All Roll Calls
Yes: 156 • No: 0
TennesseeHB 0495114th General Assembly (2025-2026)HouseWALLET
AN ACT to amend Tennessee Code Annotated, Title 63 and Title 68, relative to medical records.
Sponsored By: Sponsor information unavailable
Signed by Governor
Hospitals and Health Care Facilities
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 0 benefits, 0 costs, 1 mixed.
New fee limits for Tennessee medical records
Beginning July 1, 2025, Tennessee sets new medical-record fees and access rules. Requesters pay paper-copy costs, capped at $25 for five pages or fewer, plus 50 cents per additional page. Printed radiology images cost up to $20 each, and mailing costs the actual postage. Requested certification or notarization costs a flat $20. Patients requesting their own electronic records for personal use pay only costs allowed under federal HIPAA and HITECH rules. These limits cover copying labor, supplies or portable media, and postage when mailing is requested. Other electronic requests generally have a flat fee capped at $90, plus allowed extra charges. Electronic radiology copies cost up to $25 per CD, DVD, or USB drive, or $15 per file sent by email or portal. Copying or faxing charges must stay within the paper-copy limits. Electronic records for qualifying Social Security disability claims or appeals of benefit denials cost a flat $20. Providers must send records electronically when requested if they ordinarily keep them electronically. Outside release companies must follow the same fee limits. Providers may require advance payment, including electronic payment, for requests outside a patient's personal use. This advance-payment rule excludes personal-use requests made by the patient or their HIPAA-defined personal representative. Workers' compensation records follow separate fee rules. Providers cannot charge copying or notarization fees for Tennessee Department of Health requests tied to complaints, inspections, or surveys.
Sponsors & Cosponsors
Sponsors
There is no primary sponsor on record.
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 4/15/2025
FLOOR VOTE: Third Consideration 4/15/2025
Yes: 31 • No: 0
House vote • 3/31/2025
HOUSE CALENDAR & RULES COMMITTEE
Yes: 0 • No: 0
House vote • 3/31/2025
FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 3/31/2025
Yes: 95 • No: 0
House vote • 3/25/2025
HOUSE HEALTH COMMITTEE
Yes: 23 • No: 0
House vote • 3/19/2025
HOUSE HEALTH SUBCOMMITTEE
Yes: 7 • No: 0
Actions Timeline
Effective date(s) 07/01/2025
5/8/2025Pub. Ch. 339
5/8/2025Signed by Governor.
5/2/2025Transmitted to Governor for his action.
4/22/2025HouseSigned by Senate Speaker
4/22/2025SenateSigned by H. Speaker
4/22/2025HouseEnrolled; ready for sig. of H. Speaker.
4/16/2025HousePassed Senate, Ayes 31, Nays 0
4/15/2025SenateAmendment withdrawn. (Amendment 1 - SA0157)
4/15/2025SenateSenate substituted House Bill for companion Senate Bill.
4/15/2025SenateReceived from House, Passed on First Consideration
4/3/2025SenateEngrossed; ready for transmission to Sen.
4/1/2025HousePassed H., as am., Ayes 95, Nays 0, PNV 0
3/31/2025HouseSponsor(s) Added.
3/31/2025HouseH. adopted am. (Amendment 1 - HA0180)
3/31/2025HouseH. Placed on Regular Calendar for 3/31/2025
3/27/2025HousePlaced on cal. Calendar & Rules Committee for 3/27/2025
3/26/2025HouseRec. for pass. if am., ref. to Calendar & Rules Committee
3/25/2025HousePlaced on cal. Health Committee for 3/25/2025
3/19/2025HouseRec for pass if am by s/c ref. to Health Committee
3/19/2025HousePlaced on s/c cal Health Subcommittee for 3/19/2025
3/12/2025HouseAssigned to s/c Health Subcommittee
2/5/2025HouseP2C, ref. to Health Committee
2/5/2025HouseIntro., P1C.
2/3/2025HouseFiled for introduction
1/29/2025House
Bill Text
HA0180 (Substitute)
3/31/2025
Enrolled / Public Chapter
Fiscal Note
Introduced
SA0157
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