HB 5681 Michigan House · 2025-2026 Regular Session

Health: medical records; medical record fees; modify. Amends sec. 9 of 2004 PA 47 (MCL 333.26269).

This bill updates the fees that healthcare providers and medical records companies can charge patients for accessing their medical records in Michigan. It raises the initial request fee from $20 to $31.54 and adjusts per-page copying costs based on the number of pages, with higher rates for pages beyond 20. The law also requires annual fee adjustments starting in 2028 based on the Detroit consumer price index and maintains fee waivers for medically indigent individuals who receive one free set of copies per provider.

Bill status in committee 1 of 4 stages cleared

Introduction

Mar 2026

Committee Review

Floor Vote

Governor

Introduced Mar 5, 2026 Last action Jun 24, 2026

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What changed between versions

House Introduced Bill → Substitute (H-1) · 4 edits

MODERATE

The bill was amended to update medical record copying fees to reflect inflation, raising the initial fee from $20.00 to $32.08 and increasing per-page charges. Additionally, the law was modified to explicitly waive fees for electronic copies and to clarify that indigent patients must provide proof of their status to receive free records.

Scope change

The scope of fee exemptions was expanded to specifically include electronic copies, whereas the original text only waived fees for medically indigent individuals without distinguishing between paper and digital formats.

FISCAL

The initial fee for requesting medical records increased from $20.00 to $32.08, and per-page fees for paper copies were adjusted upward (e.g., first 20 pages now cost $1.60 instead of $1.58).

REQUIREMENT

A new requirement mandates that patients or their representatives must provide proof of indigency to qualify for fee waivers.

New exemptions were added to waive all fees for electronically delivered medical records, regardless of the patient's financial status.

DEFINITION

The structure of fee exemptions was reorganized to create a specific list of waived items, clarifying that electronic copies are free while paper copies may still incur costs for non-indigent patients.

Floor votes

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Full legislative history

Actions timeline

Total actions

Key actions

Committee

Jun 24, 2026

Committee

referred to second reading

lower

Jun 24, 2026

Lower · Passed

reported with recommendation with substitute (H-1)

lower

Mar 5, 2026

Committee

referred to Committee on Health Policy

lower

Mar 5, 2026

Introduced

introduced by Representative Rep. Phil Green

lower

1 primary · 8 co-sponsors