H-8052

   Amend House File 2623 as follows:
   1.  Page 6, by striking lines 27 through 29 and inserting: 
   <f.  Preserve the choice of Ensure that the patient to have patient’s participation in the Iowa health information network, including having the patient’s health information and data available through the record locator service, is strictly voluntary and requires the patient’s affirmative agreement to participate.>
   2.  Page 14, line 33, by striking <decline> and inserting <decline opt in to the>
   3.  Page 15, line 2, by striking <declining to exchange> and inserting <declining to exchange refusing to opt in to the exchange of>
   4.  Page 15, line 5, by striking <decline> and inserting <decline opt in to>
   5.  Page 15, line 9, by striking <decline> and inserting <decline refuse to opt in to>
   6.  Page 15, line 12, by striking <decline> and inserting <decline refuse to opt in to>
   7.  Page 15, line 19, by striking <declines> and inserting <declines refuses to opt in to>
   8.  Page 15, line 22, by striking <decline> and inserting <decline opt out of>
   9.  Page 16, after line 35 by inserting: 
   <8.  Health information and data under the purview of the Iowa health information network, the designated entity, or the governing board shall not be used by, or sold, transferred, or disseminated to an entity other than a participant, and shall not be used in any manner for a purpose not expressly specified under this chapter, with or without remuneration.>
   10.  Page 17, line 1, by striking <8.> and inserting <8.  9.>

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ANDREWS of Polk