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Congress·In Committee·H.R. 7790

Rep. Foster Introduces Bill to Make Medical Records Free for Patients

Medical Records Access Fairness Act of 2026

Legislative Progress

House
Senate
President
Law

Key Points

  • The bill would make it free for patients to get a copy of their own medical records from their healthcare provider. Right now, many providers charge fees for printing, copying, or sending these files.

    From policy text

    a health care provider may only impose a fee on such individual if the individual is requesting-- ``(i) a duplicate copy (or summary or explanation) of protected health information that was previously provided to such individual in the same calendar year of the request
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  • There are two exceptions where providers can still charge: if you're asking for a duplicate copy of records you already received that same calendar year, or if you want a paper copy when a free digital version is already available through the provider's online portal.

    From policy text

    ``(ii) a non-electronic copy (or summary or explanation) of protected health information that the health care provider has made accessible for the individual, at no cost, on an online portal of the health care provider.
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  • Patients can also ask their doctor to send records directly to another healthcare provider or a family caregiver at no cost, making it easier for your whole care team to stay on the same page.

    From policy text

    In providing an individual (and, if the individual expressly requests, a health care provider or a family caregiver) with access to a copy of such individual's protected health information
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  • Lawyers are specifically excluded from the free access rule. If an attorney requests a patient's medical records, the healthcare provider can still charge the usual fees.

    From policy text

    Nothing in this subsection may be construed as requiring a health care provider to provide, at no cost, a copy of an individual's protected health information (or a summary or explanation of such information) to any attorney of such individual.
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  • If enacted, the new rules would take effect 180 days after the law is signed, and HHS must issue regulations within six months to implement the changes.

    From policy text

    This subsection shall apply with respect to requests for access to protected health information made on or after the date that is 180 days after the date of the enactment of this subsection.
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Healthcare

Impact Analysis

Personal Impact

Scores: 1 = low, 5 = highSentiment: -5 to +5 (net benefit)

Milestones

2 milestones2 actions
Mar 4, 2026House

Referred to the House Committee on Energy and Commerce.

Mar 4, 2026

Introduced in House

What Happens Next

Projected impacts based on AI analysis

Within 6 months of enactment

HHS must issue new regulations to implement the free records access rules

The government would set specific guidelines for how healthcare providers must comply, including what qualifies as a duplicate request and how online portals factor in.

180 days after enactment

New free records access rules take effect for all patients

Patients can request their medical records from any healthcare provider without being charged, with limited exceptions for duplicate requests and paper copies.

Source Information

Document Type

Congressional Bill

Official Title

Medical Records Access Fairness Act of 2026

Bill NumberHR 7790
Congress119th Congress
ChamberHouse of Representatives
Latest ActionReferred to the House Committee on Energy and Commerce.

Sponsor

Cosponsors

(1)
D: 1

Analysis generated by AI. Always verify with official sources.