,i  #aaeth ,,congress  #b;d ,session    
,h4 ,r4 #gbie  ,,in ,,the ,,house ,,of  
,,representatives  ,december #ac1       
#bjah,mr4 ,foster 7for himself1 ,mr4    
,carson of ,indiana1 ,ms4 ,de,lauro1    
,mr4 ,gonzalez of ,texas1 ,mr4          
,grijalva1 ,mr4 ,johnson of ,georgia1   
and ,ms4 ,wasserman ,schultz7 introduced
 the following bill2 which was referred 
to the ,committee on ,energy and        
,commerce  ,a ,,bill  ,to amend the     
,,hitech ,act to allow an individual to 
obtain a copy of such individual's      
protected health information at no cost 
in certain circumstances1 and for other 
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,medical ,records   
,access ,fairness ,act4  #b4 ,access of 
individuals to protected health         
information at no cost in certain       
circumstances ,section #acdje of the    
,,hitech ,act 7#db ,u4,s4,c4 #agice7 is 
amended by adding at the end the        
following new subsection3  7f7 ,access  
of individuals to protected health      

information at no cost in certain       
circumstances  7#a7 ,access of          
individuals to protected health         
information at no cost in certain       
circumstances  7,a7 ,in general ,in     
providing an individual 7and1 if the    
individual expressly requests1 a health 
care provider or a family caregiver7    
with access to a copy of such           
individual's protected health           
information 7or a summary or explanation
 of such information7 in accordance with
 section #afd4ebd of title #de1 ,code of
 ,federal ,regulations1 a health care   
provider may not impose any fee on such 
individual1 unless the individual is    
requesting--  7i7 a duplicate copy 7or  
summary or explanation7 of protected    
health information that was previously  
provided to such individual in the same 
calendar year of the request2 or  7ii7 a
 non-electronic copy 7or summary or     
explanation7 of protected health        
information that the health care        
provider has made accessible for the    

individual1 at no cost1 on an online    
portal of the health care provider4     
7,b7 ,copies transmitted to other health
 care providers ,in the case of an      
individual who expressly requests a     
health care provider to transmit to     
another health care provider a copy of  
such individual's protected health      
information 7or a summary or explanation
 of such information71 such transmitting
 provider may transmit such copy 7or    
summary or explanation7 in any form and 
format to the extent that such form and 
format is readily usable by such        
receiving provider4  7#b7 ,regulations  
,not later than six months after the    
date of the enactment of this           
subsection1 the ,secretary of ,health   
and ,human ,services shall promulgate   
and amend regulations as necessary to   
implement the requirements described in 
this subsection4  7#c7 ,effective date  
,this subsection shall take effect with 
respect to requests for access to       
protected health information made on or 

after the date that is #ahj days after  
the date of the enactment of this       
subsection4  4