PRINTER'S NO. 464

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 444 Session of 1995


        INTRODUCED BY DeLUCA, PESCI, FLICK, HERSHEY, CLARK, TIGUE,
           TRELLO, BELFANTI, DONATUCCI, PRESTON, YOUNGBLOOD, JOSEPHS AND
           GEIST, JANUARY 31, 1995

        REFERRED TO COMMITTEE ON HEALTH AND HUMAN SERVICES,
           JANUARY 31, 1995

                                     AN ACT

     1  Regulating the release of information regarding patients of
     2     health care practitioners.

     3     The General Assembly of the Commonwealth of Pennsylvania
     4  hereby enacts as follows:
     5  Section 1.  Definitions.
     6     The following words and phrases when used in this act shall
     7  have the meanings given to them in this section unless the
     8  context clearly indicates otherwise:
     9     "Health care practitioner."  A physician as defined in the
    10  act of October 5, 1978 (P.L.1109, No.261), known as the
    11  Osteopathic Medical Practice Act, or a medical doctor as defined
    12  by the act of December 20, 1985 (P.L.457, No.112), known as the
    13  Medical Practice Act of 1985.
    14  Section 2.  Termination of practice.
    15     (a)  General rule.--A health care practitioner shall give
    16  written notice to each patient not later than 60 days prior to
    17  leaving practice.

     1     (b)  Content of notice.--The notice required under subsection
     2  (a) shall include a statement that the patient's records are
     3  confidential and will not be sold or otherwise made available to
     4  another health care practitioner if the patient objects. The
     5  notice shall also include such additional information as the
     6  health care practitioner deems appropriate or as the health care
     7  practitioner's licensing board directs.
     8     (c)  Publication.--In addition to the notice required under
     9  subsection (a), a health care practitioner shall cause a similar
    10  notice to be published not later than 60 days prior to leaving
    11  practice in the same manner as notices of disciplinary action
    12  are published in accordance with section 810(a)(10) of the act
    13  of April 9, 1929 (P.L.177, No.175), known as The Administrative
    14  Code of 1929.
    15  Section 3.  Estates.
    16     (a)  General rule.--The estate of a health care practitioner
    17  shall give written notice to each patient not later than 60 days
    18  prior to selling the patient's records or otherwise making them
    19  available.
    20     (b)  Content of notice.--The notice required under subsection
    21  (a) shall include a statement that the patient's records are
    22  confidential and will not be sold or otherwise made available to
    23  another health care practitioner if the patient objects. The
    24  notice shall also include such additional information as the
    25  estate deems appropriate or as the deceased health care
    26  practitioner's licensing board directs.
    27     (c)  Publication.--In addition to the notice required under
    28  subsection (a), the estate shall cause a similar notice to be
    29  published not later than 60 days prior to selling the patient's
    30  records or otherwise making them available to another health
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     1  care practitioner in the same manner as notices of disciplinary
     2  action are published in accordance with section 810(a)(10) of
     3  the act of April 9, 1929 (P.L.177, No.175), known as The
     4  Administrative Code of 1929.
     5  Section 4.  Restrictions on transfer.
     6     (a)  Objection to practitioner.--A written notice from a
     7  patient to a health care practitioner objecting to having the
     8  patient's records sold or otherwise made available to another
     9  health care practitioner shall be sufficient to impose a duty on
    10  the patient's health care practitioner not to sell or otherwise
    11  make the records available to another health care practitioner
    12  if the written notice is received by the health care
    13  practitioner prior to the date on which the health care
    14  practitioner leaves practice or, if later, prior to the date on
    15  which the health care practitioner sells the records or
    16  otherwise makes them available to another health care
    17  practitioner.
    18     (b)  Objection to estate.--A written notice from a patient to
    19  the estate of a health care practitioner objecting to having the
    20  patient's records sold or otherwise made available to another
    21  health care practitioner shall be sufficient to impose a duty on
    22  the estate not to sell or otherwise make the records available
    23  to another health care practitioner if the written notice is
    24  received by the estate within 60 days after notice is given
    25  under section 3(a), within 60 days after publication under
    26  section 3(c) or prior to the date on which the estate sells the
    27  records or otherwise makes them available to another health care
    28  practitioner, whichever is later.
    29     (c)  Consent required for practitioner.--Unless the patient
    30  consents in writing, a health care practitioner, in conjunction
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     1  with leaving practice or otherwise, shall not sell a patient's
     2  records to a health care practitioner of another discipline or
     3  sell a patient's records other than in the course of a
     4  professional business transaction.
     5     (d)  Consent required for estate.--Unless the patient
     6  consents in writing, the estate of a health care practitioner
     7  shall not sell a patient's records to a health care practitioner
     8  of another discipline or sell a patient's records other than in
     9  the course of a professional business transaction.
    10  Section 5.  Penalty.
    11     (a)  Practitioner.--Any health care practitioner who
    12  knowingly sells or makes a patient's records available in
    13  violation of this act shall be subject to disciplinary action by
    14  the appropriate licensing board and shall be liable for any loss
    15  or damage suffered by the patient because of the violation.
    16     (b)  Estate.--The estate of a health care practitioner which
    17  knowingly sells or makes a patient's records available in
    18  violation of this act shall be liable for any loss or damage
    19  suffered by the patient because of the violation.
    20  Section 6.  Effective date.
    21     This act shall take effect in 60 days.






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