The proposed bill seeks to enhance patients' rights regarding their health care information by improving access and establishing enforcement protections for its appropriate use. A significant provision allows health care providers and facilities to charge a reasonable fee for providing health care information, capped at $50 for electronic records delivered to specific individuals, such as the patient or their representative. The bill mandates the Department of Health to create rules for determining these reasonable fees based on actual costs rather than a per-page calculation. Additionally, it amends existing sections of the Revised Code of Washington (RCW) to clarify definitions related to health care information and the responsibilities of health care providers, including the removal of outdated fee structures and the introduction of new definitions.

Moreover, the bill outlines the responsibilities of health care providers in honoring patient authorizations and assisting designated recipients in obtaining recorded health care information, while also specifying that a written and signed disclosure authorization is required. It introduces provisions for the disclosure of health care information to various parties, including researchers and third-party payors, under certain conditions, and allows patients to select another health care provider if their request is denied. The bill also addresses the handling of sexually transmitted disease information and mental health services, mandating appropriate counseling for test results and establishing confidentiality protocols. Overall, the bill aims to enhance patient rights and clarify the obligations of health care providers regarding access to health care information.

Statutes affected:
Original Bill: 70.02.010, 71.24.025, 70.02.080, 70.02.090, 70.02.170, 70.02.220
Substitute Bill: 70.02.010, 71.24.025, 70.02.080, 70.02.090, 70.02.170, 70.02.220