Physicians and surgeons: medical records.
Vote required
Majority
Fiscal committee
No
Appropriation
No
Current location
Enrolled
Take action
Record your position on this measure.
Create an account to record your position, submit testimony, or contact your legislator.
Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Assembly
- Passed Senate
- To Governor
- Became Law
Overview
This bill clarifies that a physician’s patient medical notes, including after-visit summaries and diagnoses/treatment plans, are the sole responsibility of the authoring physician and surgeon. It prohibits anyone other than the authoring physician or surgeon – with limited exceptions – from altering, modifying, or editing these notes. The bill also specifies that no state reimbursement is required for local agencies or school districts due to the creation of a new crime.
Key provisions
- Defines ‘patient notes’ to include medical documentation, after-visit summaries, and treatment plans.
- States that a physician and surgeon is responsible for their patient’s medical notes.
- Prohibits alteration or modification of patient notes by anyone other than the authoring physician or surgeon.
- Allows scribes, medical assistants, and authorized individuals to record information under the physician’s direction.
- Permits alterations by a physician transferring patient care.
- Allows alterations by a physician supervising postgraduate fellows.
- Specifies that no state reimbursement is required for local agencies or school districts.
Who is affected
- Physicians and Surgeons
- Patients
- Medical Staff
- Healthcare Facilities
- Medical Boards
Notable changes
Bill text
Read the latest version inline or switch to a previous version.
Text extraction is in progress. View the official source.
Sponsors
Official sponsors from legislative records.
1 on record
Primary sponsor
Arguments
Reasons offered for and against this legislation.
Arguments in favor
No arguments in favor have been submitted.
Submit yoursArguments opposed
No arguments opposed have been submitted.
Submit yours