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Senate adopts bill allowing doctors limited case‑by‑case delay of certain test-result uploads to patient portals

3629139 · April 16, 2025
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Summary

The Senate passed House Bill 19‑61, a measure that lets medical providers delay publishing sensitive test results to patient portals in narrowly defined, case‑by‑case situations so a provider can first discuss results with a patient; bill includes an emergency clause.

The Arkansas Senate passed House Bill 19‑61, a measure its sponsor described as preserving the doctor–patient relationship in the digital era. The bill allows, in narrowly defined circumstances, a treating provider to delay the electronic release of certain sensitive test results to a patient portal so a clinician can contact the patient first and provide context, explanation and immediate next steps.

Senator Stephanie Boyd, sponsor, told the chamber the measure addresses conflicts and uncertainty between federal rules and the practical effect of automated patient portals. “This bill is about preserving the doctor patient relationship,” Boyd said, describing rare situations where immediate upload of a sensitive result can cause harm or confusion before a clinician has had a chance to speak with the patient.

Debate on the floor focused on who decides when a delay is appropriate and whether the law limits a patient’s access to their information. Several senators said patients should have access to records; others said allowing a narrow, clinician‑initiated pause could prevent needless distress and misguided searches for information online. Senator Love argued patient data is the patient’s information and warned against creating barriers to access. Senator Boyd and several supporters said the bill is narrowly tailored, case by case, and does not change ownership of medical records.

The bill includes a provision that the pause be decided on a case‑by‑case basis, not through a blanket policy, and sponsors said federal law and agency guidance remain relevant; the state measure creates clarity for providers who feared legal exposure under automated release rules.

On final action the Senate passed House Bill 19‑61 and also adopted its emergency clause (the Senate later voted to reinstate the emergency clause after an expunge motion). The transcript records a roll call with 18 yeas, 10 nays, 1 not voting and 6 present on the bill; later the Senate adopted the emergency clause by revote following procedural motions.