316.1933 Blood test f or impairment or intoxication in 397 |
---|
| 591 | + | cases of death or serious bodily injury; right to use reasonable 398 |
---|
| 592 | + | force.— 399 |
---|
| 593 | + | (2)(a) Only a physician, certified paramedic, registered 400 |
---|
606 | | - | 316.1933 Blood test for impairment or intoxication in 401 |
---|
607 | | - | cases of death or serious bodily injury; right to use reasonable 402 |
---|
608 | | - | force.— 403 |
---|
609 | | - | (2)(a) Only a physician, certi fied paramedic, registered 404 |
---|
610 | | - | nurse, licensed practical nurse, other personnel authorized by a 405 |
---|
611 | | - | hospital to draw blood, or duly licensed clinical laboratory 406 |
---|
612 | | - | director, supervisor, technologist, or technician, acting at the 407 |
---|
613 | | - | request of a law enforcement officer, may withdraw blood for the 408 |
---|
614 | | - | purpose of determining the alcoholic content thereof or the 409 |
---|
615 | | - | presence of chemical substances or controlled substances 410 |
---|
616 | | - | therein. However, the failure of a law enforcement officer to 411 |
---|
617 | | - | request the withdrawal of blood shall not affect t he 412 |
---|
618 | | - | admissibility of a test of blood withdrawn for medical purposes. 413 |
---|
619 | | - | 1. Notwithstanding any provision of law pertaining to the 414 |
---|
620 | | - | confidentiality of hospital records or other medical records, if 415 |
---|
621 | | - | a health care provider, who is providing medical care in a 416 |
---|
622 | | - | health care facility to a person injured in a motor vehicle 417 |
---|
623 | | - | crash, becomes aware, as a result of any blood test performed in 418 |
---|
624 | | - | the course of that medical treatment, that the person's blood -419 |
---|
625 | | - | alcohol level meets or exceeds the blood -alcohol level specified 420 |
---|
626 | | - | in s. 316.193(1)(b), the health care provider may notify any law 421 |
---|
627 | | - | enforcement officer or law enforcement agency. Any such notice 422 |
---|
628 | | - | must be given within a reasonable time after the health care 423 |
---|
629 | | - | provider receives the test result. Any such notice shall be used 424 |
---|
630 | | - | only for the purpose of providing the law enforcement officer 425 |
---|
| 606 | + | nurse, licensed practical nurse, other personnel authorized by a 401 |
---|
| 607 | + | hospital to draw blood, or duly licensed clinical laboratory 402 |
---|
| 608 | + | director, supervisor, technologist, or technician, acting at the 403 |
---|
| 609 | + | request of a law enforcement officer, may withdraw blood for the 404 |
---|
| 610 | + | purpose of determining the alcoholic content thereof or the 405 |
---|
| 611 | + | presence of chemical substances or controlled substances 406 |
---|
| 612 | + | therein. However, the failure of a law enforcement officer to 407 |
---|
| 613 | + | request the withdrawal of blood shall not affect the 408 |
---|
| 614 | + | admissibility of a test of blood withdrawn for medical purposes. 409 |
---|
| 615 | + | 1. Notwithstanding any provision of law pertaini ng to the 410 |
---|
| 616 | + | confidentiality of hospital records or other medical records, if 411 |
---|
| 617 | + | a health care provider, who is providing medical care in a 412 |
---|
| 618 | + | health care facility to a person injured in a motor vehicle 413 |
---|
| 619 | + | crash, becomes aware, as a result of any blood test performed in 414 |
---|
| 620 | + | the course of that medical treatment, that the person's blood -415 |
---|
| 621 | + | alcohol level meets or exceeds the blood -alcohol level specified 416 |
---|
| 622 | + | in s. 316.193(1)(b), the health care provider may notify any law 417 |
---|
| 623 | + | enforcement officer or law enforcement agency. Any such notic e 418 |
---|
| 624 | + | must be given within a reasonable time after the health care 419 |
---|
| 625 | + | provider receives the test result. Any such notice shall be used 420 |
---|
| 626 | + | only for the purpose of providing the law enforcement officer 421 |
---|
| 627 | + | with reasonable cause to request the withdrawal of a blood 422 |
---|
| 628 | + | sample pursuant to this section. 423 |
---|
| 629 | + | 2. The notice shall consist only of the name of the person 424 |
---|
| 630 | + | being treated, the name of the person who drew the blood, the 425 |
---|
643 | | - | with reasonable cause to request the withdrawal of a blood 426 |
---|
644 | | - | sample pursuant to this section. 427 |
---|
645 | | - | 2. The notice shall consist only of the name of the person 428 |
---|
646 | | - | being treated, the name of the person who drew the blood, the 429 |
---|
647 | | - | blood-alcohol level indicated by the test, and the date and time 430 |
---|
648 | | - | of the administration of the test. 431 |
---|
649 | | - | 3. Nothing contained in s. 395.3025(2) s. 395.3025(4), s. 432 |
---|
650 | | - | 456.057, or any applicable practice act affects the authority to 433 |
---|
651 | | - | provide notice under this section, and the health care provider 434 |
---|
652 | | - | is not considered to have breached any duty owed to the person 435 |
---|
653 | | - | under s. 395.3025(2) s. 395.3025(4), s. 456.057, or any 436 |
---|
654 | | - | applicable practice act by providing notice or failing to 437 |
---|
655 | | - | provide notice. It shall not be a b reach of any ethical, moral, 438 |
---|
656 | | - | or legal duty for a health care provider to provide notice or 439 |
---|
657 | | - | fail to provide notice. 440 |
---|
658 | | - | 4. A civil, criminal, or administrative action may not be 441 |
---|
659 | | - | brought against any person or health care provider participating 442 |
---|
660 | | - | in good faith in the provision of notice or failure to provide 443 |
---|
661 | | - | notice as provided in this section. Any person or health care 444 |
---|
662 | | - | provider participating in the provision of notice or failure to 445 |
---|
663 | | - | provide notice as provided in this section shall be immune from 446 |
---|
664 | | - | any civil or criminal liability and from any professional 447 |
---|
665 | | - | disciplinary action with respect to the provision of notice or 448 |
---|
666 | | - | failure to provide notice under this section. Any such 449 |
---|
667 | | - | participant has the same immunity with respect to participating 450 |
---|
| 643 | + | blood-alcohol level indicated by the test, and the date and time 426 |
---|
| 644 | + | of the administration of the test. 427 |
---|
| 645 | + | 3. Nothing contained in s. 395.3025(2) s. 395.3025(4), s. 428 |
---|
| 646 | + | 456.057, or any applicable practice act affects the authority to 429 |
---|
| 647 | + | provide notice under this section, and the health care provider 430 |
---|
| 648 | + | is not considered to have breached any duty owed to the person 431 |
---|
| 649 | + | under s. 395.3025(2) s. 395.3025(4), s. 456.057, or any 432 |
---|
| 650 | + | applicable practice act by providing notice or failing to 433 |
---|
| 651 | + | provide notice. It shall not be a breach of any ethical, moral, 434 |
---|
| 652 | + | or legal duty for a health care provider to provide notice or 435 |
---|
| 653 | + | fail to provide notice. 436 |
---|
| 654 | + | 4. A civil, criminal, or administrative action may not be 437 |
---|
| 655 | + | brought against any person or health care provider participating 438 |
---|
| 656 | + | in good faith in the provision of notice or failure to provide 439 |
---|
| 657 | + | notice as provided in this section. Any person or health care 440 |
---|
| 658 | + | provider participating in the provision of notice or failure to 441 |
---|
| 659 | + | provide notice as provided in this section shall be immune from 442 |
---|
| 660 | + | any civil or criminal liability and from any professional 443 |
---|
| 661 | + | disciplinary action with respect to the provision of notice or 444 |
---|
| 662 | + | failure to provide notice under this section. Any such 445 |
---|
| 663 | + | participant has the same immunity with respect to participating 446 |
---|
| 664 | + | in any judicial proceedings resulting from the notice or failure 447 |
---|
| 665 | + | to provide notice. 448 |
---|
| 666 | + | Section 9. Subsection (13) of section 395.4025, Florida 449 |
---|
| 667 | + | Statutes, is amended to read: 450 |
---|
680 | | - | in any judicial proceedings resulti ng from the notice or failure 451 |
---|
681 | | - | to provide notice. 452 |
---|
682 | | - | Section 9. Subsection (13) of section 395.4025, Florida 453 |
---|
683 | | - | Statutes, is amended to read: 454 |
---|
684 | | - | 395.4025 Trauma centers; selection; quality assurance; 455 |
---|
685 | | - | records.— 456 |
---|
686 | | - | (13) Patient care, transport, or treatment recor ds or 457 |
---|
687 | | - | reports, or patient care quality assurance proceedings, records, 458 |
---|
688 | | - | or reports obtained or made pursuant to this section, s. 459 |
---|
689 | | - | 395.3025(2)(f) s. 395.3025(4)(f), s. 395.401, s. 395.4015, s. 460 |
---|
690 | | - | 395.402, s. 395.403, s. 395.404, s. 395.4045, s. 395.405, s. 461 |
---|
691 | | - | 395.50, or s. 395.51 must be held confidential by the department 462 |
---|
692 | | - | or its agent and are exempt from the provisions of s. 119.07(1). 463 |
---|
693 | | - | Patient care quality assurance proceedings, records, or reports 464 |
---|
694 | | - | obtained or made pursuant to these sections are not subject to 465 |
---|
695 | | - | discovery or introduction into evidence in any civil or 466 |
---|
696 | | - | administrative action. 467 |
---|
697 | | - | Section 10. Subsection (1) of section 429.294, Florida 468 |
---|
698 | | - | Statutes, is amended to read: 469 |
---|
699 | | - | 429.294 Availability of facility records for investigation 470 |
---|
700 | | - | of resident's rights violations and defenses; penalty. — 471 |
---|
701 | | - | (1) Failure to provide complete copies of a resident's 472 |
---|
702 | | - | records, including, but not limited to, all medical records and 473 |
---|
703 | | - | the resident's chart, within the control or possession of the 474 |
---|
704 | | - | facility in accordance with s. 408.833 s. 400.145, shall 475 |
---|
| 680 | + | 395.4025 Trauma centers; selection; quality assurance; 451 |
---|
| 681 | + | records.— 452 |
---|
| 682 | + | (13) Patient care, transport, or treatment records or 453 |
---|
| 683 | + | reports, or patient care quality assurance proceedings, records, 454 |
---|
| 684 | + | or reports obtained or made pursuant to this se ction, s. 455 |
---|
| 685 | + | 395.3025(2)(f) s. 395.3025(4)(f), s. 395.401, s. 395.4015, s. 456 |
---|
| 686 | + | 395.402, s. 395.403, s. 395.404, s. 395.4045, s. 395.405, s. 457 |
---|
| 687 | + | 395.50, or s. 395.51 must be held confidential by the department 458 |
---|
| 688 | + | or its agent and are exempt from the provisions of s. 119. 07(1). 459 |
---|
| 689 | + | Patient care quality assurance proceedings, records, or reports 460 |
---|
| 690 | + | obtained or made pursuant to these sections are not subject to 461 |
---|
| 691 | + | discovery or introduction into evidence in any civil or 462 |
---|
| 692 | + | administrative action. 463 |
---|
| 693 | + | Section 10. Subsection (1) of section 4 00.0234, Florida 464 |
---|
| 694 | + | Statutes, is amended to read: 465 |
---|
| 695 | + | 400.0234 Availability of facility records for 466 |
---|
| 696 | + | investigation of resident's rights violations and defenses; 467 |
---|
| 697 | + | penalty.— 468 |
---|
| 698 | + | (1) Failure to provide complete copies of a resident's 469 |
---|
| 699 | + | records, including, but not limited to, all medical records and 470 |
---|
| 700 | + | the resident's chart, within the control or possession of the 471 |
---|
| 701 | + | facility in accordance with s. 408.833 s. 400.145 shall 472 |
---|
| 702 | + | constitute evidence of failure of that party to comply with good 473 |
---|
| 703 | + | faith discovery requirements and shall waive the good faith 474 |
---|
| 704 | + | certificate and presuit notice requirements under this part by 475 |
---|
717 | | - | constitute evidence of failure of that party to comply with good 476 |
---|
718 | | - | faith discovery requirements and shall waive the good faith 477 |
---|
719 | | - | certificate and presuit notice requirements under this part by 478 |
---|
720 | | - | the requesting party. 479 |
---|
721 | | - | Section 11. Subsection (4) of sec tion 440.185, Florida 480 |
---|
722 | | - | Statutes, is amended to read: 481 |
---|
723 | | - | 440.185 Notice of injury or death; reports; penalties for 482 |
---|
724 | | - | violations.— 483 |
---|
725 | | - | (4) Additional reports with respect to such injury and of 484 |
---|
726 | | - | the condition of such employee, including copies of medical 485 |
---|
727 | | - | reports, funeral expenses, and wage statements, shall be filed 486 |
---|
728 | | - | by the employer or carrier to the department at such times and 487 |
---|
729 | | - | in such manner as the department may prescribe by rule. In 488 |
---|
730 | | - | carrying out its responsibilities under this chapter, the 489 |
---|
731 | | - | department or agency may by rule provide for the obtaining of 490 |
---|
732 | | - | any medical records relating to medical treatment provided 491 |
---|
733 | | - | pursuant to this chapter, notwithstanding the provisions of ss. 492 |
---|
734 | | - | 90.503 and 395.3025(2) 395.3025(4). 493 |
---|
735 | | - | Section 12. Subsection (3) of section 456.47, Florida 494 |
---|
736 | | - | Statutes, is amended to read: 495 |
---|
737 | | - | 456.47 Use of telehealth to provide services. — 496 |
---|
738 | | - | (3) RECORDS.—A telehealth provider shall document in the 497 |
---|
739 | | - | patient's medical record the health care services rendered using 498 |
---|
740 | | - | telehealth according to the same standard as used for in -person 499 |
---|
741 | | - | services. Medical records, including video, audio, electronic, 500 |
---|
| 717 | + | the requesting party. 476 |
---|
| 718 | + | Section 11. Subsection (1) of section 429.294, Florida 477 |
---|
| 719 | + | Statutes, is amended to read: 478 |
---|
| 720 | + | 429.294 Availability of facility records for investigation 479 |
---|
| 721 | + | of resident's rights violations and defenses; penalty. — 480 |
---|
| 722 | + | (1) Failure to provide complete copies of a resident's 481 |
---|
| 723 | + | records, including, but not limited to, all medical recor ds and 482 |
---|
| 724 | + | the resident's chart, within the control or possession of the 483 |
---|
| 725 | + | facility in accordance with s. 408.833 s. 400.145, shall 484 |
---|
| 726 | + | constitute evidence of failure of that party to comply with good 485 |
---|
| 727 | + | faith discovery requirements and shall waive the good faith 486 |
---|
| 728 | + | certificate and presuit notice requirements under this part by 487 |
---|
| 729 | + | the requesting party. 488 |
---|
| 730 | + | Section 12. Subsection (4) of section 440.185, Florida 489 |
---|
| 731 | + | Statutes, is amended to read: 490 |
---|
| 732 | + | 440.185 Notice of injury or death; reports; penalties for 491 |
---|
| 733 | + | violations.— 492 |
---|
| 734 | + | (4) Additional reports with respect to such injury and of 493 |
---|
| 735 | + | the condition of such employee, including copies of medical 494 |
---|
| 736 | + | reports, funeral expenses, and wage statements, shall be filed 495 |
---|
| 737 | + | by the employer or carrier to the department at such times and 496 |
---|
| 738 | + | in such manner as the department may prescribe by rule. In 497 |
---|
| 739 | + | carrying out its responsibilities under this chapter, the 498 |
---|
| 740 | + | department or agency may by rule provide for the obtaining of 499 |
---|
| 741 | + | any medical records relating to medical treatment provided 500 |
---|
754 | | - | or other records generated as a result of providing such 501 |
---|
755 | | - | services, are confidential pursuant to ss. 395.3025(2) and 502 |
---|
756 | | - | 456.057 ss. 395.3025(4) and 456.057 . 503 |
---|
757 | | - | Section 13. This act shall take effect January 1, 2026. 504 |
---|
| 754 | + | pursuant to this chapter, not withstanding the provisions of ss. 501 |
---|
| 755 | + | 90.503 and 395.3025(2) 395.3025(4). 502 |
---|
| 756 | + | Section 13. Subsection (3) of section 456.47, Florida 503 |
---|
| 757 | + | Statutes, is amended to read: 504 |
---|
| 758 | + | 456.47 Use of telehealth to provide services. — 505 |
---|
| 759 | + | (3) RECORDS.—A telehealth provider shall docum ent in the 506 |
---|
| 760 | + | patient's medical record the health care services rendered using 507 |
---|
| 761 | + | telehealth according to the same standard as used for in -person 508 |
---|
| 762 | + | services. Medical records, including video, audio, electronic, 509 |
---|
| 763 | + | or other records generated as a result of providing s uch 510 |
---|
| 764 | + | services, are confidential pursuant to ss. 395.3025(2) and 511 |
---|
| 765 | + | 456.057 ss. 395.3025(4) and 456.057 . 512 |
---|
| 766 | + | Section 14. This act shall take effect July 1, 2025. 513 |
---|