ENROLLED Page 1 of 3 CODING: Words in struck through type are deletions from existing law; words underscored are additions. ACT No. 740 Regular Session, 2010 HOUSE BILL NO. 1159 BY REPRESENTATIVE GREENE 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 charges for3 providing copies of records; to provide for exceptions; and to provide for related4 matters.5 Be it enacted by the Legislature of Louisiana:6 Section 1. R.S. 40:1299.96(A)(2)(b) is hereby amended and reenacted to read as7 follows: 8 ยง1299.96. Health care information; records9 A.10 * * *11 (2)12 * * *13 (b)(i) Except as provided in R.S. 44:17, a patient or his legal representative,14 or in the case of a deceased patient, the executor of his will, the administrator of his15 estate, the surviving spouse, the parents, or the children of the deceased patient, or16 after a claim has been made, the insurance company or its counsel, or, after suit has17 been instituted, defense counsel or a defendant seeking any treatment record,18 including but not limited to any medical, hospital, invoice or billing statement, or19 other record relating to or generated as a result of or in connection to the patient's20 medical treatment, history, or condition, either personally or through an attorney,21 shall have a right to obtain a copy of such record the entirety of the records in the22 form by which they are generated, except microfilm, upon furnishing a signed23 authorization. If the original treatment records are generated, maintained, or stored24 ENROLLEDHB NO. 1159 Page 2 of 3 CODING: Words in struck through type are deletions from existing law; words underscored are additions. in paper form, copies shall be provided and upon payment of a reasonable copying1 charge, not to exceed one dollar per page for the first twenty-five pages, fifty cents2 per page for twenty-six to five hundred three hundred fifty pages, and twenty-five3 cents per page thereafter, a handling charge not to exceed fifteen twenty-five dollars4 for hospitals, nursing homes, and other health care providers, and actual postage. If5 treatment records are generated, maintained, or stored in digital format, copies may6 be requested to be provided in digital format and charged at the rate provided by this7 Item; however, the charges for providing digital copies shall not exceed one hundred8 dollars, including all postage and handling charges actually incurred. If requested,9 the health care provider shall provide the requestor, at no extra charge, a certification10 page setting forth the extent of the completeness of records on file. In the event a11 hospital record is not complete, the copy of the records furnished shall indicate,12 through a stamp, coversheet, or otherwise, the extent of completeness of the records.13 Each request for records submitted by the patient or other person authorized to14 request records pursuant to the provisions of this Subparagraph shall be subject to15 only one handling charge, and the health care provider shall not divide the separate16 requests for different types of records, including but not limited to billing or invoice17 statements. The health care provider shall not charge any other fee which is not18 specifically authorized by the provisions of this Subparagraph, except for notary fees19 and fees for expedited requests as contracted by the parties.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 and other imaging media, upon23 payment of reasonable reproduction costs and a handling charge of twenty dollars24 for hospitals and ten dollars for other health care providers. If the patient X-rays and25 other imaging media are generated, maintained, or stored in digital format, copies26 may be requested to be provided in digital format and charged at the rate provided27 by this Item; however, the charges for providing digital imaging media copies shall28 not exceed two hundred dollars, including all postage and handling charges actually29 incurred. If requested, the health care provider shall provide the requestor, at no30 ENROLLEDHB NO. 1159 Page 3 of 3 CODING: Words in struck through type are deletions from existing law; words underscored are additions. extra charge, a certification page setting forth the completeness of the X-rays and1 other imaging media on file. In the event a hospital record is hospital patient X-rays2 and other imaging media are not complete, the copy of the records furnished3 hereunder may copies furnished shall indicate, through a stamp, coversheet, or4 otherwise, that the record is incomplete the extent of the completeness of the records.5 Each request for copies of patient X-rays and other imaging media submitted by the6 patient or other person authorized to request records pursuant to Item (i) of this7 Subparagraph shall not be considered a separate request and are subject to only one8 handling charge, and the health care provider shall not divide the requests for9 different types of X-rays and other imaging media. The health care provider shall10 not charge any other fee which is not specifically authorized by the provisions of this11 Subparagraph, except for notary fees and fees for expedited requests as contracted12 by the parties.13 * * *14 SPEAKER OF THE HOUSE OF REPRESENTATI VES PRESIDENT OF THE SENATE GOVERNOR OF THE STATE OF LOUISIANA APPROVED: