| 1 | A bill to be entitled |
| 2 | An act relating to a review under the Open Government |
| 3 | Sunset Review Act regarding medical records and health |
| 4 | records; amending s. 119.0712, F.S., which provides an |
| 5 | exemption from public records requirements for personal |
| 6 | identifying information, bank account numbers, and debit, |
| 7 | charge, and credit card numbers contained in records |
| 8 | relating to an individual's personal health or eligibility |
| 9 | for health-related services; expanding the exemption to |
| 10 | include medical records or health records held by an |
| 11 | agency; providing for retroactive application of the |
| 12 | exemption; reorganizing the exemption; providing for |
| 13 | future review and repeal; providing a statement of public |
| 14 | necessity; providing an effective date. |
| 15 |
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| 16 | Be It Enacted by the Legislature of the State of Florida: |
| 17 |
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| 18 | Section 1. Subsection (1) of section 119.0712, Florida |
| 19 | Statutes, is redesignated as paragraph (g) of subsection (5) of |
| 20 | section 119.071, Florida Statutes, and amended to read: |
| 21 | 119.071 General exemptions from inspection or copying of |
| 22 | public records.-- |
| 23 | (5) OTHER PERSONAL INFORMATION.-- |
| 24 | (g)1.(1) DEPARTMENT OF HEALTH.--Medical records or health |
| 25 | records All personal identifying information; bank account |
| 26 | numbers; and debit, charge, and credit card numbers contained in |
| 27 | records relating to an individual's personal health or |
| 28 | eligibility for health-related services held by an agency |
| 29 | before, on, or after October 1, 2006, the Department of Health |
| 30 | are confidential and exempt from s. 119.07(1) and s. 24(a), Art. |
| 31 | I of the State Constitution, except as otherwise provided in |
| 32 | this subsection. |
| 33 | 2. Except as otherwise provided by law, medical records or |
| 34 | health records information made confidential and exempt by this |
| 35 | subsection shall be disclosed: |
| 36 | a.(a) With the express written consent of the individual |
| 37 | or the individual's legally authorized representative. |
| 38 | b.(b) In a medical emergency, but only to the extent |
| 39 | necessary to protect the health or life of the individual. |
| 40 | c.(c) By court order upon a showing of good cause. |
| 41 | d.(d) To a health research entity performing research of |
| 42 | scientific merit, if the request is not an administrative burden |
| 43 | for the agency and the entity enters into a data-use agreement |
| 44 | with the agency. The data-use agreement must provide that the |
| 45 | entity will: |
| 46 | (I) Use seeks the records or data pursuant to a research |
| 47 | protocol approved by the agency and a human studies |
| 48 | institutional review board. department, |
| 49 | (II) Not permit the identification of persons. |
| 50 | (III) Not use the records for any other purpose. |
| 51 | (IV) Not conduct intrusive follow-back contacts. |
| 52 | (V) Maintain Maintains the records or data in accordance |
| 53 | with the approved protocol. |
| 54 | (VI) Acknowledge that the copies of records issued |
| 55 | pursuant to this subparagraph are the property of the agency. |
| 56 | (VII) Destroy the records after the research is concluded. |
| 57 | (VIII) Notify the agency in writing once the entity has |
| 58 | destroyed the records., and |
| 59 | (IX) Pay the copying fees provided in enters into a |
| 60 | purchase and data-use agreement with the department, the fee |
| 61 | provisions of which are consistent with s. 119.07(4). The |
| 62 | department may deny a request for records or data if the |
| 63 | protocol provides for intrusive follow-back contacts, has not |
| 64 | been approved by a human studies institutional review board, |
| 65 | does not plan for the destruction of confidential records after |
| 66 | the research is concluded, is administratively burdensome, or |
| 67 | does not have scientific merit. The agreement must restrict the |
| 68 | release of any information that would permit the identification |
| 69 | of persons, limit the use of records or data to the approved |
| 70 | research protocol, and prohibit any other use of the records or |
| 71 | data. Copies of records or data issued pursuant to this |
| 72 | paragraph remain the property of the department. |
| 73 | 3. This paragraph subsection is subject to the Open |
| 74 | Government Sunset Review Act in accordance with s. 119.15 and |
| 75 | shall stand repealed on October 2, 2011 2006, unless reviewed |
| 76 | and saved from repeal through reenactment by the Legislature. |
| 77 | Section 2. The Legislature finds that it is a public |
| 78 | necessity that medical records or health records held by an |
| 79 | agency before, on, or after October 1, 2006, be made |
| 80 | confidential and exempt from public records requirements, with |
| 81 | certain exceptions. Matters of personal health are traditionally |
| 82 | private and confidential concerns between the patient and the |
| 83 | health care provider. The private and confidential nature of |
| 84 | personal health matters pervades both the public and private |
| 85 | health care sectors. For these reasons, the individual's |
| 86 | expectation of and right to privacy in all matters regarding his |
| 87 | or her personal health necessitates this exemption. The |
| 88 | Legislature further finds it is a public necessity to protect a |
| 89 | person's medical records or health records held by an agency |
| 90 | because the release of such records could be defamatory to the |
| 91 | person or could cause unwarranted damage to the name or |
| 92 | reputation of the person. |
| 93 | Section 3. This act shall take effect October 1, 2006. |