,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #cacg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #ai1 #bjai,mr4
 ,lee 7= himself1 ,mr4 ,lank=d1 ,mr4    
,cram]1 & ,mr4 ,braun7 introduc$ !      
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,f9ance  ,a ,,bill   
,to am5d titles ,,xix & ,,xxi ( !       
,social ,security ,act to require       
hospitals & c]ta9 o!r p>ticipat+        
provid]s "u ,m$icaid or ! ,*ildr5's     
,heal? ,insurance ,program to disclose !
 provid]'s policy on p>5tal access to ! 
m$ical records ( m9ors1 & = o!r         
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,p>5tal ,"r to ,"k ,act4   
#b4 ,p>5tal access to m$ical records    
disclosure requirem5ts "u ,m$icaid &    
,,*ip  7a7 ,m$icaid ,section #aijb7w7 ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acif;a7w77 is am5d$-- 7#a7 9 p>agraph  
7#a7--  7,a7 9 ! matt] prec$+           
subp>agraph 7,a71 by /rik+ ,= purposes (
 & all t foll[s ?r\gh adult individuals 
& ins]t+ ,= purposes ( subsection       

7a77#eg7 & sections #aijc7m77#a77;,a7 & 
#aiai7;c77#b77;,e71 ! requirem5ts ( ?is 
subsection are t a provid] or           
organization 7z ! case may be7 ma9ta9   
writt5 policies & proc$ures ) respect to
 all individuals1 & 9 ! case ( any m9or 
individuals 7z def9$ 9 p>agraph         
7#d77;,b77 ) respect to ! p>5ts & legal 
gu>dians ( su* individuals12 &  7,b7 9  
subp>agraph 7,a7-- 7i7 9 clause 7i71 by 
/rik+ 1 & & ins]t+ a semicolon2  7ii7 9 
clause 7ii71 by add+ & aft] ! semicolon2
 &  7iii7 by ins]t+ aft] clause 7ii71 ! 
foll[+3  7iii7 ! provid]'s or           
organization's writt5 policies respect+ 
p>5tal access to ! m$ical records ( a   
m9or individual2  2  7#b7 9 p>agraph    
7#b71 by /rik+ adult individual & ins]t+
 individual1 & 9 ! case ( a m9or        
individual1 to at lea/ #a p>5t or legal 
gu>dian ( ! m9or individual2  7#c7 9    
p>agraph 7#c71 by /rik+ section & ins]t+
 subsection2 &  7#d7 9 p>agraph 7#d7--  
7,a7 by /rik+ subsection1 ! t]m & ins]t+
 8subsection--  7,a7 ! t]m  2 &  7,b7 by

 add+ at ! end ! foll[+3  7,b7 ! t]m    
m9or individual means an individual :o  
is an unemancipat$ individual :o has n  
atta9$ #ah ye>s ( age4  4  7b7          
,application to ,,*ip ,section          
#bajg7;e77#a7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acig;gg7e77#a77 is     
am5d$-- 7#a7 by r$esignat+ subp>agraphs 
7,d7 ?r\gh 7,s7 z subp>agraphs 7,e7     
?r\gh 7,t71 respectively2 &  7#b7 by    
ins]t+ aft] subp>agraph 7,c7 ! foll[+3  
7,d7 ,subsections 7a77#eg7 & 7w7 (      
section #aijb 7relat+ to ma9t5ance (    
writt5 policies & proc$ures respect+    
advance directives & p>5tal access to ! 
m$ical records ( m9or individuals74  4  
7c7 ,effective date  7#a7 ,9 g5]al      
,subject to p>agraph 7#b71 ! am5dm5ts   
made by ?is section %all apply to       
provid] agreem5ts ent]$ into or r5ew$ on
 or aft] ,janu>y #a1 #bjbj4  7#b7       
,exception = /ate legislation ,9 ! case 
( a ,/ate plan "u title ,,xix or ,,xxi (
 ! ,social ,security ,act :i* !         
,secret>y ( ,heal? & ,human ,s]vices    

det]m9es requires ,/ate legislation 7o!r
 ?an legislation appropriat+ funds7 9   
ord] = ! plan to meet ! additional      
requirem5ts impos$ by ! am5dm5ts made by
 ?is section1 ! ,/ate plan %all n be    
reg>d$ z fail+ to comply ) ! requirem5ts
 ( su* title solely on ! basis ( its    
failure to meet ^! additional           
requirem5ts be=e ! fir/ day ( ! fir/    
cal5d> qu>t] beg9n+ aft] ! close ( !    
fir/ regul> session ( ! ,/ate           
legislature t beg9s aft] ! date ( !     
enactm5t ( ?is ,act4