Timely Topics       ***  PLEASE READ ***                                                  Updated 22-JAN-2006

In recent weeks, the ArAA has received calls concerning the overcharging of records management fees by Arkansas EMS providers. To assist you in fairly recovering your costs associated with the retrieval and reproduction of medical records, the following information is provided for your reference. Please take a moment to carefully review this section of the Arkansas Code and also review your policies regarding this matter.

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Arkansas Code annotated:

16-46-106. Access to medical records.

(a)(1)  In contemplation of, preparation for, or use in any legal proceeding, any person who is or has been a patient of a doctor, hospital, ambulance provider, medical health care provider, or other medical institution shall be entitled to obtain access, personally or by and through his or her attorney, to the information in his or her edical records, upon request and with written patient authorization, and shall be furnished copies of all medical records pertaining to his or her case upon the tender of the expense of such copy or copies. 

(2)  Cost of each photocopy, excluding X rays, shall not exceed one dollar ($1.00) per page for the first five (5) pages and twenty-five cents ($0.25) for each additional page, except that the minimum charge shall be five dollars ($5.00). 

(3)  Provided, however, a reasonable retrieval fee for stored records of a hospital or an ambulance provider may be added to the photocopy charges. 

(4)  Provided, further, this section shall not prohibit reasonable fees for narrative medical reports or medical review when performed by the doctor or medical institution subject to the request. 

(b)(1)  If a doctor believes a patient should be denied access to his or her medical records for any reason, the doctor must provide the patient or the patient's guardian or attorney a written determination that disclosure of such information would be detrimental to the individual's health or well-being. 

(2)(A)  At such time, the patient or the patient's guardian or attorney may select another doctor in the same type practice as the doctor subject to the request to review such information and determine if disclosure of such information would be detrimental to the patient's health or well-being. 

(B)  If the second doctor determines, based upon professional judgment, that disclosure of such information would not be detrimental to the health or well-being of the individual, the medical records shall be released to the patient or the patient's guardian or attorney. 

(3)  If the determination is that disclosure of such information would be detrimental, then it either will not be released or the objectionable material will be obscured before release. 

(4)  The cost of this review of the patient's ecord will be borne by the patient or the patient's guardian or attorney. 

(c)  Nothing in this section shall preclude the existing subpoena process; however, if a patient is compelled to use the subpoena process in order to obtain access to, or copies of, their own edical records after reasonable requests have been made and a reasonable time has expired, then the court issuing the subpoena and having jurisdiction over the proceedings shall grant the patient a reasonable attorney's fee plus costs of court against the doctor, hospital, or medical institution. 

(d)  This section does not apply to the Department of Correction. 

History. Acts 1991, No. 767, §§ 1, 2; 1995, No. 708, § 1; 1999, No. 333, §§ 1, 2.