Florida Senate - 2025                      CS for CS for SB 1606
       
       
        
       By the Committees on Rules; and Health Policy; and Senators
       Grall and Bradley
       
       
       
       
       595-03792-25                                          20251606c2
    1                        A bill to be entitled                      
    2         An act relating to patient access to records; amending
    3         s. 394.4615, F.S.; requiring a mental health service
    4         provider to furnish records within a specified
    5         timeframe after receiving a request for such records;
    6         authorizing an extension of the timeframe under
    7         certain circumstances; requiring such providers to
    8         furnish records in the form and format chosen by the
    9         requester, if readily producible; amending s.
   10         395.3025, F.S.; deleting provisions requiring
   11         hospitals and ambulatory surgical centers to furnish
   12         patient records only after discharge, to conform to
   13         changes made by the act; establishing that the
   14         Department of Health, rather than the Agency for
   15         Health Care Administration, has the authority to issue
   16         subpoenas for patient records from hospitals and
   17         ambulatory surgical centers in certain circumstances;
   18         amending s. 397.501, F.S.; requiring a substance abuse
   19         service provider to furnish and provide access to
   20         records within a specified timeframe after receiving a
   21         written request from an individual or the individual’s
   22         legal representative; authorizing an extension of the
   23         timeframe under certain circumstances; requiring such
   24         service providers to furnish records in the manner
   25         chosen by the requester, if readily producible;
   26         amending s. 400.145, F.S.; revising the timeframe
   27         within which a nursing home facility must provide
   28         access to, and copies of, resident records after
   29         receiving a request for such records; republishing s.
   30         408.803(6), F.S., relating to the definition of the
   31         term “client” used in part II of ch. 408, F.S.;
   32         creating s. 408.833, F.S.; defining the terms
   33         “designated record set” and “legal representative”;
   34         requiring a provider to furnish and provide access to
   35         records within a specified timeframe after receiving a
   36         written request from a client or the client’s legal
   37         representative; authorizing an extension of the
   38         timeframe under certain circumstances; requiring
   39         providers to furnish records in the form and format
   40         chosen by the requester, if readily producible;
   41         providing exceptions for providers governed by
   42         specified provisions; amending s. 456.057, F.S.;
   43         defining the terms “designated record set” and “legal
   44         representative”; requiring certain health care
   45         practitioners to furnish and provide access to records
   46         within a specified timeframe after receiving a written
   47         request from a patient or the patient’s legal
   48         representative; authorizing an extension of the
   49         timeframe under certain circumstances; requiring
   50         health care practitioners to furnish records in the
   51         form and format chosen by the requester, if readily
   52         producible; amending ss. 316.1932, 316.1933, 395.4025,
   53         397.702, 429.294, 440.185, and 456.47, F.S.;
   54         conforming cross-references; providing an effective
   55         date.
   56          
   57  Be It Enacted by the Legislature of the State of Florida:
   58  
   59         Section 1. Present subsections (3) through (12) of section
   60  394.4615, Florida Statutes, are redesignated as subsections (4)
   61  through (13), respectively, a new subsection (3) is added to
   62  that section, and paragraphs (a), (b), and (c) of subsection (2)
   63  of that section are republished, to read:
   64         394.4615 Clinical records; confidentiality.—
   65         (2) The clinical record shall be released when:
   66         (a) The patient or the patient’s guardian or legal
   67  custodian authorizes the release. The guardian, guardian
   68  advocate, or legal custodian shall be provided access to the
   69  appropriate clinical records of the patient. The patient or the
   70  patient’s guardian, guardian advocate, or legal custodian may
   71  authorize the release of information and clinical records to
   72  appropriate persons to ensure the continuity of the patient’s
   73  health care or mental health care. A receiving facility must
   74  document that, within 24 hours of admission, individuals
   75  admitted on a voluntary basis have been provided with the option
   76  to authorize the release of information from their clinical
   77  record to the individual’s health care surrogate or proxy,
   78  attorney, representative, or other known emergency contact.
   79         (b) The patient is represented by counsel and the records
   80  are needed by the patient’s counsel for adequate representation.
   81         (c) The court orders such release. In determining whether
   82  there is good cause for disclosure, the court shall weigh the
   83  need for the information to be disclosed against the possible
   84  harm of disclosure to the person to whom such information
   85  pertains.
   86         (3)For requests made in writing and in accordance with
   87  paragraphs (2)(a), (b), and (c), a service provider shall
   88  furnish the requested clinical records in the provider’s
   89  possession within 14 business days after receiving the request.
   90  A service provider may extend the time for furnishing the
   91  requested records by up to 14 business days if the provider
   92  notifies the requester of the delay in writing within the first
   93  14 business days after receiving the request and provides the
   94  expected date when the records will be made available, which
   95  must be no later than 14 business days after the original
   96  deadline for providing the records. The records must be provided
   97  in the form and format requested by the requester if the
   98  requested records are readily producible in that form and
   99  format. If the requested records are not readily producible in
  100  the requested form or format, the service provider must produce
  101  the records in another electronic form and format agreed to by
  102  the provider and requester or in a readable hard copy format.
  103  Forms of access to records may include, but are not limited to:
  104  through a web-based application or patient portal, by secure
  105  download, via electronic copy delivered by email, on physical
  106  media such as a disc or USB drive, by United States mail, or as
  107  printed paper records.
  108         Section 2. Subsections (1), (2), and (3), paragraph (e) of
  109  subsection (4), paragraph (a) of subsection (7), and subsection
  110  (8) of section 395.3025, Florida Statutes, are amended to read:
  111         395.3025 Patient and personnel records; copy costs copies;
  112  examination.—
  113         (1) Any licensed facility shall, upon written request, and
  114  only after discharge of the patient, furnish, in a timely
  115  manner, without delays for legal review, to any person admitted
  116  therein for care and treatment or treated thereat, or to any
  117  such person’s guardian, curator, or personal representative, or
  118  in the absence of one of those persons, to the next of kin of a
  119  decedent or the parent of a minor, or to anyone designated by
  120  such person in writing, a true and correct copy of all patient
  121  records, including X rays, and insurance information concerning
  122  such person, which records are in the possession of the licensed
  123  facility, provided the person requesting such records agrees to
  124  pay a charge. The exclusive charge for copies of patient records
  125  may include sales tax and actual postage, and, except for
  126  nonpaper records that are subject to a charge not to exceed $2,
  127  may not exceed $1 per page. A fee of up to $1 may be charged for
  128  each year of records requested. These charges shall apply to all
  129  records furnished, whether directly from the facility or from a
  130  copy service providing these services on behalf of the facility.
  131  However, a patient whose records are copied or searched for the
  132  purpose of continuing to receive medical care is not required to
  133  pay a charge for copying or for the search. The licensed
  134  facility shall further allow any such person to examine the
  135  original records in its possession, or microforms or other
  136  suitable reproductions of the records, upon such reasonable
  137  terms as shall be imposed to assure that the records will not be
  138  damaged, destroyed, or altered.
  139         (2) This section does not apply to records maintained at
  140  any licensed facility the primary function of which is to
  141  provide psychiatric care to its patients, or to records of
  142  treatment for any mental or emotional condition at any other
  143  licensed facility which are governed by the provisions of s.
  144  394.4615.
  145         (3) This section does not apply to records of substance
  146  abuse impaired persons, which are governed by s. 397.501.
  147         (2)(4) Patient records are confidential and must not be
  148  disclosed without the consent of the patient or his or her legal
  149  representative, but appropriate disclosure may be made without
  150  such consent to:
  151         (e) The Department of Health agency upon subpoena issued
  152  pursuant to s. 456.071, but the records obtained thereby must be
  153  used solely for the purpose of the department agency and the
  154  appropriate professional board in its investigation,
  155  prosecution, and appeal of disciplinary proceedings. If the
  156  department agency requests copies of the records, the facility
  157  shall charge no more than its actual copying costs, including
  158  reasonable staff time. The records must be sealed and must not
  159  be available to the public pursuant to s. 119.07(1) or any other
  160  statute providing access to records, nor may they be available
  161  to the public as part of the record of investigation for and
  162  prosecution in disciplinary proceedings made available to the
  163  public by the department agency or the appropriate regulatory
  164  board. However, the department agency must make available, upon
  165  written request by a practitioner against whom probable cause
  166  has been found, any such records that form the basis of the
  167  determination of probable cause.
  168         (5)(a)(7)(a) If the content of any record of patient
  169  treatment is provided under this section, the recipient, if
  170  other than the patient or the patient’s representative, may use
  171  such information only for the purpose provided and may not
  172  further disclose any information to any other person or entity,
  173  unless expressly permitted by the written consent of the
  174  patient. A general authorization for the release of medical
  175  information is not sufficient for this purpose. The content of
  176  such patient treatment record is confidential and exempt from
  177  the provisions of s. 119.07(1) and s. 24(a), Art. I of the State
  178  Constitution.
  179         (6)(8) Patient records at hospitals and ambulatory surgical
  180  centers are exempt from disclosure under s. 119.07(1), except as
  181  provided by subsections (2) and (3) (1)-(5).
  182         Section 3. Present subsections (8), (9), and (10) of
  183  section 397.501, Florida Statutes, are redesignated as
  184  subsections (9), (10), and (11), respectively, a new subsection
  185  (8) is added to that section, and paragraph (d) of subsection
  186  (7) of that section is republished, to read:
  187         397.501 Rights of individuals.—Individuals receiving
  188  substance abuse services from any service provider are
  189  guaranteed protection of the rights specified in this section,
  190  unless otherwise expressly provided, and service providers must
  191  ensure the protection of such rights.
  192         (7) RIGHT TO CONFIDENTIALITY OF INDIVIDUAL RECORDS.—
  193         (d) Any answer to a request for a disclosure of individual
  194  records which is not permissible under this section or under the
  195  appropriate federal regulations must be made in a way that will
  196  not affirmatively reveal that an identified individual has been,
  197  or is being diagnosed or treated for substance abuse. The
  198  regulations do not restrict a disclosure that an identified
  199  individual is not and has never received services.
  200         (8) RIGHT TO ACCESS INDIVIDUAL RECORDS.—
  201         (a) For requests from an individual, or from an
  202  individual’s legal representative as that term is defined in s.
  203  456.057(6)(a), made in writing and in accordance with subsection
  204  (7), a service provider shall furnish the requested individual
  205  records in the provider’s possession within 14 business days
  206  after receiving the request. A service provider may extend the
  207  time for furnishing the requested records by up to 14 business
  208  days if the provider notifies the requester of the delay in
  209  writing within the first 14 business days after receiving the
  210  request and provides the expected date when the records will be
  211  made available, which must be no later than 14 business days
  212  after the original deadline for providing the records. The
  213  records must be provided in the form and format requested by the
  214  requester if the requested records are readily producible in
  215  that form and format. If the requested records are not readily
  216  producible in the requested form or format, the service provider
  217  must produce the records in another electronic form and format
  218  agreed to by the provider and requester or in a readable hard
  219  copy format. Forms of access to records may include, but are not
  220  limited to: through a web-based application or patient portal,
  221  by secure download, via electronic copy delivered by email, on
  222  physical media such as a disc or USB drive, by United States
  223  mail, or as printed paper records.
  224         (b)Within 10 business days after receiving such a written
  225  request, a service provider shall provide access to examine the
  226  original records in its possession, or microforms or other
  227  suitable reproductions of the records in accordance with
  228  subsection (7). The service provider may impose any reasonable
  229  terms necessary to ensure that the records will not be damaged,
  230  destroyed, or altered.
  231         Section 4. Subsection (1) of section 400.145, Florida
  232  Statutes, is amended to read:
  233         400.145 Copies of records of care and treatment of
  234  resident.—
  235         (1) Upon receipt of a written request that complies with
  236  the federal Health Insurance Portability and Accountability Act
  237  of 1996 (HIPAA) and this section, a nursing home facility shall
  238  furnish to a competent resident, or to a representative of that
  239  resident who is authorized to make requests for the resident’s
  240  records under HIPAA or subsection (2), copies of the resident’s
  241  paper and electronic records that are in possession of the
  242  facility. Such records must include any medical records and
  243  records concerning the care and treatment of the resident
  244  performed by the facility, except for progress notes and
  245  consultation report sections of a psychiatric nature. The
  246  facility shall provide a resident with access to the requested
  247  records within 24 hours, excluding weekends and holidays, and
  248  provide copies of the requested records within 2 business 14
  249  working days after receipt of a request relating to a current
  250  resident or within 30 business working days after receipt of a
  251  request relating to a former resident.
  252         Section 5. Subsection (6) of section 408.803, Florida
  253  Statutes, is republished to read:
  254         408.803 Definitions.—As used in this part, the term:
  255         (6) “Client” means any person receiving services from a
  256  provider listed in s. 408.802.
  257         Section 6. Section 408.833, Florida Statutes, is created to
  258  read:
  259         408.833Client access to medical records.—
  260         (1) As used in this section, the term:
  261         (a) “Designated record set” means a group of records
  262  maintained by or for a provider which:
  263         1. Includes the medical records and billing records about a
  264  client maintained by or for the provider; or
  265         2. Is used, in whole or in part, to make decisions
  266  regarding a client’s care, coverage, or benefits.
  267         (b) “Legal representative” means:
  268         1. A legally recognized guardian of the client;
  269         2. A court-appointed representative of the client;
  270         3. A person designated by the client or by a court of
  271  competent jurisdiction to receive copies of the client’s medical
  272  records, care and treatment records, or interdisciplinary
  273  records; or
  274         4. An attorney who has been designated by a client to
  275  receive copies of the client’s medical records, care and
  276  treatment records, or interdisciplinary records.
  277         (2)(a) Within 14 business days after receiving a written
  278  request from a client or a client’s legal representative, a
  279  provider shall furnish a true and correct copy of the requested
  280  records within the designated record set which are in the
  281  provider’s possession.
  282         (b) Within 28 business days after receiving a written
  283  request from a client or a client’s legal representative, a
  284  provider shall furnish a true and correct copy of additional
  285  requested records, including medical records, care and treatment
  286  records, and interdisciplinary records, as applicable, that are
  287  in the provider’s possession.
  288         (c) Within 10 business days after receiving a request from
  289  a client or a client’s legal representative, a provider shall
  290  provide access to examine the original records in its
  291  possession, or microforms or other suitable reproductions of the
  292  records. A provider may impose any reasonable terms necessary to
  293  ensure that the records will not be damaged, destroyed, or
  294  altered.
  295         (3) A provider may extend the time for furnishing the
  296  requested records by up to 14 business days if the provider:
  297         (a) Notifies the client or legal representative of the
  298  delay in writing within the first 14 business days after
  299  receiving the request; and
  300         (b) Provides the expected date when the records will be
  301  made available, which must be no later than 14 business days
  302  after the original deadline for providing the records.
  303         (4) The records must be provided in the form and format
  304  requested by the client or legal representative if the requested
  305  records are readily producible in that form and format. If the
  306  requested records are not readily producible in the requested
  307  form or format, the provider must produce the records in another
  308  electronic form and format agreed to by the requester and the
  309  provider or in a readable hard copy format. Forms of access to
  310  records may include, but are not limited to: through a web-based
  311  application or patient portal, by secure download, via
  312  electronic copy delivered by email, on physical media such as a
  313  disc or USB drive, by United States mail, or as printed paper
  314  records.
  315         (5) This section does not apply to:
  316         (a) Records maintained at a licensed facility as defined in
  317  s. 395.002, the primary function of which is to provide
  318  psychiatric care to its patients, or to records of treatment for
  319  any mental or emotional condition at any other licensed facility
  320  which are governed by s. 394.4615;
  321         (b) Records of substance abuse impaired persons which are
  322  governed by s. 397.501; or
  323         (c) Records of a resident of a nursing home facility which
  324  are governed by s. 400.145.
  325         Section 7. Subsection (6) of section 456.057, Florida
  326  Statutes, is amended to read:
  327         456.057 Ownership and control of patient records; report or
  328  copies of records to be furnished; disclosure of information.—
  329         (6)(a) As used in this subsection, the term:
  330         1. “Designated record set” means a group of records
  331  maintained by or for the health care practitioner which:
  332         a. Includes the medical records and billing records about a
  333  patient maintained by or for a practitioner; or
  334         b. Is used, in whole or in part, to make decisions
  335  regarding the patient’s care, coverage, or benefits.
  336         2. “Legal representative” means:
  337         a. A legally recognized guardian of the patient;
  338         b. A court-appointed representative of the patient;
  339         c. A person designated by the patient or by a court of
  340  competent jurisdiction to receive copies of the patient’s
  341  medical records, care and treatment records, or
  342  interdisciplinary records; or
  343         d. An attorney who has been designated by a patient to
  344  receive copies of the patient’s medical records, care and
  345  treatment records, or interdisciplinary records.
  346         (b)1. Within 14 business days after receiving a written Any
  347  health care practitioner licensed by the department or a board
  348  within the department who makes a physical or mental examination
  349  of, or administers treatment or dispenses legend drugs to, any
  350  person shall, upon request from a patient of such person or the
  351  patient’s person’s legal representative, a health care
  352  practitioner shall furnish a true and correct copy of the
  353  requested records within the designated record set which are in
  354  the provider’s possession.
  355         2. Within 28 business days after receiving a written
  356  request from a patient or a patient’s legal representative, a
  357  health care practitioner shall furnish a true and correct copy
  358  of additional requested records, including medical records, care
  359  and treatment records, and interdisciplinary records, as
  360  applicable, that are in the practitioner’s possession.
  361         3. Within 10 business days after receiving a request from a
  362  patient or a patient’s legal representative, a health care
  363  practitioner shall provide access to examine the original
  364  records in its possession, or microforms or other suitable
  365  reproductions of the records. A health care practitioner may
  366  impose any reasonable terms necessary to ensure that the records
  367  will not be damaged, destroyed, or altered, in a timely manner,
  368  without delays for legal review, copies of all reports and
  369  records relating to such examination or treatment, including X
  370  rays and insurance information.
  371  
  372  However, when a patient’s psychiatric, chapter 490
  373  psychological, or chapter 491 psychotherapeutic records are
  374  requested by the patient or the patient’s legal representative,
  375  the health care practitioner may provide a report of examination
  376  and treatment in lieu of copies of records. Upon a patient’s
  377  written request, complete copies of the patient’s psychiatric
  378  records shall be provided directly to a subsequent treating
  379  psychiatrist. The furnishing of such report or copies may shall
  380  not be conditioned upon payment of a fee for services rendered.
  381         (c) A health care practitioner may extend the time for
  382  furnishing the requested records by up to 14 business days if
  383  the health care practitioner:
  384         1. Notifies the patient or legal representative of the
  385  delay in writing within the first 14 business days after
  386  receiving the request; and
  387         2. Provides the expected date when the records will be made
  388  available, which must be no later than 14 business days after
  389  the original deadline for providing the records.
  390         (d) The records must be provided in the form and format
  391  requested by the patient or legal representative if the
  392  requested records are readily producible in that form and
  393  format. If the requested records are not readily producible in
  394  the requested form or format, the health care practitioner must
  395  produce the records in another electronic form and format agreed
  396  to by the requester and the practitioner or in a readable hard
  397  copy format. Forms of access to records may include, but are not
  398  limited to: through a web-based application or patient portal,
  399  by secure download, via electronic copy delivered by email, on
  400  physical media such as a disc or USB drive, by United States
  401  mail, or as printed paper records.
  402         Section 8. Paragraph (f) of subsection (1) of section
  403  316.1932, Florida Statutes, is amended to read:
  404         316.1932 Tests for alcohol, chemical substances, or
  405  controlled substances; implied consent; refusal.—
  406         (1)
  407         (f)1. The tests determining the weight of alcohol in the
  408  defendant’s blood or breath shall be administered at the request
  409  of a law enforcement officer substantially in accordance with
  410  rules of the Department of Law Enforcement. Such rules must
  411  specify precisely the test or tests that are approved by the
  412  Department of Law Enforcement for reliability of result and ease
  413  of administration, and must provide an approved method of
  414  administration which must be followed in all such tests given
  415  under this section. However, the failure of a law enforcement
  416  officer to request the withdrawal of blood does not affect the
  417  admissibility of a test of blood withdrawn for medical purposes.
  418         2.a. Only a physician, certified paramedic, registered
  419  nurse, licensed practical nurse, other personnel authorized by a
  420  hospital to draw blood, or duly licensed clinical laboratory
  421  director, supervisor, technologist, or technician, acting at the
  422  request of a law enforcement officer, may withdraw blood for the
  423  purpose of determining its alcoholic content or the presence of
  424  chemical substances or controlled substances therein. However,
  425  the failure of a law enforcement officer to request the
  426  withdrawal of blood does not affect the admissibility of a test
  427  of blood withdrawn for medical purposes.
  428         b. Notwithstanding any provision of law pertaining to the
  429  confidentiality of hospital records or other medical records, if
  430  a health care provider, who is providing medical care in a
  431  health care facility to a person injured in a motor vehicle
  432  crash, becomes aware, as a result of any blood test performed in
  433  the course of that medical treatment, that the person’s blood
  434  alcohol level meets or exceeds the blood-alcohol level specified
  435  in s. 316.193(1)(b), the health care provider may notify any law
  436  enforcement officer or law enforcement agency. Any such notice
  437  must be given within a reasonable time after the health care
  438  provider receives the test result. Any such notice shall be used
  439  only for the purpose of providing the law enforcement officer
  440  with reasonable cause to request the withdrawal of a blood
  441  sample pursuant to this section.
  442         c. The notice shall consist only of the name of the person
  443  being treated, the name of the person who drew the blood, the
  444  blood-alcohol level indicated by the test, and the date and time
  445  of the administration of the test.
  446         d. Nothing contained in s. 395.3025(2) s. 395.3025(4), s.
  447  456.057, or any applicable practice act affects the authority to
  448  provide notice under this section, and the health care provider
  449  is not considered to have breached any duty owed to the person
  450  under s. 395.3025(2) s. 395.3025(4), s. 456.057, or any
  451  applicable practice act by providing notice or failing to
  452  provide notice. It shall not be a breach of any ethical, moral,
  453  or legal duty for a health care provider to provide notice or
  454  fail to provide notice.
  455         e. A civil, criminal, or administrative action may not be
  456  brought against any person or health care provider participating
  457  in good faith in the provision of notice or failure to provide
  458  notice as provided in this section. Any person or health care
  459  provider participating in the provision of notice or failure to
  460  provide notice as provided in this section shall be immune from
  461  any civil or criminal liability and from any professional
  462  disciplinary action with respect to the provision of notice or
  463  failure to provide notice under this section. Any such
  464  participant has the same immunity with respect to participating
  465  in any judicial proceedings resulting from the notice or failure
  466  to provide notice.
  467         3. The person tested may, at his or her own expense, have a
  468  physician, registered nurse, other personnel authorized by a
  469  hospital to draw blood, or duly licensed clinical laboratory
  470  director, supervisor, technologist, or technician, or other
  471  person of his or her own choosing administer an independent test
  472  in addition to the test administered at the direction of the law
  473  enforcement officer for the purpose of determining the amount of
  474  alcohol in the person’s blood or breath or the presence of
  475  chemical substances or controlled substances at the time
  476  alleged, as shown by chemical analysis of his or her blood or
  477  urine, or by chemical or physical test of his or her breath. The
  478  failure or inability to obtain an independent test by a person
  479  does not preclude the admissibility in evidence of the test
  480  taken at the direction of the law enforcement officer. The law
  481  enforcement officer shall not interfere with the person’s
  482  opportunity to obtain the independent test and shall provide the
  483  person with timely telephone access to secure the test, but the
  484  burden is on the person to arrange and secure the test at the
  485  person’s own expense.
  486         4. Upon the request of the person tested, full information
  487  concerning the results of the test taken at the direction of the
  488  law enforcement officer shall be made available to the person or
  489  his or her attorney. Full information is limited to the
  490  following:
  491         a. The type of test administered and the procedures
  492  followed.
  493         b. The time of the collection of the blood or breath sample
  494  analyzed.
  495         c. The numerical results of the test indicating the alcohol
  496  content of the blood and breath.
  497         d. The type and status of any permit issued by the
  498  Department of Law Enforcement which was held by the person who
  499  performed the test.
  500         e. If the test was administered by means of a breath
  501  testing instrument, the date of performance of the most recent
  502  required inspection of such instrument.
  503  
  504  Full information does not include manuals, schematics, or
  505  software of the instrument used to test the person or any other
  506  material that is not in the actual possession of the state.
  507  Additionally, full information does not include information in
  508  the possession of the manufacturer of the test instrument.
  509         5. A hospital, clinical laboratory, medical clinic, or
  510  similar medical institution or physician, certified paramedic,
  511  registered nurse, licensed practical nurse, other personnel
  512  authorized by a hospital to draw blood, or duly licensed
  513  clinical laboratory director, supervisor, technologist, or
  514  technician, or other person assisting a law enforcement officer
  515  does not incur any civil or criminal liability as a result of
  516  the withdrawal or analysis of a blood or urine specimen, or the
  517  chemical or physical test of a person’s breath pursuant to
  518  accepted medical standards when requested by a law enforcement
  519  officer, regardless of whether or not the subject resisted
  520  administration of the test.
  521         Section 9. Paragraph (a) of subsection (2) of section
  522  316.1933, Florida Statutes, is amended to read:
  523         316.1933 Blood test for impairment or intoxication in cases
  524  of death or serious bodily injury; right to use reasonable
  525  force.—
  526         (2)(a) Only a physician, certified paramedic, registered
  527  nurse, licensed practical nurse, other personnel authorized by a
  528  hospital to draw blood, or duly licensed clinical laboratory
  529  director, supervisor, technologist, or technician, acting at the
  530  request of a law enforcement officer, may withdraw blood for the
  531  purpose of determining the alcoholic content thereof or the
  532  presence of chemical substances or controlled substances
  533  therein. However, the failure of a law enforcement officer to
  534  request the withdrawal of blood shall not affect the
  535  admissibility of a test of blood withdrawn for medical purposes.
  536         1. Notwithstanding any provision of law pertaining to the
  537  confidentiality of hospital records or other medical records, if
  538  a health care provider, who is providing medical care in a
  539  health care facility to a person injured in a motor vehicle
  540  crash, becomes aware, as a result of any blood test performed in
  541  the course of that medical treatment, that the person’s blood
  542  alcohol level meets or exceeds the blood-alcohol level specified
  543  in s. 316.193(1)(b), the health care provider may notify any law
  544  enforcement officer or law enforcement agency. Any such notice
  545  must be given within a reasonable time after the health care
  546  provider receives the test result. Any such notice shall be used
  547  only for the purpose of providing the law enforcement officer
  548  with reasonable cause to request the withdrawal of a blood
  549  sample pursuant to this section.
  550         2. The notice shall consist only of the name of the person
  551  being treated, the name of the person who drew the blood, the
  552  blood-alcohol level indicated by the test, and the date and time
  553  of the administration of the test.
  554         3. Nothing contained in s. 395.3025(2) s. 395.3025(4), s.
  555  456.057, or any applicable practice act affects the authority to
  556  provide notice under this section, and the health care provider
  557  is not considered to have breached any duty owed to the person
  558  under s. 395.3025(2) s. 395.3025(4), s. 456.057, or any
  559  applicable practice act by providing notice or failing to
  560  provide notice. It shall not be a breach of any ethical, moral,
  561  or legal duty for a health care provider to provide notice or
  562  fail to provide notice.
  563         4. A civil, criminal, or administrative action may not be
  564  brought against any person or health care provider participating
  565  in good faith in the provision of notice or failure to provide
  566  notice as provided in this section. Any person or health care
  567  provider participating in the provision of notice or failure to
  568  provide notice as provided in this section shall be immune from
  569  any civil or criminal liability and from any professional
  570  disciplinary action with respect to the provision of notice or
  571  failure to provide notice under this section. Any such
  572  participant has the same immunity with respect to participating
  573  in any judicial proceedings resulting from the notice or failure
  574  to provide notice.
  575         Section 10. Subsection (13) of section 395.4025, Florida
  576  Statutes, is amended to read:
  577         395.4025 Trauma centers; selection; quality assurance;
  578  records.—
  579         (13) Patient care, transport, or treatment records or
  580  reports, or patient care quality assurance proceedings, records,
  581  or reports obtained or made pursuant to this section, s.
  582  395.3025(2)(f) s. 395.3025(4)(f), s. 395.401, s. 395.4015, s.
  583  395.402, s. 395.403, s. 395.404, s. 395.4045, s. 395.405, s.
  584  395.50, or s. 395.51 must be held confidential by the department
  585  or its agent and are exempt from the provisions of s. 119.07(1).
  586  Patient care quality assurance proceedings, records, or reports
  587  obtained or made pursuant to these sections are not subject to
  588  discovery or introduction into evidence in any civil or
  589  administrative action.
  590         Section 11. Paragraph (c) of subsection (2) of section
  591  397.702, Florida Statutes, is amended to read:
  592         397.702 Authorization of local ordinances for treatment of
  593  habitual abusers in licensed secure facilities.—
  594         (2) Ordinances for the treatment of habitual abusers must
  595  provide:
  596         (c) That the court with jurisdiction to make the
  597  determination authorized by this section shall hear the petition
  598  on an emergency basis as soon as practicable but not later than
  599  10 days after the date the petition was filed. If the
  600  allegations of the petition indicate that the respondent has
  601  requested the appointment of an attorney, or otherwise indicate
  602  the absence of any competent person to speak at the hearing on
  603  behalf of the respondent, the court shall immediately appoint an
  604  attorney to represent the respondent pursuant to s. 397.501(9)
  605  s. 397.501(8), and shall provide notice of the hearing to the
  606  attorney. When the court sets a hearing date the petitioner
  607  shall provide notice of the hearing and a copy of the petition
  608  to all of the persons named in the petition pursuant to
  609  subparagraph (b)2., and to such other persons as may be ordered
  610  by the court to receive notice.
  611         Section 12. Subsection (1) of section 429.294, Florida
  612  Statutes, is amended to read:
  613         429.294 Availability of facility records for investigation
  614  of resident’s rights violations and defenses; penalty.—
  615         (1) Failure to provide complete copies of a resident’s
  616  records, including, but not limited to, all medical records and
  617  the resident’s chart, within the control or possession of the
  618  facility in accordance with s. 408.833 s. 400.145, shall
  619  constitute evidence of failure of that party to comply with good
  620  faith discovery requirements and shall waive the good faith
  621  certificate and presuit notice requirements under this part by
  622  the requesting party.
  623         Section 13. Subsection (4) of section 440.185, Florida
  624  Statutes, is amended to read:
  625         440.185 Notice of injury or death; reports; penalties for
  626  violations.—
  627         (4) Additional reports with respect to such injury and of
  628  the condition of such employee, including copies of medical
  629  reports, funeral expenses, and wage statements, shall be filed
  630  by the employer or carrier to the department at such times and
  631  in such manner as the department may prescribe by rule. In
  632  carrying out its responsibilities under this chapter, the
  633  department or agency may by rule provide for the obtaining of
  634  any medical records relating to medical treatment provided
  635  pursuant to this chapter, notwithstanding the provisions of ss.
  636  90.503 and 395.3025(2) 395.3025(4).
  637         Section 14. Subsection (3) of section 456.47, Florida
  638  Statutes, is amended to read:
  639         456.47 Use of telehealth to provide services.—
  640         (3) RECORDS.—A telehealth provider shall document in the
  641  patient’s medical record the health care services rendered using
  642  telehealth according to the same standard as used for in-person
  643  services. Medical records, including video, audio, electronic,
  644  or other records generated as a result of providing such
  645  services, are confidential pursuant to ss. 395.3025(2) and
  646  456.057 ss. 395.3025(4) and 456.057.
  647         Section 15. This act shall take effect January 1, 2026.