HB 1359 -- Health Record Banks

Sponsor:  Chappelle-Nadal

This bill authorizes the Department of Social Services to select
certain nonprofit organizations in the metropolitan areas of
Kansas City and St. Louis to deploy and manage a regional health
record bank which is responsible for maintaining the electronic
medical records of individuals participating in the bank.  Each
regional health record bank must enable a secure, web-based
infrastructure for the sharing of electronic health information
among health care facilities, health care professionals, public
and private payers, and patients; allow individuals to create an
account to consolidate their own health information into an
electronic personal health record; and allow consumers and health
care providers to study defined benefits collected in the health
record bank.  State employees or individuals receiving health
care benefits from the state can opt-out of participation in
regional health record banks.  The state must authorize the
regional health record bank to electronically report quality
measures to the state when possible.

Nonprofit organizations selected by the department to be a
regional health record bank must be authorized to submit and
request funds in Fiscal Year 2011 from the Secretary of the
United States Department of Health and Human Services as defined
in the American Recovery and Reinvestment Act of 2009, commonly
known as the federal stimulus act.  Each nonprofit organization
must create and submit a health banking business model and
propose what state appropriations should be requested in fiscal
years 2012, 2013, and 2014 to qualify for the federal matching
funds under the federal act.

All health records maintained by a health record bank must comply
with federal Health Insurance Portability and Accountability Act
(HIPAA) privacy regulations.  The bill establishes the Missouri
Patient Privacy Act which specifies that no personal health
information of a patient which can be identified as specific to
the patient will be disclosed to any employer, public or private
payer, or employee or agent of a state department or agency
without the written consent of the patient and health care
provider; however, the information can be disclosed to a health
insurer, employer, or state employee or agent in connection with
the performance of the employee's official duties.  No health
care provider will be required to redact information when
disclosing personal health information under these provisions.

Missouri House of Representatives
95th General Assembly, 2nd Regular Session
Last Updated September 14, 2010 at 3:10 pm