Medical records; access to medical records, copies, waiver of privilege, and exception for inmates when threat to safety or security of self or institution; fee requirement; effective date.

Changed the fee structure for medical records from mandatory to discretionary, meaning healthcare providers can now choose whether to charge for copies or electronic transfers.

Clarified that providers may charge up to $20 for a base fee and up to $15 for certification, rather than requiring these specific charges.

Updated rules for digital records to state that providers may charge up to 30 cents per page if the records are requested and can be delivered electronically.

Reaffirmed that providers cannot charge patients who request their own records for the costs of searching, retrieving, or preparing those records.