MO HB181

Amends section 191.227, RSMo to allow health care providers to disclose a deceased patient's medical and payment records to the patient's health care decision maker, personal representative, estate administrator, or specified family members (spouse, adult children, parents, adult siblings, guardian/conservator, or guardian ad litem of minor children) upon submission of an affidavit

Updates medical records fee caps: search and retrieval increased from $22.82 to $23.38, copying from $0.53 to $0.54 per page, and off-site storage retrieval from $21.36 to $21.89

Caps electronic records delivery at $102.46 total when records are stored electronically and requested in electronic format

Allows patients to file a notarized affidavit with their health care provider prohibiting disclosure of their medical records after death under the new family access provisions

Permits family members to petition circuit court to establish just cause for obtaining records if the deceased patient had filed an affidavit prohibiting disclosure