CO HB1186

Establishes maximum "reasonable fees" that health care facilities and providers may charge third parties (not patients) for copying and releasing medical records, replacing fees previously set by state board of health rule.

Sets specific fee limits: $18.53 for first 10 pages, $0.85 per page for next 30 pages, $0.57 per page for additional pages; $1.50 per page if records are on microfilm; actual reproduction costs for radiographic studies; $10 for certification; plus actual postage and electronic media costs.

Clarifies that HIPAA governs fees charged to patients and their personal representatives for record copies, while the statutory limits apply only to third-party requests submitted with valid HIPAA-compliant authorization, subpoena, or court order.

Requires health care providers and facilities to deliver medical records in electronic format when requested if the original records are stored electronically and readily producible in that format.

Prohibits health care facilities and providers from charging any fee for patients or personal representatives to inspect (but not copy) their medical records.