1-1                                   AN ACT
 1-2     relating to providing, at no cost, medical records to Texas
 1-3     veterans for certain purposes.
 1-4           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-5           SECTION 1.  Section 161.202, Health and Safety Code, is
 1-6     amended to read as follows:
 1-7           Sec. 161.202.  FEES.  (a)  A health care provider or health
 1-8     care facility may not charge a fee for a medical or mental health
 1-9     record requested by a patient or former patient, or by an attorney
1-10     or other authorized representative of the patient or former
1-11     patient, for use in supporting an application for disability
1-12     benefits or other benefits or assistance the patient or former
1-13     patient may be eligible to receive based on that patient's or
1-14     former patient's disability, or an appeal relating to denial of
1-15     those benefits or assistance under:
1-16                 (1)  Chapter 31, Human Resources Code;
1-17                 (2)  the state Medicaid program;
1-18                 (3)  Title II, the federal Social Security Act, as
1-19     amended (42 U.S.C.  Section 401 et seq.);
1-20                 (4)  Title XVI, the federal Social Security Act, as
1-21     amended  (42 U.S.C.  Section 1382 et seq.); [or]
1-22                 (5)  Title XVIII, the federal Social Security Act, as
1-23     amended (42 U.S.C.  Section 1395 et seq.);
1-24                 (6)  38 U.S.C. Section 1101 et seq., as amended; or
 2-1                 (7)  38 U.S.C. Section 1501 et seq., as amended.
 2-2           (b)  A health care provider or health care facility may
 2-3     charge a fee for the medical or mental health record of a patient
 2-4     or former patient requested by a state or federal agency in
 2-5     relation to the patient or former patient's application for
 2-6     benefits or assistance under Subsection (a)[(1), (2), (3), or (4)]
 2-7     or an appeal relating to denial of those benefits or assistance.
 2-8           (c)  A person, including a state or federal agency, that
 2-9     requests a record under this section shall include with the request
2-10     a statement or document from the department or agency that
2-11     administers the issuance of the assistance or benefits that
2-12     confirms the application or appeal.
2-13           (d)  A health care provider or health facility is not
2-14     required to provide more than one complete record for a patient or
2-15     former patient requested under Subsection (a)(6) or (7) without
2-16     charge.  If additional material is added to the patient or former
2-17     patient's record, on request the health care provider or health
2-18     facility shall supplement the record provided under Subsection
2-19     (a)(6) or (7) without charge.  This subsection does not affect the
2-20     ability of a person to receive a medical or mental health record
2-21     under Subsections (a)(1)-(5).
2-22           SECTION 2.  This Act takes effect September 1, 1999.
2-23           SECTION 3.  The importance of this legislation and the
2-24     crowded condition of the calendars in both houses create an
2-25     emergency and an imperative public necessity that the
2-26     constitutional rule requiring bills to be read on three several
2-27     days in each house be suspended, and this rule is hereby suspended.
         _______________________________     _______________________________
             President of the Senate              Speaker of the House
               I certify that H.B. No. 670 was passed by the House on March
         25, 1999, by a non-record vote; and that the House concurred in
         Senate amendments to H.B. No. 670 on May 10, 1999, by a non-record
         vote.
                                             _______________________________
                                                 Chief Clerk of the House
               I certify that H.B. No. 670 was passed by the Senate, with
         amendments, on May 7, 1999, by a viva-voce vote.
                                             _______________________________
                                                 Secretary of the Senate
         APPROVED:  _____________________
                            Date
                    _____________________
                          Governor