BILL NUMBER: AB 435 AMENDED BILL TEXT AMENDED IN SENATE AUGUST 17, 1999 AMENDED IN SENATE JUNE 2, 1999 AMENDED IN ASSEMBLY APRIL 15, 1999 INTRODUCED BY Assembly Member Corbett (Coauthors: Assembly Members Aanestad, Alquist, Aroner, Cardoza, Knox, Kuehl, Longville, and Washington) (Coauthors: Senators Sher and Solis) FEBRUARY 12, 1999 An act to amend Section 56.30 of the Civil Code, relating to workers' compensation. LEGISLATIVE COUNSEL'S DIGEST AB 435, as amended, Corbett. Workers' compensation: medical records: disclosure. (1) Existing law provides that medical information and records that are obtained as a result of a claim for workers' compensation are exempt from the Confidentiality of Medical Information Act. This bill would limit the exemption to medical information and records that aredirectly relatedrelevant to an employee's claim for workers' compensation. The bill would state the term"directly related""relevant" includes any medical records or information regarding a prior injurythat is directly related to an existing claim and necessary for the purpose of resolving thator medical condition that is relevant to an existing claim. The bill would provide that medical information and records that are notdirectly relatedrelevant to resolving a worker's claim for workers' compensation are subject to the Confidentiality of Medical Information Act. The bill would express legislative intent relating to the changes that would be made by the bill. (2) Existing law makes a violation of the Confidentiality of Medical Information Act which results in economic loss or personal injury to a patient a crime. This bill, by including medical records and information subject to the Confidentiality of Medical Information Act that previously were excluded, broadens the scope of that crime, thus creating a state-mandated local program. (3) The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement. This bill would provide that no reimbursement is required by this act for a specified reason. Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: yes. THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS: SECTION 1. Section 56.30 of the Civil Code is amended to read: 56.30. The disclosure and use of the following medical information shall not be subject to the limitations of this part: (a) (Mental health and developmental disabilities) Information and records obtained in the course of providing services under Division 4 (commencing with Section 4001), Division 4.1 (commencing with Section 4400), Division 4.5 (commencing with Section 4500), Division 5 (commencing with Section 5000), Division 6 (commencing with Section 6000), or Division 7 (commencing with Section 7100) of the Welfare and Institutions Code. (b) (Public social services) Information and records that are subject to Sections 10850, 14124.1, and 14124.2 of the Welfare and Institutions Code. (c) (State health services, communicable diseases, developmental disabilities) Information and records maintained pursuant to former Chapter 2 (commencing with Section 200) of Part 1 of Division 1 of the Health and Safety Code and pursuant to the Communicable Disease Prevention and Control Act (subdivision (a) of Section 27 of the Health and Safety Code). (d) (Licensing and statistics) Information and records maintained pursuant to Division 2 (commencing with Section 1200) and Part 1 (commencing with Section 102100) of the Health and Safety Code; pursuant to Chapter 3 (commencing with Section 1200) of Division 2 of the Business and Professions Code; and pursuant to Section 8608, 8706, 8817, or 8909 of the Family Code. (e) (Medical survey, workers' safety) Information and records acquired and maintained or disclosed pursuant to Sections 1380 and 1382 of the Health and Safety Code and pursuant to Division 5 (commencing with Section 6300) of the Labor Code. (f) (Industrial accidents) Information and records acquired, maintained, or disclosed pursuant to Division 1 (commencing with Section 50), Division 4 (commencing with Section 3201), Division 4.5 (commencing with Section 6100), and Division 4.7 (commencing with Section 6200) of the Labor Code, that aredirectly relatedrelevant to an employee's claim for workers' compensation. Medical information and records that are notdirectly relatedrelevant to resolving a worker' s claim for workers' compensation are subject to the limitations of this part. For purposes of this subdivision, the term"directly related""relevant" includes any medical records or information regarding a prior injurythat is directly related to an existing claim and necessary for the purpose of resolving thator medical condition that is relevant to an existing claim. (g) (Law enforcement) Information and records maintained by a health facility which are sought by a law enforcement agency under Chapter 3.5 (commencing with Section 1543) of Title 12 of Part 2 of the Penal Code. (h) (Investigations of employment accident or illness) Information and records sought as part of an investigation of an on-the-job accident or illness pursuant to Division 5 (commencing with Section 6300) of the Labor Code or pursuant to Section 105200 of the Health and Safety Code. (i) (Alcohol or drug abuse) Information and records subject to the federal alcohol and drug abuse regulations (Part 2 (commencing with Section 2.1) of subchapter A of Chapter 1 of Title 42 of the Code of Federal Regulations) or to Section 11977 of the Health and Safety Code dealing with narcotic and drug abuse. (j) (Patient discharge data) Nothing in this part shall be construed to limit, expand, or otherwise affect the authority of the California Health Facilities Commission to collect patient discharge information from health facilities pursuant to Section 441.18 of the Health and Safety Code. (k) Medical information and records disclosed to, and their use by, the Insurance Commissioner, the Commissioner of Corporations, the Division of Industrial Accidents, the Workers' Compensation Appeals Board, the Department of Insurance, or the Department of Corporations. SEC. 2. The amendments made to subdivision (f) of Section 56.30 of the Civil Code in the 1999-2000 Regular Session by Assembly Bill 435 are not intended either to abrogate the holdings in Allison v. Workers' Comp. Appeals Bd. (1999) 72 Cal.App.4th 654, or to prohibit a redaction decision by a workers' compensation judge from being appealed to the Workers' Compensation Appeals Board. SEC. 3. No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.