Maryland 2023 Regular Session

Maryland Senate Bill SB648

Introduced
2/6/23  
Refer
2/6/23  
Report Pass
3/17/23  
Engrossed
3/20/23  
Refer
3/20/23  
Report Pass
4/5/23  
Enrolled
4/10/23  
Chaptered
5/3/23  

Caption

Electronic Health Networks and Electronic Medical Records - Nursing Homes - Release of Records

Impact

The passage of SB648 will impact existing laws related to health information exchange and patient rights by facilitating the release of electronic medical records without cumbersome restrictions. The bill mandates that records be released in accordance with specified state-designated health information exchange formats, ensuring compliance with broader health information standards. Additionally, it prohibits vendors from charging fees for exchanging these records to support patient monitoring and care, a significant shift aimed at enhancing the quality of care provided to nursing home residents.

Summary

Senate Bill 648 aims to streamline the process for nursing homes to release electronic health records and health care transactions by establishing a legal framework that authorizes such actions with patient consent. This ensures that nursing homes can more easily direct electronic health networks and vendors to share necessary medical records and transactions with business associates, which is essential for improving patient care. By modernizing the record release process, the bill seeks to enhance the efficiency of health care delivery within nursing facilities.

Sentiment

The general sentiment surrounding SB648 appears to be positive, particularly among supporters who emphasize the importance of timely access to health care data in improving patient outcomes. Legislators from various parties acknowledged the necessity of adapting to evolving health information technologies that allow for better integrated care systems. However, there were some concerns raised about safeguarding patient privacy and ensuring that consent protocols are executed properly to protect sensitive information.

Contention

While the bill largely received bipartisan support, some contention remained regarding the implications for patient privacy and autonomy. Opponents expressed fears that facilitating easier access to records might lead to potential misuse or mishandling of confidential health information. Additionally, discussions highlighted the need for clear guidelines on what constitutes adequate consent and the definitions surrounding 'business associates,' suggesting that without stringent oversight, the system could be vulnerable to exploitation.

Companion Bills

MD HB786

Crossfiled Electronic Health Networks and Electronic Medical Records - Nursing Homes - Release of Records

Previously Filed As

MD HB786

Electronic Health Networks and Electronic Medical Records - Nursing Homes - Release of Records

MD SB678

Electronic Health Networks and Electronic Medical Record Vendors of Nursing Homes - Release of Records - Enforcement

MD HB812

Electronic Health Networks and Electronic Medical Record Vendors of Nursing Homes - Release of Records - Enforcement

MD SB359

Concerning Access To Medical Records For A Legal Proceeding; And Concerning Fees Charged For Duplication Of Electronically Stored Medical Records.

MD HB1275

To Regulate Electronic Medical Records; And To Prohibit A Healthcare Payor That Has Electronic Access To Medical Records From Requesting Medical Records In A Different Format From A Healthcare Provider.

MD H0877

Electronic Health Records

MD SB441

Electronic health records: vendors.

MD AB7

Revises provisions relating to electronic health records. (BDR 40-381)

MD H1404

To improve patient care through integrated electronic health records

MD H1238

To improve patient care through integrated electronic health records

Similar Bills

TX HB3309

Relating to appointment of and performance of notarial acts by an electronic notary public; authorizing a fee and creating a criminal offense.

TX HB1217

Relating to appointment of and performance of notarial acts by an online notary public and online acknowledgment and proof of written instruments; authorizing a fee and creating a criminal offense.

NC S552

Modifications to Notary Public Act

CA AB1667

Electronic wills.

CA AB2961

Civil procedure: electronic filing and service.

CA AB2283

Civil actions: electronic service.

LA HB572

Provides for electronic notaries public and electronic notarial acts

CA SB666

Service of papers: electronic service by court.