On January 22, 2025, the New Hampshire Legislature introduced Senate Bill 138, aimed at enhancing patient access to medical records while ensuring the protection of sensitive information. The bill addresses several key provisions regarding the handling and delivery of medical records, particularly in electronic formats.

One of the primary objectives of Senate Bill 138 is to streamline the process for patients requesting their medical records. The bill stipulates that if a requestor seeks redactions for sensitive information—such as HIV status, drug and alcohol use, mental health details, or genetic testing—reasonable labor costs for these redactions may be charged, capped at $25 per hour. This provision aims to balance patient privacy with the administrative costs associated with fulfilling such requests.

Additionally, the bill mandates that if medical records are stored electronically, they must be provided in that format unless a paper copy is specifically requested. This requirement is intended to facilitate quicker access to records and reduce unnecessary printing costs. Furthermore, the legislation establishes a strict timeline for record provision, requiring that all records be delivered within 30 days of the request. If records are not provided within this timeframe, they must be supplied at no cost, barring unforeseen circumstances that prevent access.

Senate Bill 138 also includes a provision for healthcare providers requesting records on behalf of patients, mandating that such transfers occur within 14 days at no charge. This aspect of the bill underscores the importance of timely access to medical information for ongoing patient care.

The introduction of this bill has sparked discussions among lawmakers and healthcare advocates regarding its implications for patient rights and healthcare administration. Supporters argue that it enhances transparency and empowers patients, while critics express concerns about the potential administrative burden on healthcare providers.

As the bill progresses through the legislative process, its potential impact on healthcare practices in New Hampshire remains to be seen. If passed, Senate Bill 138 is set to take effect 60 days after its passage, marking a significant step toward improving patient access to medical records in the state.