Colorado 2026 Regular Session Status: Enacted 11 D cosponsors

HB 1414 — Medical Record Requests

Last action — Governor Signed

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced April 09, 2026. Enacted.

Signed by Governor Jared Polis (Democratic) on June 04, 2026.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 82% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 19 sponsors

    4 primary, 15 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (11 D).

  • Cleared a recorded vote

    Passed 4 recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

In plain language

The bill limits the fees for medical record requests and sets guidelines for delivery and responses.

This legislation caps charges at $400 for medical record requests by attorneys and mandates electronic delivery if possible. It establishes timeframes for responses and conditions for free records if deadlines are not met.

What this means for you
  • Workers: Workers may potentially benefit from easier access to their medical records through attorneys.
  • Healthcare: Health-care providers must adjust their billing practices for medical record requests.

Summary

The act caps at $400 the amount that a health-care entity or health-care provider may charge for a record request made by a patient's attorney or the attorney of the patient's personal representative pursuant to an authorization in compliance with the federal 'Health Insurance Portability and Accountability Act of 1996', a valid subpoena, or a valid court order, if the requested record exceeds 664 pages. The health-care entity or health-care provider may charge a reasonable fee above the cap if the record request requires the health-care facility or health-care provider to segregate, withhold, or redact protected health information in order to comply with applicable law or the scope or limitations of the authorization in compliance with the federal 'Health Insurance Portability and Accountability Act of 1996', a valid subpoena, or a valid court order.     Beginning January 1, 2028, and every even-numbered year thereafter, the act requires the $400 limit to be adjusted for inflation.     The act requires the requested medical records to be delivered in electronic format if the requestor requests electronic format, the original records are stored in electronic format, and the records are readily producible in electronic format.     The act requires the health-care facility or health-care provider to provide the requestor with an invoice for the records provided in response to the record request within 30 days of receiving the request, and the health-care facility or health-care provider must provide the records upon payment of the invoice.     If the health-care facility or health-care provider is unable to comply with the request for records within 30 days after the request, the health-care facility or health-care provider must send written notice of a 30-day extension to the requestor. The health-care facility or health-care provider must provide the records to the requestor at no cost if the records were not provided within 30 days or without written notice of an extension, unless the delay is due to a force majeure event. In the case of a force majeure event, the health-care facility or health-care provider must provide written notice to the requestor within 5 business days of becoming aware of the force majeure event. The 30-day time frame to respond to a request for records commences upon resolution of the force majeure event.(Note: This summary applies to this bill as enacted.)

Bill Text

What changed in the latest version

166 added · 175 removed

Plain-language change summary

The updated version of HB 1414 clarifies that health care facilities must provide copies of a patient's medical records, including X-rays, not only to the patient but also to their personal representative or authorized third parties (like an attorney), as long as certain payment conditions and legal authorizations are met. It also places a cap on the fees that can be charged for requests made by attorneys representing patients or their representatives. This matters because it enhances access to medical records for patients and their advocates while ensuring that costs remain reasonable, ultimately supporting better healthcare management and patient rights.

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NOTE:
This bill has been prepared for the signatures of the appropriate legislative officers and the Governor.
To determine whether the Governor has signed the bill or taken other action on it, please consult the legislative status sheet, the legislative history, or the Session Laws.
C ONCERNING THE PROVISION OF MEDICAL RECORDS IN THE CUSTODY OF CERTAIN HEALTH -CARE ENTITIES .
CONCERNING THE PROVISION OF MEDICAL RECORDS IN THE CUSTODY OF CERTAINHEALTH-CAREENTITIES.
Be it enacted by the General Assembly of the State of Colorado:
Be it enacted by the GeneralAssembly ofthe State ofColorado:
In Colorado Revised Statutes, 25-1-801, amend (1)(b)(I)(A);
In Colorado Revised Statutes, 25-1-801, amend (l)(b)(I)(A);
and add (1)(b)(III), (1)(b)(IV), (1)(e), (1)(f), and (1)(g) as follows:
and add (l)(b)(III), (l)(b)(IV), (l)(e), (l)(f), and (l)(g) as follows:
(1) (b) (I) (A) A health facility licensed or certified pursuant to section 25-1.5-103 (1) or article 3 of this title, or both, 25 or an entity regulated under title 10, C.R.S.,providing health-care services, as defined insection10-16-102,(33),C.R.S., directlyorindirectlythroughamanaged care plan, as defined in section 10-16-102 (43), C.R.S.,or otherwise, must Capital letters or bold & italic numbers indicate new material added to existing law;
(1) (b) (I) (A) A health facility licensed or certified pursuant to section 25-1.5-103 (1) or article 3 ofthis t01lboth, TITLE25 or an entity regulated under title 10, C.R.S., providing health-care services, as defined in section 10-16-102, (33), C.R.S., directly or indirectlythrough a managed care plan, as defined in section 10-16-102 (43), C.R.S., or otherwise, must Capital letters or bold & italic numbers indicate new material added to existing law;
dashes through words or numbers indicate deletions from existing law and such material is not part of the act.
dashes through words or numbers indicate deletionsfrom existing law andsuch material is notpart of the act.
provide copies of a patient's medical records, including X rays, to the patientorthepatient'spersonalrepresentativeuponrequestandpaymentof the fee a covered entity may impose in accordance with the "Health Insurance Portabilityand AccountabilityAct of 1996", Pub.L.
provide copies o f a patient's medical records, incluXinrays, to the patient or the patient's personal representative upon request and payment o f the fee a covered entity may impose in accordance w ith the "Health Insurance Portability and Accountability A ct o f 1996", Pub.L.
104-191, as amended,andanyrulespromulgatedpursuanttotheact,ortoathirdperson who requests the records upon submission of a HIPAA-compliant authorization, valid subpoena, or court order and upon the payment of the reasonablefees.FORAREQUESTNOTEXCEEDINGSIXHUNDREDSIXTY -FOUR PAGES ,THE FEES CHARGED TO A THIRD PERSON SHALL NOT EXCEED THE REASONABLE FEES .
104-191, as amended, and any rules promulgated pursuant to the act, or to a third person who requests the records upon submission o f a HIPAA-compliant authorization, valid subpoena, or court order and upon the payment o f the reasonable fees.
(III) TE TOTAL SUM OF FEES THAT A HEALTH CARE FACILITY MAY CHARGEANDCOLLECTFORARECORDREQUESTMADEBYANATTORNEYWHO REPRESENTS THE PATIENT OR THE ATTORNEY OF THE PATIENT S PERSONAL REPRESENTATIVE ,PURSUANT TO A SUBMISSION OF AN AUTHORIZATION IN COMPLIANCE WITH THE FEDERAL "H EALTH INSURANCE PORTABILITY AND A CCOUNTABILITY A CT OF1996",PUB .L.104-91;A VALID SUBPOENA ;OR A VALID COURT ORDER , IF THE REQUESTED RECORD EXCEEDS SIX HUNDRED SIXTY-FOUR PAGES ,MUST NOT EXCEED FOUR HUNDRED DOLLARS .
FORA REQUESTNOTEXCEEDING SIX HUNDRED SIXTY-FOUR PAGES, THE FEES CHARGED TO A THIRD PERSON SHALL NOT EXCEED THE REASONABLE FEES.
(IV) O N ANUARY 1, 2028, AND EVERY JANUARY 1 EVERY EVEN NUMBERED YEAR THEREAFTER , THE FOUR-HUNDRED DOLLAR LIMIT SET FORTH IN SUBSECTION(1)(b)(IIIOF THIS SECTION MUST BE ADJUSTED FOR INFLATION.
(Ill) THE TOTAL SUM OF FEES THAT A HEALTH-CARE FACILITY MAY CHARGEAND COLLECTFORA RECORD REQUESTMADEBY AN ATTORNEY WHO REPRESENTS THE PATIENT OR THE ATTORNEY OF THE PATIENT'S PERSONAL REPRESENTATIVE, PURSUANT TO A SUBMISSION OF AN AUTHORIZATION IN COMPLIANCE WITH THE FEDERAL "HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996", PUB.L.
THE ADJUSTED LIMIT MUST BE ROUNDED TO THE NEAREST WHOLE DOLLAR .
104-91;
HE SECRETARY OF STATE SHALL PUBLISH THE ADJUSTED LIMITONITSWEBSITENOLATERTHAN O CTOBER 1 OFEVERYYEARTHELIMIT IS SUBJECT TO AN ADJUSTMENT .
A VALID SUBPOENA;
THE ADJUSTED LIMIT MUST NOT BE DECREASEDBELOWFOURHUNDREDDOLLARS .ASUSEDINTHISSUBSECTION (1)(b)(IV),INFLATION"MEANS THE ANNUAL PERCENTAGE CHANGE IN THE U NITEDS TATES DEPARTMENT OF LABOR S BUREAU OF LABOR STATISTICS CONSUMERPRICEINDEXFOR DENVER -A URORA -LAKEWOODFORALLITEMS PAID BY ALL URBAN CONSUMERS ,OR ITS SUCCESSOR INDEX.
ORA VALID COURT ORDER, IF THE REQUESTED RECORD EXCEEDS SIX HUNDRED SIXTY-FOUR PAGES, MUST NOT EXCEED FOUR HUNDRED DOLLARS.
(e) SUBSECTION (1)(b)(IIOF THIS SECTION DOES NOT APPLY IF A HEALTH -CAREFACILITYISREQUIREDTOSEGREGATE ,WITHHOLD ,ORREDACT PROTECTED HEALTH INFORMATION FROM THE REQUESTED RECORD TO COMPLY WITH APPLICABLE LAW OR WITHIN THE SCOPE OR LIMITATIONS DETAILED IN SUBSECTION (1)(b)(IIOF THIS SECTION.
(IV ) ON JANUARY 1, 2028, AND EVERY JANUARY 1 EVERY EVEN-NUMBERED YEAR THEREAFTER, THE FOUR-HUNDRED-DOLLAR LIMIT SET FORTH IN SUBSECTION (l)(b )(III) OF THIS SECTION MUST BE ADJUSTED FOR INFLATION.
(f) (I) TE HEALTH -CARE FACILITY SHALL DELIVER THE MEDICAL PAGE 2-HOUSE BILL 26-1414 RECORDS IN ELECTRONIC FORMAT ,UPON REQUEST AND PAYMENT OF THE FEES DETAILED IN THIS SUBSECTION(1)IF:
THE ADJUSTED LIMIT MUST BE ROUNDED TO THE NEAREST WHOLE DOLLAR.
(A) T HE INDIVIDUAL OR ENTITY REQUESTS ELECTRONIC FORMAT ;
THE SECRETARY OF STATE SHALL PUBLISH THE ADJUSTED LIMITONITS WEBSITENOLATERTHANOCTOBER 1OFEVERY YEARTHE LIMIT IS SUBJECT TO AN ADJUSTMENT.
(B) T HE ORIGINAL MEDICAL RECORDS ARE STORED IN ELECTRONIC FORMAT ;AND (C) T HE MEDICAL RECORDS ARE READILY PRODUCIBLE IN ELECTRONIC FORMAT .
THE ADJUSTED LIMIT MUST NOT BE DECREASED BELOW FOURHUNDRED DOLLARS.
(II) AN INVOICE FOR ALL RECORDS PROVIDED IN RESPONSE TO A REQUEST FOR MEDICAL RECORDS MUST BE PROVIDED TO THE REQUESTOR WITHIN THIRTY DAYS OF RECEIVING A VALID REQUEST ,AND THE RECORDS MUST BE PROVIDED UPON PAYMENT OF THE INVOICE .
AS USED INTHIS SUBSECTION (1)(b)(IV), "INFLATION" MEANS THE ANNUAL PERCENTAGE CHANGE IN THE UNITED STATES DEPARTMENT OF LABOR'S BUREAU OF LABOR STATISTICS CONSUMER PRICE INDEX FORDENVER-AURORA-LAKEWOOD FORALL ITEMS PAID BY ALL URBAN CONSUMERS, OR ITS SUCCESSOR INDEX.
(III) I A HEALTHCARE FACILITY IS UNABLE TO PROVIDE ACCESS TO MEDICAL RECORDS WITHIN THIRTY DAYS ,AS REQUIRED BY SUBSECTION (1)(f)(IOF THIS SECTION,THE HEALTH -CARE FACILITY MAY EXTEND THE TIMEFRAMEFORPROVIDINGRECORDSBYANADDITIONALTHIRTYDAYSAND THE HEALTH -CARE FACILITY MUST NOTIFY THE REQUESTOR IN WRITING OF THE EXTENSION WITHIN THE INITIAL THIRTYDAY PERIOD .
(e) SUBSECTION (l)(b )(III) OF THIS SECTION DOES NOT APPLY IF A HEALTH-CAREFACILITYISREQUIREDTOSEGREGATE, WITHHOLD, ORREDACT PROTECTED HEALTH INFORMATION FROM THE REQUESTED RECORD TO COMPLY WITH APPLICABLE LAW OR WITHIN THE SCOPE OR LIMITATIONS DETAILED IN SUBSECTION (l)(b)(l11) OF THIS SECTION.
(IV) A RECORD NOT PROVIDED WITHIN THIRTY DAYS OR WITHOUT WRITTENNOTIFICATIONOFATHIRTY -DAYEXTENSIONMUSTBEPROVIDEDTO THEREQUESTORATNOCOST ,ABSENTANINDEPENDENTINTERVENINGFORCE MAJEURE THAT RENDERS THE REQUESTED RECORDS INACCESSIBLE , IRRETRIEVABLE ,ORUNDELIVERABLEWITHINTHEREQUIREDTIMEFRAME .IF A HEALTH -CARE FACILITY IS UNABLE TO COMPLY WITH A REQUEST FOR MEDICAL RECORDS WITHIN THE TIME REQUIRED PURSUANT TO THIS SUBSECTION (1)(f)(IVDUE TO A FORCE MAJEURE EVENT ,THE FACILITY SHALLPROVIDE WRITTENNOTICE TOTHE REQUESTOR .THE NOTICE MUST BE GIVEN AS SOON AS REASONABLY PRACTICABLE ,BUT NOT LATER THAN FIVE BUSINESS DAYS AFTER THE FACILITY BECOMES AWARE OF THE FORCE MAJEURE EVENT .
(f) (I)THE HEALTH-CARE FACILITY SHALL DELIVER THE MEDICAL PAGE 2-HOUSE B IL L 26-1414 RECORDS IN ELECTRONIC FORMAT, UPON REQUEST AND PAYMENT OF THE FEES DETAILED IN THIS SUBSECTION(1),IF:
FOR EXISTING REQUESTS , OR NOT LATER THAN FIVE BUSINESS DAYS AFTER RECEIPT OF A NEW REQUEST ,THE THIRTY DAY TIME PERIOD TO RESPOND TO A REQUEST FOR RECORDS COMMENCES UPON RESOLUTIONOFTHEFORCEMAJEUREEVENT .THEENTITYSHALLNOTIFYTHE REQUESTORWITHINFIVEBUSINESSDAYSAFTERTHEFORCEMAJEUREEVENT HAS BEEN RESOLVED .
(A) THE INDIVIDUAL OR ENTITY REQUESTS ELECTRONIC FORMAT;
A LL NOTICES REQUIRED PURSUANT TO THIS PAGE 3-HOUSE BILL 26-1414 SUBSECTION (1)(f)(IVMUSTBEDELIVEREDINTHESAMEFORMATINWHICH IT WAS RECEIVED .
(B) THE ORIGINAL MEDICAL RECORDS ARE STORED IN ELECTRONIC FOR.MAT;
A S USED IN THIS SUBSECTION (1)(f)(IV), FORCE MAJEURE " MEANS A FACTOR OUTSIDE THE PARTIES 'CONTROL THAT MEANS PERFORMANCEOFTHE TASKISIMPOSSIBLE ORIMPRACTICABLEASARESULT OF AN EVENT OR EFFECT THAT THE PARTIES COULD NOT HAVE ANTICIPATED OR CONTROLLED .
AND (C) THE MEDICAL RECORDS ARE READILY PRODUCIBLE IN ELECTRONIC FORMAT.
(g) NOTHINGINSUBSECTION (1)(b),(1)(eOR (1)(fOFTHISSECTION REQUIRES A HEALTH -CARE FACILITY TO DISCLOSE INFORMATION THAT IS PRIVILEGED CONFIDENTIAL ORPROTECTEDFROMDISCOVERYORADMISSION UNDER STATE OR FEDERAL LAW ,INCLUDING PURSUANT TO SECTIONS 12-30-204 AND 25-3-109,OR 42 U.S.C.
(II) AN INVOICE FOR ALL RECORDS PROVIDED IN RESPONSE TO A REQUEST FOR MEDICAL RECORDS MUST BE PROVIDED TO THE REQUESTOR WITHIN THIRTY DAYS OF RECEIVING A VALID REQUEST, AND THE RECORDS MUST BE PROVIDED UPON PAYMENT OF THE INVOICE.
(III)IF A HEALTH-CARE FACILITY IS UNABLE TO PROVIDE ACCESS TO MEDICAL RECORDS WITHIN THIRTY DAYS, AS REQUIRED BY SUBSECTION (l)(f)(IIOF THIS SECTION, THE HEALTH-CARE FACILITY MAY EXTEND THE TIMEFRAMEFORPROVIDINGRECORDS BYAN ADDITIONALTHIRTY DAYS AND THE HEALTH-CARE FACILITY MUST NOTIFY THE REQUESTOR IN WRITING OF THE EXTENSION WITHIN THE INITIAL THIRTY-DAY PERIOD.
(IV) A RECORD NOT PROVIDED WITHIN THIRTY DAYS OR WITHOUT WRITTENNOTIFICATIONOFATHIRTY-DAYEXTENSIONMUSTBEPROVIDEDTO THE REQUESTORATNO COST, ABSENTAN INDEPENDENTINTERVENING FORCE MAJEURE THAT RENDERS THE REQUESTED RECORDS INACCESSIBLE, IRRETRIEVABLE, OR UNDELIVERABLE WITHIN THE REQUIRED TIME FRAME.
IF A HEALTH-CARE FACILITY IS UNABLE TO COMPLY WITH A REQUEST FOR MEDICAL RECORDS WITHIN THE TIME REQUIRED PURSUANT TO THIS SUBSECTION (l)(t)(IV ) DUE TO A FORCE MAJEURE EVENT, THE FACILITY SHALL PROVIDE WRITTEN NOTICE TO THE REQUESTOR.
THE NOTICE MUST BE GIVEN AS SOON AS REASONABLY PRACTICABLE, BUT NOT LATER THAN FIVE BUSINESS DAYS AFTER THE FACILITY BECOMES AWARE OF THE FORCE MAJEURE EVENT.
FOR EXISTING REQUESTS, OR NOT LATER THAN FIVE BUSINESS DAYS AFTER RECEIPT OF A NEW REQUEST, THE THIRTY DAY TIME PERIOD TO RESPOND TO A REQUEST FOR RECORDS COMMENCES UPON RESOLUTION OFTHE FORCEMAJEURE EVENT.
THE ENTITY SHALLNOTIFYTHE REQUESTOR WITHIN FIVE BUSINESS DAYS AFTERTHE FORCE MAJEURE EVENT HAS BEEN RESOLVED.
ALL NOTICES REQUIRED PURSUANT TO THIS PAGE 3-HOUSE BILL 26-1414 SUBSECTION (1)(f)(IV) MUSTBEDELIVEREDINTHE SAMEFORMAT IN WHICH IT WAS RECEIVED.
AS USED IN THIS SUBSECTION (l)(f)(IV), "FORCE MAJEURE" MEANS A FACTOR OUTSIDE THE PARTIES' CONTROL THAT MEANS PERFORMANCEOFTHETASK ISIMPOSSIBLEORIMPRACTICABLE ASA RESULT OFAN EVENT OREFFECTTHAT THE PARTIES COULDNOT HAVE ANTICIPATED OR CONTROLLED.
(g) NOTHINGINSUBSECTION(l)(b), (l)(e), OR(l)(t) OFTHISSECTION REQUIRES A HEALTH-CARE FACILITY TO DISCLOSE INFORMATION THAT IS PRIVILEGED,CONFIDENTIAL, ORPROTECTEDFROMDISCOVERYORADMISSION UNDER STATE OR FEDERAL LAW, INCLUDING PURSUANT TO SECTIONS 12-30-204 AND 25-3-109, OR 42 U.S.C.
In Colorado Revised Statutes, 25-1-802, amend (1)(b)(I)(A);
In Colorado Revised Statutes, 25-1-802, amend (l)(b)(l)(A);
and add (1)(b)(III), (1)(b)(IV), (1)(e), (1)(f), and (1)(g) as follows:
and add (l)(b)(l11), (l)(b)(IV), (l)(e), (l)(f), and (l)(g) as follows:
(1) (b) (I) (A) A health facility licensed or certified pursuant to section25-1.5-103(1)orarticle3ofthistitle,orboth,TITLE25,oranentity regulated under title 10, C.R.S.,viding health-care services, as defined insection10-16-102,(33),C.R.S., directlyorindirectlythroughamanaged care plan, as defined in section 10-16-102 (43), C.R.S.,herwise, must provide copies of a patient's medical records, including X rays, to the patientorthepatient'spersonalrepresentativeuponrequestandpaymentof the fee a covered entity may impose in accordance with the "Health Insurance Portabilityand AccountabilityAct of 1996", Pub.L.
(1) (b) (I) (A) A health facility licensed or certified pursuant to section 25-1.5-103 (1) or article 3 o ftitle01 both,TITLE 25, or an entity regulated under title 10C.R.S.,providing health-care services, as defined in section 10-16-102,(33), C.R.S.,directly or indirectly through amanaged care plan, as defined in section 10-16-10(43), C.R.S.,or otherwise, must provide copies o f a patient's medical records, including X rays, to the patient or the patient's personal representative upon request and payment o f the fee a covered entity may impose in accordance with the "Health Insurance Portability and Accountability Act o f 1996", Pub.L.
104-191, as amended,andanyrulespromulgatedpursuanttotheact,ortoathirdperson who requests the records upon submission of a HIPAA-compliant authorization, valid subpoena, or court order and upon the payment of the reasonablefees.FORAREQUESTNOTEXCEEDINGSIXHUNDREDSIXTY -FOUR PAGES ,THE FEES CHARGED TO A THIRD PERSON SHALL NOT EXCEED THE REASONABLE FEES .
104-191, as amended, and anyrules promulgated pursuant to the act, or to athird person who requests the records upon submission o f a HIPAA-compliant authorization, valid subpoena, or court order and upon the payment o f the reasonable fees.
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(III) THE TOTALSUM OFFEES THAT A HEALTH -CARE PROVIDER MAY CHARGEANDCOLLECTFORARECORDREQUESTMADEBYANATTORNEYWHO REPRESENTS THE PATIENT OR THE ATTORNEY OF THE PATIENT S PERSONAL REPRESENTATIVE ,PURSUANT TO A SUBMISSION OF AN AUTHORIZATION IN PAGE 4-HOUSE BILL 26-1414 COMPLIANCE WITH THE FEDERAL "H EALTH NSURANCE P ORTABILITY AND A CCOUNTABILITY A CT OF1996",PUB .L.104-91,A VALID SUBPOENA,OR A VALID COURT ORDER ,IF THE REQUESTED RECORD EXCEEDS SIX HUNDRED SIXTY-FOUR PAGES,MUST NOT EXCEED FOUR HUNDRED DOLLARS .
FORA REQUESTNOTEXCEEDINGSIXHUNDRED SIXTY-FOUR PAGES, THE FEES CHARGED TO A THIRD PERSON SHALL NOT EXCEED THE REASONABLE FEES.
(IV) O N ANUARY 1, 2028,AND EVERY JANUARY 1EVERY EVEN - NUMBERED YEAR THEREAFTER , THE FOUR HUNDRED -DOLLAR LIMIT SET FORTH IN SUBSECTION (1)(b)(IIOF THIS SECTION MUST BE ADJUSTED FOR INFLATION.THEADJUSTEDLIMITMUSTBEROUNDEDTOTHENEARESTWHOLE DOLLAR .THESECRETARYOFSTATESHALLPUBLISHTHEADJUSTEDLIMITON ITS WEBSITE NO LATER THAN OCTOBER 1 OF EVERY YEAR THE LIMIT IS SUBJECTTOANADJUSTMENT .THEADJUSTEDLIMITMUSTNOTBEDECREASED BELOW FOUR HUNDRED DOLLARS .A S USED IN THIS SUBSECTIO(1)(b)(IV), "INFLATION" MEANS THE ANNUAL PERCENTAGE CHANGE IN THE U NITED STATESDEPARTMENTOFLABOR 'SBUREAUOFLABORSTATISTICSCONSUMER PRICEINDEXFOR D ENVER -AURORA -LAKEWOODFORALLITEMSPAIDBYALL URBAN CONSUMERS ,OR ITS SUCCESSOR INDEX.
(111) THE TOTAL SUM OFFEESTHAT A HEALTH-CARE PROVIDERMAY CHARGEANDCOLLECTFORARECORDREQUESTMADEBYANATTORNEY WHO REPRESENTS THE PATIENT ORTHE ATTORNEY OF THE PATIENT'S PERSONAL REPRESENTATIVE, PURSUANT TO A SUBMISSION OF AN AUTHORIZATION IN PAGE 4-HOUSE B ILL 26-1414 COMPLIANCE WITH THE FEDERAL "HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996",PUB.L.104-91,A VALIDSUBPOENA,ORA VALID COURT ORDER, IF THE REQUESTED RECORD EXCEEDS SIX HUNDRED SIXTY-FOUR PAGES, MUST NOT EXCEED FOUR HUNDRED DOLLARS.
(e) SUBSECTION (1)(b)(IIIOF THIS SECTION DOES NOT APPLY IF A HEALTH -CARE PROVIDER IS REQUIRED TO SEGREGATE , WITHHOLD , OR REDACT PROTECTED HEALTH INFORMATION FROM THE REQUESTED RECORD TO COMPLY WITH APPLICABLE LAW OR WITHIN THE SCOPE OR LIMITATIONS DETAILED IN SUBSECTION (1)(b)(IIOF THIS SECTIO.
(IV) ON JANUARY 1,2028, AND EVERY JANUARY 1 EVERY EVEN NUMBERED YEAR THEREAFTER, THE FOUR-HUNDRED-DOLLAR LIMIT SET FORTH IN SUBSECTION (1)(b)(IlOF THIS SECTION MUST BE ADJUSTED FOR INFLATION.
(f) (I) TE HEALTH-CARE PROVIDER SHALL DELIVER THE MEDICAL RECORDS IN ELECTRONIC FORMAT ,UPON REQUEST AND PAYMENT OF THE FEES DETAILED IN THIS SUBSECTION1),I:
THEADJUSTED LIMIT MUST BEROUNDEDTOTHENEAREST WHOLE DOLLAR.
(A) T HE INDIVIDUAL OR ENTITY REQUESTS ELECTRONIC FORMAT;
THE SECRETARY OF STATE SHALL PUBLISHTHE ADJUSTED LIMITON ITS WEBSITE NO LATER THAN OCTOBER 1 OF EVERY YEAR THE LIMIT IS SUBJECTTO AN ADJUSTMENT.
(B) THE ORIGINAL MEDICAL RECORDS ARE STORED IN ELECTRONIC FORMAT ;AND (C) THE MEDICAL RECORDS ARE READILY PRODUCIBLE IN ELECTRONIC FORMAT .
THE ADJUSTED LIMITMUSTNOTBEDECREASED BELOW FOUR HUNDRED DOLLARS.
(II) AN INVOICE FOR ALL RECORDS PROVIDED IN RESPONSE TO A REQUEST FOR MEDICAL RECORDS MUST BE PROVIDED TO THE REQUESTOR WITHIN THIRTY DAYS OF RECEIVING A VALID REQUEST,AND THE RECORDS MUST BE PROVIDED UPON PAYMENT OF THE INVOICE .
A s USED IN THIS SUBSECTION (1)(b)(IV), "INFLATION" MEANS THE ANNUAL PERCENTAGE CHANGE IN THE UNITED STATESDEPARTMENTOFLABOR'SBUREAUOFLABORSTATISTICSCONSUMER PRICE INDEX FORDENVER-AURORA-LAKEWOODFORALL ITEMS PAIDBYALL URBAN CONSUMERS, OR ITS SUCCESSOR INDEX.
PAGE 5-HOUSE BILL 26-1414 (III)FAHEALTH -CAREPROVIDERISUNABLETOPROVIDEACCESSTO MEDICAL RECORDS WITHIN THIRTY DAYS , AS REQUIRED BY SUBSECTION (1)(f)(IOF THIS SECTIO,THE HEALTH -CARE PROVIDER MAY EXTEND THE TIMEFRAMEFORPROVIDINGRECORDSBYANADDITIONALTHIRTYDAYSAND THE HEALTH CARE PROVIDER MUST NOTIFY THE REQUESTOR IN WRITING OF THE EXTENSION WITHIN THE INITIAL THIRTYAY PERIOD .
(e) SUBSECTION (l)(b)(III) OF THIS SECTION DOES NOT APPLY IF A HEALTH-CARE PROVIDER IS REQUIRED TO SEGREGATE, WITHHOLD, OR REDACT PROTECTED HEALTH INFORMATION FROM THE REQUESTED RECORD TO COMPLY WITH APPLICABLE LAW OR WITHIN THE SCOPE OR LIMITATIONS DETAILED IN SUBSECTION ( 1)(b)(III) OF THIS SECTION.
(IV) A RECORD NOT PROVIDED WITHIN THIRTY DAYS OR WITHOUT WRITTENNOTIFICATIONOFATHIRTY -DAYEXTENSIONMUSTBEPROVIDEDTO THEREQUESTORATNOCOST ,ABSENTANINDEPENDENTINTERVENINGFORCE MAJEURE THAT RENDERS THE REQUESTED RECORDS INACCESSIBLE , IRRETRIEVABLE ORUNDELIVERABLEWITHINTHEREQUIREDTIMEFRAME .F A HEALTH -CARE FACILITY IS UNABLE TO COMPLY WITH A REQUEST FOR MEDICAL RECORDS WITHIN THE TIME REQUIRED PURSUANT TO THIS SUBSECTION (1)(f)(IVDUE TO A FORCE MAJEURE EVENT ,THE FACILITY SHALLPROVIDE WRITTENNOTICE TOTHE REQUESTOR .THE NOTICE MUST BE GIVEN AS SOON AS REASONABLY PRACTICABLE ,BUT NOT LATER THAN FIVE BUSINESS DAYS AFTER THE FACILITY BECOMES AWARE OF THE FORCE MAJEURE EVENT .
(f)(I) THE HEALTH-CARE PROVIDER SHALL DELIVER THE MEDICAL RECORDS IN ELECTRONIC FORMAT, UPON REQUEST AND PAYMENT OF THE FEES DETAILED IN THIS SUBSECTION(1)IF:
OR EXISTING REQUESTS ,OR NOT LATER THAN FIVE BUSINESS DAYS AFTER RECEIPT OF A NEW REQUEST,THE THIRTY DAY TIME PERIOD TO RESPOND TO A REQUEST FOR RECORDS COMMENCES UPON RESOLUTIONOFTHEFORCEMAJEUREEVENT .THEENTITYSHALLNOTIFYTHE REQUESTORWITHINFIVEBUSINESSDAYSAFTERTHEFORCEMAJEUREEVENT HAS BEEN RESOLVED .
(A) THE INDIVIDUAL OR ENTITY REQUESTS ELECTRONIC FORMAT;
A LL NOTICES REQUIRED PURSUANT TO THIS SUBSECTION (1)(f)(IVMUSTBEDELIVEREDINTHESAMEFORMATINWHICH IT WAS RECEIVED .
(B) THE ORIGINAL MEDICAL RECORDS ARE STORED IN ELECTRONIC FORMAT;AND (C) THE MEDICAL RECORDS ARE READILY PRODUCIBLE IN ELECTRONIC FORMAT.
A S USED IN THIS SUBSECTION (1)(f)(IV), FORCE MAJEURE "MEANS A FACTOR OUTSIDE THE PARTIES CONTROL THAT MEANS PERFORMANCEOFTHETASKISIMPOSSIBLE ORIMPRACTICABLE ASARESULT OF AN EVENT OR EFFECT THAT THE PARTIES COULD NOT HAVE ANTICIPATED OR CONTROLLED .
(II) AN INVOICE FOR ALL RECORDS PROVIDED IN RESPONSE TO A REQUEST FOR MEDICAL RECORDS MUST BE PROVIDED TO THE REQUESTOR WITHIN THIRTY DAYS OF RECEIVING A VAUD REQUEST, AND THE RECORDS MUST BE PROVIDED UPON PAYMENT OF THE INVOICE.
(g) NOTHINGINSUBSECTION (1)(b),(1)(eOR(1)(f)OFTHISSECTION REQUIRES A HEALTH -CARE PROVIDER TO DISCLOSE INFORMATION THAT IS PRIVILEGED,CONFIDENTIAL,ORPROTECTEDFROMDISCOVERYORADMISSION UNDER STATE OR FEDERAL LAW ,INCLUDING PURSUANT TO SECTIONS 12-30-204 AND 25-3-109,OR 42 U.S.C.SEC.
PA G E 5-H O U SE BILL 26-1414 (Ill)IF A HEALTH-CAREPROVIDERIS UNABLETO PROVIDEACCESS TO MEDICAL RECORDS WITHIN THIRTY DAYS, AS REQUIRED BY SUBSECTION (l)(t)(II) OF THIS SECTION, THE HEALTH-CARE PROVIDER MAY EXTEND THE TIME FRAMEFORPROVIDINGRECORDS BYAN ADDITIONALTHIRTYDAYS AND THE HEALTH-CARE PROVIDER MUST NOTIFY THE REQUESTOR IN WRITING OF THE EXTENSION WITHIN THE INITIAL THIRTY-DAY PERIOD.
(IV) A RECORD NOT PROVIDED WITHIN THIRTY DAYS OR WITHOUT WRITTENNOTIFICATIONOFATHIRTY-DAY EXTENSION MUSTBEPROVIDEDTO THEREQUESTORATNOCOST,ABSENTAN INDEPENDENTINTERVENING FORCE MAJEURE THAT RENDERS THE REQUESTED RECORDS INACCESSIBLE, IRRETRIEVABLE, OR UNDELIVERABLE WITHIN THE REQUIRED TIME FRAME.
IF A HEALTH-CARE FACILITY IS UNABLE TO COMPLY WITH A REQUEST FOR MEDICAL RECORDS WITHIN THE TIME REQUIRED PURSUANT TO THIS SUBSECTION (l)(t)(IV ) DUE TO A FORCE MAJEURE EVENT, THE FACILITY SHALL PROVIDE WRITTEN NOTICE TO THE REQUESTOR.
THE NOTICE MUST BE GIVEN AS SOON AS REASONABLY PRACTICABLE, BUT NOT LATER THAN FIVE BUSINESS DAYS AFTER THE FACILITY BECOMES AWARE OF THE FORCE MAJEURE EVENT.
FOR EXISTING REQUESTS, OR NOT LATER THAN FIVE BUSINESS DAYS AFTER RECEIPT OF A NEW REQUEST, THE THIRTY DAY TIME PERIOD TO RESPOND TO A REQUEST FOR RECORDS COMMENCES UPON RESOLUTION OFTHE FORCEMAJEUREEVENT.
THE ENTITY SHALLNOTIFYTHE REQUESTOR WITHIN FIVEBUSINESS DAYS AFTERTHE FORCE MAJEURE EVENT HAS BEEN RESOLVED.
ALL NOTICES REQUIRED PURSUANT TO THIS SUBSECTION ( 1)(t)(IV) MUST BE DELIVERED INTHE SAME FORMAT IN WHICH IT WAS RECEIVED.
As USED IN THIS SUBSECTION (l)(t)(IV ), "FORCE MAJEURE" MEANS A FACTOR OUTSIDE THE PARTIES' CONTROL THAT MEANS PERFORMANCE OFTHETASK IS IMPOSSIBLE OR IMPRACTICABLE AS A RESULT OF AN EVENTOREFFECTTHATTHE PARTIES COULD NOT HAVE ANTICIPATED OR CONTROLLED.
(g) NOTHING INSUBSECTION (1)(b), (1)(e), OR (1)(t) OFTHISSECTION REQUIRES A HEALTH-CARE PROVIDER TO DISCLOSE INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL, ORPROTECTEDFROM DISCOVERYORADMISSION UNDER STATE OR FEDERAL LAW, INCLUDING PURSUANT TO SECTIONS 12-30-204 AND 25-3-109, OR 42 U.S.C.
SEC.
Act subject to petition - effective date.
Act subject to petition - effective date.This act takes effect at 12:01 a.m.
This act takes effect at 12:01 a.m.
on the day following the expiration o f the ninety-day period after final adjournment o f the general assembly (August PA G E 6-H O U SE BILL 26-1414 12, 2026, if adjournment sine die is on May 13, 2026);
on the day following the expiration of the ninety-dayperiod after final adjournment of the general assembly(August PAGE 6-HOUSE BILL 26-1414 12, 2026, if adjournment sine die is on May 13, 2026);
except that, if a referendum petition is filed pursuantto section 1(3) ofarticle V ofthe state constitution against this act or an item, section, or part of this act within such period, then the act, item, section, or part will not take effect unless approved .bythepeopleatthegeneral electionto beheld inNovember2026 and, in such case, will take effect on the date ofthe official declaration of the vote thereon by the governor.
except that, if a referendumpetitionisfiledpursuanttosection1(3)ofarticleVofthestate constitution against this act or an item, section, or part of this act within such period, then the act, item, section, or part will not take effect unless approved.bythepeopleatthegeneralelectiontobeheldinNovember2026 and, in such case, will take effect on the date of the official declaration of the vote thereon by the governor.
~ James Rashad Coleman, Sr.
____________________________ ____________________________ Julie McCluskie James Rashad Coleman, Sr.
SPEAKER OF THE HOUSE PRESIDENT OF OF REPRESENTATIVES THE SENATE v ~ ~ Vanessa ReillY Esther van Mourik CHIEF CLERK OF THE HOUSE SECRETARY OF OF REPRESENTATIVES THE SENATE Jared S.
SPEAKER OF THE HOUSE PRESIDENT OF OF REPRESENTATIVES THE SENATE ____________________________ ____________________________ Vanessa Reilly Esther van Mourik CHIEF CLERK OF THE HOUSE SECRETARY OF OF REPRESENTATIVES THE SENATE APPROVED________________________________________ (Date and Time) _________________________________________ Jared S.
Polis GOVERNOROFTHESTATEOFCOLORADO PAGE 7-HOUSE BILL 26-1414
Polis GOVERNOR OF THE STATE OF COLORADO PAGE 7-HOUSE BILL 26-1414
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Action History

  1. Governor Signed

  2. Signed by the Speaker of the House

  3. Signed by the President of the Senate

  4. Sent to the Governor

  5. Senate Third Reading Passed - No Amendments

  6. Senate Second Reading Special Order - Passed - No Amendments

  7. Senate Second Reading Special Order - Laid Over Daily - No Amendments

  8. Senate Committee on Finance Refer Unamended to Senate Committee of the Whole

  9. Introduced In Senate - Assigned to Finance

  10. House Third Reading Passed - No Amendments

  11. House Second Reading Special Order - Passed with Amendments - Committee, Floor

  12. House Second Reading Laid Over Daily - No Amendments

  13. House Committee on Finance Refer Amended to House Committee of the Whole

  14. Introduced In House - Assigned to Finance

Sponsors

Sponsorship breakdown

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4 sponsors · 15 co-sponsors · 82 not signed on · 10 voted No

Sponsors (4)

Co-sponsors (15)

Not signed on (82)

82 members have not signed on to this bill.

Show all 82 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

BILL

Passed 25 Yea · 10 Nay · 1 Other
Party YeaNayPresentNot Voting
Democrat 21000
Republican 1801
Unaffiliated 3200
Total 251001
% of votes cast 69%28%0%3%
How each member voted (36)
Member Party Vote
Gonzales J. — Yea
Pelton B. — Nay
Pelton R. — Nay
President — Yea
Adrienne Benavidez — Yea
Cathy Kipp Democrat Yea
Chris Kolker Democrat Yea
Dylan Roberts Democrat Yea
Iman Jodeh Democrat Yea
James Coleman Democrat Yea
Janice Marchman Democrat Yea
Jeff Bridges Democrat Yea
Jessie Danielson Democrat Yea
Judy Amabile Democrat Yea
Katie Wallace Democrat Yea
Kyle Mullica Democrat Yea
Lindsey Daugherty Democrat Yea
Lisa Cutter Democrat Yea
Marc Snyder Democrat Yea
Matt Ball Democrat Yea
Mike Weissman Democrat Yea
Nick Hinrichsen Democrat Yea
Robert Rodriguez Democrat Yea
Tom Sullivan Democrat Yea
Tony Exum Democrat Yea
William Lindstedt Democrat Yea
Barbara Kirkmeyer Republican Nay
Cleave Simpson Republican Yea
Janice Rich Republican Nay
John Carson Republican Nay
Larry Liston Republican Not Voting
Lisa Frizell Republican Nay
Lynda Zamora Wilson Republican Nay
Marc Catlin Republican Nay
Mark Baisley Republican Nay
Scott Bright Republican Nay

Official roll call →

Refer House Bill 26-1414 to the Committee of the Whole.

Passed 9 Yea · 0 Nay
Party YeaNayPresentNot Voting
Republican 3000
Democrat 5000
Unaffiliated 1000
Total 9000
% of votes cast 100%0%0%0%
How each member voted (9)
Member Party Vote
Adrienne Benavidez — Yea
Cathy Kipp Democrat Yea
Chris Kolker Democrat Yea
Janice Marchman Democrat Yea
Kyle Mullica Democrat Yea
Marc Snyder Democrat Yea
Cleave Simpson Republican Yea
Lisa Frizell Republican Yea
Scott Bright Republican Yea

Official roll call →

Refer House Bill 26-1414, as amended, to the Committee of the Whole.

Passed 9 Yea · 2 Nay
Party YeaNayPresentNot Voting
Republican 2200
Democrat 7000
Total 9200
% of votes cast 82%18%0%0%
How each member voted (11)
Member Party Vote
Bob Marshall Democrat Yea
Brianna Titone Democrat Yea
Lorena Garcia Democrat Yea
Rebekah Stewart Democrat Yea
Sean Camacho Democrat Yea
Steven Woodrow Democrat Yea
Yara Zokaie Democrat Yea
Anthony Hartsook Republican Yea
Max Brooks Republican Nay
Ron Weinberg Republican Nay
Ryan Gonzalez Republican Yea

Official roll call →

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does HB 1414 do?
The act caps at $400 the amount that a health-care entity or health-care provider may charge for a record request made by a patient's attorney or the attorney of the patient's personal representative pursuant to an authorization in compliance with the federal 'Health Insurance Portability and Accountability Act of 1996', a valid subpoena, or a valid court order, if the requested record exceeds 664 pages. The health-care entity or health-care provider may charge a reasonable fee above the cap if the record request requires the health-care facility or health-care provider to segregate, withhold, or redact protected health information in order to comply with applicable law or the scope or limitations of the authorization in compliance with the federal 'Health Insurance Portability and Accountability Act of 1996', a valid subpoena, or a valid court order.     Beginning January 1, 2028, and every even-numbered year thereafter, the act requires the $400 limit to be adjusted for inflation.     The act requires the requested medical records to be delivered in electronic format if the requestor requests electronic format, the original records are stored in electronic format, and the records are readily producible in electronic format.     The act requires the health-care facility or health-care provider to provide the requestor with an invoice for the records provided in response to the record request within 30 days of receiving the request, and the health-care facility or health-care provider must provide the records upon payment of the invoice.     If the health-care facility or health-care provider is unable to comply with the request for records within 30 days after the request, the health-care facility or health-care provider must send written notice of a 30-day extension to the requestor. The health-care facility or health-care provider must provide the records to the requestor at no cost if the records were not provided within 30 days or without written notice of an extension, unless the delay is due to a force majeure event. In the case of a force majeure event, the health-care facility or health-care provider must provide written notice to the requestor within 5 business days of becoming aware of the force majeure event. The 30-day time frame to respond to a request for records commences upon resolution of the force majeure event.(Note: This summary applies to this bill as enacted.)
Who sponsors HB 1414?
HB 1414 is sponsored by Adrienne Benavidez, M. Snyder, J. Marchman, C. Kolker, L. Cutter, J. Coleman, D. Roberts, C. Kipp, Jennifer Bacon (Democrat), Andrew Boesenecker (Democrat), Michael Carter (Democrat), Sheila Lieder (Democrat), Kenny Nguyen (Democrat), Naquetta Ricks (Democrat), Manny Rutinel (Democrat), Sean Camacho (Democrat), Monica Duran (Democrat), Mandy Lindsay (Democrat), and Julie McCluskie (Democrat).
What is the current status of HB 1414?
This bill has been enacted into law. Introduced April 09, 2026. Enacted.
Where can I track HB 1414?
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