BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 2059
                                                                  Page  1


          ASSEMBLY THIRD READING
          AB 2059 (Muratsuchi)
          As Amended May 1, 2014
          Majority vote 

           HEALTH              19-0        JUDICIARY           10-0        
           
           ----------------------------------------------------------------- 
          |Ayes:|Pan, Maienschein,         |Ayes:|Wieckowski, Wagner,       |
          |     |Ammiano, Rendon, Bonilla, |     |Alejo, Chau, Dickinson,   |
          |     |Bonta, Ch�vez, Chesbro,   |     |Garcia, Gorell,           |
          |     |Gomez, Gonzalez,          |     |Maienschein, Muratsuchi,  |
          |     |Roger Hern�ndez,          |     |Stone                     |
          |     |Lowenthal, Mansoor,       |     |                          |
          |     |Nazarian, Waldron,        |     |                          |
          |     |Patterson, Ridley-Thomas, |     |                          |
          |     |Wagner, Wieckowski        |     |                          |
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           SUMMARY  :  Requires a health care provider to provide an  
          electronic copy of the requested medical record when an attorney  
          presents written authorization signed by the patient or  
          patient's representative if the medical record exists in a  
          digital or electronic format that can be delivered  
          electronically, and allows the health care provider to charge  
          reasonable per page, retrieval, and processing fees.  Increases  
          the time in which the health care provider must make the  
          requested medical records available to the attorney from five to  
          15 days.

           FISCAL EFFECT  :  None

           COMMENTS  :  According to the author, this bill will update  
          existing law to reflect the use of electronic medical records  
          (EMRs) and that current law has failed to keep pace with the  
          rapidly changing nature of technology.  The author states that  
          charging patients a per page fee is impractical when medical  
          records are being sent through electronic delivery.

          According to the Centers for Medicaid and Medicare Services, an  
          EMR is an electronic version of a patient's medical history that  
          is maintained by the provider over time and may include all of  
          the key administrative and clinical data relevant to that  
          person's care under a particular provider including  








                                                                  AB 2059
                                                                  Page  2


          demographics, progress notes, problems, medications, vital  
          signs, past medical history, immunizations, laboratory data, and  
          radiology reports. 

          The sponsor, Consumer Attorneys of California, states that this  
          bill would modernize current law, which allows an attorney, with  
          authorization, to request the medical records of a patient.   
          Current law contains no reference to EMRs; instead, a per page  
          charge of $0.10 is allowed.  However, that per page cost does  
          not make sense when the medical records are sent via electronic  
          delivery.  The American Federation of State, County and  
          Municipal Employees, AFL-CIO writes in support of this bill that  
          if a patient's attorney has written authorization to inspect and  
          copy a medical record, it is common sense that it should be  
          delivered as such, rather than using a professional photocopier.

          This bill has no opposition.
           

          Analysis Prepared by  :    Patty Rodgers / HEALTH / (916) 319-2097  

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