OklahomaMedical providers would follow rules for records access and fees
The failed enrolled measure would have set rules for medical-record access, copying fees, and protected-health-information disclosures starting November 1, 2026.
What it does
Patients and other requesters would receive medical records under listed access and fee rules, with separate treatment for mental health records and certain government requests.
Covered entities would face disclosure limits tied to HIPAA, with possible court protection and mandatory license revocation for intentional violations.
Argument forListed fees could help patients and other requesters predict what providers may charge for paper, electronic, and certified records.
Argument againstMandatory license revocation for intentional disclosure violations could impose a severe consequence on covered entities and licensed professionals.
More detail
Health care providers and facilities would provide patients or their representatives access to medical records and charge the listed fees for copies and related services. The rules cover patient records, medical bills, images, pathology slides, and requests by patients, representatives, spouses, responsible family members, attorneys, insurers, other third parties, and subpoenas. Patient copy fees would include the listed per-page, electronic-copy, image, media, delivery, certification, and affidavit limits. Providers could charge patients only reasonable, cost-based fees allowed under federal rules for requested copies. Mental health, psychiatric, psychological, and substance abuse treatment records would remain subject to separate access rules. Requests from the state's Disability Determination Division would use rates allowed by the Social Security Administration. The enrolled text set November 1, 2026, as the effective date, but the measure was pocket-vetoed and did not take effect.
Covered entities would be barred from using or disclosing protected health information except as HIPAA allows. The rule applies to covered entities and protected health information as those terms are defined under HIPAA. An intentional violation would count as unprofessional conduct when a licensing board or regulatory agency applies. The violation would be subject to mandatory license revocation. A covered entity could ask a court for temporary, preliminary, or permanent relief when it believes a violation occurred or will occur. These provisions were scheduled to take effect November 1, 2026, but the pocket-vetoed measure did not take effect.
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Where it stands
- Introduced
- Passed Senate
- Passed House
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2026
- Jun 1Pocket veto 06/01/2026Latest
- May 14Sent to GovernorTo Governor
- Vote recorded Fourth Reading. Result: pass.Upper
- May 14Signed, returned to Senate
- May 14Enrolled, to House
- May 14Referred for enrollment
- May 14Measure passed: Ayes: 34 Nays: 13Major
- May 14HAs adoptedMajor
- May 6HAs read
- Vote recorded Third Reading. Result: pass.Lower
- May 6Engrossed, signed, to SenateMajor
- May 6Referred for engrossment
- May 6Third Reading, Measure passed: Ayes: 80 Nays: 7Major
- May 6Amended by floor substitute
- May 6General Order
- 2025
- Apr 16CR; Do Pass, amended by committee substitute Health and Human Services Oversight CommitteeMinor
- Apr 14
- Vote recorded Health And Human Services Oversight Committee: Do Pass As Amended By Cs. Result: pass.Lower
- Apr 9Policy recommendation to the Health and Human Services Oversight committee; Do Pass, amended by committee substitute Public HealthMinor
- Vote recorded Public Health Committee: Do Pass As Amended By Cs. Result: pass.Lower
- Apr 1Referred to Public HealthMinor
- Apr 1Second Reading referred to Health and Human Services OversightMinor
- Mar 27First ReadingMinor
- Mar 27Engrossed to HousePassed House
- Mar 26Referred for engrossment
- Vote recorded Third Reading. Result: pass.Upper
- Mar 26Measure passed: Ayes: 44 Nays: 0Passed Senate
- Mar 26General Order, Amended by Floor Substitute
- Feb 12Placed on General Order
- Feb 10Reported Do Pass as amended Health and Human Services committee; CR filedMinor
- Vote recorded Health & Human Services. Result: pass.Upper
- Feb 4Second Reading referred to Health and Human ServicesMinor
- Feb 3Coauthored by Representative Caldwell (Chad) (principal House author)
- Feb 3Authored by Senator Rader
- Feb 3First ReadingIntroduced
HealthcareConsumer ProtectionGovernment & Ethics