(1) As used in this section:

1. (a) "Health care provider" means the same as that term is defined in Section 78B-3-403.
2. (b) "Indigent individual" means an individual whose household income is at or below 100% of the federal poverty level as defined in Section 26-18-3.9.
3. (c) "Inflation" means the unadjusted Consumer Price Index, as published by the Bureau of Labor Statistics of the United States Department of Labor, that measures the average changes in prices of goods and services purchased by urban wage earners and clerical workers.

4. (d) "Qualified claim or appeal" means a claim or appeal under any:

   1. (i) provision of the Social Security Act as defined in Section 67-11-2; or
   2. (ii) federal or state financial needs-based benefit program.

(4) A health care provider who provides a paper or electronic copy of a patient's records to the patient or the patient's personal representative:

1. (a) shall provide the copy within the deadlines required by the Health Insurance Portability and Accountability Act of 1996, Administrative Simplification rule, 45 C.F.R. Sec. 164.524(b); and

2. (b) may charge a reasonable cost-based fee provided that the fee includes only the cost of:

   1. (i) copying, including the cost of supplies for and labor of copying; and
   2. (ii) postage, when the patient or patient's personal representative has requested the copy be mailed.

(5) Except for records provided by a health care provider under Section 26-1-37, a health care provider who provides a copy of a patient's records to a patient's attorney, legal representative, or other third party authorized to receive records:

1. (a) shall provide the copy within 30 days after receipt of notice; and

2. (b) may charge a reasonable fee for paper or electronic copies, but may not exceed the following rates:

   1. (i) $30 per request for locating a patient's records;
   2. (ii) reproduction charges may not exceed 53 cents per page for the first 40 pages and 32 cents per page for each additional page;
   3. (iii) the cost of postage when the requester has requested the copy be mailed;
   4. (iv) if requested, the health care provider will certify the record as a duplicate of the original for a fee of $20; and
   5. (v) any sales tax owed under Title 59, Chapter 12, Sales and Use Tax Act.

(6) Except for records provided under Section 26-1-37, a contracted third party service that provides medical records, other than a health care provider under Subsections (4) and (5), who provides a copy of a patient's records to a patient's attorney, legal representative, or other third party authorized to receive records:

1. (a) shall provide the copy within 30 days after the request; and

2. (b) may charge a reasonable fee for paper or electronic copies, but may not exceed the following rates:

   1. (i) $30 per request for locating a patient's records;
   2. (ii) reproduction charges may not exceed 53 cents per page for the first 40 pages and 32 cents per page for each additional page;
   3. (iii) the cost of postage when the requester has requested the copy be mailed;
   4. (iv) if requested, the health care provider or the health care provider's contracted third party service will certify the record as a duplicate of the original for a fee of $20; and
   5. (v) any sales tax owed under Title 59, Chapter 12, Sales and Use Tax Act.

(7) A health care provider or the health care provider's contracted third party service shall deliver the medical records in the electronic medium customarily used by the health care provider or the health care provider's contracted third party service or in a universally readable image such as portable document format:

1. (a) if the patient, patient's personal representative, or a third party authorized to receive the records requests the records be delivered in an electronic medium; and
2. (b) the original medical record is readily producible in an electronic medium.

(8)

1. (a) Except as provided in Subsections (8)(b) and (c), the per page fee in Subsections (4), (5), and (6) applies to medical records reproduced electronically or on paper.
2. (b) The per page fee for producing a copy of records in an electronic medium shall be 50% of the per page fee otherwise provided in this section, regardless of whether the original medical records are stored in electronic format.

3. (c)

   1. (i) A health care provider or a health care provider's contracted third party service shall deliver the medical records in the electronic medium customarily used by the health care provider or the health care provider's contracted third party service or in a universally readable image, such as portable document format, if the patient, patient's personal representative, patient's attorney, legal representative, or a third party authorized to receive the records, requests the records be delivered in an electronic medium.

   2. (ii) An entity providing requested information under Subsection (8)(c)(i):

      1. (A) shall provide the requested information within 30 days; and
      2. (B) may not charge a fee for the electronic copy that exceeds $150 regardless of the number of pages and regardless of whether the original medical records are stored in electronic format.

(9)

1. (a) On January 1 of each year, the state treasurer shall adjust the following fees for inflation:

   1. (i) the fee for providing patient's records under:

      1. (A) Subsections (5)(b)(i) through (ii); and
      2. (B) Subsections (6)(b)(i) through (ii); and
   2. (ii) the maximum amount that may be charged for an electronic copy under Subsection (8)(c)(ii)(B).

2. (b) On or before January 30 of each year, the state treasurer shall:

   1. (i) certify the inflation-adjusted fees and maximum amounts calculated under this section; and
   2. (ii) notify the Administrative Office of the Courts of the information described in Subsection (9)(b)(i) for posting on the court's website.

(10) Notwithstanding Subsections (4) through (6), if a request for a medical record is accompanied by documentation of a qualified claim or appeal, a health care provider or the health care provider's contracted third party service:

1. (a) may not charge a fee for the first copy of the record for each date of service that is necessary to support the qualified claim or appeal in each calendar year;

2. (b) for a second or subsequent copy in a calendar year of a date of service that is necessary to support the qualified claim or appeal, may charge a reasonable fee that may not:

   1. (i) exceed 60 cents per page for paper photocopies;
   2. (ii) exceed a reasonable cost for copies of X-ray photographs and other health care records produced by similar processes;
   3. (iii) include an administrative fee or additional service fee related to the production of the medical record; or
   4. (iv) exceed the fee provisions for an electronic copy under Subsection (8)(c); and
3. (c) shall provide the health record within 30 days after the day on which the request is received by the health care provider.

(11)

1. (a) Except as otherwise provided in Subsections (4) through (6), a health care provider or the health care provider's contracted third party service shall waive all fees under this section for an indigent individual.
2. (b) A health care provider or the health care provider's contracted third party service may require the indigent individual or the indigent individual's authorized representative to provide proof that the individual is an indigent individual by executing an affidavit.

3. (c)

   1. (i) An indigent individual that receives copies of a medical record at no charge under this Subsection (11) is limited to one copy for each date of service for each health care provider, or the health care provider's contracted third party service, in each calendar year.
   2. (ii) Any request for additional copies in addition to the one copy allowed under Subsection (11)(c) is subject to the fee provisions described in Subsection (10).