Bill Summary – FastDemocracy

WEST VIRGINIA LEGISLATURE
REGULAR SESSION
                Introduced Senate Bill 787
  By Senators Hunt, Chapman, Stuart, and Woelfel [Introduced February 13, 2024; referred to the Committee on Health and Human Resources]
     Intr SB                                                                                     2024R3531
  A BILL to amend and reenact §16-29-2 of the Code of West Virginia, 1931, as amended, relating to
          establishing a limit for fees charged for medical records.
     Be it enacted by the Legislature of West Virginia:
     ARTICLE 29. HEALTH CARE RECORDS.
     §16-29-2. Reasonable expenses to be reimbursed.
          (a) A provider may charge a patient or the patient’s personal representative no more than a
  fee consistent with HIPAA, as amended, and any rules promulgated pursuant to HIPAA, plus any
  applicable taxes.
            (b) (1) A person other than a patient or patient’s personal representative requesting
  records from a health care provider shall submit the request and HIPAA compliant authorization in
  writing and pay a fee at the time of delivery. Notwithstanding any other section of the code or rule,
  the fees shall not exceed: (A) A search and handling fee of $20; (B) a per page fee of 40 cents for
  paper copies; and (C) postage, if the person requested that the records be mailed, plus any
  applicable taxes: Provided, That the search and handling fee shall not exceed $20.
         (2) If the requested record is stored by the health care provider in an electronic form,
 unless the person requesting the record specifically requests a paper copy, the records will be
 delivered in electronic or digital form and the per page fee for providing an electronic copy shall not
 exceed 20 cents per page but shall in no event exceed $150 inclusive of all fees, including a
 search and handling fee, except for applicable taxes.
         (c) Any person requesting a record be certified by affidavit pursuant to section four-e,
 article five, chapter fifty-seven of this code shall pay a fee of $10 for such certification.
         (d) If a person requests or agrees to an explanation or summary of the records, the
 provider may charge a reasonable cost-based fee for the labor cost if preparing the explanation or
 the summary; for the supplies for creating the explanation or summary; and for the cost of postage,
 if the person requested that the records be mailed, plus any applicable taxes. If the records are
 stored with a third party or a third party responds to the request for records in paper or electronic
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     Intr SB                                                                                        2024R3531
 media, the provider may charge additionally for the actual charges incurred from the third party.
        (e) The per page fee for copying under subsection (b) shall be adjusted to reflect the
 consumer price index for medical care services such that the base amount shall be increased or
 decreased by the proportional consumer price index as published every October 1 starting
 October 1, 2017: Provided, That the per page fee for copying shall not exceed $1.00 per page.
        (f) Notwithstanding the provisions of subsection (a) of this section, a provider shall not
 impose a charge on an indigent person or his or her authorized representative if the medical
 records are necessary for the purpose of supporting a claim or appeal under any provisions of the
 Social Security Act, 42 U. S. C. §301, et seq.
        For purposes of this section, a person is considered indigent if he or she:
        (1) Is represented by an organization or affiliated pro bono program that provides legal
 assistance to indigents; or
        (2) Verifies on a medical records request and release form that the records are requested
 for purposes of supporting a Social Security claim or appeal and submits with the release form
 reasonable proof that the person is financially unable to pay full copying charges by reason of
 unemployment, disability, income below the federal poverty level or receipt of state or federal
 income assistance.
        (g) Any person requesting free copies of written medical records pursuant to the provisions
 of subsection (f) of this section is limited to one set of copies per provider. Any additional requests
 for the same records from the same provider shall be subject to the fee provisions of subsections
 (a) and (b).
            NOTE: The purpose of this bill is to establish a limit for fees charged for medical records.
            Strike-throughs indicate language that would be stricken from a heading or the present law and underscoring indicates new language that would be added.
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Statutes affected: 
Introduced Version: 16-29-2