BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                    AB 1337


                                                                    Page  1


          CONCURRENCE IN SENATE AMENDMENTS


          AB  
          1337 (Linder)


          As Amended  July 16, 2015


          Majority vote


           -------------------------------------------------------------------- 
          |ASSEMBLY:  | 77-0 | (May 7, 2015) |SENATE: |38-0  | (August 20,     |
          |           |      |               |        |      |2015)            |
          |           |      |               |        |      |                 |
          |           |      |               |        |      |                 |
           -------------------------------------------------------------------- 


          Original Committee Reference:  HEALTH


          SUMMARY:  Provides a standardized authorization form for medical  
          records requests and requires a medical provider, as defined, to  
          provide electronic copies of medical records, as specified.


          The Senate amendments delete references to employers in the  
          bill's definition of medical providers and throughout this bill.  
           Make other technical nonsubstantive changes to this bill.


          EXISTING LAW:  


          1)Requires health care providers to make a patient's medical  
            records available for inspection and copying by an attorney,  
            prior to the filing of any action or the appearance of a  
            defendant in an action, when the attorney presents written  
            authorization from a patient, or the patient's designated  








                                                                    AB 1337


                                                                    Page  2


            representative, as specified.
          2)Prohibits a health care provider from copying requested  
            medical records when the requesting attorney has employed a  
            professional photocopier, as specified.


          3)Makes the person or entity having custody of the medical  
            records liable for all reasonable expenses, including  
            attorney's fees, incurred in any proceeding when the medical  
            records are not made available within five days of the written  
            request.


          4)Permits all reasonable costs incurred by a health care  
            provider in making patient records available to be charged  
            against the person requesting the records.


          5)Grants, under the federal Health Information Portability and  
            Accountability Act, patients the right to obtain a copy of  
            their medical records from any medical provider, with  
            exceptions.  


          FISCAL EFFECT:  None


          COMMENTS:  According to the author, health care facilities use  
          individualized authorization forms used to release patient  
          health records which vary widely depending on the individual  
          health care provider, facility, or health plan or insurer.  The  
          author asserts that the use of provider-specific authorization  
          forms is burdensome and results in delays in obtaining records,  
          as patients and/or their representatives must contact individual  
          providers to obtain their specific authorization forms in order  
          to request records.  


          Existing federal and California Law gives patients the right to  
          access their medical records.  According to the Health Consumer  
          Alliance, medical records requests fall under various sections  
          of California law, including the federal Patient Access to  








                                                                    AB 1337


                                                                    Page  3


          Health Records Act, the Confidentiality of Medical Information  
          Act, and the Information Practices Act of 1977.  The California  
          Evidence Code also contains provisions that give special access  
          to medical records to attorneys or their representatives with  
          patient authorization.


          Analysis Prepared by:                                             
                          Rylan Gervase / HEALTH / (916) 319-2097  FN:  
          0001291