Difference between revisions of "Missouri"

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(Creating Missouri)
 
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|MRS §§375.1300, 375.1309
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|[[MRS §§375.1300, 375.1309]]
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|This section of the law is applicable to all insurance companies. A person who creates, stores, receives or furnishes genetic information must hold such information as confidential medical records and must obtain written authorization to disclose genetic information. Exceptions include statistical data compiled without reference to the identity of an individual, health research conducted in accordance with the provisions of the federal Common Rule, and health research using medical archives or databases in which the identity of individuals is protected from disclosure by coding or encryption, or by removing all identities. The director of insurance has the authority to enforce these provisions.
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|Insurance Companies
 
|Insurance Companies
 
|decisional interference, disclosure, identification
 
|decisional interference, disclosure, identification
 
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|Mo. Rev. Stat. §182.815, 182.817
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|[[Mo. Rev. Stat. §182.815, 182.817]]
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|182.817. 1. Notwithstanding the provisions of any other law to the contrary, no library, employee or agent of a library, or third party contracted by a library that receives, transmits, maintains, or stores library records shall release or disclose a library record or portion of a library record to any person or persons except:
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(1) In response to a written request of the person identified in that record, according to procedures and forms giving written consent as determined by the library; or
 
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(2) In response to an order issued by a court of competent jurisdiction upon a finding that the disclosure of such record is necessary to protect the public safety or to prosecute a crime.
 
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2. Any person whose privacy is compromised as a result of an alleged violation of this section may file a written complaint within one hundred eighty days of the alleged violation with the office of the attorney general describing the facts surrounding the alleged violation. Such person may additionally bring a private civil action in the circuit court of the county in which the library is located to recover damages. The court may, in its discretion, award punitive damages and may award to the prevailing party attorney's fees, based on the amount of time reasonably expended, and may provide such equitable relief as it deems necessary or proper. A prevailing respondent may be awarded attorney fees under this subsection only upon a showing that the case is without foundation.
 
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3. Upon receipt of a complaint filed in accordance with subsection 2 of this section, the attorney general shall review each complaint and may initiate legal action if deemed appropriate.
 
 
|Library
 
|Library
 
|182.817-1.-surveillance, decisional interference, disclosure,182.817-2.-disclosure
 
|182.817-1.-surveillance, decisional interference, disclosure,182.817-2.-disclosure
 
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|[https://law.justia.com/codes/missouri/2018/title-xii/chapter-191/section-191.227/ 191.227. Medical records to be released to patient, when, exception - fee permitted, amount - liability of provider limited - annual handling fee adjustment - disclosure of deceased patient records, when (2017)]
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|[https://law.justia.com/codes/missouri/2018/title-xii/chapter-191/section-191.227/ 191.227. Medical records to be released to patient, when, exception - fee permitted, amount - liability of provider limited - annual handling fee adjustment - disclosure of deceased patient records, when (2017)] [[191.227. Medical records to be released to patient, when, exception - fee permitted, amount - liability of provider limited - annual handling fee adjustment - disclosure of deceased patient records, when (2017)]]
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|Title XII PUBLIC HEALTH AND WELFARE
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Chapter 191
 
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191.227. Medical records to be released to patient, when, exception — fee permitted, amount — liability of provider limited — annual handling fee adjustment — disclosure of deceased patient records, when. — 1. All physicians, chiropractors, hospitals, dentists, and other duly licensed practitioners in this state, herein called "providers", shall, upon written request of a patient, or guardian or legally authorized representative of a patient, furnish a copy of his or her record of that patient's health history and treatment rendered to the person submitting a written request, except that such right shall be limited to access consistent with the patient's condition and sound therapeutic treatment as determined by the provider. Beginning August 28, 1994, such record shall be furnished within a reasonable time of the receipt of the request therefor and upon payment of a fee as provided in this section.
 
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2. Health care providers may condition the furnishing of the patient's health care records to the patient, the patient's authorized representative or any other person or entity authorized by law to obtain or reproduce such records upon payment of a fee for:
 
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(1) (a) Search and retrieval, in an amount not more than twenty-four dollars and eighty-five cents plus copying in the amount of fifty-seven cents per page for the cost of supplies and labor plus, if the health care provider has contracted for off-site records storage and management, any additional labor costs of outside storage retrieval, not to exceed twenty-three dollars and twenty-six cents, as adjusted annually pursuant to subsection 6 of this section; or
 
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(b) The records shall be furnished electronically upon payment of the search, retrieval, and copying fees set under this section at the time of the request or one hundred eight dollars and eighty-eight cents total, whichever is less, if such person:
 
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a. Requests health records to be delivered electronically in a format of the health care provider's choice;
 
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b. The health care provider stores such records completely in an electronic health record; and
 
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c. The health care provider is capable of providing the requested records and affidavit, if requested, in an electronic format;
 
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(2) Postage, to include packaging and delivery cost;
 
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(3) Notary fee, not to exceed two dollars, if requested.
 
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Such fee shall be the fee in effect on February 1, 2018, increased or decreased annually under this section.
 
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3. For purposes of subsections 1 and 2 of this section, "a copy of his or her record of that patient's health history and treatment rendered" or "the patient's health care records" includes* a statement or record that no such health history or treatment record responsive to the request exists.
 
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4. Notwithstanding provisions of this section to the contrary, providers may charge for the reasonable cost of all duplications of health care record material or information which cannot routinely be copied or duplicated on a standard commercial photocopy machine.
 
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5. The transfer of the patient's record done in good faith shall not render the provider liable to the patient or any other person for any consequences which resulted or may result from disclosure of the patient's record as required by this section.
 
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6. Effective February first of each year, the fees listed in subsection 2 of this section shall be increased or decreased annually based on the annual percentage change in the unadjusted, U.S. city average, annual average inflation rate of the medical care component of the Consumer Price Index for All Urban Consumers (CPI-U). The current reference base of the index, as published by the Bureau of Labor Statistics of the United States Department of Labor, shall be used as the reference base. For purposes of this subsection, the annual average inflation rate shall be based on a twelve-month calendar year beginning in January and ending in December of each preceding calendar year. The department of health and senior services shall report the annual adjustment and the adjusted fees authorized in this section on the department's internet website by February first of each year.
 
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7. A health care provider may disclose a deceased patient's health care records or payment records to the executor or administrator of the deceased person's estate, or pursuant to a valid, unrevoked power of attorney for health care that specifically directs that the deceased person's health care records be released to the agent after death. If an executor, administrator, or agent has not been appointed, the deceased prior to death did not specifically object to disclosure of his or her records in writing, and such disclosure is not inconsistent with any prior expressed preference of the deceased that is known to the health care provider, a deceased patient's health care records may be released upon written request of a person who is deemed as the personal representative of the deceased person under this subsection. Priority shall be given to the deceased patient's spouse and the records shall be released on the affidavit of the surviving spouse that he or she is the surviving spouse. If there is no surviving spouse, the health care records may be released to one of the following persons:
 
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(1) The acting trustee of a trust created by the deceased patient either alone or with the deceased patient's spouse;
 
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(2) An adult child of the deceased patient on the affidavit of the adult child that he or she is the adult child of the deceased;
 
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(3) A parent of the deceased patient on the affidavit of the parent that he or she is the parent of the deceased;
 
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(4) An adult brother or sister of the deceased patient on the affidavit of the adult brother or sister that he or she is the adult brother or sister of the deceased;
 
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(5) A guardian or conservator of the deceased patient at the time of the patient's death on the affidavit of the guardian or conservator that he or she is the guardian or conservator of the deceased; or
 
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(6) A guardian ad litem of the deceased's minor child based on the affidavit of the guardian that he or she is the guardian ad litem of the minor child of the deceased.
 
 
|Health
 
|Health
 
|191.227-1-surveillance, decisional interference, 2-decisional interference
 
|191.227-1-surveillance, decisional interference, 2-decisional interference
 
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|[https://law.justia.com/codes/missouri/2011/titlexi/chapter182/section182817/ Disclosure of library records (2011)]
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|[https://law.justia.com/codes/missouri/2011/titlexi/chapter182/section182817/ Disclosure of library records (2011)] [[Disclosure of library records (2011)]]
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|Disclosure of library records not required--exceptions.
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182.817. Notwithstanding the provisions of any other law to the contrary, no library or employee or agent of a library shall be required to release or disclose a library record or portion of a library record to any person or persons except:
 
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(1) In response to a written request of the person identified in that record, according to procedures and forms giving written consent as determined by the library; or
 
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(2) In response to an order issued by a court of competent jurisdiction upon a finding that the disclosure of such record is necessary to protect the public safety or to prosecute a crime.
 
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(L. 1986 H.B. 1372 2)
 
 
|Library
 
|Library
 
|182.817-disclosure, 1-decisional interference, 2-disclosure, insecurity
 
|182.817-disclosure, 1-decisional interference, 2-disclosure, insecurity
 
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Revision as of 05:42, 18 March 2020

Name of Article Specific Clauses or the Law Scope Mapping
MRS §§375.1300, 375.1309 Insurance Companies decisional interference, disclosure, identification
Mo. Rev. Stat. §182.815, 182.817 Library 182.817-1.-surveillance, decisional interference, disclosure,182.817-2.-disclosure
191.227. Medical records to be released to patient, when, exception - fee permitted, amount - liability of provider limited - annual handling fee adjustment - disclosure of deceased patient records, when (2017) 191.227. Medical records to be released to patient, when, exception - fee permitted, amount - liability of provider limited - annual handling fee adjustment - disclosure of deceased patient records, when (2017) Health 191.227-1-surveillance, decisional interference, 2-decisional interference
Disclosure of library records (2011) Disclosure of library records (2011) Library 182.817-disclosure, 1-decisional interference, 2-disclosure, insecurity
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