PA HB1640

Prohibits covered entities (HIPAA-defined healthcare providers) from disclosing patient communications or examination information related to reproductive health care services in civil actions, investigations, or agency proceedings without explicit written consent from the patient or their legal representative

Requires covered entities to inform patients of their right to withhold written consent for disclosure of reproductive health care records

Permits disclosure without consent in limited circumstances: when authorized by court rules, for defense against malpractice claims, for Department of State complaint investigations, or when reporting suspected child abuse, elder abuse, or abuse of individuals with disabilities

Defines "reproductive health care services" as medical, surgical, counseling, or referral services relating to the human reproductive system, including pregnancy, contraception, and termination of pregnancy

Takes effect 60 days after enactment and does not supplant existing confidentiality protections under Pennsylvania law for psychiatrists, psychologists, sexual assault counselors, domestic violence counselors, or mental health and drug/alcohol treatment records