Florida Senate - 2026                                    SB 1140
       
       
        
       By Senator Grall
       
       
       
       
       
       29-01081-26                                           20261140__
    1                        A bill to be entitled                      
    2         An act relating to patient access to records; amending
    3         s. 394.4615, F.S.; requiring mental health service
    4         providers to furnish clinical records in accordance
    5         with specified requirements and within a specified
    6         timeframe after receiving a written request for such
    7         records; providing construction; amending s. 395.3025,
    8         F.S.; revising provisions related to the release of
    9         patient records by hospitals and ambulatory surgical
   10         centers to conform to changes made by the act;
   11         requiring such providers to furnish patient records in
   12         accordance with specified requirements and within a
   13         specified timeframe after receiving a written request;
   14         providing construction; establishing that the
   15         Department of Health, rather than the Agency for
   16         Health Care Administration, has the authority to issue
   17         subpoenas for patient records from hospitals and
   18         ambulatory surgical centers in certain circumstances;
   19         amending s. 397.501, F.S.; requiring substance abuse
   20         service providers to furnish clinical records in
   21         accordance with specified requirements and within a
   22         specified timeframe after receiving a written request;
   23         providing construction; amending s. 400.145, F.S.;
   24         revising the timeframe within which a nursing home
   25         facility must provide access to, and copies of,
   26         resident records after receiving a request for such
   27         records; creating s. 408.833, F.S.; defining terms;
   28         requiring licensed providers to furnish and provide
   29         access to client records within specified timeframes
   30         after receiving a written request from a client or the
   31         client’s legal representative; requiring providers to
   32         furnish the client’s protected health information in
   33         the form and format chosen by the requester, if
   34         readily producible, or, if not readily producible, in
   35         another mutually agreeable readable form; providing
   36         exceptions for providers governed by other specified
   37         provisions; amending s. 456.057, F.S.; defining the
   38         terms “designated record set” and “legal
   39         representative”; requiring health care practitioners
   40         to furnish and provide access to patient records
   41         within specified timeframes after receiving a written
   42         request from a patient or the patient’s legal
   43         representative; requiring health care practitioners to
   44         furnish records in the form and format chosen by the
   45         requester, if readily producible, or, if not readily
   46         producible, in another mutually agreeable readable
   47         form; amending ss. 316.1932, 316.1933, 395.4025,
   48         397.702, 429.294, 440.185, and 456.47, F.S.;
   49         conforming provisions to changes made by the act;
   50         providing an effective date.
   51          
   52  Be It Enacted by the Legislature of the State of Florida:
   53  
   54         Section 1. Present subsections (3) through (12) of section
   55  394.4615, Florida Statutes, are redesignated as subsections (4)
   56  through (13), respectively, a new subsection (3) is added to
   57  that section, and paragraphs (a), (b), and (c) of subsection (2)
   58  of that section are republished, to read:
   59         394.4615 Clinical records; confidentiality.—
   60         (2) The clinical record shall be released when:
   61         (a) The patient or the patient’s guardian or legal
   62  custodian authorizes the release. The guardian, guardian
   63  advocate, or legal custodian shall be provided access to the
   64  appropriate clinical records of the patient. The patient or the
   65  patient’s guardian, guardian advocate, or legal custodian may
   66  authorize the release of information and clinical records to
   67  appropriate persons to ensure the continuity of the patient’s
   68  health care or mental health care. A receiving facility must
   69  document that, within 24 hours of admission, individuals
   70  admitted on a voluntary basis have been provided with the option
   71  to authorize the release of information from their clinical
   72  record to the individual’s health care surrogate or proxy,
   73  attorney, representative, or other known emergency contact.
   74         (b) The patient is represented by counsel and the records
   75  are needed by the patient’s counsel for adequate representation.
   76         (c) The court orders such release. In determining whether
   77  there is good cause for disclosure, the court shall weigh the
   78  need for the information to be disclosed against the possible
   79  harm of disclosure to the person to whom such information
   80  pertains.
   81         (3) For requests made in writing and pursuant to paragraph
   82  (2)(a), paragraph (2)(b), or paragraph (2)(c), a service
   83  provider shall furnish the requested clinical records in
   84  accordance with all of the following requirements:
   85         (a)As specified in 45 C.F.R. s. 164.524(a), the patient or
   86  his or her legal representative must be given the opportunity to
   87  inspect and obtain a copy of the patient’s protected health
   88  information in a designated record set, as defined in and s.
   89  408.833 and 45 C.F.R. s. 164.501.
   90         (b)As specified in 45 C.F.R. s. 164.524(b)(2), the records
   91  must be furnished within 30 calendar days after the request is
   92  received.
   93         (c)The protected health information must be provided in
   94  the form and format requested, if readily producible, including
   95  electronic form if maintained electronically; otherwise, it must
   96  be provided in a mutually agreeable readable form and format as
   97  required under 45 C.F.R. s. 164.524(c)(2).
   98         (d)As provided in 45 C.F.R. s. 164.524(c)(4), the provider
   99  may impose a reasonable, cost-based fee that may only include
  100  coverage of the following costs:
  101         1.Labor for copying the protected health information,
  102  whether in paper or electronic form.
  103         2.Supplies for creating the copy, including electronic
  104  media if the individual requested the electronic copy be
  105  provided on portable media.
  106         3.Postage, if the copy or the summary under subparagraph
  107  4. is mailed.
  108         4.Preparation of a summary or explanation of the protected
  109  health information, if agreed to in advance.
  110         (e)The fees for electronic copies of protected health
  111  information are limited to $6.50 per request, inclusive of
  112  labor, supplies, and postage costs in accordance with 45 C.F.R.
  113  s. 164.524(c)(4). Per-page fees are prohibited for electronic
  114  records and may apply when protected health information is
  115  maintained exclusively on paper and remains in that form, in
  116  which case the per-page fee may not exceed $1 per page inclusive
  117  of labor, supplies, and postage costs. A fee may not be charged
  118  for accessing protected health information that is accessed
  119  through an electronic patient portal with view and download
  120  functionality. Covered entities shall inform the patient or the
  121  patient’s legal representative in advance of the estimated fee
  122  and may provide a publicly available fee schedule. Fees may not
  123  be charged for administrative or outsourcing costs.
  124  
  125  In accordance with 45 C.F.R. ss. 160.202 and 160.203, to the
  126  extent that this section provides greater rights for free access
  127  to patient records or imposes lower fees for gaining such access
  128  than those provided pursuant to federal laws or regulations,
  129  this section supersedes those federal laws and regulations, but
  130  only to that extent.
  131         Section 2. Subsections (1), (2), and (3), paragraph (e) of
  132  subsection (4), paragraph (a) of subsection (7), and subsection
  133  (8) of section 395.3025, Florida Statutes, are amended to read:
  134         395.3025 Patient and personnel records; copies;
  135  examination.—
  136         (1) For requests made in writing, a licensed facility must
  137  furnish the requested patient records in accordance with all of
  138  the following requirements:
  139         (a)As specified in 45 C.F.R. s. 164.524(a), the patient or
  140  his or her legal representative must be given the opportunity to
  141  inspect and obtain a copy of the patient’s protected health
  142  information in a designated record set, as defined in s. 408.833
  143  and 45 C.F.R. s. 164.501.
  144         (b)As specified in 45 C.F.R. s. 164.524(b)(2), the records
  145  must be furnished within 30 calendar days after the request is
  146  received.
  147         (c)The protected health information must be provided in
  148  the form and format requested, if readily producible, including
  149  electronic form if maintained electronically; otherwise, it must
  150  be provided in a mutually agreeable readable form and format as
  151  required under 45 C.F.R. s. 164.524(c)(2).
  152         (d)As provided in 45 C.F.R. s. 164.524(c)(4), the licensed
  153  facility may impose a reasonable, cost-based fee that may only
  154  include coverage of the following costs:
  155         1.Labor for copying the protected health information,
  156  whether in paper or electronic form.
  157         2.Supplies for creating the copy, including electronic
  158  media if the individual requested the electronic copy be
  159  provided on portable media.
  160         3.Postage, if the copy or the summary under subparagraph
  161  4. is mailed.
  162         4.Preparation of a summary or explanation of the protected
  163  health information, if agreed to in advance.
  164         (e)The fees for electronic copies of protected health
  165  information are limited to $6.50 per request, inclusive of
  166  labor, supplies, and postage costs in accordance with 45 C.F.R.
  167  s. 164.524(c)(4). Per-page fees are prohibited for electronic
  168  records and may apply when protected health information is
  169  maintained exclusively on paper and remains in that form, in
  170  which case the per-page fee may not exceed $1 per page inclusive
  171  of labor, supplies, and postage costs. A fee may not be charged
  172  for accessing protected health information that is accessed
  173  through an electronic patient portal with view and download
  174  functionality. Licensed facilities shall inform the patient or
  175  the patient’s legal representative in advance of the estimated
  176  fee and may provide a publicly available fee schedule. Licensed
  177  facilities may not charge fees for administrative or outsourcing
  178  costs.
  179  
  180  In accordance with 45 C.F.R. ss. 160.202 and 160.203, to the
  181  extent that this section provides greater rights for free access
  182  to patient records or imposes lower fees for gaining such access
  183  than those provided pursuant to federal laws or regulations,
  184  this section supersedes those federal laws and regulations, but
  185  only to that extent Any licensed facility shall, upon written
  186  request, and only after discharge of the patient, furnish, in a
  187  timely manner, without delays for legal review, to any person
  188  admitted therein for care and treatment or treated thereat, or
  189  to any such person’s guardian, curator, or personal
  190  representative, or in the absence of one of those persons, to
  191  the next of kin of a decedent or the parent of a minor, or to
  192  anyone designated by such person in writing, a true and correct
  193  copy of all patient records, including X rays, and insurance
  194  information concerning such person, which records are in the
  195  possession of the licensed facility, provided the person
  196  requesting such records agrees to pay a charge. The exclusive
  197  charge for copies of patient records may include sales tax and
  198  actual postage, and, except for nonpaper records that are
  199  subject to a charge not to exceed $6.50 $2, may not exceed $1
  200  per page. A fee of up to $1 may be charged for each year of
  201  records requested. These charges shall apply to all records
  202  furnished, whether directly from the facility or from a copy
  203  service providing these services on behalf of the facility.
  204  However, a patient whose records are copied or searched for the
  205  purpose of continuing to receive medical care is not required to
  206  pay a charge for copying or for the search. The licensed
  207  facility shall further allow any such person to examine the
  208  original records in its possession, or microforms or other
  209  suitable reproductions of the records, upon such reasonable
  210  terms as shall be imposed to assure that the records will not be
  211  damaged, destroyed, or altered.
  212         (2) This section does not apply to records maintained at
  213  any licensed facility the primary function of which is to
  214  provide psychiatric care to its patients, or to records of
  215  treatment for any mental or emotional condition at any other
  216  licensed facility which are governed by the provisions of s.
  217  394.4615.
  218         (3) This section does not apply to records of substance
  219  abuse impaired persons, which are governed by s. 397.501.
  220         (4) Patient records are confidential and must not be
  221  disclosed without the consent of the patient or his or her legal
  222  representative, but appropriate disclosure may be made without
  223  such consent to:
  224         (e) The Department of Health agency upon subpoena issued
  225  pursuant to s. 456.071, but the records obtained thereby must be
  226  used solely for the purpose of the department agency and the
  227  appropriate professional board in its investigation,
  228  prosecution, and appeal of disciplinary proceedings. If the
  229  department agency requests copies of the records, the facility
  230  may not shall charge no more than its actual copying costs,
  231  including reasonable staff time. The records must be sealed and
  232  must not be available to the public pursuant to s. 119.07(1) or
  233  any other statute providing access to records, nor may they be
  234  available to the public as part of the record of investigation
  235  for and prosecution in disciplinary proceedings made available
  236  to the public by the department agency or the appropriate
  237  regulatory board. However, the department agency must make
  238  available, upon written request by a practitioner against whom
  239  probable cause has been found, any such records that form the
  240  basis of the determination of probable cause.
  241         (5)(a)(7)(a) If the content of any record of patient
  242  treatment is provided under this section, the recipient, if
  243  other than the patient or the patient’s representative, may use
  244  such information only for the purpose provided and may not
  245  further disclose any information to any other person or entity,
  246  unless expressly permitted by the written consent of the
  247  patient. A general authorization for the release of medical
  248  information is not sufficient for this purpose. The content of
  249  such patient treatment record is confidential and exempt from
  250  the provisions of s. 119.07(1) and s. 24(a), Art. I of the State
  251  Constitution.
  252         (6)(8) Patient records at hospitals and ambulatory surgical
  253  centers are exempt from disclosure under s. 119.07(1), except as
  254  provided by subsections (2) and (3) (1)-(5).
  255         Section 3. Present subsections (8), (9), and (10) of
  256  section 397.501, Florida Statutes, are redesignated as
  257  subsections (9), (10), and (11), respectively, a new subsection
  258  (8) is added to that section, and paragraph (d) of subsection
  259  (7) of that section is republished, to read:
  260         397.501 Rights of individuals.—Individuals receiving
  261  substance abuse services from any service provider are
  262  guaranteed protection of the rights specified in this section,
  263  unless otherwise expressly provided, and service providers must
  264  ensure the protection of such rights.
  265         (7) RIGHT TO CONFIDENTIALITY OF INDIVIDUAL RECORDS.—
  266         (d) Any answer to a request for a disclosure of individual
  267  records which is not permissible under this section or under the
  268  appropriate federal regulations must be made in a way that will
  269  not affirmatively reveal that an identified individual has been,
  270  or is being diagnosed or treated for substance abuse. The
  271  regulations do not restrict a disclosure that an identified
  272  individual is not and has never received services.
  273         (8) RIGHT TO ACCESS INDIVIDUAL RECORDS.
  274         (a)For requests made in writing, a service provider must
  275  furnish the requested clinical records of an individual in
  276  accordance with all of the following requirements:
  277         1.As specified in 45 C.F.R. s. 164.524(a), the individual
  278  or his or her legal representative must be given the opportunity
  279  to inspect and obtain a copy of the individual’s protected
  280  health information in a designated record set, as defined in s.
  281  408.833 and 45 C.F.R. s. 164.501.
  282         2.As specified in 45 C.F.R. s. 164.524(b)(2), the records
  283  must be furnished within 30 calendar days after the request is
  284  received.
  285         3.The protected health information must be provided in the
  286  form and format requested, if readily producible, including
  287  electronic form if maintained electronically; otherwise, it must
  288  be provided in a mutually agreeable readable form and format as
  289  required under 45 C.F.R. s. 164.524(c)(2).
  290         4.As provided in 45 C.F.R. s. 164.524(c)(4), the service
  291  provider may impose a reasonable, cost-based fee that may only
  292  include coverage of the following costs:
  293         a.Labor for copying the protected health information,
  294  whether in paper or electronic form.
  295         b.Supplies for creating the copy, including electronic
  296  media if the individual requested the electronic copy be
  297  provided on portable media.
  298         c.Postage, if the copy or the summary under sub
  299  subparagraph d. is mailed.
  300         d.Preparation of a summary or explanation of the protected
  301  health information, if agreed to in advance.
  302         5.The fees for electronic copies of protected health
  303  information are limited to $6.50 per request, inclusive of
  304  labor, supplies, and postage costs in accordance with 45 C.F.R.
  305  s. 164.524(c)(4). Per-page fees are prohibited for electronic
  306  records and may apply when protected health information is
  307  maintained exclusively on paper and remains in that form, in
  308  which case the per-page fee may not exceed $1 per page inclusive
  309  of labor, supplies, and postage costs. A fee may not be charged
  310  for accessing protected health information that is accessed
  311  through an electronic patient portal with view and download
  312  functionality. Service providers shall inform the individual or
  313  the individual’s legal representative in advance of the
  314  estimated fee being imposed and may provide a publicly available
  315  fee schedule. Service providers may not charge fees for
  316  administrative or outsourcing costs.
  317         (b)Within 10 business days after receiving such a written
  318  request, a service provider must provide access to examine the
  319  original records in its possession, or microforms or other
  320  suitable reproductions of the records, in accordance with
  321  subsection (7). The service provider may impose any reasonable
  322  terms necessary to ensure that the records will not be damaged,
  323  destroyed, or altered.
  324         (c)In accordance with 45 C.F.R. ss. 160.202 and 160.203,
  325  to the extent that this subsection provides greater rights for
  326  free access to clinical records or imposes lower fees for
  327  gaining such access than those provided pursuant to federal laws
  328  or regulations, the provisions of this subsection supersede
  329  those federal laws and regulations, but only to that extent.
  330         Section 4. Subsection (1) of section 400.145, Florida
  331  Statutes, is amended to read:
  332         400.145 Copies of records of care and treatment of
  333  resident.—
  334         (1) Upon receipt of a written request that complies with
  335  the federal Health Insurance Portability and Accountability Act
  336  of 1996 (HIPAA) and this section, a nursing home facility shall
  337  furnish to a competent resident, or to a representative of that
  338  resident who is authorized to make requests for the resident’s
  339  records under HIPAA or subsection (2), copies of the resident’s
  340  paper and electronic records that are in possession of the
  341  facility. Such records must include any medical records and
  342  records concerning the care and treatment of the resident
  343  performed by the facility, except for progress notes and
  344  consultation report sections of a psychiatric nature. The
  345  facility shall provide a resident with access to the requested
  346  records within 24 hours, excluding weekends and holidays, and
  347  provide copies of the requested records within 2 business 14
  348  working days after receipt of a request relating to a current
  349  resident or within 30 business working days after receipt of a
  350  request relating to a former resident.
  351         Section 5. Section 408.833, Florida Statutes, is created to
  352  read:
  353         408.833 Client access to medical records.—
  354         (1) As used in this section, the term:
  355         (a)“Client has the same meaning as provided in s.
  356  408.803.
  357         (b) “Designated record set, consistent with 45 C.F.R. s.
  358  164.501, means a group of records, maintained by or for a
  359  provider, which includes any of the following:
  360         1. Medical and billing records for a patient.
  361         2. Enrollment, payment, claims adjudication, and case or
  362  medical management record systems.
  363         3.Any other record used, in whole or in part, by or for
  364  the provider to make decisions about a patient’s care, coverage,
  365  or benefits, regardless of whether such records have, in fact,
  366  been used to make such decisions about the particular patient
  367  requesting access to the records.
  368         (c) “Legal representative” means any of the following:
  369         1. A legally recognized guardian of the client.
  370         2. A court-appointed representative of the client.
  371         3. A person designated by the client or by a court of
  372  competent jurisdiction to receive copies of the client’s medical
  373  records, care and treatment records, or interdisciplinary
  374  records.
  375         4. An attorney who has been designated by a client to
  376  receive copies of the client’s medical records, care and
  377  treatment records, or interdisciplinary records.
  378         (d)“Provider” means any of the entities listed in s.
  379  408.802.
  380         (2)(a) Within 30 calendar days after receiving a written
  381  request from a client or a client’s legal representative, a
  382  provider shall furnish a true and correct copy of the requested
  383  records within the designated record set which are in the
  384  provider’s possession.
  385         (b) Within 30 calendar days after receiving a written
  386  request from a client or a client’s legal representative, a
  387  provider shall furnish a true and correct copy of additional
  388  requested records, including medical records, care and treatment
  389  records, and interdisciplinary records, as applicable, which are
  390  in the provider’s possession.
  391         (c) Within 10 business days after receiving a request from
  392  a client or a client’s legal representative, a provider shall
  393  provide access to examine the original records in the provider’s
  394  possession, or microforms or other suitable reproductions of the
  395  records. A provider may impose any reasonable terms necessary to
  396  ensure that the records will not be damaged, destroyed, or
  397  altered.
  398         (3)The protected health information must be provided in
  399  the form and format requested by the client or client’s legal
  400  representative if the requested records are readily producible
  401  in that form and format. If the requested records are not
  402  readily producible in the requested form or format, the provider
  403  must produce the records in a mutually agreeable readable form
  404  as specified in 45 C.F.R. s. 164.524(c)(2).
  405         (4) This section does not apply to:
  406         (a) Records maintained at a licensed facility as defined in
  407  s. 395.002, the primary function of which is to provide
  408  psychiatric care to its patients, or to records of treatment for
  409  any mental or emotional condition at any other licensed facility
  410  which are governed by s. 394.4615;
  411         (b) Records of substance abuse impaired persons which are
  412  governed by s. 397.501; or
  413         (c) Records of a resident of a nursing home facility which
  414  are governed by s. 400.145.
  415         Section 6. Subsection (6) of section 456.057, Florida
  416  Statutes, is amended to read:
  417         456.057 Ownership and control of patient records; report or
  418  copies of records to be furnished; disclosure of information.—
  419         (6)(a) As used in this subsection, the term:
  420         1. “Designated record set, consistent with 45 C.F.R. s.
  421  164.501, means a group of records, maintained by or for the
  422  health care practitioner, which includes any of the following:
  423         a. Medical and billing records for a patient.
  424         b. Enrollment, payment, claims adjudication, and case or
  425  medical management record systems.
  426         c.Any other record used, in whole or in part, by or for
  427  the provider to make decisions about a patient’s care, coverage,
  428  or benefits, regardless of whether such records have, in fact,
  429  been used to make such decisions about the particular patient
  430  requesting access to the records.
  431         2. “Legal representative” means any of the following:
  432         a. A legally recognized guardian of the patient.
  433         b. A court-appointed representative of the patient.
  434         c. A person designated by the patient or by a court of
  435  competent jurisdiction to receive copies of the patient’s
  436  medical records, care and treatment records, or
  437  interdisciplinary records.
  438         d. An attorney who has been designated by a patient to
  439  receive copies of the patient’s medical records, care and
  440  treatment records, or interdisciplinary records.
  441         (b)1. Within 30 calendar days after receiving a written Any
  442  health care practitioner licensed by the department or a board
  443  within the department who makes a physical or mental examination
  444  of, or administers treatment or dispenses legend drugs to, any
  445  person shall, upon request from a patient of such person or the
  446  patient’s person’s legal representative, a health care
  447  practitioner shall furnish a true and correct copy of the
  448  requested records within the designated record set which are in
  449  the practitioner’s possession.
  450         2. Within 30 calendar days after receiving a written
  451  request from a patient or a patient’s legal representative, a
  452  health care practitioner shall furnish a true and correct copy
  453  of additional requested records, including medical records, care
  454  and treatment records, and interdisciplinary records, as
  455  applicable, which are in the practitioner’s possession.
  456         3. Within 10 business days after receiving a request from a
  457  patient or a patient’s legal representative, a health care
  458  practitioner shall provide access to examine the original
  459  records in the practitioner’s possession, or microforms or other
  460  suitable reproductions of the records. A health care
  461  practitioner may impose any reasonable terms necessary to ensure
  462  that the records will not be damaged, destroyed, or altered.
  463         4.The protected health information must be provided in the
  464  form and format requested by the patient or legal representative
  465  if the requested records are readily producible in that form and
  466  format. If the requested records are not readily producible in
  467  the requested form or format, the practitioner must produce the
  468  records in a mutually agreeable readable form as specified in 45
  469  C.F.R. s. 164.524(c)(2), in a timely manner, without delays for
  470  legal review, copies of all reports and records relating to such
  471  examination or treatment, including X rays and insurance
  472  information.
  473  
  474  However, when a patient’s psychiatric, chapter 490
  475  psychological, or chapter 491 psychotherapeutic records are
  476  requested by the patient or the patient’s legal representative,
  477  the health care practitioner may provide a report of examination
  478  and treatment in lieu of copies of records. Upon a patient’s
  479  written request, complete copies of the patient’s psychiatric
  480  records shall be provided directly to a subsequent treating
  481  psychiatrist. The furnishing of such report or copies may shall
  482  not be conditioned upon payment of a fee for services rendered.
  483         Section 7. Paragraph (f) of subsection (1) of section
  484  316.1932, Florida Statutes, is amended to read:
  485         316.1932 Tests for alcohol, chemical substances, or
  486  controlled substances; implied consent; refusal.—
  487         (1)
  488         (f)1. The tests determining the weight of alcohol in the
  489  defendant’s blood or breath shall be administered at the request
  490  of a law enforcement officer substantially in accordance with
  491  rules of the Department of Law Enforcement. Such rules must
  492  specify precisely the test or tests that are approved by the
  493  Department of Law Enforcement for reliability of result and ease
  494  of administration, and must provide an approved method of
  495  administration which must be followed in all such tests given
  496  under this section. However, the failure of a law enforcement
  497  officer to request the withdrawal of blood does not affect the
  498  admissibility of a test of blood withdrawn for medical purposes.
  499         2.a. Only a physician, certified paramedic, registered
  500  nurse, licensed practical nurse, other personnel authorized by a
  501  hospital to draw blood, or duly licensed clinical laboratory
  502  director, supervisor, technologist, or technician, acting at the
  503  request of a law enforcement officer, may withdraw blood for the
  504  purpose of determining its alcoholic content or the presence of
  505  chemical substances or controlled substances therein. However,
  506  the failure of a law enforcement officer to request the
  507  withdrawal of blood does not affect the admissibility of a test
  508  of blood withdrawn for medical purposes.
  509         b. Notwithstanding any provision of law pertaining to the
  510  confidentiality of hospital records or other medical records, if
  511  a health care provider, who is providing medical care in a
  512  health care facility to a person injured in a motor vehicle
  513  crash, becomes aware, as a result of any blood test performed in
  514  the course of that medical treatment, that the person’s blood
  515  alcohol level meets or exceeds the blood-alcohol level specified
  516  in s. 316.193(1)(b), the health care provider may notify any law
  517  enforcement officer or law enforcement agency. Any such notice
  518  must be given within a reasonable time after the health care
  519  provider receives the test result. Any such notice shall be used
  520  only for the purpose of providing the law enforcement officer
  521  with reasonable cause to request the withdrawal of a blood
  522  sample pursuant to this section.
  523         c. The notice shall consist only of the name of the person
  524  being treated, the name of the person who drew the blood, the
  525  blood-alcohol level indicated by the test, and the date and time
  526  of the administration of the test.
  527         d. Nothing contained in s. 395.3025(2) s. 395.3025(4), s.
  528  456.057, or any applicable practice act affects the authority to
  529  provide notice under this section, and the health care provider
  530  is not considered to have breached any duty owed to the person
  531  under s. 395.3025(2) s. 395.3025(4), s. 456.057, or any
  532  applicable practice act by providing notice or failing to
  533  provide notice. It shall not be a breach of any ethical, moral,
  534  or legal duty for a health care provider to provide notice or
  535  fail to provide notice.
  536         e. A civil, criminal, or administrative action may not be
  537  brought against any person or health care provider participating
  538  in good faith in the provision of notice or failure to provide
  539  notice as provided in this section. Any person or health care
  540  provider participating in the provision of notice or failure to
  541  provide notice as provided in this section shall be immune from
  542  any civil or criminal liability and from any professional
  543  disciplinary action with respect to the provision of notice or
  544  failure to provide notice under this section. Any such
  545  participant has the same immunity with respect to participating
  546  in any judicial proceedings resulting from the notice or failure
  547  to provide notice.
  548         3. The person tested may, at his or her own expense, have a
  549  physician, registered nurse, other personnel authorized by a
  550  hospital to draw blood, or duly licensed clinical laboratory
  551  director, supervisor, technologist, or technician, or other
  552  person of his or her own choosing administer an independent test
  553  in addition to the test administered at the direction of the law
  554  enforcement officer for the purpose of determining the amount of
  555  alcohol in the person’s blood or breath or the presence of
  556  chemical substances or controlled substances at the time
  557  alleged, as shown by chemical analysis of his or her blood or
  558  urine, or by chemical or physical test of his or her breath. The
  559  failure or inability to obtain an independent test by a person
  560  does not preclude the admissibility in evidence of the test
  561  taken at the direction of the law enforcement officer. The law
  562  enforcement officer shall not interfere with the person’s
  563  opportunity to obtain the independent test and shall provide the
  564  person with timely telephone access to secure the test, but the
  565  burden is on the person to arrange and secure the test at the
  566  person’s own expense.
  567         4. Upon the request of the person tested, full information
  568  concerning the results of the test taken at the direction of the
  569  law enforcement officer shall be made available to the person or
  570  his or her attorney. Full information is limited to the
  571  following:
  572         a. The type of test administered and the procedures
  573  followed.
  574         b. The time of the collection of the blood or breath sample
  575  analyzed.
  576         c. The numerical results of the test indicating the alcohol
  577  content of the blood and breath.
  578         d. The type and status of any permit issued by the
  579  Department of Law Enforcement which was held by the person who
  580  performed the test.
  581         e. If the test was administered by means of a breath
  582  testing instrument, the date of performance of the most recent
  583  required inspection of such instrument.
  584  
  585  Full information does not include manuals, schematics, or
  586  software of the instrument used to test the person or any other
  587  material that is not in the actual possession of the state.
  588  Additionally, full information does not include information in
  589  the possession of the manufacturer of the test instrument.
  590         5. A hospital, clinical laboratory, medical clinic, or
  591  similar medical institution or physician, certified paramedic,
  592  registered nurse, licensed practical nurse, other personnel
  593  authorized by a hospital to draw blood, or duly licensed
  594  clinical laboratory director, supervisor, technologist, or
  595  technician, or other person assisting a law enforcement officer
  596  does not incur any civil or criminal liability as a result of
  597  the withdrawal or analysis of a blood or urine specimen, or the
  598  chemical or physical test of a person’s breath pursuant to
  599  accepted medical standards when requested by a law enforcement
  600  officer, regardless of whether or not the subject resisted
  601  administration of the test.
  602         Section 8. Paragraph (a) of subsection (2) of section
  603  316.1933, Florida Statutes, is amended to read:
  604         316.1933 Blood test for impairment or intoxication in cases
  605  of death or serious bodily injury; right to use reasonable
  606  force.—
  607         (2)(a) Only a physician, certified paramedic, registered
  608  nurse, licensed practical nurse, other personnel authorized by a
  609  hospital to draw blood, or duly licensed clinical laboratory
  610  director, supervisor, technologist, or technician, acting at the
  611  request of a law enforcement officer, may withdraw blood for the
  612  purpose of determining the alcoholic content thereof or the
  613  presence of chemical substances or controlled substances
  614  therein. However, the failure of a law enforcement officer to
  615  request the withdrawal of blood shall not affect the
  616  admissibility of a test of blood withdrawn for medical purposes.
  617         1. Notwithstanding any provision of law pertaining to the
  618  confidentiality of hospital records or other medical records, if
  619  a health care provider, who is providing medical care in a
  620  health care facility to a person injured in a motor vehicle
  621  crash, becomes aware, as a result of any blood test performed in
  622  the course of that medical treatment, that the person’s blood
  623  alcohol level meets or exceeds the blood-alcohol level specified
  624  in s. 316.193(1)(b), the health care provider may notify any law
  625  enforcement officer or law enforcement agency. Any such notice
  626  must be given within a reasonable time after the health care
  627  provider receives the test result. Any such notice shall be used
  628  only for the purpose of providing the law enforcement officer
  629  with reasonable cause to request the withdrawal of a blood
  630  sample pursuant to this section.
  631         2. The notice shall consist only of the name of the person
  632  being treated, the name of the person who drew the blood, the
  633  blood-alcohol level indicated by the test, and the date and time
  634  of the administration of the test.
  635         3. Nothing contained in s. 395.3025(2) s. 395.3025(4), s.
  636  456.057, or any applicable practice act affects the authority to
  637  provide notice under this section, and the health care provider
  638  is not considered to have breached any duty owed to the person
  639  under s. 395.3025(2) s. 395.3025(4), s. 456.057, or any
  640  applicable practice act by providing notice or failing to
  641  provide notice. It shall not be a breach of any ethical, moral,
  642  or legal duty for a health care provider to provide notice or
  643  fail to provide notice.
  644         4. A civil, criminal, or administrative action may not be
  645  brought against any person or health care provider participating
  646  in good faith in the provision of notice or failure to provide
  647  notice as provided in this section. Any person or health care
  648  provider participating in the provision of notice or failure to
  649  provide notice as provided in this section shall be immune from
  650  any civil or criminal liability and from any professional
  651  disciplinary action with respect to the provision of notice or
  652  failure to provide notice under this section. Any such
  653  participant has the same immunity with respect to participating
  654  in any judicial proceedings resulting from the notice or failure
  655  to provide notice.
  656         Section 9. Subsection (13) of section 395.4025, Florida
  657  Statutes, is amended to read:
  658         395.4025 Trauma centers; selection; quality assurance;
  659  records.—
  660         (13) Patient care, transport, or treatment records or
  661  reports, or patient care quality assurance proceedings, records,
  662  or reports obtained or made pursuant to this section, s.
  663  395.3025(2)(f) s. 395.3025(4)(f), s. 395.401, s. 395.4015, s.
  664  395.402, s. 395.403, s. 395.404, s. 395.4045, s. 395.405, s.
  665  395.50, or s. 395.51 must be held confidential by the department
  666  or its agent and are exempt from the provisions of s. 119.07(1).
  667  Patient care quality assurance proceedings, records, or reports
  668  obtained or made pursuant to these sections are not subject to
  669  discovery or introduction into evidence in any civil or
  670  administrative action.
  671         Section 10. Paragraph (c) of subsection (2) of section
  672  397.702, Florida Statutes, is amended to read:
  673         397.702 Authorization of local ordinances for treatment of
  674  habitual abusers in licensed secure facilities.—
  675         (2) Ordinances for the treatment of habitual abusers must
  676  provide:
  677         (c) That the court with jurisdiction to make the
  678  determination authorized by this section shall hear the petition
  679  on an emergency basis as soon as practicable but not later than
  680  10 days after the date the petition was filed. If the
  681  allegations of the petition indicate that the respondent has
  682  requested the appointment of an attorney, or otherwise indicate
  683  the absence of any competent person to speak at the hearing on
  684  behalf of the respondent, the court shall immediately appoint an
  685  attorney to represent the respondent pursuant to s. 397.501(9)
  686  s. 397.501(8), and shall provide notice of the hearing to the
  687  attorney. When the court sets a hearing date the petitioner
  688  shall provide notice of the hearing and a copy of the petition
  689  to all of the persons named in the petition pursuant to
  690  subparagraph (b)2., and to such other persons as may be ordered
  691  by the court to receive notice.
  692         Section 11. Subsection (1) of section 429.294, Florida
  693  Statutes, is amended to read:
  694         429.294 Availability of facility records for investigation
  695  of resident’s rights violations and defenses; penalty.—
  696         (1) Failure to provide complete copies of a resident’s
  697  records, including, but not limited to, all medical records and
  698  the resident’s chart, within the control or possession of the
  699  facility in accordance with s. 408.833 s. 400.145, shall
  700  constitute evidence of failure of that party to comply with good
  701  faith discovery requirements and shall waive the good faith
  702  certificate and presuit notice requirements under this part by
  703  the requesting party.
  704         Section 12. Subsection (4) of section 440.185, Florida
  705  Statutes, is amended to read:
  706         440.185 Notice of injury or death; reports; penalties for
  707  violations.—
  708         (4) Additional reports with respect to such injury and of
  709  the condition of such employee, including copies of medical
  710  reports, funeral expenses, and wage statements, shall be filed
  711  by the employer or carrier to the department at such times and
  712  in such manner as the department may prescribe by rule. In
  713  carrying out its responsibilities under this chapter, the
  714  department or agency may by rule provide for the obtaining of
  715  any medical records relating to medical treatment provided
  716  pursuant to this chapter, notwithstanding ss. 90.503 and
  717  395.3025(2) the provisions of ss. 90.503 and 395.3025(4).
  718         Section 13. Subsection (3) of section 456.47, Florida
  719  Statutes, is amended to read:
  720         456.47 Use of telehealth to provide services.—
  721         (3) RECORDS.—A telehealth provider shall document in the
  722  patient’s medical record the health care services rendered using
  723  telehealth according to the same standard as used for in-person
  724  services. Medical records, including video, audio, electronic,
  725  or other records generated as a result of providing such
  726  services, are confidential pursuant to ss. 395.3025(2) and
  727  456.057 ss. 395.3025(4) and 456.057.
  728         Section 14. This act shall take effect January 1, 2027.