Florida Senate - 2025                          SENATOR AMENDMENT
       Bill No. CS for HB 1083
       
       
       
       
       
       
                                Ì606324ÆÎ606324                         
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
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                Floor: 1/AD/2R         .                                
             04/30/2025 06:59 PM       .                                
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       Senator Grall moved 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 requester if the
   44  requested records are readily producible in that form and
   45  format. If the requested records are not readily producible in
   46  the requested form or format, the service provider must produce
   47  the records in another electronic form and format agreed to by
   48  the provider and requester or in a readable hard copy format.
   49  Forms of access to records may include, but are not limited to:
   50  through a web-based application or patient portal, by secure
   51  download, via electronic copy delivered by e-mail, on physical
   52  media such as a disc or USB drive, by United States mail, or as
   53  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  requester if the requested records are readily producible in
  161  that form and format. If the requested records are not readily
  162  producible in the requested form or format, the service provider
  163  must produce the records in another electronic form and format
  164  agreed to by the provider and requester or in a readable hard
  165  copy format. Forms of access to records may include, but are not
  166  limited to: through a web-based application or patient portal,
  167  by secure download, via electronic copy delivered by e-mail, on
  168  physical media such as a disc or USB drive, by United States
  169  mail, or as printed paper records.
  170         (b)Within 10 business days after receiving such a written
  171  request, a service provider shall provide access to examine the
  172  original records in its possession, or microforms or other
  173  suitable reproductions of the records in accordance with
  174  subsection (7). The service provider may impose any reasonable
  175  terms necessary to ensure that the records will not be damaged,
  176  destroyed, or altered.
  177         Section 4. Subsection (1) of section 400.145, Florida
  178  Statutes, is amended to read:
  179         400.145 Copies of records of care and treatment of
  180  resident.—
  181         (1) Upon receipt of a written request that complies with
  182  the federal Health Insurance Portability and Accountability Act
  183  of 1996 (HIPAA) and this section, a nursing home facility shall
  184  furnish to a competent resident, or to a representative of that
  185  resident who is authorized to make requests for the resident’s
  186  records under HIPAA or subsection (2), copies of the resident’s
  187  paper and electronic records that are in possession of the
  188  facility. Such records must include any medical records and
  189  records concerning the care and treatment of the resident
  190  performed by the facility, except for progress notes and
  191  consultation report sections of a psychiatric nature. The
  192  facility shall provide a resident with access to the requested
  193  records within 24 hours, excluding weekends and holidays, and
  194  provide copies of the requested records within 2 business 14
  195  working days after receipt of a request relating to a current
  196  resident or within 30 business working days after receipt of a
  197  request relating to a former resident.
  198         Section 5. Subsection (6) of section 408.803, Florida
  199  Statutes, is republished to read:
  200         408.803 Definitions.—As used in this part, the term:
  201         (6) “Client” means any person receiving services from a
  202  provider listed in s. 408.802.
  203         Section 6. Section 408.833, Florida Statutes, is created to
  204  read:
  205         408.833Client access to medical records.—
  206         (1) As used in this section, the term:
  207         (a) “Designated record set” means a group of records
  208  maintained by or for a provider which:
  209         1. Includes the medical records and billing records about a
  210  client maintained by or for the provider; or
  211         2. Is used, in whole or in part, to make decisions
  212  regarding a client’s care, coverage, or benefits.
  213         (b) “Legal representative” means:
  214         1. A legally recognized guardian of the client;
  215         2. A court-appointed representative of the client;
  216         3. A person designated by the client or by a court of
  217  competent jurisdiction to receive copies of the client’s medical
  218  records, care and treatment records, or interdisciplinary
  219  records; or
  220         4. An attorney who has been designated by a client to
  221  receive copies of the client’s medical records, care and
  222  treatment records, or interdisciplinary records.
  223         (2)(a) Within 14 business days after receiving a written
  224  request from a client or a client’s legal representative, a
  225  provider shall furnish a true and correct copy of the requested
  226  records within the designated record set which are in the
  227  provider’s possession.
  228         (b) Within 28 business days after receiving a written
  229  request from a client or a client’s legal representative, a
  230  provider shall furnish a true and correct copy of additional
  231  requested records, including medical records, care and treatment
  232  records, and interdisciplinary records, as applicable, that are
  233  in the provider’s possession.
  234         (c) Within 10 business days after receiving a request from
  235  a client or a client’s legal representative, a provider shall
  236  provide access to examine the original records in its
  237  possession, or microforms or other suitable reproductions of the
  238  records. A provider may impose any reasonable terms necessary to
  239  ensure that the records will not be damaged, destroyed, or
  240  altered.
  241         (3) A provider may extend the time for furnishing the
  242  requested records by up to 14 business days if the provider:
  243         (a) Notifies the client or legal representative of the
  244  delay in writing within the first 14 business days after
  245  receiving the request; and
  246         (b) Provides the expected date when the records will be
  247  made available, which must be no later than 14 business days
  248  after the original deadline for providing the records.
  249         (4) The records must be provided in the form and format
  250  requested by the client or legal representative if the requested
  251  records are readily producible in that form and format. If the
  252  requested records are not readily producible in the requested
  253  form or format, the provider must produce the records in another
  254  electronic form and format agreed to by the requester and the
  255  provider or in a readable hard copy format. Forms of access to
  256  records may include, but are not limited to: through a web-based
  257  application or patient portal, by secure download, via
  258  electronic copy delivered by e-mail, on physical media such as a
  259  disc or USB drive, by United States mail, or as printed paper
  260  records.
  261         (5) This section does not apply to:
  262         (a) Records maintained at a licensed facility as defined in
  263  s. 395.002, the primary function of which is to provide
  264  psychiatric care to its patients, or to records of treatment for
  265  any mental or emotional condition at any other licensed facility
  266  which are governed by s. 394.4615;
  267         (b) Records of substance abuse impaired persons which are
  268  governed by s. 397.501; or
  269         (c) Records of a resident of a nursing home facility which
  270  are governed by s. 400.145.
  271         Section 7. Subsection (6) of section 456.057, Florida
  272  Statutes, is amended to read:
  273         456.057 Ownership and control of patient records; report or
  274  copies of records to be furnished; disclosure of information.—
  275         (6)(a) As used in this subsection, the term:
  276         1. “Designated record set” means a group of records
  277  maintained by or for the health care practitioner which:
  278         a. Includes the medical records and billing records about a
  279  patient maintained by or for a practitioner; or
  280         b. Is used, in whole or in part, to make decisions
  281  regarding the patient’s care, coverage, or benefits.
  282         2. “Legal representative” means:
  283         a. A legally recognized guardian of the patient;
  284         b. A court-appointed representative of the patient;
  285         c. A person designated by the patient or by a court of
  286  competent jurisdiction to receive copies of the patient’s
  287  medical records, care and treatment records, or
  288  interdisciplinary records; or
  289         d. An attorney who has been designated by a patient to
  290  receive copies of the patient’s medical records, care and
  291  treatment records, or interdisciplinary records.
  292         (b)1. Within 14 business days after receiving a written Any
  293  health care practitioner licensed by the department or a board
  294  within the department who makes a physical or mental examination
  295  of, or administers treatment or dispenses legend drugs to, any
  296  person shall, upon request from a patient of such person or the
  297  patient’s person’s legal representative, a health care
  298  practitioner shall furnish a true and correct copy of the
  299  requested records within the designated record set which are in
  300  the provider’s possession.
  301         2. Within 28 business days after receiving a written
  302  request from a patient or a patient’s legal representative, a
  303  health care practitioner shall furnish a true and correct copy
  304  of additional requested records, including medical records, care
  305  and treatment records, and interdisciplinary records, as
  306  applicable, that are in the practitioner’s possession.
  307         3. Within 10 business days after receiving a request from a
  308  patient or a patient’s legal representative, a health care
  309  practitioner shall provide access to examine the original
  310  records in its possession, or microforms or other suitable
  311  reproductions of the records. A health care practitioner may
  312  impose any reasonable terms necessary to ensure that the records
  313  will not be damaged, destroyed, or altered, in a timely manner,
  314  without delays for legal review, copies of all reports and
  315  records relating to such examination or treatment, including X
  316  rays and insurance information.
  317  
  318  However, when a patient’s psychiatric, chapter 490
  319  psychological, or chapter 491 psychotherapeutic records are
  320  requested by the patient or the patient’s legal representative,
  321  the health care practitioner may provide a report of examination
  322  and treatment in lieu of copies of records. Upon a patient’s
  323  written request, complete copies of the patient’s psychiatric
  324  records shall be provided directly to a subsequent treating
  325  psychiatrist. The furnishing of such report or copies may shall
  326  not be conditioned upon payment of a fee for services rendered.
  327         (c) A health care practitioner may extend the time for
  328  furnishing the requested records by up to 14 business days if
  329  the health care practitioner:
  330         1. Notifies the patient or legal representative of the
  331  delay in writing within the first 14 business days after
  332  receiving the request; and
  333         2. Provides the expected date when the records will be made
  334  available, which must be no later than 14 business days after
  335  the original deadline for providing the records.
  336         (d) The records must be provided in the form and format
  337  requested by the patient or legal representative if the
  338  requested records are readily producible in that form and
  339  format. If the requested records are not readily producible in
  340  the requested form or format, the health care practitioner must
  341  produce the records in another electronic form and format agreed
  342  to by the requester and the practitioner or in a readable hard
  343  copy format. Forms of access to records may include, but are not
  344  limited to: through a web-based application or patient portal,
  345  by secure download, via electronic copy delivered by e-mail, on
  346  physical media such as a disc or USB drive, by United States
  347  mail, or as printed paper records.
  348         Section 8. Paragraph (f) of subsection (1) of section
  349  316.1932, Florida Statutes, is amended to read:
  350         316.1932 Tests for alcohol, chemical substances, or
  351  controlled substances; implied consent; refusal.—
  352         (1)
  353         (f)1. The tests determining the weight of alcohol in the
  354  defendant’s blood or breath shall be administered at the request
  355  of a law enforcement officer substantially in accordance with
  356  rules of the Department of Law Enforcement. Such rules must
  357  specify precisely the test or tests that are approved by the
  358  Department of Law Enforcement for reliability of result and ease
  359  of administration, and must provide an approved method of
  360  administration which must be followed in all such tests given
  361  under this section. However, the failure of a law enforcement
  362  officer to request the withdrawal of blood does not affect the
  363  admissibility of a test of blood withdrawn for medical purposes.
  364         2.a. Only a physician, certified paramedic, registered
  365  nurse, licensed practical nurse, other personnel authorized by a
  366  hospital to draw blood, or duly licensed clinical laboratory
  367  director, supervisor, technologist, or technician, acting at the
  368  request of a law enforcement officer, may withdraw blood for the
  369  purpose of determining its alcoholic content or the presence of
  370  chemical substances or controlled substances therein. However,
  371  the failure of a law enforcement officer to request the
  372  withdrawal of blood does not affect the admissibility of a test
  373  of blood withdrawn for medical purposes.
  374         b. Notwithstanding any provision of law pertaining to the
  375  confidentiality of hospital records or other medical records, if
  376  a health care provider, who is providing medical care in a
  377  health care facility to a person injured in a motor vehicle
  378  crash, becomes aware, as a result of any blood test performed in
  379  the course of that medical treatment, that the person’s blood
  380  alcohol level meets or exceeds the blood-alcohol level specified
  381  in s. 316.193(1)(b), the health care provider may notify any law
  382  enforcement officer or law enforcement agency. Any such notice
  383  must be given within a reasonable time after the health care
  384  provider receives the test result. Any such notice shall be used
  385  only for the purpose of providing the law enforcement officer
  386  with reasonable cause to request the withdrawal of a blood
  387  sample pursuant to this section.
  388         c. The notice shall consist only of the name of the person
  389  being treated, the name of the person who drew the blood, the
  390  blood-alcohol level indicated by the test, and the date and time
  391  of the administration of the test.
  392         d. Nothing contained in s. 395.3025(2) s. 395.3025(4), s.
  393  456.057, or any applicable practice act affects the authority to
  394  provide notice under this section, and the health care provider
  395  is not considered to have breached any duty owed to the person
  396  under s. 395.3025(2) s. 395.3025(4), s. 456.057, or any
  397  applicable practice act by providing notice or failing to
  398  provide notice. It shall not be a breach of any ethical, moral,
  399  or legal duty for a health care provider to provide notice or
  400  fail to provide notice.
  401         e. A civil, criminal, or administrative action may not be
  402  brought against any person or health care provider participating
  403  in good faith in the provision of notice or failure to provide
  404  notice as provided in this section. Any person or health care
  405  provider participating in the provision of notice or failure to
  406  provide notice as provided in this section shall be immune from
  407  any civil or criminal liability and from any professional
  408  disciplinary action with respect to the provision of notice or
  409  failure to provide notice under this section. Any such
  410  participant has the same immunity with respect to participating
  411  in any judicial proceedings resulting from the notice or failure
  412  to provide notice.
  413         3. The person tested may, at his or her own expense, have a
  414  physician, registered nurse, other personnel authorized by a
  415  hospital to draw blood, or duly licensed clinical laboratory
  416  director, supervisor, technologist, or technician, or other
  417  person of his or her own choosing administer an independent test
  418  in addition to the test administered at the direction of the law
  419  enforcement officer for the purpose of determining the amount of
  420  alcohol in the person’s blood or breath or the presence of
  421  chemical substances or controlled substances at the time
  422  alleged, as shown by chemical analysis of his or her blood or
  423  urine, or by chemical or physical test of his or her breath. The
  424  failure or inability to obtain an independent test by a person
  425  does not preclude the admissibility in evidence of the test
  426  taken at the direction of the law enforcement officer. The law
  427  enforcement officer shall not interfere with the person’s
  428  opportunity to obtain the independent test and shall provide the
  429  person with timely telephone access to secure the test, but the
  430  burden is on the person to arrange and secure the test at the
  431  person’s own expense.
  432         4. Upon the request of the person tested, full information
  433  concerning the results of the test taken at the direction of the
  434  law enforcement officer shall be made available to the person or
  435  his or her attorney. Full information is limited to the
  436  following:
  437         a. The type of test administered and the procedures
  438  followed.
  439         b. The time of the collection of the blood or breath sample
  440  analyzed.
  441         c. The numerical results of the test indicating the alcohol
  442  content of the blood and breath.
  443         d. The type and status of any permit issued by the
  444  Department of Law Enforcement which was held by the person who
  445  performed the test.
  446         e. If the test was administered by means of a breath
  447  testing instrument, the date of performance of the most recent
  448  required inspection of such instrument.
  449  
  450  Full information does not include manuals, schematics, or
  451  software of the instrument used to test the person or any other
  452  material that is not in the actual possession of the state.
  453  Additionally, full information does not include information in
  454  the possession of the manufacturer of the test instrument.
  455         5. A hospital, clinical laboratory, medical clinic, or
  456  similar medical institution or physician, certified paramedic,
  457  registered nurse, licensed practical nurse, other personnel
  458  authorized by a hospital to draw blood, or duly licensed
  459  clinical laboratory director, supervisor, technologist, or
  460  technician, or other person assisting a law enforcement officer
  461  does not incur any civil or criminal liability as a result of
  462  the withdrawal or analysis of a blood or urine specimen, or the
  463  chemical or physical test of a person’s breath pursuant to
  464  accepted medical standards when requested by a law enforcement
  465  officer, regardless of whether or not the subject resisted
  466  administration of the test.
  467         Section 9. Paragraph (a) of subsection (2) of section
  468  316.1933, Florida Statutes, is amended to read:
  469         316.1933 Blood test for impairment or intoxication in cases
  470  of death or serious bodily injury; right to use reasonable
  471  force.—
  472         (2)(a) Only a physician, certified paramedic, registered
  473  nurse, licensed practical nurse, other personnel authorized by a
  474  hospital to draw blood, or duly licensed clinical laboratory
  475  director, supervisor, technologist, or technician, acting at the
  476  request of a law enforcement officer, may withdraw blood for the
  477  purpose of determining the alcoholic content thereof or the
  478  presence of chemical substances or controlled substances
  479  therein. However, the failure of a law enforcement officer to
  480  request the withdrawal of blood shall not affect the
  481  admissibility of a test of blood withdrawn for medical purposes.
  482         1. Notwithstanding any provision of law pertaining to the
  483  confidentiality of hospital records or other medical records, if
  484  a health care provider, who is providing medical care in a
  485  health care facility to a person injured in a motor vehicle
  486  crash, becomes aware, as a result of any blood test performed in
  487  the course of that medical treatment, that the person’s blood
  488  alcohol level meets or exceeds the blood-alcohol level specified
  489  in s. 316.193(1)(b), the health care provider may notify any law
  490  enforcement officer or law enforcement agency. Any such notice
  491  must be given within a reasonable time after the health care
  492  provider receives the test result. Any such notice shall be used
  493  only for the purpose of providing the law enforcement officer
  494  with reasonable cause to request the withdrawal of a blood
  495  sample pursuant to this section.
  496         2. The notice shall consist only of the name of the person
  497  being treated, the name of the person who drew the blood, the
  498  blood-alcohol level indicated by the test, and the date and time
  499  of the administration of the test.
  500         3. Nothing contained in s. 395.3025(2) s. 395.3025(4), s.
  501  456.057, or any applicable practice act affects the authority to
  502  provide notice under this section, and the health care provider
  503  is not considered to have breached any duty owed to the person
  504  under s. 395.3025(2) s. 395.3025(4), s. 456.057, or any
  505  applicable practice act by providing notice or failing to
  506  provide notice. It shall not be a breach of any ethical, moral,
  507  or legal duty for a health care provider to provide notice or
  508  fail to provide notice.
  509         4. A civil, criminal, or administrative action may not be
  510  brought against any person or health care provider participating
  511  in good faith in the provision of notice or failure to provide
  512  notice as provided in this section. Any person or health care
  513  provider participating in the provision of notice or failure to
  514  provide notice as provided in this section shall be immune from
  515  any civil or criminal liability and from any professional
  516  disciplinary action with respect to the provision of notice or
  517  failure to provide notice under this section. Any such
  518  participant has the same immunity with respect to participating
  519  in any judicial proceedings resulting from the notice or failure
  520  to provide notice.
  521         Section 10. Subsection (13) of section 395.4025, Florida
  522  Statutes, is amended to read:
  523         395.4025 Trauma centers; selection; quality assurance;
  524  records.—
  525         (13) Patient care, transport, or treatment records or
  526  reports, or patient care quality assurance proceedings, records,
  527  or reports obtained or made pursuant to this section, s.
  528  395.3025(2)(f) s. 395.3025(4)(f), s. 395.401, s. 395.4015, s.
  529  395.402, s. 395.403, s. 395.404, s. 395.4045, s. 395.405, s.
  530  395.50, or s. 395.51 must be held confidential by the department
  531  or its agent and are exempt from the provisions of s. 119.07(1).
  532  Patient care quality assurance proceedings, records, or reports
  533  obtained or made pursuant to these sections are not subject to
  534  discovery or introduction into evidence in any civil or
  535  administrative action.
  536         Section 11. Paragraph (c) of subsection (2) of section
  537  397.702, Florida Statutes, is amended to read:
  538         397.702 Authorization of local ordinances for treatment of
  539  habitual abusers in licensed secure facilities.—
  540         (2) Ordinances for the treatment of habitual abusers must
  541  provide:
  542         (c) That the court with jurisdiction to make the
  543  determination authorized by this section shall hear the petition
  544  on an emergency basis as soon as practicable but not later than
  545  10 days after the date the petition was filed. If the
  546  allegations of the petition indicate that the respondent has
  547  requested the appointment of an attorney, or otherwise indicate
  548  the absence of any competent person to speak at the hearing on
  549  behalf of the respondent, the court shall immediately appoint an
  550  attorney to represent the respondent pursuant to s. 397.501(9)
  551  s. 397.501(8), and shall provide notice of the hearing to the
  552  attorney. When the court sets a hearing date the petitioner
  553  shall provide notice of the hearing and a copy of the petition
  554  to all of the persons named in the petition pursuant to
  555  subparagraph (b)2., and to such other persons as may be ordered
  556  by the court to receive notice.
  557         Section 12. Subsection (1) of section 429.294, Florida
  558  Statutes, is amended to read:
  559         429.294 Availability of facility records for investigation
  560  of resident’s rights violations and defenses; penalty.—
  561         (1) Failure to provide complete copies of a resident’s
  562  records, including, but not limited to, all medical records and
  563  the resident’s chart, within the control or possession of the
  564  facility in accordance with s. 408.833 s. 400.145, shall
  565  constitute evidence of failure of that party to comply with good
  566  faith discovery requirements and shall waive the good faith
  567  certificate and presuit notice requirements under this part by
  568  the requesting party.
  569         Section 13. Subsection (4) of section 440.185, Florida
  570  Statutes, is amended to read:
  571         440.185 Notice of injury or death; reports; penalties for
  572  violations.—
  573         (4) Additional reports with respect to such injury and of
  574  the condition of such employee, including copies of medical
  575  reports, funeral expenses, and wage statements, shall be filed
  576  by the employer or carrier to the department at such times and
  577  in such manner as the department may prescribe by rule. In
  578  carrying out its responsibilities under this chapter, the
  579  department or agency may by rule provide for the obtaining of
  580  any medical records relating to medical treatment provided
  581  pursuant to this chapter, notwithstanding the provisions of ss.
  582  90.503 and 395.3025(2) 395.3025(4).
  583         Section 14. Subsection (3) of section 456.47, Florida
  584  Statutes, is amended to read:
  585         456.47 Use of telehealth to provide services.—
  586         (3) RECORDS.—A telehealth provider shall document in the
  587  patient’s medical record the health care services rendered using
  588  telehealth according to the same standard as used for in-person
  589  services. Medical records, including video, audio, electronic,
  590  or other records generated as a result of providing such
  591  services, are confidential pursuant to ss. 395.3025(2) and
  592  456.057 ss. 395.3025(4) and 456.057.
  593         Section 15. This act shall take effect January 1, 2026.
  594  
  595  ================= T I T L E  A M E N D M E N T ================
  596  And the title is amended as follows:
  597         Delete everything before the enacting clause
  598  and insert:
  599                        A bill to be entitled                      
  600         An act relating to patient access to records; amending
  601         s. 394.4615, F.S.; requiring a mental health service
  602         provider to furnish records within a specified
  603         timeframe after receiving a request for such records;
  604         authorizing an extension of the timeframe under
  605         certain circumstances; requiring such providers to
  606         furnish records in the form and format chosen by the
  607         requester, if readily producible; amending s.
  608         395.3025, F.S.; deleting provisions requiring
  609         hospitals and ambulatory surgical centers to furnish
  610         patient records only after discharge, to conform to
  611         changes made by the act; establishing that the
  612         Department of Health, rather than the Agency for
  613         Health Care Administration, has the authority to issue
  614         subpoenas for patient records from hospitals and
  615         ambulatory surgical centers in certain circumstances;
  616         amending s. 397.501, F.S.; requiring a substance abuse
  617         service provider to furnish and provide access to
  618         records within a specified timeframe after receiving a
  619         written request from an individual or the individual’s
  620         legal representative; authorizing an extension of the
  621         timeframe under certain circumstances; requiring such
  622         service providers to furnish records in the form and
  623         format chosen by the requester, if readily producible;
  624         amending s. 400.145, F.S.; revising the timeframe
  625         within which a nursing home facility must provide
  626         access to, and copies of, resident records after
  627         receiving a request for such records; republishing s.
  628         408.803(6), F.S., relating to the definition of the
  629         term “client” used in part II of ch. 408, F.S.;
  630         creating s. 408.833, F.S.; defining the terms
  631         “designated record set” and “legal representative”;
  632         requiring a provider to furnish and provide access to
  633         records within a specified timeframe after receiving a
  634         written request from a client or the client’s legal
  635         representative; authorizing an extension of the
  636         timeframe under certain circumstances; requiring
  637         providers to furnish records in the form and format
  638         chosen by the requester, if readily producible;
  639         providing exceptions for providers governed by
  640         specified provisions; amending s. 456.057, F.S.;
  641         defining the terms “designated record set” and “legal
  642         representative”; requiring certain health care
  643         practitioners to furnish and provide access to records
  644         within a specified timeframe after receiving a written
  645         request from a patient or the patient’s legal
  646         representative; authorizing an extension of the
  647         timeframe under certain circumstances; requiring
  648         health care practitioners to furnish records in the
  649         form and format chosen by the requester, if readily
  650         producible; amending ss. 316.1932, 316.1933, 395.4025,
  651         397.702, 429.294, 440.185, and 456.47, F.S.;
  652         conforming cross-references and provisions to changes
  653         made by the act; providing an effective date.