Bill not drafted by TLC or Senate E&E.

      Line and page numbers may not match official copy.

      By Holzheauser                                  H.B. No. 3487

                                A BILL TO BE ENTITLED

 1-1                                   AN ACT

 1-2     relating to the distribution of and fees charged by health care

 1-3     providers or health facilities for certain medical or mental health

 1-4     records.

 1-5           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

 1-6           SECTION 1., CHAPTER 161, HEALTH & SAFETY CODE, Subchapter M,

 1-7     Section 161.201 is amended to read as follows:

 1-8           Sec. 161.201.  DEFINITIONS.  In this subchapter[,]:

 1-9           "[health] Health care provider" means a person who is

1-10     licensed, certified, or otherwise authorized by the laws of this

1-11     state to provide or render health care in the ordinary course of

1-12     business or practice of a profession.

1-13           "Legal service corporation" means a corporation organized

1-14     under the Texas Non-Profit Corporation Act, (Tex. Rev. Civ. Stat.

1-15     Ann., Art. 1396-1.01, et seq,) which qualifies for an exemption

1-16     from federal income taxes under 26 USCA, Sect. 501(c)(3), and which

1-17     provides pro bono legal services to the indigent.

1-18           "Pro bono legal services" means civil legal services rendered

1-19     without  expectation of compensation.

1-20           SECTION 2., CHAPTER 161, Health & Safety Code, Subchapter M,

1-21     Section 161.202 is amended by amending subsection (c) and by adding

1-22     a new subsection (d) to read as follows:

1-23           Sec. 161.202.  Fees.  (a)  A health care provider or health

1-24     care facility may not charge a fee for a medical or mental health

 2-1     record requested by a patient or former patient, or by an attorney

 2-2     or other authorized representative of the patient or former

 2-3     patient, for use in supporting an application for disability

 2-4     benefits or other benefits or assistance the patient or former

 2-5     patient may be eligible to receive based on that patient's or

 2-6     former patient's disability, or an appeal relating to denial of

 2-7     those benefits or assistance under:

 2-8                 (1)  Chapter 31, Human Resources Code;

 2-9                 (2)  the state Medicaid program;

2-10                 (3)  Title II, the federal Social Security Act, as

2-11     amended (42 U.S.C.  Section 401 et seq.);

2-12                 (4)  Title XVI, the federal Social Security Act, as

2-13     amended (42 U.S.C.  Section 1395, et seq.); or

2-14                 (5)  Title XVIII, the federal Social Security Act, as

2-15     amended (42 U.S.C.  Section 1395 et seq.).

2-16           (b)  A health care provider or health care facility may

2-17     charge a fee for the medical or mental health record of a patient

2-18     or former patient requested by a state or federal agency in

2-19     relation to the patient or former patient's application for

2-20     benefits or assistance under Subsection (a)(1), (2), (3), or (4) or

2-21     an appeal relating to denial of those benefits or assistance.

2-22           (c)  A person, including a state or federal agency, that

2-23     requests a record under this section shall include with the

2-24     request:

2-25                 (1)  a statement or document from the department or

2-26     agency that administers the issuance of the assistance or benefits

2-27     that confirms the application or appeal[.]; and

2-28                 (2)  a statement or document that confirms that the

2-29     request is in compliance with subsection (d) of this section; and

2-30                 (3)  a written consent for release of the medical or

 3-1     mental health records that is in compliance with section 5.08(j),

 3-2     Medical Practice Act, (Art. 4495b, Vernon's Texas Civil Statutes).

 3-3           (d)  This section only applies to a request for medical or

 3-4     mental health records made by a patient or former patient who is

 3-5     indigent and representing himself or herself or who is indigent and

 3-6     receiving pro bono legal services provided by an attorney or a

 3-7     legal services corporation.

 3-8           SECTION 3.  The importance of this legislation and the

 3-9     crowded condition of the calendars in both houses create an

3-10     emergency and an imperative public necessity that the

3-11     constitutional rule requiring bills to be read on three several

3-12     days in each house be suspended, and this rule is hereby suspended,

3-13     and that this Act take effect and be in force from and after its

3-14     passage, and it is so enacted.