On June 16, 2009, Florida Governor Charile Crist signed into law the "Florida Electronic Health Records Exchange Act", (SB 162). The Act amends 395.3025, F.S., and 483.181, F.S., both of which were seen as barriers to electronic health information exchange for treatment purposes. Additionally, the Act creates 408.051, F.S., which deals with a number of issues related to health information exchange.
395.3025(4)(a), F.S., was amended to allow hospitals to release patient records, without patient consent, to health care practitioners and providers currently involved in the care or treatment of the patient for use use only in connection with the treatment of the patient. Previously, the statute had only allow such disclosures to health care practitioners that were credentialed by the facility. This was seen as a barrier to the appropriate and timely exchange of health of information for patient care purposes.
483.181(2), F.S., was amended to allow clinical laboratories to report laboratory results to health care practitioners and providers, other than the provider that ordered the laboratory test, so long as the health care practitioner or provider is involved in the care or treatment of the patient. As with the amendment to the hospital statute, the clinical laboratory statute was seen as a barrier to appropriate and timely health information exchange.
408.051, F.S., the "Florida Electronic Health Records Exchange Act", sets forth guidance for Florida health care practitioners and providers engaged in the electronic exchange of health information. The Act sets forth a number of definitions, including several directly related to "electronic health records".
Additionally, the Act also addresses the following:
*Emergency Release of Identifiable Health Record - Allows health care providers to release or access a patient's health record, without the patient's consent, for use in the treatment of the patient for an emergency medical condition when the health care provider is unable to obtain the patient's consent due to the patient's condition or nature of the situation requiring immediate medical attention.
*Universal Patient Authorization Form - Requires the Agency for Health Care Administration to develop, in electronic and paper format, forms to document patient authorization for the use or release of the patient's health record. Health care providers will not be required to use the form, however, they will be required to honor a properly completed form. Health care providers releasing information upon receipt of a properly completed authorization form will enjoy a rebuttable presumption that the release of the information was appropriate.
The Act also provides for compensatory damages to either a health care provider or patient in situations in which a person forged or materially altered a patient's authorization form without permission or otherwise obtains a patient's records under false pretenses.
*Electronic Health Records System Adoption Loan Program - Subject to the availability of funds from either public or private entities or through Section 3014 of the Public Health Service Act, the Agency for Health Care Administration may operate loan fund to assist health care practitioners and providers in obtaining certified electronic health record technology.