1 | 1 | | 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB5074 Introduced , by Rep. Sharon Chung SYNOPSIS AS INTRODUCED: 735 ILCS 5/8-2001 from Ch. 110, par. 8-2001735 ILCS 5/8-2006 rep. Amends the Code of Civil Procedure. Prohibits a health care provider from charging a handling fee for providing medical records to a patient or patient's representative if they are electronic records retrieved from a scanning, digital imaging, electronic information, or other digital format in an electronic document. Repeals the annual adjustment for the handling fee for inflation. LRB103 37445 JRC 67567 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB5074 Introduced , by Rep. Sharon Chung SYNOPSIS AS INTRODUCED: 735 ILCS 5/8-2001 from Ch. 110, par. 8-2001735 ILCS 5/8-2006 rep. 735 ILCS 5/8-2001 from Ch. 110, par. 8-2001 735 ILCS 5/8-2006 rep. Amends the Code of Civil Procedure. Prohibits a health care provider from charging a handling fee for providing medical records to a patient or patient's representative if they are electronic records retrieved from a scanning, digital imaging, electronic information, or other digital format in an electronic document. Repeals the annual adjustment for the handling fee for inflation. LRB103 37445 JRC 67567 b LRB103 37445 JRC 67567 b A BILL FOR |
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2 | 2 | | 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB5074 Introduced , by Rep. Sharon Chung SYNOPSIS AS INTRODUCED: |
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3 | 3 | | 735 ILCS 5/8-2001 from Ch. 110, par. 8-2001735 ILCS 5/8-2006 rep. 735 ILCS 5/8-2001 from Ch. 110, par. 8-2001 735 ILCS 5/8-2006 rep. |
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4 | 4 | | 735 ILCS 5/8-2001 from Ch. 110, par. 8-2001 |
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5 | 5 | | 735 ILCS 5/8-2006 rep. |
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6 | 6 | | Amends the Code of Civil Procedure. Prohibits a health care provider from charging a handling fee for providing medical records to a patient or patient's representative if they are electronic records retrieved from a scanning, digital imaging, electronic information, or other digital format in an electronic document. Repeals the annual adjustment for the handling fee for inflation. |
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7 | 7 | | LRB103 37445 JRC 67567 b LRB103 37445 JRC 67567 b |
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8 | 8 | | LRB103 37445 JRC 67567 b |
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9 | 9 | | A BILL FOR |
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10 | 10 | | HB5074LRB103 37445 JRC 67567 b HB5074 LRB103 37445 JRC 67567 b |
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11 | 11 | | HB5074 LRB103 37445 JRC 67567 b |
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12 | 12 | | 1 AN ACT concerning civil law. |
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13 | 13 | | 2 Be it enacted by the People of the State of Illinois, |
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14 | 14 | | 3 represented in the General Assembly: |
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15 | 15 | | 4 Section 5. The Code of Civil Procedure is amended by |
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16 | 16 | | 5 changing Section 8-2001 as follows: |
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17 | 17 | | 6 (735 ILCS 5/8-2001) (from Ch. 110, par. 8-2001) |
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18 | 18 | | 7 Sec. 8-2001. Examination of health care records. |
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19 | 19 | | 8 (a) In this Section: |
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20 | 20 | | 9 "Health care facility" or "facility" means a public or |
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21 | 21 | | 10 private hospital, ambulatory surgical treatment center, |
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22 | 22 | | 11 nursing home, independent practice association, or physician |
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23 | 23 | | 12 hospital organization, or any other entity where health care |
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24 | 24 | | 13 services are provided to any person. The term does not include |
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25 | 25 | | 14 a health care practitioner. |
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26 | 26 | | 15 "Health care practitioner" means any health care |
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27 | 27 | | 16 practitioner, including a physician, dentist, podiatric |
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28 | 28 | | 17 physician, advanced practice registered nurse, registered |
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29 | 29 | | 18 nurse, licensed practical nurse, physician assistant, clinical |
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30 | 30 | | 19 psychologist, clinical social worker, therapist, or counselor. |
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31 | 31 | | 20 The term includes a medical office, health care clinic, health |
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32 | 32 | | 21 department, group practice, and any other organizational |
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33 | 33 | | 22 structure for a licensed professional to provide health care |
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34 | 34 | | 23 services. The term does not include a health care facility. |
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35 | 35 | | |
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36 | 36 | | |
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37 | 37 | | |
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38 | 38 | | 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB5074 Introduced , by Rep. Sharon Chung SYNOPSIS AS INTRODUCED: |
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39 | 39 | | 735 ILCS 5/8-2001 from Ch. 110, par. 8-2001735 ILCS 5/8-2006 rep. 735 ILCS 5/8-2001 from Ch. 110, par. 8-2001 735 ILCS 5/8-2006 rep. |
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40 | 40 | | 735 ILCS 5/8-2001 from Ch. 110, par. 8-2001 |
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41 | 41 | | 735 ILCS 5/8-2006 rep. |
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42 | 42 | | Amends the Code of Civil Procedure. Prohibits a health care provider from charging a handling fee for providing medical records to a patient or patient's representative if they are electronic records retrieved from a scanning, digital imaging, electronic information, or other digital format in an electronic document. Repeals the annual adjustment for the handling fee for inflation. |
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43 | 43 | | LRB103 37445 JRC 67567 b LRB103 37445 JRC 67567 b |
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44 | 44 | | LRB103 37445 JRC 67567 b |
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45 | 45 | | A BILL FOR |
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46 | 46 | | |
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47 | 47 | | |
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48 | 48 | | |
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49 | 49 | | |
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50 | 50 | | |
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51 | 51 | | 735 ILCS 5/8-2001 from Ch. 110, par. 8-2001 |
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52 | 52 | | 735 ILCS 5/8-2006 rep. |
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54 | 54 | | |
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55 | 55 | | |
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56 | 56 | | LRB103 37445 JRC 67567 b |
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66 | 66 | | HB5074 LRB103 37445 JRC 67567 b |
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68 | 68 | | |
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69 | 69 | | HB5074- 2 -LRB103 37445 JRC 67567 b HB5074 - 2 - LRB103 37445 JRC 67567 b |
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70 | 70 | | HB5074 - 2 - LRB103 37445 JRC 67567 b |
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71 | 71 | | 1 (b) Every private and public health care facility shall, |
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72 | 72 | | 2 upon the request of any patient who has been treated in such |
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73 | 73 | | 3 health care facility, or any person, entity, or organization |
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74 | 74 | | 4 presenting a valid authorization for the release of records |
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75 | 75 | | 5 signed by the patient or the patient's legally authorized |
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76 | 76 | | 6 representative, or as authorized by Section 8-2001.5, permit |
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77 | 77 | | 7 the patient, his or her health care practitioner, authorized |
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78 | 78 | | 8 attorney, or any person, entity, or organization presenting a |
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79 | 79 | | 9 valid authorization for the release of records signed by the |
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80 | 80 | | 10 patient or the patient's legally authorized representative to |
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81 | 81 | | 11 examine the health care facility patient care records, |
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82 | 82 | | 12 including but not limited to the history, bedside notes, |
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83 | 83 | | 13 charts, pictures and plates, kept in connection with the |
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84 | 84 | | 14 treatment of such patient, and permit copies of such records |
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85 | 85 | | 15 to be made by him or her or his or her health care practitioner |
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86 | 86 | | 16 or authorized attorney. |
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87 | 87 | | 17 (c) Every health care practitioner shall, upon the request |
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88 | 88 | | 18 of any patient who has been treated by the health care |
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89 | 89 | | 19 practitioner, or any person, entity, or organization |
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90 | 90 | | 20 presenting a valid authorization for the release of records |
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91 | 91 | | 21 signed by the patient or the patient's legally authorized |
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92 | 92 | | 22 representative, permit the patient and the patient's health |
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93 | 93 | | 23 care practitioner or authorized attorney, or any person, |
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94 | 94 | | 24 entity, or organization presenting a valid authorization for |
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95 | 95 | | 25 the release of records signed by the patient or the patient's |
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96 | 96 | | 26 legally authorized representative, to examine and copy the |
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101 | 101 | | |
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102 | 102 | | HB5074 - 2 - LRB103 37445 JRC 67567 b |
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105 | 105 | | HB5074- 3 -LRB103 37445 JRC 67567 b HB5074 - 3 - LRB103 37445 JRC 67567 b |
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106 | 106 | | HB5074 - 3 - LRB103 37445 JRC 67567 b |
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107 | 107 | | 1 patient's records, including but not limited to those relating |
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108 | 108 | | 2 to the diagnosis, treatment, prognosis, history, charts, |
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109 | 109 | | 3 pictures and plates, kept in connection with the treatment of |
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110 | 110 | | 4 such patient. |
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111 | 111 | | 5 (d) A request for copies of the records shall be in writing |
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112 | 112 | | 6 and shall be delivered to the administrator or manager of such |
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113 | 113 | | 7 health care facility or to the health care practitioner. The |
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114 | 114 | | 8 person (including patients, health care practitioners and |
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115 | 115 | | 9 attorneys) requesting copies of records shall reimburse the |
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116 | 116 | | 10 facility or the health care practitioner at the time of such |
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117 | 117 | | 11 copying for all reasonable expenses, including the costs of |
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118 | 118 | | 12 independent copy service companies, incurred in connection |
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119 | 119 | | 13 with such copying not to exceed a $20 handling charge for |
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120 | 120 | | 14 processing the request and the actual postage or shipping |
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121 | 121 | | 15 charge, if any, plus: (1) for paper copies 75 cents per page |
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122 | 122 | | 16 for the first through 25th pages, 50 cents per page for the |
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123 | 123 | | 17 26th through 50th pages, and 25 cents per page for all pages in |
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124 | 124 | | 18 excess of 50 (except that the charge shall not exceed $1.25 per |
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125 | 125 | | 19 page for any copies made from microfiche or microfilm; records |
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126 | 126 | | 20 retrieved from scanning, digital imaging, electronic |
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127 | 127 | | 21 information or other digital format do not qualify as |
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128 | 128 | | 22 microfiche or microfilm retrieval for purposes of calculating |
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129 | 129 | | 23 charges); and (2) for electronic records, retrieved from a |
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130 | 130 | | 24 scanning, digital imaging, electronic information or other |
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131 | 131 | | 25 digital format in an electronic document, a charge of 50% of |
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132 | 132 | | 26 the per page charge for paper copies under subdivision (d)(1). |
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133 | 133 | | |
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137 | 137 | | |
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138 | 138 | | HB5074 - 3 - LRB103 37445 JRC 67567 b |
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140 | 140 | | |
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141 | 141 | | HB5074- 4 -LRB103 37445 JRC 67567 b HB5074 - 4 - LRB103 37445 JRC 67567 b |
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142 | 142 | | HB5074 - 4 - LRB103 37445 JRC 67567 b |
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143 | 143 | | 1 This per page charge includes the cost of each CD Rom, DVD, or |
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144 | 144 | | 2 other storage media. Records already maintained in an |
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145 | 145 | | 3 electronic or digital format shall be provided in an |
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146 | 146 | | 4 electronic format when so requested. If the records system |
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147 | 147 | | 5 does not allow for the creation or transmission of an |
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148 | 148 | | 6 electronic or digital record, then the facility or |
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149 | 149 | | 7 practitioner shall inform the requester in writing of the |
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150 | 150 | | 8 reason the records can not be provided electronically. The |
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151 | 151 | | 9 written explanation may be included with the production of |
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152 | 152 | | 10 paper copies, if the requester chooses to order paper copies. |
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153 | 153 | | 11 These rates shall be automatically adjusted as set forth in |
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154 | 154 | | 12 Section 8-2006. The facility or health care practitioner may, |
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155 | 155 | | 13 however, charge for the reasonable cost of all duplication of |
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156 | 156 | | 14 record material or information that cannot routinely be copied |
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157 | 157 | | 15 or duplicated on a standard commercial photocopy machine such |
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158 | 158 | | 16 as x-ray films or pictures. |
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159 | 159 | | 17 (d-5) The handling fee shall not be collected from the |
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160 | 160 | | 18 patient or the patient's personal representative who obtains |
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161 | 161 | | 19 copies of records under Section 8-2001.5. |
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162 | 162 | | 20 (e) The requirements of this Section shall be satisfied |
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163 | 163 | | 21 within 30 days of the receipt of a written request by a patient |
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164 | 164 | | 22 or by his or her legally authorized representative, health |
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165 | 165 | | 23 care practitioner, authorized attorney, or any person, entity, |
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166 | 166 | | 24 or organization presenting a valid authorization for the |
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167 | 167 | | 25 release of records signed by the patient or the patient's |
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168 | 168 | | 26 legally authorized representative. If the facility or health |
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174 | 174 | | HB5074 - 4 - LRB103 37445 JRC 67567 b |
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177 | 177 | | HB5074- 5 -LRB103 37445 JRC 67567 b HB5074 - 5 - LRB103 37445 JRC 67567 b |
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178 | 178 | | HB5074 - 5 - LRB103 37445 JRC 67567 b |
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179 | 179 | | 1 care practitioner needs more time to comply with the request, |
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180 | 180 | | 2 then within 30 days after receiving the request, the facility |
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181 | 181 | | 3 or health care practitioner must provide the requesting party |
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182 | 182 | | 4 with a written statement of the reasons for the delay and the |
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183 | 183 | | 5 date by which the requested information will be provided. In |
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184 | 184 | | 6 any event, the facility or health care practitioner must |
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185 | 185 | | 7 provide the requested information no later than 60 days after |
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186 | 186 | | 8 receiving the request. |
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187 | 187 | | 9 (f) A health care facility or health care practitioner |
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188 | 188 | | 10 must provide the public with at least 30 days prior notice of |
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189 | 189 | | 11 the closure of the facility or the health care practitioner's |
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190 | 190 | | 12 practice. The notice must include an explanation of how copies |
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191 | 191 | | 13 of the facility's records may be accessed by patients. The |
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192 | 192 | | 14 notice may be given by publication in a newspaper of general |
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193 | 193 | | 15 circulation in the area in which the health care facility or |
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194 | 194 | | 16 health care practitioner is located. |
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195 | 195 | | 17 (g) Failure to comply with the time limit requirement of |
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196 | 196 | | 18 this Section shall subject the denying party to expenses and |
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197 | 197 | | 19 reasonable attorneys' fees incurred in connection with any |
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198 | 198 | | 20 court ordered enforcement of the provisions of this Section. |
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199 | 199 | | 21 (h) Notwithstanding any other provision of the law, a |
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200 | 200 | | 22 health care facility or health care practitioner shall provide |
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201 | 201 | | 23 without charge one complete copy of a patient's records if the |
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202 | 202 | | 24 records are being requested by the patient or a person, |
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203 | 203 | | 25 entity, attorney, registered representative, or organization |
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204 | 204 | | 26 presenting a valid authorization for the release of records |
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209 | 209 | | |
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210 | 210 | | HB5074 - 5 - LRB103 37445 JRC 67567 b |
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213 | 213 | | HB5074- 6 -LRB103 37445 JRC 67567 b HB5074 - 6 - LRB103 37445 JRC 67567 b |
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214 | 214 | | HB5074 - 6 - LRB103 37445 JRC 67567 b |
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215 | 215 | | 1 signed by the patient or the patient's legally authorized |
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216 | 216 | | 2 representative who has provided documentation of authority to |
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217 | 217 | | 3 act for the patient, or by such other requester as is |
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218 | 218 | | 4 authorized by statute if the patient is deceased, for the |
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219 | 219 | | 5 purpose of supporting a claim for: (1) federal veterans' |
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220 | 220 | | 6 disability benefits; (2) federal Social Security or |
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221 | 221 | | 7 Supplemental Security Income benefits, or both, under any |
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222 | 222 | | 8 title of the Social Security Act; or (3) Aid to the Aged, |
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223 | 223 | | 9 Blind, or Disabled benefits. Upon request, and if the records |
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224 | 224 | | 10 are for at least one of the approved purposes, the requester |
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225 | 225 | | 11 may obtain updated medical records not included in the |
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226 | 226 | | 12 original medical record free of charge if the request is |
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227 | 227 | | 13 accompanied by a valid authorization for the release of |
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228 | 228 | | 14 records signed by the patient, the patient's legally |
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229 | 229 | | 15 authorized representative who has provided documentation of |
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230 | 230 | | 16 authority to act for the patient, or such other requester as is |
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231 | 231 | | 17 authorized by statute if the patient is deceased. |
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232 | 232 | | 18 (Source: P.A. 102-183, eff. 1-1-22.) |
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238 | 238 | | HB5074 - 6 - LRB103 37445 JRC 67567 b |
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