This amendment adds a rule that the $400 fee cap for medical record requests will automatically increase every two years starting in 2028 to match inflation, and it updates rules about when invoices must be sent.
HB26-1414
Limits on Fees for Medical Record Requests by Attorneys
In one sentence
This law sets a $400 maximum fee that health-care providers can charge attorneys requesting medical records larger than 664 pages, requires electronic delivery when possible, and mandates specific timelines for providing invoices and records.
What it does
- Caps the total fees at $400 for record requests made by an attorney if the requested file is larger than 664 pages.
- Allows providers to charge more than $400 only if they must remove or hide protected health information to follow other laws.
- Requires records to be sent in electronic format if the requester asks, the files are stored electronically, and they can easily be produced that way.
- Mandates that an invoice for the records be given within 30 days of receiving a valid request.
- Sets rules for extending deadlines by 30 days with written notice or providing records at no cost if delays occur without proper notification.
Who it affects
- Health-care facilities and individual health-care providers in Colorado
- Attorneys representing patients or a patient's personal representative
Limits and unknowns
- The $400 fee cap only applies if the requested record is larger than 664 pages.
- The law does not require providers to disclose information that is protected by privilege or confidentiality under state or federal laws.
Plain language
Terms to know
- Personal Representative
- A person legally authorized to act on behalf of the patient.
- Force Majeure
- An unexpected event outside anyone's control that makes it impossible or impractical to complete a task, such as a natural disaster.
Official record
Sources
Official summary
The act caps at $400 the amount that a health-care entity or health-care provider may charge for a record request made by a patient's attorney or the attorney of the patient's personal representative pursuant to an authorization in compliance with the federal 'Health Insurance Portability and Accountability Act of 1996', a valid subpoena, or a valid court order, if the requested record exceeds 664 pages. The health-care entity or health-care provider may charge a reasonable fee above the cap if the record request requires the health-care facility or health-care provider to segregate, withhold, or redact protected health information in order to comply with applicable law or the scope or limitations of the authorization in compliance with the federal 'Health Insurance Portability and Accountability Act of 1996', a valid subpoena, or a valid court order. Beginning January 1, 2028, and every even-numbered year thereafter, the act requires the $400 limit to be adjusted for inflation. The act requires the requested medical records to be delivered in electronic format if the requestor requests electronic format, the original records are stored in electronic format, and the records are readily producible in electronic format. The act requires the health-care facility or health-care provider to provide the requestor with an invoice for the records provided in response to the record request within 30 days of receiving the request, and the health-care facility or health-care provider must provide the records upon payment of the invoice. If the health-care facility or health-care provider is unable to comply with the request for records within 30 days after the request, the health-care facility or health-care provider must send written notice of a 30-day extension to the requestor. The health-care facility or health-care provider must provide the records to the requestor at no cost if the records were not provided within 30 days or without written notice of an extension, unless the delay is due to a force majeure event. In the case of a force majeure event, the health-care facility or health-care provider must provide written notice to the requestor within 5 business days of becoming aware of the force majeure event. The 30-day time frame to respond to a request for records commences upon resolution of the force majeure event. (Note: This summary applies to this bill as enacted.)
Official activity
Bill history
- Governor SignedGovernor
- Sent to the GovernorGovernor
- Signed by the President of the SenateSenate
- Signed by the Speaker of the HouseHouse
- Senate Third Reading Passed - No AmendmentsSenate
- Senate Second Reading Special Order - Passed - No AmendmentsSenate
- Senate Second Reading Special Order - Laid Over Daily - No AmendmentsSenate
- Senate Committee on Finance Refer Unamended to Senate Committee of the WholeSenate
- Introduced In Senate - Assigned to FinanceSenate
- House Third Reading Passed - No AmendmentsHouse
- House Second Reading Special Order - Passed with Amendments - Committee, FloorHouse
- House Second Reading Laid Over Daily - No AmendmentsHouse
- House Committee on Finance Refer Amended to House Committee of the WholeHouse
- Introduced In House - Assigned to FinanceHouse
Changes
Amendments
3 stored
This amendment adds rules for when a health-care facility cannot send medical records on time because of an unexpected emergency.
This amendment clarifies that a $400 fee limit applies to record requests made by the attorney of a patient or their personal representative.