House Bill No. 5169 mandates the Department of Public Health to establish a reporting system by January 1, 2027, for documenting incidents of violence or combative behavior directed at healthcare providers. This system will be integrated into the Statewide Health Information Exchange (referred to as "Connie") and will alert healthcare providers with electronic health record (EHR) systems when they accept new patients or have scheduled visits with existing patients who have a documented history of such incidents. The bill requires that starting January 1, 2027, healthcare providers must document any instances of violence or combative behavior that they witness or that patients direct at them or other providers.

The bill introduces new legal language that requires the development of this alert system and the documentation of violent incidents, while there are no deletions from current law specified in the text. The implementation of this system is expected to incur a one-time cost of at least $500,000 for the Department of Public Health in FY 27, as they will need to create the necessary infrastructure and ensure compliance with legal requirements. The bill is set to take effect on October 1, 2026.