BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  AB 2253
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          ASSEMBLY THIRD READING
          AB 2253 (Pan)
          As Introduced February 24, 2012
          Majority vote 

           HEALTH              18-1                                        
           
           -------------------------------- 
          |Ayes:|Monning, Logue, Atkins,   |
          |     |Bonilla, Eng, Garrick,    |
          |     |Gordon, Hayashi, Roger    |
          |     |Hernández, Bonnie         |
          |     |Lowenthal,                |
          |     |Mansoor, Mitchell,        |
          |     |Nestande, Pan,            |
          |     |V. Manuel Pérez, Silva,   |
          |     |Smyth, Williams           |
          |     |                          |
          |-----+--------------------------|
          |Nays:|Ammiano                   |
          |     |                          |
           -------------------------------- 
           SUMMARY  :  Authorizes the conveyance of clinical laboratory test 
          results relating to human immunodeficiency virus (HIV) antibody 
          test, presence of antigens indicating a hepatitis infection, 
          abusing the use of drugs, or test results related to routinely 
          processed tissues that reveal malignancy, as specified, by 
          Internet posting or other electronic means to a patient where 
          the patient requests a conveyance, the health care professional 
          deems the conveyance as the most appropriate means, and a health 
          care professional has first discussed the results with the 
          patient.  

           EXISTING LAW  :  

          1)Provides that a patient authorized by law to consent to 
            medical treatment, and any patient representative, shall be 
            entitled to inspect patient records upon presenting to the 
            health care provider a written request for the records, and 
            upon payment of reasonable costs, as specified.  Provides that 
            a health care provider must permit the inspection during 
            business hours within five working days after receipt of the 
            written request.  States that the costs of copying shall not 
            exceed $0.25 per page or $0.50 per page for records that are 








                                                                  AB 2253
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            copied from microfilm and any additional reasonable clerical 
            costs, as specified. 

          2)Requires a health care professional at whose request a test is 
            performed to provide or arrange for the provisions of the 
            results of a clinical laboratory test to the patient who is 
            the subject of the test if requested by the patient, in plain 
            language in oral or written form.  Authorizes the results to 
            be conveyed in electronic form if requested by the patient and 
            if deemed most appropriate by the health care professional who 
            requested the test.

          3)Requires that the consent of the patient to receive his or her 
            laboratory results by Internet posting or other electronic 
            means to be obtained in a manner consistent with specified 
            requirements.  

          4)Provides that if a health care professional arranges for the 
            provision of test results by Internet posting or other 
            electronic manner, the results shall be delivered to a patient 
            in a reasonable time period, but only after the results have 
            been reviewed by the health care professional.  States that 
            access to clinical laboratory test results shall be restricted 
            by the use of a secure personal identification number when the 
            results are delivered to a patient by Internet posting or 
            other electronic manner. 
          5)Indicates that the test results to be reported to the patient 
            must be recorded in the patient's medical record, and must be 
            reported to the patient within a reasonable time period after 
            the test results are received at the offices of the health 
            care professional who requested the test.

          6)Prohibits the conveyance to a patient by Internet posting or 
            other electronic means for the following clinical laboratory 
            test results:  HIV antibody test, presence of antigens 
            indicating hepatitis infection, abusing the use of drugs, or 
            test results related to routinely processed tissues, including 
            skin biopsies, Pap smear tests, products of conception, and 
            bone marrow aspirations for morphological evaluation, if they 
            reveal a malignancy.

          7)States that patient identifiable test results and health 
            information shall not be used for any commercial purpose 
            without the consent of the patient, as specified. 








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          8)Defines health care provider to include a licensed health 
            facility, clinic, home health agency, physician and surgeon, 
            podiatrist, dentist, and optometrist.

          9)Specifies that an electronic health record (EHR) system or 
            electronic medical record (EMR) system shall:  a) protect and 
            preserve the integrity of medical information; b) 
            automatically record and preserve any change or deletion of 
            any electronically stored medical information, as specified; 
            and, c) a patient's right to access or receive a copy of his 
            or her EMR upon request shall be consistent with applicable 
            state and federal laws governing patient access to, and the 
            use and disclosure of, medical information.

           FISCAL EFFECT  :  None

           COMMENTS  :  The author is the sponsor of this measure.  According 
          to the author, this bill is necessary to remove barriers for 
          patients in accessing laboratory test results relating to HIV, 
          hepatitis, abuse of drugs, and certain processed tissues, 
          through an Internet posting or other electronic format.  Federal 
          regulators are easing the requirements for patients to directly 
          access their clinical laboratory results, and California's 
          prohibition on access to these specific laboratory results is 
          hindering the widespread use of EHR.  Additionally, the federal 
          stimulus program, the American Recovery and Reinvestment Act of 
          2009 (ARRA), signed by President Obama in 2009 is offering 
          incentive payments to eligible professionals and hospitals that 
          implement meaningful use of EHRs.  This bill would assist 
          eligible professionals and hospitals to qualify for these 
          incentive payments while allowing patients to take an active 
          role in their health care.


           Analysis Prepared by  :    Rosielyn Pulmano / HEALTH / (916) 
          319-2097 


                                                                FN: 0003546












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