Oklahoma 2022 Regular Session

Oklahoma Senate Bill SB96 Compare Versions

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4		-	An Act
5		-	ENROLLED SENATE
	29	+	HOUSE OF REPRESENTATIVES - FLOOR VERSION
	30	+
	31	+	STATE OF OKLAHOMA
	32	+
	33	+	1st Session of the 58th Legislature (2021)
	34	+
	35	+	ENGROSSED SENATE
6	36		BILL NO. 96 By: Hall of the Senate
7	37
8	38		and
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10	40		McEntire of the House
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15	45		An Act relating to medical records; amending 76 O.S.
16	46		2011, Section 19, as last amended by Section 1,
17	47		Chapter 100, O.S.L. 2015 (76 O.S. Supp. 2020, Section
18	48		19), which relates to access to medical records;
19	49		authorizing access to certain billing information;
20	50		modifying fee structure for access to medical records
21	51		by certain entities; modifying applicability of
22	52		certain provisions; and providing an effective date .
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27		-	SUBJECT: Medical records
28		-
29	57		BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
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31	58		SECTION 1. AMENDATORY 76 O.S. 2011, Section 19, as last
32	59		amended by Section 1, Ch apter 100, O.S.L. 2015 (76 O.S. Supp. 20 20,
33	60		Section 19), is amended to read as follows:
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35	61		Section 19. A. 1. Any person who is or has been a patient of
36	62		a doctor, hospital, or other medical institution shall be entitled,
37	63		upon request, to obtain access to th e information contained in the
38	64		patient's medical records, including any x-ray or other photograph
39	65		or image or, pathology slide or the patient's medical bills.
40	66		Disclosure regarding a deceased patient shall require either a court
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41	94		order or a written release of an executor, administrator or personal
42	95		representative appointed by the court, or if there is no such
43	96		appointment, by the spouse of the patient or, if none, by any
44	97		responsible member of the family of the patient. As used in this
45	98		paragraph, "responsible family member" shall mean the parent, adult
46	99		child, adult sibling or other adult relative who was actively
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48		-	ENR. S. B. NO. 96 Page 2
49	100		involved in providing care to or monitoring the care of the patient
50	101		as verified by the doctor, hospital or other medical institution
51	102		responsible for the care and treatment of such person.
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53	103		2. Any person who is or has been a patient of a doctor,
54	104		hospital, or other medical institution shall be furnished copies of
55	105		all medical records, including any x-ray, other photograph or image
56	106		or, pathology slide, or all medical bills pertaining to that
57	107		person's case upon request and upon the tender of the expenses
58	108		enumerated in this paragraph. The cost of each copy to such person
59	109		or to the personal representative, spouse or responsible family
60	110		member of such person, no t including any x-ray or other photograph
61	111		or image or pathology slide, shall be fifty cents ($0.50) for each
62	112		page. Requests for medical records and medical bills from
63	113		attorneys, insurance companies and by way of subpoena shall be
64	114		charged a base fee of Ten Dollars ($10.00) Twenty Dollars ($20.00)
65	115		in addition to the per page charges required pursuant to this
66	116		section, plus postage or delivery fee. The base fee shall be
67	117		charged regardless of whether any records related to the request are
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68	145		located. A fee of Fi fteen Dollars ($15.00) shall be charged if a
69	146		certification or an affidavit by the provider regarding the
70	147		authenticity of the medical records or bills is requested. The
71	148		physician, hospital or other medical professionals and institutions,
72	149		or their business associates as the term is defined in Section
73	150		160.103 of Title 45 of the United States Code of Federal Regulations
74	151		shall produce the records in digital form at the rate of thirty
75	152		cents ($0.30) per page if:
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77	153		a. the entire request can be reproduced from an
78	154		electronic health record system,
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80	155		b. the medical record is records are specifically
81	156		requested to be delivered in electronic format, and
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83	157		c. the medical record records can be delivered
84	158		electronically.
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86	159		If a provider or business associate transmits the records
87	160		electronically, no postage shall be charged but a delivery charge
88	161		shall apply. In no event shall a charge for the reproduction of
89	162		electronically stored and delivered medical records pursuant to this
90	163		paragraph exceed Two Hundred Dollars ($200.00) plus postage or
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92		-	ENR. S. B. NO. 96 Page 3
93	164		delivery fee. The cost of each printed x-ray, other photograph or
94	165		image, or pathology slide to such person or to the legal
95	166		representative of such person shall be Five Dollars ($5.00) Fifteen
96	167		Dollars ($15.00). If the x -ray, other photograph or image i s
97	168		provided on a CD/DVD or other electronic media, the fee shall be
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98	196		Twenty Dollars ($20.00) per CD/DVD or other electronic media . The
99	197		physician, hospital, or other medical professionals and
100	198		institutions, or their business associates as the term is defined in
101	199		Section 160.103 of Title 45 of the United States Code of Federal
102	200		Regulations, shall not charge a person who requests their own record
103	201		a fee for searching, retrieving, reviewing, and preparing medical
104	202		records of the person. No mailing fee shall be charg ed for copies
105	203		provided by facsimile. All requests for medical records made
106	204		pursuant to this subsection shall be subject to the fees described
107	205		in this section regardless of where the copies or electronic
108	206		versions of such records are actually produced.
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110	207		3. The provisions of paragraphs 1 and 2 of this subsection
111	208		shall not apply to psychological, psychiatric, mental health or
112	209		substance abuse treatment records. In the case of psychological,
113	210		psychiatric, mental health or substance abuse treatment records,
114	211		access to information contained in the records shall be obtained
115	212		pursuant to Section 1 -109 of Title 43A of the Oklahoma Statutes.
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117	213		4. The provisions of paragraphs 1 and 2 of this subsection
118	214		shall not apply to requests for medical records made by the
119	215		Disability Determination Division of the State Department of
120	216		Rehabilitation Services. The fee for such requests shall be at a
121	217		rate allowed by the Social Security Administration.
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123	218		B. 1. In cases involving a claim for personal injury or death
124	219		against any practitioner of the healing arts or a licensed hospital,
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125	247		or a nursing facility or nursing home licensed pursuant to Section
126	248		1-1903 of Title 63 of the Oklahoma Statutes arising out of patient
127	249		care, where any person has placed the physical or mental condition
128	250		of that person in issue by the commencement of any action,
129	251		proceeding, or suit for damages, or where any person has placed in
130	252		issue the physical or mental condition of any other person or
131	253		deceased person by or through whom the person rightfully claims,
132	254		that person shall be deemed to waive any privilege granted by law
133	255		concerning any communication made to a physician or health care
134	256		provider with reference to any physical or mental condition or any
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137	257		knowledge obtained by the physician or health care provider by
138	258		personal examination of the patient; provided that, before any
139	259		communication, medical or hospital record, or testimony is admitted
140	260		in evidence in any proceeding, it must be material and relevant to
141	261		an issue therein, according to existing rules of evidence.
142	262		Psychological, psychiatric, mental health and substance abuse
143	263		treatment records and information from psychological, psychiatric,
144	264		mental health and substance abuse treatment practitioners may only
145	265		be obtained provided the requirements of Section 1 -109 of Title 43A
146	266		of the Oklahoma Statutes are met.
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148	267		2. Any person who obtains any document pursuant to the
149	268		provisions of this section shall provide copies of the document to
150	269		any opposing party in the proceeding upon payment of the expense of
151	270		copying the document pursuant to the provisions of this section.
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153	298		C. This section shall not apply to the records of an inmate in
154	299		a correctional institution when the correctional institution
155	300		believes the release of such information to be a threat to the
156	301		safety or security of the inmate or the institution.
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158	302		SECTION 2. This act shall become effective November 1, 2021.
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161		-	ENR. S. B. NO. 96 Page 5
162		-	Passed the Senate the 2nd day of March, 2021.
163		-
164		-
165		-
166		-	Presiding Officer of the Senate
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169		-	Passed the House of Representatives the 20th day of April, 2021.
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173		-	Presiding Officer of the House
174		-	of Representatives
175		-
176		-	OFFICE OF THE GOVERNOR
177		-	Received by the Office of the Governor this _______ _____________
178		-	day of _________________ __, 20_______, at _______ o'clock _______ M.
179		-	By: _______________________________ __
180		-	Approved by the Governor of the State of Oklahoma this _____ ____
181		-	day of ___________________, 20_______, at _______ o'clock _______ M.
182		-
183		-	_________________________________
184		-	Governor of the State of Oklahoma
185		-
186		-
187		-	OFFICE OF THE SECRETARY OF STATE
188		-	Received by the Office of the Secretary of State this _______ ___
189		-	day of __________________, 20 _______, at _______ o'clock _______ M.
190		-	By: _______________________________ __
	304	+	COMMITTEE REPORT BY: COMMITTEE ON PUBLIC HEALTH, dated 03/31/2021 -
	305	+	DO PASS.