Require monitoring of electronic records maintained by hospitals.

HB 5476 requires hospitals in West Virginia to maintain an unaltered audit trail for all electronic health care records, showing who made changes, when, and why. It directly affects hospitals (health care providers) and patients, granting patients the right to review their records, request corrections for inaccuracies within five days, and seek $2,000 minimum damages if records are altered without justification. The bill creates a rebuttable presumption that records were improperly altered if no audit trail exists and prohibits hospitals from retaliating against employees who report tampering. These provisions aim to increase transparency and accountability in medical record-keeping while protecting patient rights.