MO HB1370

Repeals and reenacts section 191.227, RSMo, to regulate disclosure of deceased patients' medical records by health care providers.

Permits health care providers to disclose deceased patients' medical and payment records to the patient's health care decision maker, personal representative, estate administrator, or specified family members in order of priority (spouse, trust trustee, adult children, parents, adult siblings, or guardian/conservator at time of death).

Allows disclosure to be blocked if the deceased patient or a higher-priority family member notified the provider in writing during the patient's lifetime that records should not be released.

Establishes fee schedules for medical record requests including search and retrieval costs (up to $22.82 plus $0.53 per page), electronic delivery (up to $100 total), postage, and notary fees (up to $2).

Requires annual fee adjustments effective February 1st based on the medical care component of the Consumer Price Index, with the Department of Health and Senior Services to publish adjusted fees on its website.