BILL ANALYSIS                                                                                                                                                                                                    






                           SENATE JUDICIARY COMMITTEE
                         Senator Joseph L. Dunn, Chair
                           2005-2006 Regular Session


          AB 1994                                                A
          Assembly Member Leslie                                 B
          As Introduced
          Hearing Date:  June 13, 2006                           1
          Health and Safety Code                                 9
          ADM:cjt                                                9
                                                                 4

                                     SUBJECT
                                         
                         Health Records: Minors: Access

                                   DESCRIPTION  

          This bill would provide that the decision of a health care  
          provider as to whether to make a minor's records available  
          for copying [in addition to inspection] by the minor's  
          representative where the health care provider determines  
          that access to the records would have a detrimental effect  
          on the provider's professional relationship with the minor  
          or the minor's physical safety or psychological well-being,  
          would not expose the provider to liability, unless the  
          decision was found to be in bad faith.   

                                    BACKGROUND  

          Under current law, if a health care provider determines  
          that allowing a minor's representative to inspect or copy  
          the minor's medical records would detrimentally effect the  
          physician-patient relationship or the minor's physical or  
          mental well-being, the provider may deny inspection or  
          copying of the minor's records.  Also under current law,  
          the provider's decision whether or not to allow inspection  
          of the minor's records is protected from liability, unless  
          the decision is found to have been in bad faith.  This bill  
          would extend the liability protection to the provider's  
          decision whether or not to allow copying of the minor's  
          records.

                             CHANGES TO EXISTING LAW
                                                                 
          (more)



          AB 1994 (Leslie)
          Page 2



           
           Under existing law  , where a health care provider determines  
          that allowing the representative of a minor to inspect or  
          copy the minor's patient records would have a detrimental  
          effect on the provider's professional relationship with the  
          minor patient or the minor's physical safety or  
          psychological well-being, he or she may deny the  
          representative access to the records, in terms of both  
          inspection and copying.  [Health and Safety Code Section  
          123115.]
           Existing law  provides that the decision of the health care  
          provider as to whether or not to make a minor's records  
          available for inspection by the representative shall not  
          attach any liability to the provider, unless the decision  
          is found to be in bad faith.  [Id.]

           This bill  would provide that the decision of the health  
          care provider as to whether or not to make a minor's  
          records available for copying by the representative would  
          not expose the provider to liability, unless the decision  
          was found to be in bad faith.   

                                     COMMENT
           
          1.    Stated need for the bill  

            The author provides:

               Under existing law, when a health care provider  
               determines that allowing the representative of a minor  
               to inspect or copy the minor's medical records would  
               have a detrimental effect on the provider's  
               professional relationship with the minor patient or  
               the minor's physical safety or well-being, he or she  
               may deny the representative access to the records.  In  
               addition, the decision of the health care provider  
               whether or not to make the records available for  
               inspection shall not attach liability to the provider,  
               unless the decision is found to be in bad faith.

               This bill would provide that the same liability  
               protection would apply to the health care provider's  
               decision whether or not to allow the representative of  
               the minor to copy the patient's records.

                                                                       




          AB 1994 (Leslie)
          Page 3



               The sponsor believes that the omission of the word  
               "copying" was a drafting oversight when this section  
               of law was enacted.  It is anomalous that the decision  
               whether or not to allow copying is not explicitly  
               protected, since copying ultimately allows inspection  
               by the representative, (and others).

          Support:  The American College of Obstetricians and  
                 Gynecologists, District IX; CA Medical Association;  
                 CA Psychological Association

          Opposition:  None Known






                                     HISTORY
           
          Source:  CA Association of Marriage and Family Therapists

          Related Pending Legislation:  None Known

          Prior Legislation:  None Known

          Prior Vote:   Assembly Health Committee (Ayes 14, Noes 0)
                   Assembly Judiciary Committee (Ayes 9, Noes 0)
                   Assembly Floor (Ayes 75, Noes 0)
          
                                 **************