,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #dfih  ,,in ,,the ,,house ,,of  
,,representatives  ,october #af1        
#bjai,mr4 ,foster 7for himself1 ,mr4    
,meeks1 ,mr4 ,raskin1 and ,mrs4 ,beatty7
 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 unless certain   
circumstances apply1 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 unless certain   
circumstances apply ,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 unless certain   
circumstances apply  7#a7 ,access of    

individuals to protected health         
information at no cost unless certain   
circumstances apply  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 only impose a fee on such  
individual if 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,c7 ,rule of      
construction ,nothing in this subsection
 may be construed as requiring a health 
care provider to provide1 at no cost1 a 
copy of an individual's protected health
 information 7or a summary or           
explanation of such information7 to any 
attorney of such individual4  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 apply 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