Many states have laws which waive or limit the amount that can be charged for obtaining copies of medical records when the request is made in pursuant of Social Security disability or SSI claims. Other states have limits that apply to all requests, regardless of purpose, and other states have no limits at all, resulting in possible charges of hundreds of dollars for medical records. The following list contains the information that we have about states’ laws on this issue. If a state is not on this list, it is because we have no information about this law, and we would appreciate your letting us know what the limit, if any, is. Please let us know of any errors in this information as well. Also, send us a copy of the applicable statute or regulations.

Many of the state laws which limit costs were initiated by NOSSCR members who contacted their state representative and pushed for such legislation. If you are interested in contacting your state representative to pass a similar statute, contact NOSSCR for a copy of other states’ statutes to be used as a format for your state.

Note: If a state is not included here, we do not currently have any information about that state’s law.

Alabama – $1.00 per page for the first 25 pages, not more than 50¢ per page for each page in excess of 25 pages, and a search fee limited to $5.00. The actual cost of mailing can also be charged. X-rays and other special medical records are limited to the actual reproduction costs. Code of Alabama § 12-21-6.1. Effective 8/17/08.

Alaska – No statute limits the costs of copying medical records although many medical providers will provide a copy of records at no charge to a patient.

Arizona – “a reasonable fee for the production of the records.” Arizona Revised Statutes § 12-2295.  

Arkansas – The cost of each photocopy, excluding x-rays, is limited to 50¢ per page for the first 25 pages, and 25¢ per page for each additional page. A labor charge of up to $15.00 and the actual cost of postage may also be added for each request. Additional reasonable fees can be charged for retrieval of stored records or narrative statements. AR Code Ann. § 16-46-106, amended 2007.  

California – One copy of medical records must be provided free of charge to individuals who have appealed a denial of Medi-Cal, SSI or SSDI, and who are pro se or who are represented by a legal aid office. If the appeal is successful, the provider may then bill the patient for the records up to 25¢ per page (50¢ if retrieved from microfilm, and “reasonable costs” for x-rays or tracings) plus reasonable clerical costs. This provision also applies if a claimant is represented by a private attorney who is not advancing costs. Free copies are not available if the claimant “is represented by a private attorney who is paying for the costs related to the patient’s appeal, pending the outcome of that appeal.” Health and Safety Code § 123110(d), (e) Effective January 1, 2002, modified 1/12/2009. 

If a claimant is represented by a private attorney who is advancing costs, the “reasonable cost” of copying medical records is limited to 10¢ per page, or 20¢ if copied from microfilm, plus clerical costs not to exceed $16 per hour and actual postage costs and costs the provider pays to a third party for the retrieval and return of records the third party holds. If the records are delivered to the attorney or a private copy service, the custodian must make the records available within five business days and can charge no more than $15. Evidence Code § 1158.

Colorado – Medical records law was recently redesigned for HIPAA compliance. See Colorado Statute § 25-1-801 (1)(b)(I)(a) for records in a medical facility and §25-1-802 (1)(b)(I)(a) for records in custody of individual health care providers allow a patient or the patient’s personal representative (as defined in 45 CFR 164.502) to obtain records at a “reasonable cost.”

In the past, the “reasonable cost” if a patient or personal representative (as defined under HIPAA § 164.502(g)) requested records was $14.00 for the first 10 or fewer pages, 50¢ for pages 11-40 and 33¢ per page for every additional page. Actual postage and applicable sales tax may also be charged. The per page fee for records copied from microfilm shall be $1.50 per page. A “reasonable cost” for requests made by other designated representatives was defined as $16.50 for the first 10 or fewer pages, 75¢ per page for pages 11- 40, and 50¢ per page for every additional page. 6 Code of Colorado Regulations 1011-1, Chapter 2, Part 5.2.3.4. However, this section is now “reserved” and does not include any text. 6 Code of Colorado Regulations 1011-1, Chapter 2, Part 5.2.3.3 does state that discharged inpatients or their representatives “shall not be charged for inspection of patient records.” Code of Colorado Regulations.

Connecticut – No charge for health records for Social Security claim or appeal. The request must be accompanied by documentation. The provider shall furnish the health record requested within thirty days of the request. Conn. General Statutes § 20–7c(d). Hospitals are covered under § 19a-490b

Delaware - The limits are: $2.00 per page for pages 1–10; $1.00 per page for pages 11–20; 90¢ per page for pages 21–60; 50¢ per page for pages 61 and above. These rules apply for both paper and electronic copies. Records related to an application for a disability benefits program need not be prepaid, but payment for all other types of requests may be required before the records are sent.  In addition, the doctors may charge the following: The actual cost of postage or shipping when the records are mailed, and the actual cost of reproducing the records when photocopying is not possible (such as radiology films or fetal monitoring strips). 24 Delaware Administrative Code Section 1700.29.-16.0. Also see Medical Records Fees.

District of Columbia – There is no code or regulation on this issue.

FloridaHospitals: $1.00 per page, plus sales tax and actual postage. Non-paper records (such as microfiche) are subject to a charge not to exceed $2.00. A fee of up to $1 may be charged for each year of records requested. These charges shall apply to all records furnished, whether directly from the facility or from a copy service providing these services on behalf of the facility.  Florida Statutes: Title XXIX, chapter 395.3025

Doctors: “Recognizing that patient access to medical records is important and necessary to assure continuity of patient care, the Board of Medicine urges physicians to provide their patients a copy of their medical records, upon request, without cost, especially when the patient is economically disadvantaged.” However, should doctors choose to charge for requests made by patients and governmental entities:  $1.00 per page for the first 25 pages, 25¢ per page for each additional page. Actual cost of reproducing x-rays and other records. Requests made by other entities: Not more than $1.00 per page. Rule 64B8-10.003, Florida Administrative Code.  Amended 3/9/2009.

Florida is currently in the process of revising Rule 64B8-10.003. The rule proposed on March 15, 2015 would change the cost for supplying records to a flat $1 per page.  It would also change the definition of “actual cost” for reproducing x-rays and other records to exclude overhead costs but include postage, materials, supplies, and labor costs. The rule would also state that accessing records through a patient portal does not count as “reproducing” records. Since this rule change would have a significant effect on law firms and other groups who regularly request records of more than 25 pages, it must be ratified by the Florida Legislature.

GeorgiaO.C.G. §31-33-3(a), which sets out the fee schedule for providing copies of medical records, “shall not apply to records requested in order to make or complete an application for a disability benefits program.”

These provisions may not apply to psychiatric, psychological, or other mental health records of a patient. § 31-33-4.

Note that some representatives have been charged fees for copies of medical records, when providers say this section is not applicable. The statute may be ambiguous.

Hawaii – “Reasonable costs incurred by a health care provider in making copies of medical records shall be borne by the requesting person.” No special provision for Social Security claimants. Hawaii Revised Statutes § 622-57(g).

Idaho – There is no statute or regulation on this issue.

Illinois – The cost for copying medical records for Social Security claims in 2016 is a handling charge of $26.77 plus $1.00 per page for pages 1-25, 67¢ per page for pages 26-50 and 33¢ per page for any pages after that, plus actual shipping costs. The cost for copying microfiche is $1.67 per page.  735 ILCS 5/ Art. VIII, Part 20, effective August 2001, with the annual adjustment of copying fees as required under 735 ILCS 5/8-2006. When available and requested by the patient, records produced in an electronic format must be provided at 50% of the paper copy rate. Public Act 95-480, effective August 27, 2007. 735 ILCS 5/8-2001(d). 

HIPAA preempts the Illinois rule by prohibiting the provider, and the provider’s copy service, from charging a handling fee to patients or their personal representatives. The prohibition on handling charges does not apply to requests made by the patient’s attorney.

Indiana – The permitted charges for making and providing copies of medical records are set by the Department of Insurance. Title 16, Health and Hospitals. 16-39-9-2.  The maximum charge is $1.00 per page for the first 10 pages. 50¢ per page for pages 11 through 50. 25¢ per page for pages 51 and higher. An additional labor fee of $20 can be charged. If labor fee is charged, there is no cost for the first 10 pages. Actual cost of mailing is charged. Additional $10 for rush jobs (within 2 days). Additional $20.00 for certified copy. (2006 amendments). 760 IAC 1-71-3 General requirements. A provider or medical records company shall consider waiving or reducing the charges if the patient requested the records for his own use and the charge will cause an undue financial hardship on him. 760 IAC 1-71-4 Waiver of charges.

Iowa – “The fee charged for the cost of producing the requested records or images shall be based upon the actual cost of production . . . [T]he amount charged shall not exceed the rates established by the workers’ compensation commissioner for copies of records in workers’ compensation cases.” Iowa Code 622.10(5)(a). The workers’ compensation commissioner has set forth the following formula: “The amount to be paid for furnishing duplicates of records or reports shall be the actual expense to prepare duplicates not to exceed: $20 for 1 to 20 pages; $20 plus $1 per page for 21 to 30 pages; $30 plus 50¢ per page for 31 to 100 pages; $65 plus 25¢ per page for 101 to 200 pages; $90 plus 10¢ per page for more than 200 pages, and the actual expense of postage. No other expenses shall be allowed. (Iowa Administrative Code Section 876-8.9). Change effective 2009.

Kansas K.S.A 65-4971(b), which limited copying charges and required the Secretary of Labor to annually adjust the maximum fees that could be charged, was repealed in 2012. There has been no replacement to date. Without any state guidelines, federal law may govern. Under HIPAA, a covered entity may impose “reasonable” cost-based fees for copying medical records. Many providers are following the copying charges set for 2012, which were limited to $18.97 for the cost of supplies and labor plus 63¢ per page for the first 250 pages, and 45¢ per page thereafter for non-workers’ compensation medical records. In 2011, the maximum charge was $18.40 for the cost of supplies and labor; 61¢ per page for the first 250 pages and 44¢ per page for additional pages. In 2010 the maximum charge was $18.11 for the cost of supplies and labor; 60¢ per page for the first 250 pages and 43¢ per page for additional pages. Providers may charge for the reasonable cost of all duplications which cannot be routinely duplicated on a standard photocopy machine.

Kentucky – Any patient is entitled to one free copy of his medical records, upon written request.  KRS § 422.317.  The patient may, by written request, direct release of this information to his or her attorney or authorized representative.  Any additional copies will incur a maximum charge of $1.00 per page. Copy charges are limited to 50¢ per page for persons with workers’ compensation claims. KRS § 342.035(7).  No specific statute applicable solely to Social Security claimants. Effective 7/96.

Louisiana – The cost for copies of medical records for a claim for Social Security disability or SSI benefits “shall not exceed 50¢ per page for the first five pages, and 25¢ for each additional page except that the amount due shall not be less than the amount paid by the Department of Children and Family Services  for such copies.” The copy of the record should be provided in a reasonable time, not to exceed fifteen days. R.S. 46:18. Effective August 15, 2003; updated 2007.  

MaineHealthcare Providers: Whenever a health care practitioner defined in section 1711-B furnishes in paper form requested copies of a patient’s treatment record or a medical report or an addition to a treatment record or medical report to the patient or the patient’s authorized representative, the charge for the copies or the report may not exceed the reasonable costs incurred by the health care practitioner in making and providing the copies or the report. The charge for the copies or the report may not exceed $5 for the first page and 45¢ for each additional page, up to a maximum of $250 for the entire treatment record or medical report.

If a treatment record or medical report exists in a digital or electronic format, the health care practitioner shall provide an electronic copy of the treatment record or medical report if an electronic copy is requested and it is reasonably possible to provide it. The health care practitioner may assess as charges reasonable actual costs of staff time to create or copy the treatment record or medical report and the costs of necessary supplies and postage. Actual costs may not include a retrieval fee or the costs of new technology, maintenance of the electronic record system, data access or storage infrastructure. Charges assessed under this paragraph may not exceed $150. §1711-A.

Hospitals: Reasonable costs incurred by the hospital in making and providing paper copies of medical records and additions to medical records may be assessed as charges to the requesting person and the hospital may require payment prior to responding to the request. The charge for paper copies of records may not exceed $5 for the first page and 45¢ for each additional page, up to a maximum of $250 for the entire medical record.

If a medical record exists in a digital or electronic format, the hospital shall provide an electronic copy of the medical record if an electronic copy is requested and it is reasonably possible to provide it. The hospital may assess as charges reasonable actual costs of staff time to create or copy the medical record and the costs of necessary supplies and postage. Actual costs may not include a retrieval fee or the costs of new technology, maintenance of the electronic record system, data access or storage infrastructure. Charges assessed under this paragraph may not exceed $150. §1711.

Maryland – A preparation fee of no more than $22.88 (which may not be charged if records are provided directly to patients), plus a fee of no more than 76¢ per page of the medical record, plus the actual cost of postage and handling. http://www.mbp.state.md.us/pages/faq_records.htm This is calculated based on an annual adjustment using the CPI.  Code of Maryland, Health-General § 4-304(c)(4)

MassachusettsHospitals or clinics: Existing medical records should be provided free of charge for SSI or SSDI applicant by hospitals and clinics. However, documentation by claimant is required. MGLA. ch. 111 § 70

Private practitioners cannot charge for copying existing medical records for a claim or appeal under the Social Security Act. This includes physicians, surgeons, therapists, dentists, nurses, psychologists, and podiatrists. See 243 C.M.R. § 207(13)(d).

Insurance companies may charge a reasonable fee for costs incurred in providing a copy of recorded personal information to an individual. MGLA ch. 175I § 8(e)

Michigan – Effective April 2004, Section 333.26269 of The Medical Records Access Act, Michigan Public Act of 2004, provides that a “medically indigent” individual may receive one copy of his or her physical medical records at no charge. Section 9(4). This does not apply to mental health providers. A “patient” may not be charged the initial fee for medical records but may be charged other permitted fees. For others, the costs for retrieving and copying medical records are as follows: In 2016, the initial fee is $23.34; $1.17 per page for the first 20 pages; 58¢ per page for pages 21 to 50; pages 51 and over: 23¢ per page.  These fees may be adjusted to reflect the change in the CPI. The complete Medical Records Access Act.

Minnesota – “(d) A provider or its representative may charge the $10 retrieval fee [which is adjusted annually based on the CPI-U and is currently $17.68 for 2016], but must not charge a per page fee to provide copies of records requested by a patient or the patient’s authorized representative if the request for copies of records is for purposes of appealing a denial of Social Security disability income or Social Security disability benefits under title II or title XVI of the Social Security Act; except that no fee shall be charged to a person who is receiving public assistance, who is represented by an attorney on behalf of a civil legal services program or a volunteer attorney program based on indigency.  For the purpose of further appeals, a patient may receive no more than two medical record updates without charge, but only for medical record information previously not provided. For purposes of this paragraph, a patient’s authorized representative does not include units of state government engaged in the adjudication of Social Security disability claims.”  MN Statute 144.292 Subd. 6(d) (2007). 2007 c 147 art 10 s 3; 2012 c 247 art 2 s 4. (Replaces MN Statute Section 144.335.)

Mississippi – Mississippi – The cost for providing copies of medical records to the patients or their representatives is limited to $20.00 for pages 1 to 20, $1.00 per page for the next 80 pages, 50¢ per page for all pages thereafter. An additional 10% of the total charge may be added for postage and handling. A $15.00 retrieval fee may be charged if the medical records are stored in archives at a location off premises. A physician shall charge “normal, reasonable and customary charges” for a deposition related to a patient that the physician is treating or has treated. Mississippi Statutes, Civil Practice and Procedure § 11-1-52. Effective July 1, 2004.

Missouri –Effective February 1, 2016, the maximum fees for paper copies of medical records is $24.57 plus 56¢ per page for the cost of labor and supplies for copies provided in paper form. An additional $23.00 may be charged if records are maintained offsite. If copies are provided electronically, the maximum fee is $24.57 plus 56¢ per page or $107.67 total, whichever is less. Section 191.227.5, RSMo.  As of 2002, effective February 1st of each year, these costs are increased or decreased based on the annual percentage change in the CPI-U. A.L. 2013 H.B. 351.

Montana – Limits charges to 50¢ per page for copying, and $15.00 for searching and handling recorded health care information. MCA §§ 50-16-540, 541.  Effective October 1, 1999. 

Nebraska – No cost for medical records for Social Security disability claimants from doctors or hospitals. Effective August 28, 1999. Neb. Rev. Stat § 71-8405

Nevada – No cost to provide medical records for a Social Security disability or SSI claim or appeal, if the request is accompanied by documentation of the claim or appeal. Up to 60¢ per page of records and a reasonable cost for x-rays or similar images may be charged for a second copy of the records to support the same claim or appeal. No administrative fee may be charged. Nevada Revised Statutes § 629.061(5)

New Hampshire – The charge for copying “shall not exceed $15 for the first 30 pages, or 50¢ per page, whichever is greater.” Copies of filmed records, such as x-rays, are provided at a reasonable cost. There is no special rule for Social Security claims. New Hampshire Revised Statutes Title XXX, Chapter 332-1:1. [Unrelated amendments effective 9/9/14.] .

New JerseyCopies provided by doctors:  Cap of $1.00 per page or $100 for the entire record, whichever is less. Copies of x-rays and other documents which cannot be reproduced by ordinary photocopying machines are to be charged at the actual costs to reproduce them, plus an administrative fee of the lesser of $10.00 or 10 percent of the cost of reproduction.  N.J. Administrative Code, Title 13, Chapter 35. 13:35-6.5(c)4.

Copies provided by hospitals to a patient or the patient’s legally authorized representative:  Cap of $1.00 per page or $100.00 for up to 100 pages. 25¢ for each page thereafter, up to a maximum of $200 for the entire record. Additional charges of $10.00 for a search fee and postage. N.J. Administrative Code, Title 8, § 43G-15.3(d).

New Mexico – $2.00 per page for the first 10 one-sided pages. Not more than 20¢ for each page after that. Request must be accompanied by a written verification that a person is applying for, or appealing a denial of, Social Security disability benefits. NMAC 7.1.10.10. (Access to Medical Records by Disability Applicants)  Effective February 14, 2001.

New York – The reasonable charge for paper copies shall not exceed 75¢ per page. Radiographic materials are charged at the actual reproduction cost.  Access should not be denied solely because of inability to pay. New York Public Health Law § 17.

North Carolina – The maximum fee shall be 75¢ per page for the first 25 pages, 50¢ per page for pages 26 to 100, and 25¢ per page after that. A “reasonable professional fee” may be charged for reviewing and preparing a narrative summary of the patient’s medical record.  Minimum fee of $10.00 permitted, inclusive of copying costs. This section applies to claims for personal injury and Social Security disability claims. North Carolina General Statutes, Section 11.3. § 90-411. Effective July 1, 1997.

North Dakota – Health care providers shall provide medical records at a charge of no more than $20.00 for the first 25 pages and 75¢ per page after 25 pages; or in an electronic, digital, or other computerized format at a charge of $30.00 for the first 25 pages and 25¢ per page after 25 pages. (2011 amendment).  This charge includes any administration fee, retrieval fee, and postage expense. N.D. Century Code 23-12-14.2. Effective 1999, 8/1/2005. N.D.C.C. § 23-12-14.1 (amended, 2003) provides for free copies only when the records are being transferred from one medical provider to another. There are no special rules for Social Security claims. Some medical records services will provide free copies if the request is accompanied by the SSA denial.

Ohio – No fee for records used in an application for disability benefits if requested by the patient, patient’s personal representative, or an authorized person and the request is accompanied by documentation that a claim has been filed. Ohio Revised Code 3701.741(C)(1)(e), effective 3/01. H.B. 125 extended this provision, allows an “authorized person” to request the records and clarifies that a patient may request subsequent records and treatment notes and receive one free copy of those as long as the request is not for duplicate records. If the request is made for other reasons or by someone besides the patient or the patient’s personal representative, there will be a search fee and a per page copying fee, subject to change each year. Ohio Revised Code 3701.741, 3701.742.

Oklahoma – Applies to physicians, hospitals, and other medical professionals and institutions. Cost of each copy is limited to 50¢ for each page.  Attorneys will additionally be charged a base fee of $10. The cost of mailing may be charged. No additional fees for searching, retrieving, reviewing or preparing medical records. The physician, hospital or other medical professionals and institutions may produce the records in digital form at a cost not to exceed thirty cents (30¢) per digital page. The cost of a digital record cannot exceed two hundred dollars ($200.00) plus postage or delivery fee. The cost of x-rays and similar images is $5.00. 76 Okla. St. Ann. § 19 and 76 O.S. 2011, Section 19. This does not apply to psychological, psychiatric, mental health or substance abuse treatment records, which are governed by Section 1-109 of Title 43A of the Oklahoma Statutes, which does not discuss fees for these type of records.

Oregon – Effective June 10, 2015 all state health plans, health insurers, health care providers or health care clearinghouses must provide, upon request, one copy of individually identifiable health information free of charge to an individual, or to their personal representative, when the individual is appealing the denial of Social Security disability benefits.  https://olis.leg.state.or.us/liz/2015R1/Measures/Overview/SB710. The previous rule, effective July 2008, limited costs to $30 for copying 10 or fewer pages, and 50¢ per page for pages 11 through 50 and 25¢ each additional page, plus postage. There is an additional charge of $5.00 if the request is mailed by first class mail within 7 business days of the request.  Actual costs of preparing an explanation or summary, if requested. Oregon Administrative Rules. Board of Medical Examiners, Division 12, Chapter 847-012-000(6).

Furthermore, “A patient may not be denied summaries or copies of his/her medical records because of inability to pay.”  Board of Medical Examiners, Division 12, Chapter 847-012-000(7).

Additionally, as of June 10, 2015, all state health plans, health insurers, health care providers or health care clearinghouses must provide, upon request, one copy of individually identifiable health information free of charge to an individual, or to their personal representative, when the individual is appealing the denial of social security disability benefits.  https://olis.leg.state.or.us/liz/2015R1/Measures/Overview/SB710

Pennsylvania – Flat fee for copying medical records to support a claim under Social Security in 2017 $27.92 plus actual postage. Earlier years were: $27.48 in 2016 and 2015; $27.02 in 2014; $26.70 in 2013; $26.12 in 2012; and $25.24 in 2011. This fee will be adjusted based each year on the CPI. 42 Pa.C.S. §§ 6152 and 6152.1; PA Bulletin, Doc. No. 16-2082.

Puerto Rico – A “reasonable cost,” which shall not exceed 75¢ per page, up to a maximum of $25.00 for the entire record. 24 L.P.R.A. Ch. 132, §3049(e).

Rhode Island – No charge for medical records from health care facilities requested by a patient, his or her attorney or authorized representative in Social Security appeals. The records should be provided within 30 days of request. General Law of RI § 23-17-19.1(16).  Same rules apply to physicians requirements R5-37-MD/DO 11.2 (b) except x-rays and other items that can’t be reproduced by photocopy are charged at the actual costs plus a maximum administrative fee of $25. 2012 rules contained in 2014.

South Carolina – 65¢ per page for first 30 pages, 50¢ per page for all other pages, plus search fee up to $25, for a total of no more than $150 per request ($200 for non-electronic records), plus postage and sales tax. S.C. Code Title 44, Chapter 115. § 44-115-80

South Dakota – Maximum reimbursement from providers is $10 for the first 10 pages and 33¢ cents for the remaining pages. In the South Dakota rule 47:03:05:09, “The licensee may require before delivery that the patient pay the actual reproduction and mailing expense.” Section 36-2-16.

Tennessee – Hospitals must provide indigent patients or the person’s attorney or authorized representative with one free copy of hospital records to pursue Social Security claims. A copy of the application or decision must accompany the request for copies. If not indigent, the reasonable cost is $18 for the first 5 pages, 85¢ per page for pages 6-50, 60¢ for pp.51-250, and 35¢ for all pages thereafter.  T.C.A. § 68-11-304(a)(2)(B). Doctors can charge a flat fee of $20.00 for up to 5 pages and 50¢ for each page over 5 pages. The actual cost of mailing is additional.  T.C.A § 63-2-102, effective July 1, 1997. Revised 2010 H.B. 3049. Workers’ Compensation cases are governed by T.C.A § 50-6-204.

Texas – No fee for records used in an application for disability benefits when requested by a patient or former patient, or by an attorney or other authorized representative. Texas Code, Health & Safety § 161.202.

Utah – A health care provider “may charge a reasonable fee to cover the health care provider’s costs” not to exceed $20 for locating the records, 50¢ per page for the first 40 pages and 30¢ per page for each additional page. Postage and sales tax may also be charged. Utah Code, 78B-5-618. No special rule for Social Security claimants. Effective 2011.

Vermont – A custodian shall not charge for providing copies of any health care record requested to support a claim or appeal under any provision of the Social Security Act or for any other federal or state needs-based benefit or program. A “custodian” includes a health care provider, a health care facility and a health insurer. T.18, Ch. 221, § 9419, 18 V.S.A. § 9419.

Virginia – When the patient requests a copy of his own records, a “reasonable cost-based fee, which shall include only the cost of supplies for and labor of copying the requested information, and postage” shall be charged. Code of Virginia § 32.1-127.1:03 subsection J. Requests by attorneys or others: costs for copying and mailing are limited to 50¢ per page for each page up to 50 pages and 25¢ per page for the remainder, plus all postage and shipping costs and a search and handling fee not to exceed $10. Copies shall be provided within 15 days of such request. Code of Virginia § 8.01-413.

WashingtonWAC Title 246, ch. 08, § 400. RCW-70.02.010(15) allows medical providers to charge fees for searching and duplicating medical records. Such fees cannot exceed: $1.12 per page for the first 30 pages, 84¢ per page for all other pages.  An additional $25.00 clerical fee for searching and handling records, and the cost of a regular office visit if the provider personally edits confidential information from the record, as required by statute. Effective July 1, 2015 through June 30, 2017. Earlier charges (7/1/13 - 7/1/15: $1.09 per page for the first 30 pages, 82¢ per page for all other pages plus additional $24.00 clerical fee for searching and handling records; 7/1/2011 – 6/30/2013: $1.04 per page for the first 30 pages, 79¢ per page for all other pages plus additional $23.00 clerical fee for searching and handling records.

West Virginia – No fee for search or copying medical records for an indigent claimant or his/her authorized representative to support a claim or appeal under the Social Security Act. A person is considered indigent if he or she is represented by a legal service organization or verifies that the records are requested for purposes of supporting a Social Security claim or appeal and submits “reasonable proof that the person is financially unable to pay full copying charges by reason of unemployment, disability, income below the federal poverty level, or receipt of state or federal income assistance.”  A claimant is entitled to one set of copies per provider. Any additional requests for the same records are subject to the regular copying costs of $25 per hour of copying time, supplies, and postage if the records are mailed. West Virginia Code § 16-29-2.

Wisconsin – If a patient or person authorized by the patient requests copies of the medical records for use in appealing a denial of Social Security disability insurance or SSI, the health care provider may charge “no more than the amount that the federal Social Security Administration reimburses the department for copies of patient health care records.” This amount is currently $26.00.  Wisconsin Statute 146.83(1f)(am).  Effective 2011.

Wyoming – “A patient shall not be denied a summary or copy of a requested medical records because of inability to pay.”  “A physician may establish reasonable charges, and charge a patient for the actual costs incurred in responding to a patient’s request for copies.” The costs may include cost of copies, clerical staff and physician’s time in reviewing and summarizing the records. Wyoming Regulations, Chapter 3 Practice of Medicine, §4(e), “Patient access to physician medical records.”

HIPAA – The Privacy Rule permits the covered entity to impose reasonable, cost-based fees. The fee may include only the cost of copying (including supplies and labor) and postage, if the patient requests that the copy be mailed. If the patient has agreed to receive a summary or explanation of his or her protected health information, the covered entity may also charge a fee for preparation of the summary or explanation. The fee may not include costs associated with searching for and retrieving the requested information. See 45 C.F.R. § 164.524

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