Florida Senate - 2025                        COMMITTEE AMENDMENT
       Bill No. CS for SB 1606
       
       
       
       
       
       
                                Ì6671080Î667108                         
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  04/21/2025           .                                
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       The Committee on Rules (Grall) recommended the following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Delete everything after the enacting clause
    4  and insert:
    5         Section 1. Present subsections (3) through (12) of section
    6  394.4615, Florida Statutes, are redesignated as subsections (4)
    7  through (13), respectively, a new subsection (3) is added to
    8  that section, and paragraphs (a), (b), and (c) of subsection (2)
    9  of that section are republished, to read:
   10         394.4615 Clinical records; confidentiality.—
   11         (2) The clinical record shall be released when:
   12         (a) The patient or the patient’s guardian or legal
   13  custodian authorizes the release. The guardian, guardian
   14  advocate, or legal custodian shall be provided access to the
   15  appropriate clinical records of the patient. The patient or the
   16  patient’s guardian, guardian advocate, or legal custodian may
   17  authorize the release of information and clinical records to
   18  appropriate persons to ensure the continuity of the patient’s
   19  health care or mental health care. A receiving facility must
   20  document that, within 24 hours of admission, individuals
   21  admitted on a voluntary basis have been provided with the option
   22  to authorize the release of information from their clinical
   23  record to the individual’s health care surrogate or proxy,
   24  attorney, representative, or other known emergency contact.
   25         (b) The patient is represented by counsel and the records
   26  are needed by the patient’s counsel for adequate representation.
   27         (c) The court orders such release. In determining whether
   28  there is good cause for disclosure, the court shall weigh the
   29  need for the information to be disclosed against the possible
   30  harm of disclosure to the person to whom such information
   31  pertains.
   32         (3)For requests made in writing and in accordance with
   33  paragraphs (2)(a), (b), and (c), a service provider shall
   34  furnish the requested clinical records in the provider’s
   35  possession within 14 business days after receiving the request.
   36  A service provider may extend the time for furnishing the
   37  requested records by up to 14 business days if the provider
   38  notifies the requester of the delay in writing within the first
   39  14 business days after receiving the request and provides the
   40  expected date when the records will be made available, which
   41  must be no later than 14 business days after the original
   42  deadline for providing the records. The records must be provided
   43  in the form and format requested by the service provider or
   44  requester if the requested records are readily producible in
   45  that form and format. If the requested records are not readily
   46  producible in the requested form or format, the service provider
   47  must produce the records in another electronic form and format
   48  agreed to by the provider and requester or in a readable hard
   49  copy format. Forms of access to records may include, but are not
   50  limited to: through a web-based application or patient portal,
   51  by secure download, via electronic copy delivered by email, on
   52  physical media such as a disc or USB drive, by United States
   53  mail, or as printed paper records.
   54         Section 2. Subsections (1), (2), and (3), paragraph (e) of
   55  subsection (4), paragraph (a) of subsection (7), and subsection
   56  (8) of section 395.3025, Florida Statutes, are amended to read:
   57         395.3025 Patient and personnel records; copy costs copies;
   58  examination.—
   59         (1) Any licensed facility shall, upon written request, and
   60  only after discharge of the patient, furnish, in a timely
   61  manner, without delays for legal review, to any person admitted
   62  therein for care and treatment or treated thereat, or to any
   63  such person’s guardian, curator, or personal representative, or
   64  in the absence of one of those persons, to the next of kin of a
   65  decedent or the parent of a minor, or to anyone designated by
   66  such person in writing, a true and correct copy of all patient
   67  records, including X rays, and insurance information concerning
   68  such person, which records are in the possession of the licensed
   69  facility, provided the person requesting such records agrees to
   70  pay a charge. The exclusive charge for copies of patient records
   71  may include sales tax and actual postage, and, except for
   72  nonpaper records that are subject to a charge not to exceed $2,
   73  may not exceed $1 per page. A fee of up to $1 may be charged for
   74  each year of records requested. These charges shall apply to all
   75  records furnished, whether directly from the facility or from a
   76  copy service providing these services on behalf of the facility.
   77  However, a patient whose records are copied or searched for the
   78  purpose of continuing to receive medical care is not required to
   79  pay a charge for copying or for the search. The licensed
   80  facility shall further allow any such person to examine the
   81  original records in its possession, or microforms or other
   82  suitable reproductions of the records, upon such reasonable
   83  terms as shall be imposed to assure that the records will not be
   84  damaged, destroyed, or altered.
   85         (2) This section does not apply to records maintained at
   86  any licensed facility the primary function of which is to
   87  provide psychiatric care to its patients, or to records of
   88  treatment for any mental or emotional condition at any other
   89  licensed facility which are governed by the provisions of s.
   90  394.4615.
   91         (3) This section does not apply to records of substance
   92  abuse impaired persons, which are governed by s. 397.501.
   93         (2)(4) Patient records are confidential and must not be
   94  disclosed without the consent of the patient or his or her legal
   95  representative, but appropriate disclosure may be made without
   96  such consent to:
   97         (e) The Department of Health agency upon subpoena issued
   98  pursuant to s. 456.071, but the records obtained thereby must be
   99  used solely for the purpose of the department agency and the
  100  appropriate professional board in its investigation,
  101  prosecution, and appeal of disciplinary proceedings. If the
  102  department agency requests copies of the records, the facility
  103  shall charge no more than its actual copying costs, including
  104  reasonable staff time. The records must be sealed and must not
  105  be available to the public pursuant to s. 119.07(1) or any other
  106  statute providing access to records, nor may they be available
  107  to the public as part of the record of investigation for and
  108  prosecution in disciplinary proceedings made available to the
  109  public by the department agency or the appropriate regulatory
  110  board. However, the department agency must make available, upon
  111  written request by a practitioner against whom probable cause
  112  has been found, any such records that form the basis of the
  113  determination of probable cause.
  114         (5)(a)(7)(a) If the content of any record of patient
  115  treatment is provided under this section, the recipient, if
  116  other than the patient or the patient’s representative, may use
  117  such information only for the purpose provided and may not
  118  further disclose any information to any other person or entity,
  119  unless expressly permitted by the written consent of the
  120  patient. A general authorization for the release of medical
  121  information is not sufficient for this purpose. The content of
  122  such patient treatment record is confidential and exempt from
  123  the provisions of s. 119.07(1) and s. 24(a), Art. I of the State
  124  Constitution.
  125         (6)(8) Patient records at hospitals and ambulatory surgical
  126  centers are exempt from disclosure under s. 119.07(1), except as
  127  provided by subsections (2) and (3) (1)-(5).
  128         Section 3. Present subsections (8), (9), and (10) of
  129  section 397.501, Florida Statutes, are redesignated as
  130  subsections (9), (10), and (11), respectively, a new subsection
  131  (8) is added to that section, and paragraph (d) of subsection
  132  (7) of that section is republished, to read:
  133         397.501 Rights of individuals.—Individuals receiving
  134  substance abuse services from any service provider are
  135  guaranteed protection of the rights specified in this section,
  136  unless otherwise expressly provided, and service providers must
  137  ensure the protection of such rights.
  138         (7) RIGHT TO CONFIDENTIALITY OF INDIVIDUAL RECORDS.—
  139         (d) Any answer to a request for a disclosure of individual
  140  records which is not permissible under this section or under the
  141  appropriate federal regulations must be made in a way that will
  142  not affirmatively reveal that an identified individual has been,
  143  or is being diagnosed or treated for substance abuse. The
  144  regulations do not restrict a disclosure that an identified
  145  individual is not and has never received services.
  146         (8) RIGHT TO ACCESS INDIVIDUAL RECORDS.—
  147         (a) For requests from an individual, or from an
  148  individual’s legal representative as that term is defined in s.
  149  456.057(6)(a), made in writing and in accordance with subsection
  150  (7), a service provider shall furnish the requested individual
  151  records in the provider’s possession within 14 business days
  152  after receiving the request. A service provider may extend the
  153  time for furnishing the requested records by up to 14 business
  154  days if the provider notifies the requester of the delay in
  155  writing within the first 14 business days after receiving the
  156  request and provides the expected date when the records will be
  157  made available, which must be no later than 14 business days
  158  after the original deadline for providing the records. The
  159  records must be provided in the form and format requested by the
  160  service provider or requester if the requested records are
  161  readily producible in that form and format. If the requested
  162  records are not readily producible in the requested form or
  163  format, the service provider must produce the records in another
  164  electronic form and format agreed to by the provider and
  165  requester or in a readable hard copy format. Forms of access to
  166  records may include, but are not limited to: through a web-based
  167  application or patient portal, by secure download, via
  168  electronic copy delivered by email, on physical media such as a
  169  disc or USB drive, by United States mail, or as printed paper
  170  records.
  171         (b)Within 10 business days after receiving such a written
  172  request, a service provider shall provide access to examine the
  173  original records in its possession, or microforms or other
  174  suitable reproductions of the records in accordance with
  175  subsection (7). The service provider may impose any reasonable
  176  terms necessary to ensure that the records will not be damaged,
  177  destroyed, or altered.
  178         Section 4. Subsection (1) of section 400.145, Florida
  179  Statutes, is amended to read:
  180         400.145 Copies of records of care and treatment of
  181  resident.—
  182         (1) Upon receipt of a written request that complies with
  183  the federal Health Insurance Portability and Accountability Act
  184  of 1996 (HIPAA) and this section, a nursing home facility shall
  185  furnish to a competent resident, or to a representative of that
  186  resident who is authorized to make requests for the resident’s
  187  records under HIPAA or subsection (2), copies of the resident’s
  188  paper and electronic records that are in possession of the
  189  facility. Such records must include any medical records and
  190  records concerning the care and treatment of the resident
  191  performed by the facility, except for progress notes and
  192  consultation report sections of a psychiatric nature. The
  193  facility shall provide a resident with access to the requested
  194  records within 24 hours, excluding weekends and holidays, and
  195  provide copies of the requested records within 2 business 14
  196  working days after receipt of a request relating to a current
  197  resident or within 30 business working days after receipt of a
  198  request relating to a former resident.
  199         Section 5. Subsection (6) of section 408.803, Florida
  200  Statutes, is republished to read:
  201         408.803 Definitions.—As used in this part, the term:
  202         (6) “Client” means any person receiving services from a
  203  provider listed in s. 408.802.
  204         Section 6. Section 408.833, Florida Statutes, is created to
  205  read:
  206         408.833Client access to medical records.—
  207         (1) As used in this section, the term:
  208         (a) “Designated record set” means a group of records
  209  maintained by or for a provider which:
  210         1. Includes the medical records and billing records about a
  211  client maintained by or for the provider; or
  212         2. Is used, in whole or in part, to make decisions
  213  regarding a client’s care, coverage, or benefits.
  214         (b) “Legal representative” means:
  215         1. A legally recognized guardian of the client;
  216         2. A court-appointed representative of the client;
  217         3. A person designated by the client or by a court of
  218  competent jurisdiction to receive copies of the client’s medical
  219  records, care and treatment records, or interdisciplinary
  220  records; or
  221         4. An attorney who has been designated by a client to
  222  receive copies of the client’s medical records, care and
  223  treatment records, or interdisciplinary records.
  224         (2)(a) Within 14 business days after receiving a written
  225  request from a client or a client’s legal representative, a
  226  provider shall furnish a true and correct copy of the requested
  227  records within the designated record set which are in the
  228  provider’s possession.
  229         (b) Within 28 business days after receiving a written
  230  request from a client or a client’s legal representative, a
  231  provider shall furnish a true and correct copy of additional
  232  requested records, including medical records, care and treatment
  233  records, and interdisciplinary records, as applicable, that are
  234  in the provider’s possession.
  235         (c) Within 10 business days after receiving a request from
  236  a client or a client’s legal representative, a provider shall
  237  provide access to examine the original records in its
  238  possession, or microforms or other suitable reproductions of the
  239  records. A provider may impose any reasonable terms necessary to
  240  ensure that the records will not be damaged, destroyed, or
  241  altered.
  242         (3) A provider may extend the time for furnishing the
  243  requested records by up to 14 business days if the provider:
  244         (a) Notifies the client or legal representative of the
  245  delay in writing within the first 14 business days after
  246  receiving the request; and
  247         (b) Provides the expected date when the records will be
  248  made available, which must be no later than 14 business days
  249  after the original deadline for providing the records.
  250         (4) The records must be provided in the form and format
  251  requested by the client or legal representative if the requested
  252  records are readily producible in that form and format. If the
  253  requested records are not readily producible in the requested
  254  form or format, the provider must produce the records in another
  255  electronic form and format agreed to by the requester and the
  256  provider or in a readable hard copy format. Forms of access to
  257  records may include, but are not limited to: through a web-based
  258  application or patient portal, by secure download, via
  259  electronic copy delivered by email, on physical media such as a
  260  disc or USB drive, by United States mail, or as printed paper
  261  records.
  262         (5) This section does not apply to:
  263         (a) Records maintained at a licensed facility as defined in
  264  s. 395.002, the primary function of which is to provide
  265  psychiatric care to its patients, or to records of treatment for
  266  any mental or emotional condition at any other licensed facility
  267  which are governed by s. 394.4615;
  268         (b) Records of substance abuse impaired persons which are
  269  governed by s. 397.501; or
  270         (c) Records of a resident of a nursing home facility which
  271  are governed by s. 400.145.
  272         Section 7. Subsection (6) of section 456.057, Florida
  273  Statutes, is amended to read:
  274         456.057 Ownership and control of patient records; report or
  275  copies of records to be furnished; disclosure of information.—
  276         (6)(a) As used in this subsection, the term:
  277         1. “Designated record set” means a group of records
  278  maintained by or for the health care practitioner which:
  279         a. Includes the medical records and billing records about a
  280  patient maintained by or for a practitioner; or
  281         b. Is used, in whole or in part, to make decisions
  282  regarding the patient’s care, coverage, or benefits.
  283         2. “Legal representative” means:
  284         a. A legally recognized guardian of the patient;
  285         b. A court-appointed representative of the patient;
  286         c. A person designated by the patient or by a court of
  287  competent jurisdiction to receive copies of the patient’s
  288  medical records, care and treatment records, or
  289  interdisciplinary records; or
  290         d. An attorney who has been designated by a patient to
  291  receive copies of the client’s medical records, care and
  292  treatment records, or interdisciplinary records.
  293         (b)1. Within 14 business days after receiving a written Any
  294  health care practitioner licensed by the department or a board
  295  within the department who makes a physical or mental examination
  296  of, or administers treatment or dispenses legend drugs to, any
  297  person shall, upon request from a patient of such person or the
  298  patient’s person’s legal representative, a health care
  299  practitioner shall furnish a true and correct copy of the
  300  requested records within the designated record set which are in
  301  the provider’s possession.
  302         2. Within 28 business days after receiving a written
  303  request from a client or a client’s legal representative, a
  304  health care practitioner shall furnish a true and correct copy
  305  of additional requested records, including medical records, care
  306  and treatment records, and interdisciplinary records, as
  307  applicable, that are in the practitioner’s possession.
  308         3. Within 10 business days after receiving a request from a
  309  client or a client’s legal representative, a health care
  310  practitioner shall provide access to examine the original
  311  records in its possession, or microforms or other suitable
  312  reproductions of the records. A health care practitioner may
  313  impose any reasonable terms necessary to ensure that the records
  314  will not be damaged, destroyed, or altered, in a timely manner,
  315  without delays for legal review, copies of all reports and
  316  records relating to such examination or treatment, including X
  317  rays and insurance information.
  318  
  319  However, when a patient’s psychiatric, chapter 490
  320  psychological, or chapter 491 psychotherapeutic records are
  321  requested by the patient or the patient’s legal representative,
  322  the health care practitioner may provide a report of examination
  323  and treatment in lieu of copies of records. Upon a patient’s
  324  written request, complete copies of the patient’s psychiatric
  325  records shall be provided directly to a subsequent treating
  326  psychiatrist. The furnishing of such report or copies may shall
  327  not be conditioned upon payment of a fee for services rendered.
  328         (c) A health care practitioner may extend the time for
  329  furnishing the requested records by up to 14 business days if
  330  the health care practitioner:
  331         1. Notifies the patient or legal representative of the
  332  delay in writing within the first 14 business days after
  333  receiving the request; and
  334         2. Provides the expected date when the records will be made
  335  available, which must be no later than 14 business days after
  336  the original deadline for providing the records.
  337         (d) The records must be provided in the form and format
  338  requested by the patient or legal representative if the
  339  requested records are readily producible in that form and
  340  format. If the requested records are not readily producible in
  341  the requested form or format, the health care practitioner must
  342  produce the records in another electronic form and format agreed
  343  to by the requester and the practitioner or in a readable hard
  344  copy format. Forms of access to records may include, but are not
  345  limited to: through a web-based application or patient portal,
  346  by secure download, via electronic copy delivered by email, on
  347  physical media such as a disc or USB drive, by United States
  348  mail, or as printed paper records.
  349         Section 8. Paragraph (f) of subsection (1) of section
  350  316.1932, Florida Statutes, is amended to read:
  351         316.1932 Tests for alcohol, chemical substances, or
  352  controlled substances; implied consent; refusal.—
  353         (1)
  354         (f)1. The tests determining the weight of alcohol in the
  355  defendant’s blood or breath shall be administered at the request
  356  of a law enforcement officer substantially in accordance with
  357  rules of the Department of Law Enforcement. Such rules must
  358  specify precisely the test or tests that are approved by the
  359  Department of Law Enforcement for reliability of result and ease
  360  of administration, and must provide an approved method of
  361  administration which must be followed in all such tests given
  362  under this section. However, the failure of a law enforcement
  363  officer to request the withdrawal of blood does not affect the
  364  admissibility of a test of blood withdrawn for medical purposes.
  365         2.a. Only a physician, certified paramedic, registered
  366  nurse, licensed practical nurse, other personnel authorized by a
  367  hospital to draw blood, or duly licensed clinical laboratory
  368  director, supervisor, technologist, or technician, acting at the
  369  request of a law enforcement officer, may withdraw blood for the
  370  purpose of determining its alcoholic content or the presence of
  371  chemical substances or controlled substances therein. However,
  372  the failure of a law enforcement officer to request the
  373  withdrawal of blood does not affect the admissibility of a test
  374  of blood withdrawn for medical purposes.
  375         b. Notwithstanding any provision of law pertaining to the
  376  confidentiality of hospital records or other medical records, if
  377  a health care provider, who is providing medical care in a
  378  health care facility to a person injured in a motor vehicle
  379  crash, becomes aware, as a result of any blood test performed in
  380  the course of that medical treatment, that the person’s blood
  381  alcohol level meets or exceeds the blood-alcohol level specified
  382  in s. 316.193(1)(b), the health care provider may notify any law
  383  enforcement officer or law enforcement agency. Any such notice
  384  must be given within a reasonable time after the health care
  385  provider receives the test result. Any such notice shall be used
  386  only for the purpose of providing the law enforcement officer
  387  with reasonable cause to request the withdrawal of a blood
  388  sample pursuant to this section.
  389         c. The notice shall consist only of the name of the person
  390  being treated, the name of the person who drew the blood, the
  391  blood-alcohol level indicated by the test, and the date and time
  392  of the administration of the test.
  393         d. Nothing contained in s. 395.3025(2) s. 395.3025(4), s.
  394  456.057, or any applicable practice act affects the authority to
  395  provide notice under this section, and the health care provider
  396  is not considered to have breached any duty owed to the person
  397  under s. 395.3025(2) s. 395.3025(4), s. 456.057, or any
  398  applicable practice act by providing notice or failing to
  399  provide notice. It shall not be a breach of any ethical, moral,
  400  or legal duty for a health care provider to provide notice or
  401  fail to provide notice.
  402         e. A civil, criminal, or administrative action may not be
  403  brought against any person or health care provider participating
  404  in good faith in the provision of notice or failure to provide
  405  notice as provided in this section. Any person or health care
  406  provider participating in the provision of notice or failure to
  407  provide notice as provided in this section shall be immune from
  408  any civil or criminal liability and from any professional
  409  disciplinary action with respect to the provision of notice or
  410  failure to provide notice under this section. Any such
  411  participant has the same immunity with respect to participating
  412  in any judicial proceedings resulting from the notice or failure
  413  to provide notice.
  414         3. The person tested may, at his or her own expense, have a
  415  physician, registered nurse, other personnel authorized by a
  416  hospital to draw blood, or duly licensed clinical laboratory
  417  director, supervisor, technologist, or technician, or other
  418  person of his or her own choosing administer an independent test
  419  in addition to the test administered at the direction of the law
  420  enforcement officer for the purpose of determining the amount of
  421  alcohol in the person’s blood or breath or the presence of
  422  chemical substances or controlled substances at the time
  423  alleged, as shown by chemical analysis of his or her blood or
  424  urine, or by chemical or physical test of his or her breath. The
  425  failure or inability to obtain an independent test by a person
  426  does not preclude the admissibility in evidence of the test
  427  taken at the direction of the law enforcement officer. The law
  428  enforcement officer shall not interfere with the person’s
  429  opportunity to obtain the independent test and shall provide the
  430  person with timely telephone access to secure the test, but the
  431  burden is on the person to arrange and secure the test at the
  432  person’s own expense.
  433         4. Upon the request of the person tested, full information
  434  concerning the results of the test taken at the direction of the
  435  law enforcement officer shall be made available to the person or
  436  his or her attorney. Full information is limited to the
  437  following:
  438         a. The type of test administered and the procedures
  439  followed.
  440         b. The time of the collection of the blood or breath sample
  441  analyzed.
  442         c. The numerical results of the test indicating the alcohol
  443  content of the blood and breath.
  444         d. The type and status of any permit issued by the
  445  Department of Law Enforcement which was held by the person who
  446  performed the test.
  447         e. If the test was administered by means of a breath
  448  testing instrument, the date of performance of the most recent
  449  required inspection of such instrument.
  450  
  451  Full information does not include manuals, schematics, or
  452  software of the instrument used to test the person or any other
  453  material that is not in the actual possession of the state.
  454  Additionally, full information does not include information in
  455  the possession of the manufacturer of the test instrument.
  456         5. A hospital, clinical laboratory, medical clinic, or
  457  similar medical institution or physician, certified paramedic,
  458  registered nurse, licensed practical nurse, other personnel
  459  authorized by a hospital to draw blood, or duly licensed
  460  clinical laboratory director, supervisor, technologist, or
  461  technician, or other person assisting a law enforcement officer
  462  does not incur any civil or criminal liability as a result of
  463  the withdrawal or analysis of a blood or urine specimen, or the
  464  chemical or physical test of a person’s breath pursuant to
  465  accepted medical standards when requested by a law enforcement
  466  officer, regardless of whether or not the subject resisted
  467  administration of the test.
  468         Section 9. Paragraph (a) of subsection (2) of section
  469  316.1933, Florida Statutes, is amended to read:
  470         316.1933 Blood test for impairment or intoxication in cases
  471  of death or serious bodily injury; right to use reasonable
  472  force.—
  473         (2)(a) Only a physician, certified paramedic, registered
  474  nurse, licensed practical nurse, other personnel authorized by a
  475  hospital to draw blood, or duly licensed clinical laboratory
  476  director, supervisor, technologist, or technician, acting at the
  477  request of a law enforcement officer, may withdraw blood for the
  478  purpose of determining the alcoholic content thereof or the
  479  presence of chemical substances or controlled substances
  480  therein. However, the failure of a law enforcement officer to
  481  request the withdrawal of blood shall not affect the
  482  admissibility of a test of blood withdrawn for medical purposes.
  483         1. Notwithstanding any provision of law pertaining to the
  484  confidentiality of hospital records or other medical records, if
  485  a health care provider, who is providing medical care in a
  486  health care facility to a person injured in a motor vehicle
  487  crash, becomes aware, as a result of any blood test performed in
  488  the course of that medical treatment, that the person’s blood
  489  alcohol level meets or exceeds the blood-alcohol level specified
  490  in s. 316.193(1)(b), the health care provider may notify any law
  491  enforcement officer or law enforcement agency. Any such notice
  492  must be given within a reasonable time after the health care
  493  provider receives the test result. Any such notice shall be used
  494  only for the purpose of providing the law enforcement officer
  495  with reasonable cause to request the withdrawal of a blood
  496  sample pursuant to this section.
  497         2. The notice shall consist only of the name of the person
  498  being treated, the name of the person who drew the blood, the
  499  blood-alcohol level indicated by the test, and the date and time
  500  of the administration of the test.
  501         3. Nothing contained in s. 395.3025(2) s. 395.3025(4), s.
  502  456.057, or any applicable practice act affects the authority to
  503  provide notice under this section, and the health care provider
  504  is not considered to have breached any duty owed to the person
  505  under s. 395.3025(2) s. 395.3025(4), s. 456.057, or any
  506  applicable practice act by providing notice or failing to
  507  provide notice. It shall not be a breach of any ethical, moral,
  508  or legal duty for a health care provider to provide notice or
  509  fail to provide notice.
  510         4. A civil, criminal, or administrative action may not be
  511  brought against any person or health care provider participating
  512  in good faith in the provision of notice or failure to provide
  513  notice as provided in this section. Any person or health care
  514  provider participating in the provision of notice or failure to
  515  provide notice as provided in this section shall be immune from
  516  any civil or criminal liability and from any professional
  517  disciplinary action with respect to the provision of notice or
  518  failure to provide notice under this section. Any such
  519  participant has the same immunity with respect to participating
  520  in any judicial proceedings resulting from the notice or failure
  521  to provide notice.
  522         Section 10. Subsection (13) of section 395.4025, Florida
  523  Statutes, is amended to read:
  524         395.4025 Trauma centers; selection; quality assurance;
  525  records.—
  526         (13) Patient care, transport, or treatment records or
  527  reports, or patient care quality assurance proceedings, records,
  528  or reports obtained or made pursuant to this section, s.
  529  395.3025(2)(f) s. 395.3025(4)(f), s. 395.401, s. 395.4015, s.
  530  395.402, s. 395.403, s. 395.404, s. 395.4045, s. 395.405, s.
  531  395.50, or s. 395.51 must be held confidential by the department
  532  or its agent and are exempt from the provisions of s. 119.07(1).
  533  Patient care quality assurance proceedings, records, or reports
  534  obtained or made pursuant to these sections are not subject to
  535  discovery or introduction into evidence in any civil or
  536  administrative action.
  537         Section 11. Paragraph (c) of subsection (2) of section
  538  397.702, Florida Statutes, is amended to read:
  539         397.702 Authorization of local ordinances for treatment of
  540  habitual abusers in licensed secure facilities.—
  541         (2) Ordinances for the treatment of habitual abusers must
  542  provide:
  543         (c) That the court with jurisdiction to make the
  544  determination authorized by this section shall hear the petition
  545  on an emergency basis as soon as practicable but not later than
  546  10 days after the date the petition was filed. If the
  547  allegations of the petition indicate that the respondent has
  548  requested the appointment of an attorney, or otherwise indicate
  549  the absence of any competent person to speak at the hearing on
  550  behalf of the respondent, the court shall immediately appoint an
  551  attorney to represent the respondent pursuant to s. 397.501(9)
  552  s. 397.501(8), and shall provide notice of the hearing to the
  553  attorney. When the court sets a hearing date the petitioner
  554  shall provide notice of the hearing and a copy of the petition
  555  to all of the persons named in the petition pursuant to
  556  subparagraph (b)2., and to such other persons as may be ordered
  557  by the court to receive notice.
  558         Section 12. Subsection (1) of section 429.294, Florida
  559  Statutes, is amended to read:
  560         429.294 Availability of facility records for investigation
  561  of resident’s rights violations and defenses; penalty.—
  562         (1) Failure to provide complete copies of a resident’s
  563  records, including, but not limited to, all medical records and
  564  the resident’s chart, within the control or possession of the
  565  facility in accordance with s. 408.833 s. 400.145, shall
  566  constitute evidence of failure of that party to comply with good
  567  faith discovery requirements and shall waive the good faith
  568  certificate and presuit notice requirements under this part by
  569  the requesting party.
  570         Section 13. Subsection (4) of section 440.185, Florida
  571  Statutes, is amended to read:
  572         440.185 Notice of injury or death; reports; penalties for
  573  violations.—
  574         (4) Additional reports with respect to such injury and of
  575  the condition of such employee, including copies of medical
  576  reports, funeral expenses, and wage statements, shall be filed
  577  by the employer or carrier to the department at such times and
  578  in such manner as the department may prescribe by rule. In
  579  carrying out its responsibilities under this chapter, the
  580  department or agency may by rule provide for the obtaining of
  581  any medical records relating to medical treatment provided
  582  pursuant to this chapter, notwithstanding the provisions of ss.
  583  90.503 and 395.3025(2) 395.3025(4).
  584         Section 14. Subsection (3) of section 456.47, Florida
  585  Statutes, is amended to read:
  586         456.47 Use of telehealth to provide services.—
  587         (3) RECORDS.—A telehealth provider shall document in the
  588  patient’s medical record the health care services rendered using
  589  telehealth according to the same standard as used for in-person
  590  services. Medical records, including video, audio, electronic,
  591  or other records generated as a result of providing such
  592  services, are confidential pursuant to ss. 395.3025(2) and
  593  456.057 ss. 395.3025(4) and 456.057.
  594         Section 15. This act shall take effect January 1, 2026.
  595  
  596  ================= T I T L E  A M E N D M E N T ================
  597  And the title is amended as follows:
  598         Delete everything before the enacting clause
  599  and insert:
  600                        A bill to be entitled                      
  601         An act relating to patient access to records; amending
  602         s. 394.4615, F.S.; requiring a mental health service
  603         provider to furnish records within a specified
  604         timeframe after receiving a request for such records;
  605         authorizing an extension of the timeframe under
  606         certain circumstances; requiring such providers to
  607         furnish records in the form and format chosen by the
  608         requester, if readily producible; amending s.
  609         395.3025, F.S.; deleting provisions requiring
  610         hospitals and ambulatory surgical centers to furnish
  611         patient records only after discharge, to conform to
  612         changes made by the act; establishing that the
  613         Department of Health, rather than the Agency for
  614         Health Care Administration, has the authority to issue
  615         subpoenas for patient records from hospitals and
  616         ambulatory surgical centers in certain circumstances;
  617         amending s. 397.501, F.S.; requiring a substance abuse
  618         service provider to furnish and provide access to
  619         records within a specified timeframe after receiving a
  620         written request from an individual or the individual’s
  621         legal representative; authorizing an extension of the
  622         timeframe under certain circumstances; requiring such
  623         service providers to furnish records in the manner
  624         chosen by the requester, if readily producible;
  625         amending s. 400.145, F.S.; revising the timeframe
  626         within which a nursing home facility must provide
  627         access to, and copies of, resident records after
  628         receiving a request for such records; republishing s.
  629         408.803(6), F.S., relating to the definition of the
  630         term “client” used in part II of ch. 408, F.S.;
  631         creating s. 408.833, F.S.; defining the terms
  632         “designated record set” and “legal representative”;
  633         requiring a provider to furnish and provide access to
  634         records within a specified timeframe after receiving a
  635         written request from a client or the client’s legal
  636         representative; authorizing an extension of the
  637         timeframe under certain circumstances; requiring
  638         providers to furnish records in the form and format
  639         chosen by the requester, if readily producible;
  640         providing exceptions for providers governed by
  641         specified provisions; amending s. 456.057, F.S.;
  642         defining the terms “designated record set” and “legal
  643         representative”; requiring certain health care
  644         practitioners to furnish and provide access to records
  645         within a specified timeframe after receiving a written
  646         request from a patient or the patient’s legal
  647         representative; authorizing an extension of the
  648         timeframe under certain circumstances; requiring
  649         health care practitioners to furnish records in the
  650         form and format chosen by the requester, if readily
  651         producible; amending ss. 316.1932, 316.1933, 395.4025,
  652         397.702, 429.294, 440.185, and 456.47, F.S.;
  653         conforming cross-references; providing an effective
  654         date.