TX SB1235

Patients and their authorized representatives are entitled to copies of physical or electronic health records, with providers required to fulfill electronic record requests within 15 business days

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

Health care providers violating federal information blocking laws face civil penalties of up to $10,000 per negligent violation or $250,000 per intentional violation committed for financial gain

"Sensitive test results" (malignancy reports, genetic markers, first-time HIV positive results, hepatitis results) cannot be electronically disclosed to patients until three days after finalization unless the provider directs earlier release

Health benefit plan issuers must establish application programming interfaces (APIs) for patient access, provider directories, and payer-to-payer data exchange, with requirements applying to plans delivered or renewed on or after January 1, 2026