,,ii  #aafth ,,congress  #ast ,session  
,s4 #cacg  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,december #ai1 
#bjai,mr4 ,lee 7for himself1 ,mr4       
,lankford1 ,mr4 ,cramer1 and ,mr4       
,braun7 introduced the following bill2  
which was read twice and referred to the
 ,committee on ,finance  ,a ,,bill  ,to 
amend titles ,,xix and ,,xxi of the     
,social ,security ,act to require       
hospitals and certain other             
participating providers under ,medicaid 
or the ,children's ,health ,insurance   
,program to disclose the provider's     
policy on parental access to the medical
 records of minors1 and for other       
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,parental ,right to 
,know ,act4  #b4 ,parental access to    
medical records disclosure requirements 
under ,medicaid and ,,chip  7a7         
,medicaid ,section #aijb7w7 of the      
,social ,security ,act 7#db ,u4,s4,c4   
#acif;a7w77 is amended-- 7#a7 in        
paragraph 7#a7--  7,a7 in the matter    

preceding subparagraph 7,a71 by striking
 ,for purposes of and all that follows  
through adult individuals and inserting 
,for purposes of subsection 7a77#eg7 and
 sections #aijc7m77#a77;,a7 and         
#aiai7;c77#b77;,e71 the requirements of 
this subsection are that a provider or  
organization 7as the case may be7       
maintain written policies and procedures
 with respect to all individuals1 and in
 the case of any minor individuals 7as  
defined in paragraph 7#d77;,b77 with    
respect to the parents and legal        
guardians of such individuals12 and     
7,b7 in subparagraph 7,a7-- 7i7 in      
clause 7i71 by striking 1 and and       
inserting a semicolon2  7ii7 in clause  
7ii71 by adding and after the semicolon2
 and  7iii7 by inserting after clause   
7ii71 the following3  7iii7 the         
provider's or organization's written    
policies respecting parental access to  
the medical records of a minor          
individual2  2  7#b7 in paragraph 7#b71 
by striking adult individual and        

inserting individual1 and in the case of
 a minor individual1 to at least #a     
parent or legal guardian of the minor   
individual2  7#c7 in paragraph 7#c71 by 
striking section and inserting          
subsection2 and  7#d7 in paragraph      
7#d7--  7,a7 by striking subsection1 the
 term and inserting 8subsection--  7,a7 
the term  2 and  7,b7 by adding at the  
end the following3  7,b7 the term minor 
individual means an individual who is an
 unemancipated individual who has not   
attained #ah years of age4  4  7b7      
,application to ,,chip ,section         
#bajg7;e77#a7 of the ,social ,security  
,act 7#db ,u4,s4,c4 #acig;gg7e77#a77 is 
amended-- 7#a7 by redesignating         
subparagraphs 7,d7 through 7,s7 as      
subparagraphs 7,e7 through 7,t71        
respectively2 and  7#b7 by inserting    
after subparagraph 7,c7 the following3  
7,d7 ,subsections 7a77#eg7 and 7w7 of   
section #aijb 7relating to maintenance  
of written policies and procedures      
respecting advance directives and       

parental access to the medical records  
of minor individuals74  4  7c7          
,effective date  7#a7 ,in general       
,subject to paragraph 7#b71 the         
amendments made by this section shall   
apply to provider agreements entered    
into or renewed on or after ,january #a1
 #bjbj4  7#b7 ,exception for state      
legislation ,in the case of a ,state    
plan under title ,,xix or ,,xxi of the  
,social ,security ,act which the        
,secretary of ,health and ,human        
,services determines requires ,state    
legislation 7other than legislation     
appropriating funds7 in order for the   
plan to meet the additional requirements
 imposed by the amendments made by this 
section1 the ,state plan shall not be   
regarded as failing to comply with the  
requirements of such title solely on the
 basis of its failure to meet these     
additional requirements before the first
 day of the first calendar quarter      
beginning after the close of the first  
regular session of the ,state           

legislature that begins after the date  
of the enactment of this ,act4