,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #dfih  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,octob] #af1 #bjai,mr4
 ,fo/] 7= himself1 ,mr4 ,meeks1 ,mr4    
,rask91 & ,mrs4 ,beatty7 introduc$ !    
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce  ,a     
,,bill  ,to am5d ! ,,hite* ,act to all[ 
an individual to obta9 a copy ( su*     
individual's protect$ heal? in=mation at
 no co/ unless c]ta9 circum/ances apply1
 & = o!r purposes4  #a4 ,%ort title ,?is
 ,act may be cit$ z ! ,m$ical ,records  
,access ,fairness ,act4  #b4 ,access (  
individuals to protect$ heal? in=mation 
at no co/ unless c]ta9 circum/ances     
apply ,section #acdje ( ! ,,hite* ,act  
7#db ,u4,s4,c4 #agice7 is am5d$ by add+ 
at ! end ! foll[+ new subsection3  7f7  
,access ( individuals to protect$ heal? 
in=mation at no co/ unless c]ta9        
circum/ances apply  7#a7 ,access (      
individuals to protect$ heal? in=mation 
at no co/ unless c]ta9 circum/ances     
apply  7,a7 ,9 g5]al ,9 provid+ an      

individual 7&1 if ! individual expressly
 reque/s1 a heal? c>e provid] or a      
family c>egiv]7 ) access to a copy ( su*
 individual's protect$ heal? in=mation  
7or a summ>y or explanation ( su*       
in=mation7 9 accordance ) section       
#afd4ebd ( title #de1 ,code ( ,f$]al    
,regulations1 a heal? c>e provid] may   
only impose a fee on su* individual if !
 individual is reque/+--  7i7 a         
duplicate copy 7or summ>y or            
explanation7 ( protect$ heal? in=mation 
t 0 previ\sly provid$ to su* individual 
9 ! same cal5d> ye> ( ! reque/2 or  7ii7
 a non-electronic copy 7or summ>y or    
explanation7 ( protect$ heal? in=mation 
t ! heal? c>e provid] has made          
accessible = ! individual1 at no co/1 on
 an onl9e portal ( ! heal? c>e provid]4 
7,b7 ,copies transmitt$ to o!r heal? c>e
 provid]s ,9 ! case ( an individual :o  
expressly reque/s a heal? c>e provid] to
 transmit to ano!r heal? c>e provid] a  
copy ( su* individual's protect$ heal?  
in=mation 7or a summ>y or explanation ( 

su* in=mation71 su* transmitt+ provid]  
may transmit su* copy 7or summ>y or     
explanation7 9 any =m & =mat to ! ext5t 
t su* =m & =mat is readily usable by su*
 receiv+ provid]4  7,c7 ,rule (         
con/ruction ,no?+ 9 ?is subsection may  
be con/ru$ z requir+ a heal? c>e provid]
 to provide1 at no co/1 a copy ( an     
individual's protect$ heal? in=mation   
7or a summ>y or explanation ( su*       
in=mation7 to any attorney ( su*        
individual4  7#b7 ,regulations ,n lat]  
?an six mon?s aft] ! date ( ! enactm5t (
 ?is subsection1 ! ,secret>y ( ,heal? & 
,human ,s]vices %all promulgate & am5d  
regulations z necess>y to implem5t !    
requirem5ts describ$ 9 ?is subsection4  
7#c7 ,effective date ,?is subsection    
%all apply ) respect to reque/s = access
 to protect$ heal? in=mation made on or 
aft] ! date t is #ahj days aft] ! date (
 ! enactm5t ( ?is subsection4  4