THE BILL ITSELF
HB 1309
Patient Access to Records
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A bill to be entitled
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An act relating to patient access to records; amending
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s. 394.4615, F.S.; requiring a service provider to
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furnish and provide access to records within a
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specified timeframe after receiving a request for such
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records; requiring that certain service providers
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furnish such records in the manner chosen by the
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requester; amending s. 395.3025, F.S.; removing
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provisions requiring a licensed facility to furnish
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patient records only after discharge to conform to
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changes made by the act; revising provisions relating
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to the appropriate disclosure of patient records
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without consent; amending s. 397.501, F.S.; requiring
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a service provider to furnish and provide access to
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records within a specified timeframe after receiving a
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request from an individual or the individual's legal
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representative; requiring that certain service
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providers furnish such records in the manner chosen by
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the requester; amending s. 400.145, F.S.; revising the
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timeframe within which a nursing home facility must
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provide access to and copies of resident records after
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receiving a request for such records; creating s.
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408.833, F.S.; defining the term "legal
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representative"; requiring a provider to furnish and
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provide access to records within a specified timeframe
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after receiving a request from a client or the
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client's legal representative; requiring that certain
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providers furnish such records in the manner chosen by
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the requester; authorizing a provider to impose
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reasonable terms necessary to preserve such records;
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providing exceptions; amending s. 456.057, F.S.;
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requiring certain licensed health care practitioners
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to furnish and provide access to copies of reports and
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records within a specified timeframe after receiving a
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request from a patient or the patient's legal
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representative; requiring that certain licensed health
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care practitioners furnish such reports and records in
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the manner chosen by the requester; defining the term
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"legal representative"; authorizing such licensed
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health care practitioners to impose reasonable terms
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necessary to preserve such reports and records;
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amending ss. 316.1932, 316.1933, 395.4025, 429.294,
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440.185, and 456.47, F.S.; conforming cross-
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references; providing an effective date.
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Be It Enacted by the Legislature of the State of Florida:
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Section 1. Subsections (3) through (12) of section
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394.4615, Florida Statutes, are renumbered as subsections (4)
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through (13), respectively, and a new subsection (3) is added to
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that section, to read:
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394.4615 Clinical records; confidentiality.—
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(3) Within 14 working days after receiving a request made
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in accordance with paragraphs (2)(a)-(c), a service provider
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must furnish clinical records in its possession. A service
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provider may furnish the requested records in paper form or,
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upon request, in an electronic format. A service provider who
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maintains an electronic health record system shall furnish the
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requested records in the manner chosen by the requester,
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including, but not limited to, an electronic format, submission
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through a patient's electronic personal health record, or access
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through a web-based patient portal if the service provider
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maintains a patient portal.
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Section 2. Subsections (4) through (11) of section 395.3025, Florida Statutes, are renumbered as subsections (2)
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through (9), respectively, and subsections (1), (2), and (3),
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paragraph (e) of present subsection (4), paragraph (a) of
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present subsection (7), and present subsection (8) of that
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section, are amended to read:
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395.3025 Patient and personnel records; copy costs copies;
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examination.—
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(1) Any licensed facility shall, upon written request, and
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only after discharge of the patient, furnish, in a timely
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manner, without delays for legal review, to any person admitted
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therein for care and treatment or treated thereat, or to any
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such person's guardian, curator, or personal representative, or
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in the absence of one of those persons, to the next of kin of a
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decedent or the parent of a minor, or to anyone designated by
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such person in writing, a true and correct copy of all patient
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records, including X rays, and insurance information concerning
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such person, which records are in the possession of the licensed
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facility, provided the person requesting such records agrees to
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pay a charge. The exclusive charge for copies of patient records
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may include sales tax and actual postage, and, except for
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nonpaper records that are subject to a charge not to exceed $2,
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may not exceed $1 per page. A fee of up to $1 may be charged for
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each year of records requested. These charges shall apply to all
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records furnished, whether directly from the facility or from a
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copy service providing these services on behalf of the facility.
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However, a patient whose records are copied or searched for the
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purpose of continuing to receive medical care is not required to
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pay a charge for copying or for the search. The licensed
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facility shall further allow any such person to examine the
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original records in its possession, or microforms or other
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suitable reproductions of the records, upon such reasonable
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terms as shall be imposed to assure that the records will not be
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damaged, destroyed, or altered.
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(2) This section does not apply to records maintained at
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any licensed facility the primary function of which is to
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provide psychiatric care to its patients, or to records of
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treatment for any mental or emotional condition at any other
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licensed facility which are governed by the provisions of s.
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394.4615.
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(3) This section does not apply to records of substance
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abuse impaired persons, which are governed by s. 397.501.
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(2)(4) Patient records are confidential and must not be
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disclosed without the consent of the patient or his or her legal
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representative, but appropriate disclosure may be made without
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such consent to:
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(e) The Department of Health agency upon subpoena issued
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pursuant to s. 456.071, but the records obtained thereby must be
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used solely for the purpose of the department agency and the
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appropriate professional board in its investigation,
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prosecution, and appeal of disciplinary proceedings. If the
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department agency requests copies of the records, the facility
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shall charge no more than its actual copying costs, including
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reasonable staff time. The records must be sealed and must not
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be available to the public pursuant to s. 119.07(1) or any other
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statute providing access to records, nor may they be available
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to the public as part of the record of investigation for and
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prosecution in disciplinary proceedings made available to the
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public by the department agency or the appropriate regulatory
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board. However, the department agency must make available, upon
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written request by a practitioner against whom probable cause
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has been found, any such records that form the basis of the
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determination of probable cause.
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(5)(7)(a) If the content of any record of patient
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treatment is provided under this section, the recipient, if
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other than the patient or the patient's representative, may use
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such information only for the purpose provided and may not
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further disclose any information to any other person or entity,
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unless expressly permitted by the written consent of the
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patient. A general authorization for the release of medical
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information is not sufficient for this purpose. The content of
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such patient treatment record is confidential and exempt from
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the provisions of s. 119.07(1) and s. 24(a), Art. I of the State
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Constitution.
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(6)(8) Patient records at hospitals and ambulatory
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surgical centers are exempt from disclosure under s. 119.07(1),
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except as provided by subsections (2) and (3) (1)-(5).
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Section 3. Paragraphs (a) through (j) of subsection (7) of
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section 397.501, Florida Statutes, are redesignated as
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paragraphs (c) through (l), respectively, and new paragraphs (a)
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and (b) are added to that subsection, to read:
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397.501 Rights of individuals.—Individuals receiving
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substance abuse services from any service provider are
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guaranteed protection of the rights specified in this section,
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unless otherwise expressly provided, and service providers must
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ensure the protection of such rights.
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(7) RIGHT TO ACCESS AND CONFIDENTIALITY OF INDIVIDUAL
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RECORDS.—
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(a) Within 14 working days after receiving a written
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request from an individual or an individual's legal
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representative, a service provider shall furnish a true and
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correct copy of all records in the possession of the service
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provider. The service provider may furnish the requested records
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in paper form or, upon request, in an electronic format. A
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service provider that maintains an electronic health record
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system shall furnish the requested records in the manner chosen
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by the requester, including, but not limited to, an electronic
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format, submission through a patient's electronic personal
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health record, or access through a web-based patient portal if
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the service provider maintains a patient portal. For purposes of
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this section, the term "legal representative" has the same
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meaning as provided in s. 408.833(1).
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(b) Within 10 working days after receiving such a request
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from an individual or an individual's legal representative, a
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service provider shall provide access to examine the original
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records in its possession, or microforms or other suitable
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reproductions of the records. The service provider may impose
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any reasonable terms necessary to ensure that the records will
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not be damaged, destroyed, or altered.
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Section 4. Subsection (1) of section 400.145, Florida
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Statutes, is amended to read:
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400.145 Copies of records of care and treatment of
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resident.—
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(1) Upon receipt of a written request that complies with
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the federal Health Insurance Portability and Accountability Act
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of 1996 (HIPAA) and this section, a nursing home facility shall
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furnish to a competent resident, or to a representative of that
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resident who is authorized to make requests for the resident's
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records under HIPAA or subsection (2), copies of the resident's
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paper and electronic records that are in possession of the
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facility. Such records must include any medical records and
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records concerning the care and treatment of the resident
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performed by the facility, except for progress notes and
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consultation report sections of a psychiatric nature. The
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facility shall provide a resident with access to the requested
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records within 24 hours, excluding weekends and holidays, and
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provide copies of the requested records within 2 14 working days
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after receipt of a request relating to a current resident or
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within 30 working days after receipt of a request relating to a
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former resident.
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Section 5. Section 408.833, Florida Statutes, is created
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to read:
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408.833 Client access to medical records.—
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(1) For purposes of this section, the term "legal
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representative" means an attorney who has been designated by a
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client to receive copies of the client's medical, care and
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treatment, or interdisciplinary records; a legally recognized
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guardian of the client; a court-appointed representative of the
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client; or a person designated by the client or by a court of
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competent jurisdiction to receive copies of the client's
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medical, care and treatment, or interdisciplinary records.
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(2) Within 14 working days after receiving a written
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request from a client or client's legal representative, a
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provider shall furnish a true and correct copy of all records,
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including medical, care and treatment, and interdisciplinary
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records, as applicable, in the possession of the provider. A
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provider may furnish the requested records in paper form or,
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upon request, in an electronic format. A provider that maintains
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an electronic health record system shall furnish the requested
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records in the manner chosen by the requester, including, but
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not limited to, an electronic format, submission through a
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patient's electronic personal health record, or access through a
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web-based patient portal if the service provider maintains a
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patient portal.
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(3) Within 10 working days after receiving a request from
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a client or a client's legal representative, a provider shall
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provide access to examine the original records in its
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possession, or microforms or other suitable reproductions of the
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records. A provider may impose any reasonable terms necessary to
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ensure that the records will not be damaged, destroyed, or
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altered.
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(4) This section does not apply to:
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(a) Records maintained at a licensed facility, as defined
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in s. 395.002, the primary function of which is to provide
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psychiatric care to its patients, or to records of treatment for
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any mental or emotional condition at any other licensed facility
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which are governed by s. 394.4615;
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(b) Records of substance abuse impaired persons which are
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governed by s. 397.501; or
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(c) Records of a resident of a nursing home facility.
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Section 6. Subsection (6) of section 456.057, Florida
235
Statutes, is amended to read:
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456.057 Ownership and control of patient records; report
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or copies of records to be furnished; disclosure of
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information.—
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(6)(a) Any health care practitioner licensed by the
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department or a board within the department who makes a physical
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or mental examination of, or administers treatment or dispenses
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legend drugs to, any patient person shall, upon request of such
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patient person or the patient's person's legal representative,
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furnish, within 14 working days after such request in a timely
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manner, without delays for legal review, copies of all reports
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and records relating to such examination or treatment, including
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X rays and insurance information. A health care practitioner may
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furnish the requested reports and records in paper form or, upon
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request, in an electronic format. A health care practitioner who
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maintains an electronic health record system shall furnish the
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requested reports and records in the manner chosen by the
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requester, including, but not limited to, an electronic format,
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submission through a patient's electronic personal health
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record, or access through a web-based patient portal if the
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service provider maintains a patient portal. For purposes of
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this section, the term "legal representative" means a patient's
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attorney who has been designated by the patient to receive
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copies of the patient's medical records, a legally recognized
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guardian of the patient, a court-appointed representative of the
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patient, or any other person designated by the patient or by a
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court of competent jurisdiction to receive copies of the
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patient's medical records.
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(b) Within 10 working days after receiving a written
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request by a patient or a patient's legal representative, a
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healthcare practitioner must provide access to examine the
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original reports and records, or microforms or other suitable
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reproductions of the reports and records in the healthcare
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practitioner's possession. The healthcare practitioner may
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impose any reasonable terms necessary to ensure that the reports
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and records will not be damaged, destroyed, or altered.
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(c) However, When a patient's psychiatric, chapter 490
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psychological, or chapter 491 psychotherapeutic records are
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requested by the patient or the patient's legal representative,
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the health care practitioner may provide a report of examination
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and treatment in lieu of copies of records. Upon a patient's
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written request, complete copies of the patient's psychiatric
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records shall be provided directly to a subsequent treating
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psychiatrist. The furnishing of such report or copies may shall
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not be conditioned upon payment of a fee for services rendered. Section 7. Paragraph (f) of subsection (1) of section
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316.1932, Florida Statutes, is amended to read:
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316.1932 Tests for alcohol, chemical substances, or
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controlled substances; implied consent; refusal.—
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(1)
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(f)1. The tests determining the weight of alcohol in the
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defendant's blood or breath shall be administered at the request
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of a law enforcement officer substantially in accordance with
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rules of the Department of Law Enforcement. Such rules must
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specify precisely the test or tests that are approved by the
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Department of Law Enforcement for reliability of result and ease
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of administration, and must provide an approved method of
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administration which must be followed in all such tests given
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under this section. However, the failure of a law enforcement
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officer to request the withdrawal of blood does not affect the
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admissibility of a test of blood withdrawn for medical purposes.
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2.a. Only a physician, certified paramedic, registered
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nurse, licensed practical nurse, other personnel authorized by a
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hospital to draw blood, or duly licensed clinical laboratory
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director, supervisor, technologist, or technician, acting at the
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request of a law enforcement officer, may withdraw blood for the
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purpose of determining its alcoholic content or the presence of
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chemical substances or controlled substances therein. However,
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the failure of a law enforcement officer to request the
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withdrawal of blood does not affect the admissibility of a test
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of blood withdrawn for medical purposes.
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b. Notwithstanding any provision of law pertaining to the
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confidentiality of hospital records or other medical records, if
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a health care provider, who is providing medical care in a
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health care facility to a person injured in a motor vehicle
310
crash, becomes aware, as a result of any blood test performed in
311
the course of that medical treatment, that the person's blood-
312
alcohol level meets or exceeds the blood-alcohol level specified
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in s. 316.193(1)(b), the health care provider may notify any law
314
enforcement officer or law enforcement agency. Any such notice
315
must be given within a reasonable time after the health care
316
provider receives the test result. Any such notice shall be used
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only for the purpose of providing the law enforcement officer
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with reasonable cause to request the withdrawal of a blood
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sample pursuant to this section.
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c. The notice shall consist only of the name of the person
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being treated, the name of the person who drew the blood, the
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blood-alcohol level indicated by the test, and the date and time
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of the administration of the test.
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d. Nothing contained in s. 395.3025(2) s. 395.3025(4), s.
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456.057, or any applicable practice act affects the authority to
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provide notice under this section, and the health care provider
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is not considered to have breached any duty owed to the person
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under s. 395.3025(2) s. 395.3025(4), s. 456.057, or any
329
applicable practice act by providing notice or failing to
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provide notice. It shall not be a breach of any ethical, moral,
331
or legal duty for a health care provider to provide notice or
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fail to provide notice.
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e. A civil, criminal, or administrative action may not be
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brought against any person or health care provider participating
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in good faith in the provision of notice or failure to provide
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notice as provided in this section. Any person or health care
337
provider participating in the provision of notice or failure to
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provide notice as provided in this section shall be immune from
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any civil or criminal liability and from any professional
340
disciplinary action with respect to the provision of notice or
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failure to provide notice under this section. Any such
342
participant has the same immunity with respect to participating
343
in any judicial proceedings resulting from the notice or failure
344
to provide notice.
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3. The person tested may, at his or her own expense, have
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a physician, registered nurse, other personnel authorized by a
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hospital to draw blood, or duly licensed clinical laboratory
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director, supervisor, technologist, or technician, or other
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person of his or her own choosing administer an independent test
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in addition to the test administered at the direction of the law
351
enforcement officer for the purpose of determining the amount of
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alcohol in the person's blood or breath or the presence of
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chemical substances or controlled substances at the time
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alleged, as shown by chemical analysis of his or her blood or
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urine, or by chemical or physical test of his or her breath. The
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failure or inability to obtain an independent test by a person
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does not preclude the admissibility in evidence of the test
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taken at the direction of the law enforcement officer. The law
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enforcement officer shall not interfere with the person's
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opportunity to obtain the independent test and shall provide the
361
person with timely telephone access to secure the test, but the
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burden is on the person to arrange and secure the test at the
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person's own expense.
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4. Upon the request of the person tested, full information
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concerning the results of the test taken at the direction of the
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law enforcement officer shall be made available to the person or
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his or her attorney. Full information is limited to the
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following:
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a. The type of test administered and the procedures
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followed.
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b. The time of the collection of the blood or breath
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sample analyzed.
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c. The numerical results of the test indicating the
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alcohol content of the blood and breath.
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d. The type and status of any permit issued by the
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Department of Law Enforcement which was held by the person who
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performed the test.
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e. If the test was administered by means of a breath
379
testing instrument, the date of performance of the most recent
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required inspection of such instrument.
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Full information does not include manuals, schematics, or
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software of the instrument used to test the person or any other
384
material that is not in the actual possession of the state.
385
Additionally, full information does not include information in
386
the possession of the manufacturer of the test instrument.
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5. A hospital, clinical laboratory, medical clinic, or
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similar medical institution or physician, certified paramedic,
389
registered nurse, licensed practical nurse, other personnel
390
authorized by a hospital to draw blood, or duly licensed
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clinical laboratory director, supervisor, technologist, or
392
technician, or other person assisting a law enforcement officer
393
does not incur any civil or criminal liability as a result of
394
the withdrawal or analysis of a blood or urine specimen, or the
395
chemical or physical test of a person's breath pursuant to
396
accepted medical standards when requested by a law enforcement
397
officer, regardless of whether or not the subject resisted
398
administration of the test.
399
Section 8. Paragraph (a) of subsection (2) of section
400
316.1933, Florida Statutes, is amended to read:
401
316.1933 Blood test for impairment or intoxication in
402
cases of death or serious bodily injury; right to use reasonable
403
force.—
404
(2)(a) Only a physician, certified paramedic, registered
405
nurse, licensed practical nurse, other personnel authorized by a
406
hospital to draw blood, or duly licensed clinical laboratory
407
director, supervisor, technologist, or technician, acting at the
408
request of a law enforcement officer, may withdraw blood for the
409
purpose of determining the alcoholic content thereof or the
410
presence of chemical substances or controlled substances
411
therein. However, the failure of a law enforcement officer to
412
request the withdrawal of blood shall not affect the
413
admissibility of a test of blood withdrawn for medical purposes.
414
1. Notwithstanding any provision of law pertaining to the
415
confidentiality of hospital records or other medical records, if
416
a health care provider, who is providing medical care in a
417
health care facility to a person injured in a motor vehicle
418
crash, becomes aware, as a result of any blood test performed in
419
the course of that medical treatment, that the person's blood-
420
alcohol level meets or exceeds the blood-alcohol level specified
421
in s. 316.193(1)(b), the health care provider may notify any law
422
enforcement officer or law enforcement agency. Any such notice
423
must be given within a reasonable time after the health care
424
provider receives the test result. Any such notice shall be used
425
only for the purpose of providing the law enforcement officer
426
with reasonable cause to request the withdrawal of a blood
427
sample pursuant to this section.
428
2. The notice shall consist only of the name of the person
429
being treated, the name of the person who drew the blood, the
430
blood-alcohol level indicated by the test, and the date and time
431
of the administration of the test.
432
3. Nothing contained in s. 395.3025(2) s. 395.3025(4), s.
433
456.057, or any applicable practice act affects the authority to
434
provide notice under this section, and the health care provider
435
is not considered to have breached any duty owed to the person
436
under s. 395.3025(2) s. 395.3025(4), s. 456.057, or any
437
applicable practice act by providing notice or failing to
438
provide notice. It shall not be a breach of any ethical, moral,
439
or legal duty for a health care provider to provide notice or
440
fail to provide notice.
441
4. A civil, criminal, or administrative action may not be
442
brought against any person or health care provider participating
443
in good faith in the provision of notice or failure to provide
444
notice as provided in this section. Any person or health care
445
provider participating in the provision of notice or failure to
446
provide notice as provided in this section shall be immune from
447
any civil or criminal liability and from any professional
448
disciplinary action with respect to the provision of notice or
449
failure to provide notice under this section. Any such
450
participant has the same immunity with respect to participating
451
in any judicial proceedings resulting from the notice or failure
452
to provide notice.
453
Section 9. Subsection (13) of section 395.4025, Florida
454
Statutes, is amended to read:
455
395.4025 Trauma centers; selection; quality assurance;
456
records.—
457
(13) Patient care, transport, or treatment records or
458
reports, or patient care quality assurance proceedings, records,
459
or reports obtained or made pursuant to this section, s.
460
395.3025(2)(f) s. 395.3025(4)(f), s. 395.401, s. 395.4015, s.
461
395.402, s. 395.403, s. 395.404, s. 395.4045, s. 395.405, s.
462
395.50, or s. 395.51 must be held confidential by the department
463
or its agent and are exempt from the provisions of s. 119.07(1).
464
Patient care quality assurance proceedings, records, or reports
465
obtained or made pursuant to these sections are not subject to
466
discovery or introduction into evidence in any civil or
467
administrative action.
468
Section 10. Subsection (1) of section 429.294, Florida
469
Statutes, is amended to read:
470
429.294 Availability of facility records for investigation
471
of resident's rights violations and defenses; penalty.—
472
(1) Failure to provide complete copies of a resident's
473
records, including, but not limited to, all medical records and
474
the resident's chart, within the control or possession of the
475
facility in accordance with s. 408.833 s. 400.145, shall
476
constitute evidence of failure of that party to comply with good
477
faith discovery requirements and shall waive the good faith
478
certificate and presuit notice requirements under this part by
479
the requesting party. Section 11. Subsection (4) of section 440.185, Florida
481
Statutes, is amended to read:
482
440.185 Notice of injury or death; reports; penalties for
483
violations.—
484
(4) Additional reports with respect to such injury and of
485
the condition of such employee, including copies of medical
486
reports, funeral expenses, and wage statements, shall be filed
487
by the employer or carrier to the department at such times and
488
in such manner as the department may prescribe by rule. In
489
carrying out its responsibilities under this chapter, the
490
department or agency may by rule provide for the obtaining of
491
any medical records relating to medical treatment provided
492
pursuant to this chapter, notwithstanding the provisions of ss.
493
90.503 and 395.3025(2) 395.3025(4).
494
Section 12. Subsection (3) of section 456.47, Florida
495
Statutes, is amended to read:
496
456.47 Use of telehealth to provide services.—
497
(3) RECORDS.—A telehealth provider shall document in the
498
patient's medical record the health care services rendered using
499
telehealth according to the same standard as used for in-person
500
services. Medical records, including video, audio, electronic,
501
or other records generated as a result of providing such
502
services, are confidential pursuant to ss. 395.3025(2) and
503
456.057 ss. 395.3025(4) and 456.057.
504
Section 13. This act shall take effect January 1, 2027.