HOUSE COMMITTEE ON APPROPRIATIONS
FISCAL NOTE
HOUSE BILL NO. 409 PRINTER’ S NO. 476 PRIME SPONSOR: Kosierowski
COST I (SAVINGS)
FUND FY 2024/25 FY 2025/26
General Fund $0 $0
SUMMARY:
Amends the Patient Test Result Information Act to require providers of diagnostic imaging services to release
most test results to patients once the results are ready.
ANALYSIS:
House Bill 409, Printer’s Number 476 amends the requirements for diagnostic imaging services in Act
112 of 2018, known as the Patient Test Result Information Act. It requires diagnostic imaging services
to provide written notification to patients at the time of the imaging service, informing them that their
imaging results will be available on their electronic healthcare record once they are ready. Additionally,
this legislation adds another exception to the test results notification requirement that the diagnostic
imaging service is not required to provide notice if the test results were already provided to a patient or
their designee at the time of the test.
This legislation provides a grace period for the ordering health care practitioner if the results have a
reasonable likelihood of showing malignancy or tests that could reveal genetic markers. The bill gives
the ordering health care practitioner one full business day to review such results before they are released
to the patient portal.
Furthermore, the bill imposes duties on the health care facility or entity performing the diagnostic
imaging service to implement policies and procedures for providing patient t est results.
The bill requires the Department of Health to conduct compliance review s on health care facilities but
limits the scope of compliance to determining whether policies and procedures have been developed and
implemented in accordance with the bill.
This act shall take effect in 60 days.
FISCAL IMPACT:
This legislation requires the Department of Health to conduct compliance reviews of health care
facilities licensed by the department to assess whether these facilities have developed and implemented
the required policies and procedures. A ny costs are expected to be nominal and can likely be covered by
the department’s current appropriations. Therefore, there is no impact on commonwealth funds.
PREPARED BY: Aniam Iqbal, Budget Analyst
House Appropriations Committee (D)
DATE: April 7, 2025
Estimates are calculated using the best information available. Actual costs and revenue impact incurred
may vary from estimates.