(a) If a patient of a health care provider as defined in § 671-1, requests copies of the patient’s medical records, the copies shall be made available to the patient unless, in the opinion of the health care provider, it would be detrimental to the health of the patient to obtain the records. If the health care provider is of the opinion that release of the records to the patient would be detrimental to the health of the patient, the health care provider shall advise the patient that copies of the records will be made available to the patient’s attorney upon presentation of a proper authorization signed by the patient.
Terms Used In Hawaii Revised Statutes 622-57
- Affidavit: A written statement of facts confirmed by the oath of the party making it, before a notary or officer having authority to administer oaths.
- Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
- Guardian: A person legally empowered and charged with the duty of taking care of and managing the property of another person who because of age, intellect, or health, is incapable of managing his (her) own affairs.
If no personal representative has been appointed, the deceased person’s next of kin in order of superseding priority, without court order, may obtain copies of or may authorize the health care provider to release copies of the deceased person’s medical records, except as otherwise provided in this subsection and subsections (d) and (e). A deceased person’s next of kin possesses superseding priority when all kin ranked higher in the order listed in the definition of “deceased person’s next of kin” are deceased or incapacitated. When there are multiple persons at the same level of superseding priority, all such persons shall be entitled to request and obtain the records. The person claiming to be next of kin of a deceased person and requesting the deceased person’s medical records shall submit to the medical provider from whom the records are requested, an affidavit attesting to status as next of kin with superseding priority. The medical provider may rely upon the affidavit, and in so doing, shall be immune to any claims relating to release of the medical records.
(d) Notwithstanding applicable state confidentiality laws governing the following types of specially protected health information, a health care provider may honor, in whole or in part, a request by the deceased person’s next of kin for release of medical records if the medical records of the deceased person contain references pertaining to any of the following types of specially protected health information:
(1) HIV infection, AIDS, or AIDS-related complex;
(2) Diagnosis or treatment of a mental illness; or
(3) Participation in a substance abuse treatment program.
(e) A health care provider shall refuse a request by the deceased person’s next of kin for release of medical records if the deceased person had previously indicated to the medical provider in writing that the person did not wish to have medical records released to next of kin.
(f) Notwithstanding subsections (c) through (e), any medical records of a deceased person may be produced pursuant to a court order specifically compelling release.
(g) Reasonable costs incurred by a health care provider in making copies of medical records shall be borne by the requesting person.
(h) For the purposes of this section:
“Deceased person’s next of kin” means a person with the following relationship to the deceased person:
(1) The spouse or reciprocal beneficiary;
(6) A guardian at the time of death.
“Personal representative” shall have the meaning provided in § 560:1-201.
