Session of 2023 SENATE BILL No. 213 By Senator Francisco 2-8 AN ACT concerning public health and welfare; relating to healthcare data; requiring healthcare providers to charge the same amount for medical records requests related to a patient's social security disability, workers compensation, medical malpractice or personal injury claims whether requested by a patient or a patient's legal representative; amending K.S.A. 65-6821 and 65-6836 and repealing the existing sections. Be it enacted by the Legislature of the State of Kansas: Section 1. K.S.A. 65-6821 is hereby amended to read as follows: 65- 6821. K.S.A. 65-6821 through 65-6834 and 65-6835 65-6836, and amendments thereto, shall be known and may be cited as the Kansas health information technology act. Sec. 2. K.S.A. 65-6836 is hereby amended to read as follows: 65- 6836. (a) As used in this section: (1) "Health care provider" means any person licensed by the state board of healing arts. (2) "Authorized representative" means the person designated in writing by the patient to obtain the health care healthcare records of the patient or the person otherwise authorized by law to obtain the health care healthcare records of the patient. (3)(2) "Authorization" means a written or printed document signed by a patient or a patient's authorized representative containing: (A) A description of the health care healthcare records a health care healthcare provider is authorized to produce; (B) the patient's name, address and date of birth; (C) a designation of the person or entity authorized to obtain copies of the health care healthcare records; (D) a date or event upon which the force of the authorization shall expire which shall not exceed one year; (E) if signed by a patient's authorized representative, the authorized representative's name, address, telephone number and relationship or capacity to the patient; and (F) a statement setting forth the right of the person signing the authorization to revoke it in writing. (b) Subject to K.S.A. 65-6824, and amendments thereto, except as otherwise provided herein, copies of health care healthcare records shall 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 SB 213 2 be furnished to a patient, a patient's authorized representative or any other person or entity authorized by law to obtain or reproduce such records, within 30 days of the receipt of the authorization, or the health care healthcare provider shall notify the patient or the patient's authorized representative of the reasons why copies are not available. A health care healthcare provider may withhold copies of health care healthcare records if the health care healthcare provider reasonably believes that providing copies of the requested records will cause substantial harm to the patient or another person. Health care healthcare providers may condition the furnishing of the patient's health care healthcare records to the patient, the patient's authorized representative or any other person or entity authorized by law to obtain or reproduce such records, upon the payment of charges not to exceed those established and updated not less than every two years by rules and regulations adopted by the state board of healing arts. In establishing such charges, the board shall consider changes in the all-items consumer price index published by the United States department of labor. Providers may charge for the reasonable cost of all duplications of health care healthcare record information which cannot be routinely duplicated on a standard photocopy machine. (c) Any health careA healthcare provider, patient, authorized representative or any other entity authorized by law to obtain or reproduce such records may bring a claim or action to enforce the provisions of this section. The petition shall include an averment that the party bringing the action has in good faith conferred or attempted to confer with the other party concerning the matter in dispute without court action. Upon a showing that the failure to comply with this section was without just cause or excuse, the court shall award the costs of the action and order the records produced without cost or expense to the prevailing party. (d) Nothing in this section shall be construed to prohibit the state board of healing arts from adopting and enforcing rules and regulations not inconsistent with this section that require licensees of the board to furnish health care healthcare records to patients or to their authorized representative. To the extent that the board determines that an administrative disciplinary remedy is appropriate for violation of such rules and regulations, that remedy is separate from and in addition to the provisions of this section. (e) Healthcare providers shall not charge a fee for medical records requested by the authorized representative of a patient or former patient that is greater than the amount the healthcare provider would charge the patient or former patient if such records were requested personally pursuant to public law 111-5 § 13405 if such records request is related to a claim for social security disability, workers compensation, medical malpractice or personal injury. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 SB 213 3 Sec. 3. K.S.A. 65-6821 and 65-6836 are hereby repealed. Sec. 4. This act shall take effect and be in force from and after its publication in the statute book. 1 2 3