TX HB4855

Patients and their authorized representatives are entitled to copies of physical or electronic health records, with healthcare providers required to provide electronic records within 15 business days of a written request

Fees for health records are capped at $100 for Medicaid recipients or patients with household income at or below 200% of the federal poverty level

Intentional violation of federal information blocking laws becomes unlawful as a restraint on trade under Texas law, with civil penalties of up to $10,000 per negligent violation or $250,000 per intentional violation committed for financial gain

Sensitive test results (including cancer screenings, genetic markers, HIV, and hepatitis) cannot be electronically disclosed to patients until at least 3 days after results are finalized, unless the provider specifically directs earlier release

Health benefit plan issuers must establish and maintain application programming interfaces for patient access, provider directories, and payer-to-payer data exchange, effective for plans delivered or renewed on or after January 1, 2026