HLS 10RS-509 ORIGINAL Page 1 of 3 CODING: Words in struck through type are deletions from existing law; words underscored are additions. Regular Session, 2010 HOUSE BILL NO. 1159 BY REPRESENTATIVE GREENE HEALTH CARE/RECORDS: Provides relative to fees paid for copying medical records AN ACT1 To amend and reenact R.S. 40:1299.96(A)(2)(b), relative to charges for health care records;2 to provide for the fees charged for copying records; to prohibit additional charges3 for providing copies of records; and to provide for related matters.4 Be it enacted by the Legislature of Louisiana:5 Section 1. R.S. 40:1299.96(A)(2)(b) is hereby amended and reenacted to read as6 follows: 7 ยง1299.96. Health care information; records8 A.9 * * *10 (2)11 * * *12 (b)(i) Except as provided in R.S. 44:17, a patient or his legal representative,13 or in the case of a deceased patient, the executor of his will, the administrator of his14 estate, the surviving spouse, the parents, or the children of the deceased patient, or15 after a claim has been made, the insurance company or its counsel, or, after suit has16 been instituted, defense counsel or a defendant seeking any treatment record,17 including but not limited to any medical, hospital, invoice or billing statement, or18 other record relating to or generated as a result of or in connection to the patient's19 medical treatment, history, or condition, either personally or through an attorney,20 HLS 10RS-509 ORIGINAL HB NO. 1159 Page 2 of 3 CODING: Words in struck through type are deletions from existing law; words underscored are additions. shall have a right to obtain a copy of such record the entirety of the records in the1 form by which they are generated upon furnishing a signed authorization. If the2 original treatment records are generated in paper form, copies shall be provided and3 upon payment of a reasonable copying charge, not to exceed one dollar per page for4 the first twenty-five pages, fifty cents per page for twenty-six to five hundred pages,5 and twenty-five cents per page thereafter, a handling charge not to exceed fifteen6 dollars for hospitals, nursing homes, and other health care providers, and actual7 postage. If treatment records are requested in original format, which is not paper8 form but includes any digital format, treatment records shall be provided upon the9 payment of the actual cost incurred to generate the copy, a handling charge not to10 exceed fifteen dollars and actual postage. If requested, the health care provider shall11 provide the requestor, at no extra charge, a certification page setting forth the extent12 of the completeness of records on file. In the event a hospital record is not complete,13 the copy of the records furnished shall indicate, through a stamp, coversheet, or14 otherwise, the extent of completeness of the records by dates of treatment. Each15 request for records submitted by the patient or other person authorized to request16 records pursuant to the provisions of this Subparagraph shall be subject to only one17 handling charge, and the health care provider shall not divide the separate requests18 for different types of records. The health care provider shall not charge any other fee19 which is not specifically authorized by the provisions of this Subparagraph.20 (ii) The individuals named herein authorized to obtain medical records21 pursuant to Item (i) of this Subparagraph shall also have the right to obtain copies of22 patient X-rays, microfilm, and electronic and imaging media, upon payment of23 reasonable the actual reproduction costs and a handling charge of twenty dollars for24 hospitals and ten dollars for other health care providers. If requested, the health care25 provider shall provide the requestor, at no extra charge, a certification page setting26 forth the completeness of the X-rays, microfilm, and electronic and imaging media27 on file. In the event a hospital record is hospital patient X-rays, microfilm, and28 electronic and imaging media are not complete, the copy of the records furnished29 HLS 10RS-509 ORIGINAL HB NO. 1159 Page 3 of 3 CODING: Words in struck through type are deletions from existing law; words underscored are additions. hereunder may copies furnished shall indicate, through a stamp, coversheet, or1 otherwise, that the record is incomplete the extent of the completeness of the records2 by dates of treatment. Each request for copies of patient X-rays, microfilm, and3 electronic and imaging media submitted by the patient or other person authorized to4 request records pursuant to Item (i) of this Subparagraph shall not be considered a5 separate request and are subject to only one handling charge, and the health care6 provider shall not divide the requests for different types of X-rays, microfilm, and7 electronic and imaging media. The health care provider shall not charge any other8 fee which is not specifically authorized by the provisions of this Subparagraph.9 * * *10 DIGEST The digest printed below was prepared by House Legislative Services. It constitutes no part of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)] Greene HB No. 1159 Abstract: Specifies that only existing statutorily authorized fees may be charged for copying and delivering medical records, and specifically prohibits a hospital or health care provider from dividing a request into separate requests and charging additional handling fees and other charges. Present law authorizes certain persons to obtain medical records from hospitals and health care providers and authorizes the copying and handling fees and charges which a hospital or health care provider may charge for copying and delivering the records. Proposed law retains present law and specifies that only the charges authorized pursuant to present law may be charged for copying and delivering medical records, and specifically prohibits a hospital or health care provider from dividing a request into separate requests and charging additional handling fees and other charges. (Amends R.S. 40:1299.96(A)(2)(b))