26B-8-514.  Standard health record access form.

(1)  As used in this section:

Terms Used In Utah Code 26B-8-514

(a)  “HIPAA” means the Health Insurance Portability and Accountability Act of 1996, Pub. L. No. 104-191, 110 Stat. 1936, as amended.

(b)  “Patient” means the individual whose information is being requested.

(c)  “Personal representative” means an individual described in 45 C.F.R. § 164.502(g).

(2)  Before December 31, 2022, the department shall create a standard form that:

(a)  is compliant with HIPAA and 42 C.F.R. part 2; and

(b)  a patient or a patient’s personal representative may use to request that a copy of the patient’s health records be sent to any of the following:

(i)  the patient;

(ii)  the patient’s personal representative;

(iii)  the patient’s attorney; or

(iv)  a third party authorized by the patient.

(3)  The form described in Subsection (2) shall include fields for:

(a)  the patient’s name;

(b)  the patient’s date of birth;

(c)  the patient’s phone number;

(d)  the patient’s address;

(e) 

(i)  the patient’s signature and date of signature, which may not require notarization; or

(ii)  the signature of the patient’s personal representative and date of signature, which may not require notarization;

(f)  the name, address, and phone number of the person to which the information will be disclosed;

(g)  the records requested, including whether the patient is requesting paper or electronic records;

(h)  the duration of time the authorization is valid; and

(i)  the dates of service requested.

(4)  The form described in Subsection (2) shall include the following options for the field described in Subsection (3)(g):

(a)  history and physical examination records;

(b)  treatment plans;

(c)  emergency room records;

(d)  radiology and lab reports;

(e)  operative reports;

(f)  pathology reports;

(g)  consultations;

(h)  discharge summary;

(i)  outpatient clinic records and progress notes;

(j)  behavioral health evaluation;

(k)  behavioral health discharge summary;

(l)  mental health therapy records;

(m)  financial information including an itemized billing statement;

(n)  health insurance claim form;

(o)  billing form; and

(p)  other.

Renumbered and Amended by Chapter 306, 2023 General Session

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