House Committee of Reference Report
Committee on Finance
-
All text that will be removed from the bill will be indicated by strikethrough as follows:
-
This is text that is removed from law. -
Text that is added to a bill will be indicated by either all capitals or bold & italic as follows:
-
- This all capitals text would be added to law.
- This is bold & italic text that would be added to law.
April 23, 2026
After consideration on the merits, the Committee recommends the following:
HB26-1414 be amended as follows, and as so amended, be referred to the Committee of the Whole with favorable recommendation:
Page 1, Line 1Amend printed bill, page 2, line 2, after "25-1-801," insert "amend
Page 1, Line 2(1)(b)(I)(A); and".
Page 1, Line 3Page 2, line 3, after "(1)(b)(III)," insert "(1)(b)(IV),".
Page 1, Line 4Page 2, line 4, strike "facility." and substitute "facility - definitions.".
Page 1, Line 5Page 2, after line 4 insert:
Page 1, Line 6"(1) (b) (I) (A) A health facility licensed or certified pursuant to
Page 1, Line 7section 25-1.5-103 (1) or article 3 of this title, or both, title 25 or an
Page 1, Line 8entity regulated under title 10, C.R.S., providing health-care services, as
Page 1, Line 9defined in section 10-16-102, (33), C.R.S., directly or indirectly through
Page 1, Line 10a managed care plan, as defined in section 10-16-102 (43), C.R.S., or
Page 1, Line 11otherwise, must provide copies of a patient's medical records, including
Page 1, Line 12X rays, to the patient or the patient's personal representative upon request
Page 1, Line 13and payment of the fee a covered entity may impose in accordance with
Page 1, Line 14the "Health Insurance Portability and Accountability Act of 1996", Pub.L.
Page 1, Line 15104-191, as amended, and any rules promulgated pursuant to the act, or
Page 1, Line 16to a third person who requests the records upon submission of a
Page 1, Line 17HIPAA-compliant authorization, valid subpoena, or court order and upon
Page 1, Line 18the payment of the reasonable fees. For a request not exceeding six
Page 1, Line 19hundred sixty-four pages, the fees charged to a third person
Page 1, Line 20shall not exceed the reasonable fees.".
Page 1, Line 21Page 2, line 5, strike "(1)(b)(III)" and substitute "(III)".
Page 1, Line 22Page 2, after line 12 insert:
Page 1, Line 23"(IV) On January 1, 2028, and every January 1 every
Page 2, Line 1even-numbered year thereafter, the four-hundred-dollar limit
Page 2, Line 2set forth in subsection (1)(b)(III) of this section must be adjusted
Page 2, Line 3for inflation. The adjusted limit must be rounded to the nearest
Page 2, Line 4whole dollar. The secretary of state shall publish the adjusted
Page 2, Line 5limit on its website no later than October 1 of every year the
Page 2, Line 6limit is subject to an adjustment. The adjusted limit must not be
Page 2, Line 7decreased below four hundred dollars. As used in this
Page 2, Line 8subsection (1)(b)(IV), "inflation" means the annual percentage
Page 2, Line 9change in the United States department of labor's bureau of
Page 2, Line 10labor statistics consumer price index for
Page 2, Line 11Denver-Aurora-Lakewood for all items paid by all urban
Page 2, Line 12consumers, or its successor index.".
Page 2, Line 13Page 3, strike lines 7 through 12 and substitute:
Page 2, Line 14"(II) An invoice for all records provided in response to a
Page 2, Line 15request for medical records must be provided to the requestor
Page 2, Line 16within thirty days of receiving a valid request, and the records
Page 2, Line 17must be provided upon payment of the invoice.".
Page 2, Line 18Page 3, line 17, strike "patient" and substitute "requestor".
Page 2, Line 19Page 3, line 18, strike "no later than seven days before" and
Page 2, Line 20substitute "within".
Page 2, Line 21Page 3, line 19, strike "period expires." and substitute "period.".
Page 2, Line 22Page 3, line 20, after "days" insert "or without written notification
Page 2, Line 23of a thirty-day extension".
Page 2, Line 24Page 3, strike lines 24 through 27.
Page 2, Line 25Page 4, strike lines 1 through 5, and substitute:
Page 2, Line 26"required time frame. As used in this subsection (1)(f)(IV),
Page 2, Line 27"force majeure" means a factor outside the parties' control that
Page 2, Line 28means performance of the task is impossible or impracticable as
Page 2, Line 29a result of an event or effect that the parties could not have
Page 2, Line 30anticipated or controlled.".
Page 2, Line 31Page 4, line 11, after "25-1-802," insert "amend (1)(b)(I)(A); and".
Page 2, Line 32Page 4, line 12, after "(1)(b)(III)," insert "(1)(b)(IV),".
Page 2, Line 33Page 4, strike line 14 and substitute "providers - definitions.".
Page 3, Line 1Page 4, after line 14 insert:
Page 3, Line 2"(1) (b) (I) (A) A health facility licensed or certified pursuant to
Page 3, Line 3section 25-1.5-103 (1) or article 3 of this title, or both, title 25, or an
Page 3, Line 4entity regulated under title 10, C.R.S., providing health-care services, as
Page 3, Line 5defined in section 10-16-102, (33), C.R.S., directly or indirectly through
Page 3, Line 6a managed care plan, as defined in section 10-16-102 (43), C.R.S., or
Page 3, Line 7otherwise, must provide copies of a patient's medical records, including
Page 3, Line 8X rays, to the patient or the patient's personal representative upon request
Page 3, Line 9and payment of the fee a covered entity may impose in accordance with
Page 3, Line 10the "Health Insurance Portability and Accountability Act of 1996", Pub.L.
Page 3, Line 11104-191, as amended, and any rules promulgated pursuant to the act, or
Page 3, Line 12to a third person who requests the records upon submission of a
Page 3, Line 13HIPAA-compliant authorization, valid subpoena, or court order and upon
Page 3, Line 14the payment of the reasonable fees. For a request not exceeding six
Page 3, Line 15hundred sixty-four pages, the fees charged to a third person
Page 3, Line 16shall not exceed the reasonable fees.".
Page 3, Line 17Page 4, line 15, strike "(1) (b) (III)" and substitute "(III)".
Page 3, Line 18Page 4, after line 22 insert:
Page 3, Line 19"(IV) On January 1, 2028, and every January 1 every even-
Page 3, Line 20numbered year thereafter, the four-hundred-dollar limit set
Page 3, Line 21forth in subsection (1)(b)(III) of this section must be adjusted for
Page 3, Line 22inflation. The adjusted limit must be rounded to the nearest
Page 3, Line 23whole dollar. The secretary of state shall publish the adjusted
Page 3, Line 24limit on its website no later than October 1 of every year the
Page 3, Line 25limit is subject to an adjustment. The adjusted limit must not be
Page 3, Line 26decreased below four hundred dollars. As used in this
Page 3, Line 27subsection (1)(b)(IV), "inflation" means the annual percentage
Page 3, Line 28change in the United States department of labor's bureau of
Page 3, Line 29labor statistics consumer price index for
Page 3, Line 30Denver-Aurora-Lakewood for all items paid by all urban
Page 3, Line 31consumers, or its successor index.".
Page 3, Line 32Page 5, strike lines 9 through 14 and substitute:
Page 3, Line 33"(II) An invoice for all records provided in response to a
Page 3, Line 34request for medical records must be provided to the requestor
Page 3, Line 35within thirty days of receiving a valid request, and the records
Page 3, Line 36must be provided upon payment of the invoice.".
Page 3, Line 37Page 5, line 19, strike "patient" and substitute "requestor".
Page 3, Line 38Page 5, line 20, strike "no later than seven days before" and
Page 4, Line 1substitute "within".
Page 4, Line 2Page 5, line 21, strike "period expires." and substitute "period.".
Page 4, Line 3Page 5, line 22, after "days" insert "or without written notification
Page 4, Line 4of a thirty-day extension".
Page 4, Line 5Page 5, strike lines 26 and 27.
Page 4, Line 6Page 6, strike lines 1 through 7, and substitute:
Page 4, Line 7"required time frame. As used in this subsection (1)(f)(IV),
Page 4, Line 8"force majeure" means a factor outside the parties' control that
Page 4, Line 9means performance of the task is impossible or impracticable as
Page 4, Line 10a result of an event or effect that the parties could not have
Page 4, Line 11anticipated or controlled.".