LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 88TH LEGISLATIVE REGULAR SESSION April 16, 2023 TO: Honorable Stephanie Klick, Chair, House Committee on Public Health FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB3468 by Capriglione (Relating to a patient's access to health records; authorizing a civil penalty; authorizing fees.), As Introduced The bill could result in an increase in revenue resulting from civil penalties. However, the amount of revenue associated with any penalties authorized by the bill is unknown. Therefore the fiscal impact of the bill cannot be determined. The bill would establish that a patient's electronic health records are the property of the patient. A patient would be entitled to copies of the patient's electronic health records upon request. An entity could require the patient to pay a fee to receive of copy of the patient's electronic health records. The bill would authorize the Attorney General to levy civil penalties for violating these requirements. Penalties could be up to $10,000 for each negligent violation and up to $250,000 for each intentional violation.According to the Comptroller of Public Accounts, while the bill could result in an increase in revenue resulting from civil penalties, the number of violations and the amount of revenue generated by associated penalties is unknown. Therefore the fiscal impact of the bill cannot be determined. Local Government ImpactNo significant fiscal implication to units of local government is anticipated. Source Agencies: b > td > 212 Office of Court Administration, Texas Judicial Council, 302 Office of the Attorney General, 304 Comptroller of Public Accounts, 529 Health and Human Services Commission, 537 State Health Services, Department of, 701 Texas Education Agency, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration, 768 Texas Tech University System Administration LBB Staff: b > td > JMc, NPe, THO LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 88TH LEGISLATIVE REGULAR SESSION April 16, 2023 TO: Honorable Stephanie Klick, Chair, House Committee on Public Health FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB3468 by Capriglione (Relating to a patient's access to health records; authorizing a civil penalty; authorizing fees.), As Introduced TO: Honorable Stephanie Klick, Chair, House Committee on Public Health FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB3468 by Capriglione (Relating to a patient's access to health records; authorizing a civil penalty; authorizing fees.), As Introduced Honorable Stephanie Klick, Chair, House Committee on Public Health Honorable Stephanie Klick, Chair, House Committee on Public Health Jerry McGinty, Director, Legislative Budget Board Jerry McGinty, Director, Legislative Budget Board HB3468 by Capriglione (Relating to a patient's access to health records; authorizing a civil penalty; authorizing fees.), As Introduced HB3468 by Capriglione (Relating to a patient's access to health records; authorizing a civil penalty; authorizing fees.), As Introduced The bill could result in an increase in revenue resulting from civil penalties. However, the amount of revenue associated with any penalties authorized by the bill is unknown. Therefore the fiscal impact of the bill cannot be determined. The bill could result in an increase in revenue resulting from civil penalties. However, the amount of revenue associated with any penalties authorized by the bill is unknown. Therefore the fiscal impact of the bill cannot be determined. The bill would establish that a patient's electronic health records are the property of the patient. A patient would be entitled to copies of the patient's electronic health records upon request. An entity could require the patient to pay a fee to receive of copy of the patient's electronic health records. The bill would authorize the Attorney General to levy civil penalties for violating these requirements. Penalties could be up to $10,000 for each negligent violation and up to $250,000 for each intentional violation.According to the Comptroller of Public Accounts, while the bill could result in an increase in revenue resulting from civil penalties, the number of violations and the amount of revenue generated by associated penalties is unknown. Therefore the fiscal impact of the bill cannot be determined. Local Government Impact No significant fiscal implication to units of local government is anticipated. Source Agencies: b > td > 212 Office of Court Administration, Texas Judicial Council, 302 Office of the Attorney General, 304 Comptroller of Public Accounts, 529 Health and Human Services Commission, 537 State Health Services, Department of, 701 Texas Education Agency, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration, 768 Texas Tech University System Administration 212 Office of Court Administration, Texas Judicial Council, 302 Office of the Attorney General, 304 Comptroller of Public Accounts, 529 Health and Human Services Commission, 537 State Health Services, Department of, 701 Texas Education Agency, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration, 768 Texas Tech University System Administration LBB Staff: b > td > JMc, NPe, THO JMc, NPe, THO