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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: Charlie Baum (Republican)

Became Law

Hospitals and Health Care Facilities

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Bill Overview

Analyzed Economic Effects

7 provisions identified: 3 benefits, 1 costs, 3 mixed.

Easier, cheaper electronic medical records

Beginning July 1, 2025, providers must give records electronically if they normally keep them that way. When you or your personal representative ask for your own electronic records, charges are limited to actual labor, supplies (including media), and postage. Electronic radiology images are capped at $25 for a CD/DVD/USB or $15 if emailed or sent through a portal.

Lower, capped fees for paper records

Beginning July 1, 2025, paper medical record fees are capped. You pay $25 for up to five pages, then $0.50 per page after five. Printed radiology films can cost up to $20 each. Providers may only charge actual postage if mailed. These paper caps also apply to faxed copies and do not apply to workers’ compensation requests.

No charges for Health Department requests

Beginning July 1, 2025, providers cannot charge copying or notary fees when the Tennessee Department of Health requests records for a complaint, inspection, or survey under §63-1-117.

Flat $20 fee for certified records

Beginning July 1, 2025, if you ask for certified or notarized copies, providers may charge a flat $20. This applies to paper and electronic records. The fee only applies when you request certification or notarization.

Rules and flat fees for third-party requests

Beginning July 1, 2025, non‑patient requesters pay a flat $90 for electronic records. Providers may require prepayment for requests other than a patient’s personal-use request. For Social Security disability denials or appeals, the electronic reproduction fee is $20 per request. Third‑party release vendors must follow these caps and cannot charge more.

Workers' comp records use separate fees

Beginning July 1, 2025, records for workers’ compensation cases follow the fee rules in Tennessee Code § 50-6-204. The general caps in this law do not apply to those requests.

One records-law subsection repealed

On July 1, 2025, subsection (d) of §68-11-304 is repealed. Current rules are those in this act and the remaining statute.

Sponsors & Cosponsors

Sponsor

  • Charlie Baum

    Republican • House

Cosponsors

  • Elaine Davis

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 156 • No: 0

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

  1. Pub. Ch. 339

    5/8/2025

  2. Effective date(s) 07/01/2025

    5/8/2025

  3. Signed by Governor.

    5/2/2025

  4. Signed by H. Speaker

    4/22/2025House

  5. Signed by Senate Speaker

    4/22/2025Senate

  6. Transmitted to Governor for his action.

    4/22/2025House

  7. Enrolled; ready for sig. of H. Speaker.

    4/16/2025House

  8. Senate substituted House Bill for companion Senate Bill.

    4/15/2025Senate

  9. Amendment withdrawn. (Amendment 1 - SA0157)

    4/15/2025Senate

  10. Passed Senate, Ayes 31, Nays 0

    4/15/2025Senate

  11. Received from House, Passed on First Consideration

    4/3/2025Senate

  12. Engrossed; ready for transmission to Sen.

    4/1/2025House

  13. H. adopted am. (Amendment 1 - HA0180)

    3/31/2025House

  14. Sponsor(s) Added.

    3/31/2025House

  15. Passed H., as am., Ayes 95, Nays 0, PNV 0

    3/31/2025House

  16. H. Placed on Regular Calendar for 3/31/2025

    3/27/2025House

  17. Placed on cal. Calendar & Rules Committee for 3/27/2025

    3/26/2025House

  18. Rec. for pass. if am., ref. to Calendar & Rules Committee

    3/25/2025House

  19. Rec for pass if am by s/c ref. to Health Committee

    3/19/2025House

  20. Placed on cal. Health Committee for 3/25/2025

    3/19/2025House

  21. Placed on s/c cal Health Subcommittee for 3/19/2025

    3/12/2025House

  22. P2C, ref. to Health Committee

    2/5/2025House

  23. Assigned to s/c Health Subcommittee

    2/5/2025House

  24. Intro., P1C.

    2/3/2025House

  25. Filed for introduction

    1/29/2025House

Bill Text

  • HA0180 (Substitute)

    3/31/2025

    PDF

  • Enrolled / Public Chapter

    PDF

  • Fiscal Note

    PDF

  • Introduced

    PDF

  • SA0157

    PDF

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