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Text: HF00461                           Text: HF00463
Text: HF00400 - HF00499                 Text: HF Index
Bills and Amendments: General Index     Bill History: General Index



House File 462

Partial Bill History

Bill Text

PAG LIN
  1  1    Section 1.  NEW SECTION.  135.26  HEALTH CARE PROVIDER
  1  2 RECORDS – DUPLICATION FOR PROVISION TO PATIENT.
  1  3    1.  Upon the written request of a patient, a health care
  1  4 provider shall allow the patient to inspect and shall provide
  1  5 the patient with a duplicate of the health care record of the
  1  6 patient.  The health care provider may charge a fee, as
  1  7 established by rule of the department, for duplication of the
  1  8 record.
  1  9    2.  A health care provider may withhold the record from the
  1 10 patient if the provider reasonably determines that the
  1 11 information is detrimental to the physical or mental health of
  1 12 the patient, or is likely to cause the patient to harm the
  1 13 patient or another person.  If a record is withheld from the
  1 14 patient under this subsection, the health care provider may
  1 15 provides access to the record or a duplicate of the record to
  1 16 the patient's attorney or personal physician upon request of
  1 17 the patient.
  1 18    3.  For the purposes of this section:
  1 19    a.  "Health care provider" means a person licensed to
  1 20 practice medical surgery pursuant to chapter 148, physical
  1 21 therapy pursuant to chapter 148A, occupational therapy
  1 22 pursuant to chapter 148B, acupuncture pursuant to chapter
  1 23 148E, podiatry pursuant to chapter 149, osteopathy pursuant to
  1 24 chapter 150, osteopathic medicine and surgery pursuant to
  1 25 chapter 150A, chiropractic pursuant to chapter 151, nursing
  1 26 pursuant to chapter 152, dietetics pursuant to chapter 152A,
  1 27 respiratory care pursuant to chapter 152B, message therapy
  1 28 pursuant to chapter 152C, dentistry pursuant to chapter 153,
  1 29 optometry pursuant to chapter 154, psychology pursuant to
  1 30 chapter 154B, social work pursuant to chapter 154C, behavioral
  1 31 science pursuant to chapter 154D, or licensed as a physician
  1 32 assistant pursuant to chapter 148C, a hospital licensed
  1 33 pursuant to chapter 135B, and a health care facility licensed
  1 34 pursuant to chapter 135C.
  1 35    b.  "Health care record" includes but is not limited to
  2  1 evaluations, diagnoses, prognoses, treatment, history, charts,
  2  2 pictures, laboratory reports, X rays, prescriptions, and other
  2  3 technical information used in assessing a patient's condition.
  2  4    4.  The department shall adopt rules prescribing uniform
  2  5 fees, based upon the actual cost of duplication, that a health
  2  6 care provider may charge for duplication of health care
  2  7 records requested by a patient under this section.  The rules
  2  8 adopted may provide for an additional fee based upon the
  2  9 actual costs for postage or other means of delivery and may
  2 10 provide for an annual increase based upon the annual rate of
  2 11 inflation for the preceding calendar year as determined by the
  2 12 consumer price index published by the bureau of labor
  2 13 statistics of the United States department of labor.  
  2 14                           EXPLANATION
  2 15    This bill requires a health care provider to allow a
  2 16 patient to inspect and to provide a patient with a duplicate
  2 17 of the patient's health care record upon written request of
  2 18 the patient.  The bill provides that if the health care
  2 19 provider reasonably determines that the information is
  2 20 detrimental to the physical or mental health of the patient,
  2 21 or is likely to cause the patient to harm the patient or
  2 22 another person, the health care provider may withhold the
  2 23 record and instead provide the record to the patient's
  2 24 attorney or personal physician upon the request of the
  2 25 patient.  The bill requires the Iowa department of public
  2 26 health to adopt rules to establish a uniform fee which may be
  2 27 charged for duplication of the records.  
  2 28 LSB 2261YH 77
  2 29 pf/jj/8.1
     

Text: HF00461                           Text: HF00463
Text: HF00400 - HF00499                 Text: HF Index
Bills and Amendments: General Index     Bill History: General Index

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