WEST virginia Legislature
2017 regular session
Senate Bill 578
By Senators Trump and Blair
[Introduced March 11, 2017;
to the Committee on Health and Human Resources]
A BILL to amend and reenact §16-29-1 and §16-29-2 of the Code of West Virginia, 1931, as amended, all relating generally to copies of health care records furnished to patients and the fees charged therein.
Be it enacted by the Legislature of West Virginia:
That §16-29-1 and §16-29-2 of the Code of West Virginia, 1931, as amended, be amended and reenacted, all to read as follows:
ARTICLE 29. HEALTH CARE RECORDS.
§16-29-1. Copies of health care records to be furnished to patients.
(a) Any licensed, certified
or registered health care provider so licensed, certified or registered under
the laws of this state shall, upon the written request of a patient, his or her
personal representative, as defined by the Health Insurance Portability and
Accountability Act of 1996 (HIPAA), as amended, and any rules promulgated pursuant
to the act, and his or her authorized agent or authorized representative,
a reasonable time no more than thirty days from the receipt of
the request, furnish a copy, in the form of a paper copy or, if requested
and if the provider routinely stores records electronically and has the ability
to so provide, a copy in an electronic format including, but not limited to, a
downloadable format through a secure web portal, a copy saved upon a
computer disc, an electronically mailed copy or a copy saved upon a portable
memory device of all or a portion of the patient’s record to the patient, his
or her personal representative, or authorized agent or authorized
representative subject to the following exceptions:
(1) In the case of a patient receiving treatment for psychiatric or psychological problems, a summary of the record shall be made available to the patient, personal representative, or his or her authorized agent or authorized representative following termination of the treatment program.
(2) The furnishing of a copy, as requested, of the reports of X-ray examinations, electrocardiograms and other diagnostic procedures shall be deemed to comply with the provisions of this article.
(b) Nothing in this article shall be construed to require a health care provider responsible for diagnosis, treatment or administering health care services in the case of minors for birth control, prenatal care, drug rehabilitation or related services or venereal disease according to any provision of this code, to release patient records of such diagnosis, treatment or provision of health care as aforesaid to a parent or guardian, without prior written consent therefor from the patient, nor shall anything in this article be construed to apply to persons regulated under the provisions of chapter eighteen of this code or the rules and regulations established thereunder.
(c) This article does not apply to records subpoenaed or otherwise requested through court process, except for the fee provisions in section two of this article, which do apply to subpoenaed records.
(d) The provisions of this article may be enforced by a patient, personal representative, authorized agent or authorized representative and any health care provider found to be in violation of this article shall pay any attorney fees and costs, including court costs incurred in the course of such enforcement.
(e) Nothing in this article shall be construed to apply to health care records maintained by health care providers governed by the AIDS-related Medical Testing and Records Confidentiality Act under the provisions of article three-c of this chapter.
§16-29-2. Reasonable expenses to be reimbursed.
(a) A provider may charge a patient or the patient’s personal representative a fee consistent with HIPAA, as amended, and any rules promulgated pursuant to HIPAA, plus any applicable taxes.
(a) (b) A person
other than a patient or patient’s personal representative requesting
records from a health care provider shall place submit the
request and HIPAA compliant authorization in writing and pay a reasonable,
cost-based fee , at the time of delivery. Notwithstanding any other
section of the code or rule, the fee shall be: based on the provider's cost
of: (1) A search and handling fee of $30 Labor for copying the
requested records if in paper, or for placing the records in electronic media;
(2) a per page fee of 40 cents; supplies for creating the paper copy
or electronic media and (3) postage, if the person requested that the
records be mailed, plus any applicable taxes.
(c) If the requested record is stored by the health care provider in an electronic form, unless the person requesting the record specifically requests a paper copy, the records will be delivered in electronic or digital form and the fee for delivering an electronic copy shall be the same as subsection (b) but shall in no event exceed $300 inclusive of all fees except for applicable taxes.
(d) Any person requesting a record be certified by affidavit pursuant to section four-e, article five, chapter fifty-seven of this code shall pay a fee of $10 for such certification.
(e) If a person requests or agrees to an explanation or summary of the records, the provider may charge a reasonable cost-based fee for the labor cost if preparing the explanation or the summary; for the supplies for creating the explanation or summary; and for the cost of postage, if the person requested that the records be mailed, plus any applicable taxes. If the records are stored with a third party or a third party responds to the request for records in paper or electronic media, the provider may charge additionally for the actual charges incurred from the third party.
(b) (f) The labor for copying under this section shall
not exceed twenty-five dollars per hour and shall be adjusted to reflect
the consumer price index for medical care services such that the base amount
shall be increased or decreased by the proportional consumer price index
in effect as published of every October 1
starting October 1, 2017. of the calendar year in which the request was
made, rounded to the nearest dollar (c) (g) Notwithstanding the provisions of
subsection (a) of this section, a provider shall not impose a charge on an
indigent person or his or her authorized representative if the medical records
are necessary for the purpose of supporting a claim or appeal under any
provisions of the Social Security Act, 42 U. S. C. §301, et seq.
For purposes of this section, a person is considered indigent if he or she:
(1) Is represented by an organization or affiliated pro bono program that provides legal assistance to indigents; or
(2) Verifies on a medical records request and release form that the records are requested for purposes of supporting a Social Security claim or appeal and submits with the release form reasonable proof that the person is financially unable to pay full copying charges by reason of unemployment, disability, income below the federal poverty level or receipt of state or federal income assistance.
(d) (h) Any person requesting free copies of
written medical records pursuant to the provisions of subsection (c) (g)
of this section is limited to one set of copies per provider. Any additional
requests for the same records from the same provider shall be subject to the
fee provisions of subsection subsections (a), (b) and (c).
NOTE: The purpose of this bill is to establish a new fee structure for the furnishment of health care records, allowing records to be furnished to a patient’s personal representative and establishing a limit on the total fee allowable for the furnishment of a patient’s health care record.
Strike-throughs indicate language that would be stricken from a heading or the present law and underscoring indicates new language that would be added.