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 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. 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 LRB103 37445 JRC 67567 b A BILL FOR HB5074LRB103 37445 JRC 67567 b HB5074 LRB103 37445 JRC 67567 b HB5074 LRB103 37445 JRC 67567 b 1 AN ACT concerning civil law. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Code of Civil Procedure is amended by 5 changing Section 8-2001 as follows: 6 (735 ILCS 5/8-2001) (from Ch. 110, par. 8-2001) 7 Sec. 8-2001. Examination of health care records. 8 (a) In this Section: 9 "Health care facility" or "facility" means a public or 10 private hospital, ambulatory surgical treatment center, 11 nursing home, independent practice association, or physician 12 hospital organization, or any other entity where health care 13 services are provided to any person. The term does not include 14 a health care practitioner. 15 "Health care practitioner" means any health care 16 practitioner, including a physician, dentist, podiatric 17 physician, advanced practice registered nurse, registered 18 nurse, licensed practical nurse, physician assistant, clinical 19 psychologist, clinical social worker, therapist, or counselor. 20 The term includes a medical office, health care clinic, health 21 department, group practice, and any other organizational 22 structure for a licensed professional to provide health care 23 services. The term does not include a health care facility. 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. 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 LRB103 37445 JRC 67567 b A BILL FOR 735 ILCS 5/8-2001 from Ch. 110, par. 8-2001 735 ILCS 5/8-2006 rep. LRB103 37445 JRC 67567 b HB5074 LRB103 37445 JRC 67567 b HB5074- 2 -LRB103 37445 JRC 67567 b HB5074 - 2 - LRB103 37445 JRC 67567 b HB5074 - 2 - LRB103 37445 JRC 67567 b 1 (b) Every private and public health care facility shall, 2 upon the request of any patient who has been treated in such 3 health care facility, or any person, entity, or organization 4 presenting a valid authorization for the release of records 5 signed by the patient or the patient's legally authorized 6 representative, or as authorized by Section 8-2001.5, permit 7 the patient, his or her health care practitioner, authorized 8 attorney, or any person, entity, or organization presenting a 9 valid authorization for the release of records signed by the 10 patient or the patient's legally authorized representative to 11 examine the health care facility patient care records, 12 including but not limited to the history, bedside notes, 13 charts, pictures and plates, kept in connection with the 14 treatment of such patient, and permit copies of such records 15 to be made by him or her or his or her health care practitioner 16 or authorized attorney. 17 (c) Every health care practitioner shall, upon the request 18 of any patient who has been treated by the health care 19 practitioner, or any person, entity, or organization 20 presenting a valid authorization for the release of records 21 signed by the patient or the patient's legally authorized 22 representative, permit the patient and the patient's health 23 care practitioner or authorized attorney, or any person, 24 entity, or organization presenting a valid authorization for 25 the release of records signed by the patient or the patient's 26 legally authorized representative, to examine and copy the HB5074 - 2 - LRB103 37445 JRC 67567 b HB5074- 3 -LRB103 37445 JRC 67567 b HB5074 - 3 - LRB103 37445 JRC 67567 b HB5074 - 3 - LRB103 37445 JRC 67567 b 1 patient's records, including but not limited to those relating 2 to the diagnosis, treatment, prognosis, history, charts, 3 pictures and plates, kept in connection with the treatment of 4 such patient. 5 (d) A request for copies of the records shall be in writing 6 and shall be delivered to the administrator or manager of such 7 health care facility or to the health care practitioner. The 8 person (including patients, health care practitioners and 9 attorneys) requesting copies of records shall reimburse the 10 facility or the health care practitioner at the time of such 11 copying for all reasonable expenses, including the costs of 12 independent copy service companies, incurred in connection 13 with such copying not to exceed a $20 handling charge for 14 processing the request and the actual postage or shipping 15 charge, if any, plus: (1) for paper copies 75 cents per page 16 for the first through 25th pages, 50 cents per page for the 17 26th through 50th pages, and 25 cents per page for all pages in 18 excess of 50 (except that the charge shall not exceed $1.25 per 19 page for any copies made from microfiche or microfilm; records 20 retrieved from scanning, digital imaging, electronic 21 information or other digital format do not qualify as 22 microfiche or microfilm retrieval for purposes of calculating 23 charges); and (2) for electronic records, retrieved from a 24 scanning, digital imaging, electronic information or other 25 digital format in an electronic document, a charge of 50% of 26 the per page charge for paper copies under subdivision (d)(1). HB5074 - 3 - LRB103 37445 JRC 67567 b HB5074- 4 -LRB103 37445 JRC 67567 b HB5074 - 4 - LRB103 37445 JRC 67567 b HB5074 - 4 - LRB103 37445 JRC 67567 b 1 This per page charge includes the cost of each CD Rom, DVD, or 2 other storage media. Records already maintained in an 3 electronic or digital format shall be provided in an 4 electronic format when so requested. If the records system 5 does not allow for the creation or transmission of an 6 electronic or digital record, then the facility or 7 practitioner shall inform the requester in writing of the 8 reason the records can not be provided electronically. The 9 written explanation may be included with the production of 10 paper copies, if the requester chooses to order paper copies. 11 These rates shall be automatically adjusted as set forth in 12 Section 8-2006. The facility or health care practitioner may, 13 however, charge for the reasonable cost of all duplication of 14 record material or information that cannot routinely be copied 15 or duplicated on a standard commercial photocopy machine such 16 as x-ray films or pictures. 17 (d-5) The handling fee shall not be collected from the 18 patient or the patient's personal representative who obtains 19 copies of records under Section 8-2001.5. 20 (e) The requirements of this Section shall be satisfied 21 within 30 days of the receipt of a written request by a patient 22 or by his or her legally authorized representative, health 23 care practitioner, authorized attorney, or any person, entity, 24 or organization presenting a valid authorization for the 25 release of records signed by the patient or the patient's 26 legally authorized representative. If the facility or health HB5074 - 4 - LRB103 37445 JRC 67567 b HB5074- 5 -LRB103 37445 JRC 67567 b HB5074 - 5 - LRB103 37445 JRC 67567 b HB5074 - 5 - LRB103 37445 JRC 67567 b 1 care practitioner needs more time to comply with the request, 2 then within 30 days after receiving the request, the facility 3 or health care practitioner must provide the requesting party 4 with a written statement of the reasons for the delay and the 5 date by which the requested information will be provided. In 6 any event, the facility or health care practitioner must 7 provide the requested information no later than 60 days after 8 receiving the request. 9 (f) A health care facility or health care practitioner 10 must provide the public with at least 30 days prior notice of 11 the closure of the facility or the health care practitioner's 12 practice. The notice must include an explanation of how copies 13 of the facility's records may be accessed by patients. The 14 notice may be given by publication in a newspaper of general 15 circulation in the area in which the health care facility or 16 health care practitioner is located. 17 (g) Failure to comply with the time limit requirement of 18 this Section shall subject the denying party to expenses and 19 reasonable attorneys' fees incurred in connection with any 20 court ordered enforcement of the provisions of this Section. 21 (h) Notwithstanding any other provision of the law, a 22 health care facility or health care practitioner shall provide 23 without charge one complete copy of a patient's records if the 24 records are being requested by the patient or a person, 25 entity, attorney, registered representative, or organization 26 presenting a valid authorization for the release of records HB5074 - 5 - LRB103 37445 JRC 67567 b HB5074- 6 -LRB103 37445 JRC 67567 b HB5074 - 6 - LRB103 37445 JRC 67567 b HB5074 - 6 - LRB103 37445 JRC 67567 b 1 signed by the patient or the patient's legally authorized 2 representative who has provided documentation of authority to 3 act for the patient, or by such other requester as is 4 authorized by statute if the patient is deceased, for the 5 purpose of supporting a claim for: (1) federal veterans' 6 disability benefits; (2) federal Social Security or 7 Supplemental Security Income benefits, or both, under any 8 title of the Social Security Act; or (3) Aid to the Aged, 9 Blind, or Disabled benefits. Upon request, and if the records 10 are for at least one of the approved purposes, the requester 11 may obtain updated medical records not included in the 12 original medical record free of charge if the request is 13 accompanied by a valid authorization for the release of 14 records signed by the patient, the patient's legally 15 authorized representative who has provided documentation of 16 authority to act for the patient, or such other requester as is 17 authorized by statute if the patient is deceased. 18 (Source: P.A. 102-183, eff. 1-1-22.) HB5074 - 6 - LRB103 37445 JRC 67567 b