Michigan 2025-2026 Regular Session Status: Introduced 1 R cosponsors

HB 5681 — Health: medical records; medical record fees; modify. Amends sec. 9 of 2004 PA 47 (MCL 333.26269).

Last action — referred to second reading

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

This bill has been introduced in the House. Introduced June 24, 2026. It must pass committee before a floor vote.

Next likely step: a committee referral and hearing.

Odds of enactment

Low chance

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

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

Prognosis

Not enough signal yet

Not enough signal yet to read this bill's trajectory — we surface a likelihood only once there's real movement (stage, sponsorship, committee, or votes) to point to.

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 modifies fees related to medical records.

This bill amends existing regulations concerning the fees charged for medical records. It aims to adjust how these fees are managed.

What this means for you
  • Healthcare: This means a change in how your facility charges for medical records.

Summary

Health: medical records; medical record fees; modify. Amends sec. 9 of 2004 PA 47 (MCL 333.26269).

Bill Text

What changed in the latest version

57 added · 54 removed

Plain-language change summary

The amended bill HB 5681 increases the fees for obtaining copies of medical records. For example, the initial fee has risen from $20 to $32.08, and the costs per page have also been adjusted upwards for various ranges of pages. These changes are significant because they could make accessing medical records more expensive for patients, potentially impacting their ability to obtain important health information.

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HOUSE BILL NO.
SUBSTITUTE FOR HOUSE BILL NO.
5681 March 05, 2026, Introduced by Reps.
5681 A bill to amend 2004 PA 47, entitled "Medical records access act," by amending section 9 (MCL 333.26269).
Green, Pohutsky, Bierlein, Schmaltz, Tisdel, Thompson, Prestin, Frisbie and VanderWall and referred to Committee on Health Policy.
A bill to amend 2004 PA 47, entitled "Medical records access act," by amending section 9 (MCL 333.26269).
(1) Except as otherwise provided in this section, if a patient or his or her the authorized representative of the patient makes a request for a copy of all or part of his or her the patient's medical record under section 5, the health care provider, health facility, or medical records company to which the request is directed may charge the patient or his or her the authorized representative of the patient a fee that is not more than the EMR H04696'25_HB5681_INTR_1 4secvj 1 following amounts:
(1) Except as otherwise provided in this section, if a patient or his or her the authorized representative of the patient makes a request for a copy of all or part of his or her the patient's medical record under section 5, the health care provider, health facility, or medical records company to which the request is directed may charge the patient or his or her the authorized representative of the patient a fee that is not more than the following amounts:
(a) An initial fee of $20.00 $31.54 per request for a copy of the record.
(a) An initial fee of $20.00 $32.08 per request for a copy of EMR H04696'25 (H-1) htyprs 1 the record.
(i) One dollar A fee of $1.58 per page for the first 20 pages.
(i) One dollar A fee of $1.60 per page for the first 20 pages.
(ii) Fifty cents A fee of 79 cents per page for pages 21 through 50.
(ii) Fifty cents A fee of 80 cents per page for pages 21 through 50.
The health care provider, health facility, or medical records EMR H04696'25_HB5681_INTR_1 4secvj 1 company may require the patient or his or her the authorized representative of the patient to provide proof that the patient is a recipient of assistance as described in this subsection.
The health care provider, health facility, or medical records company may require the patient or his or her the authorized representative of the patient to provide proof that the patient is EMR H04696'25 (H-1) htyprs 1 a recipient of assistance as described in this subsection.
(4) A medically indigent individual that receives copies of medical records at no charge under subsection (3) is limited to 1 set of copies per health care provider, health facility, or medical records company.
(4) A medically indigent individual that who receives copies of medical records at no charge under subsection (3) is limited to 1 set of copies per health care provider, health facility, or medical records company.
(5) Notwithstanding subsection (1), a health care provider, health facility, or medical records company shall not charge a patient an initial fee for his or her the patient's medical record.
(5) Notwithstanding subsection (1), a health care provider, health facility, or medical records company shall not charge a patient an any of the following:
(a) An initial fee for his or her the patient's medical record.
(b) The fee described in subdivision (1)(b), if the patient is receiving an electronic copy of the patient's medical record.
Final Page EMR H04696'25_HB5681_INTR_1 4secvj
Final Page EMR H04696'25 (H-1) htyprs
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Action History

  1. referred to second reading

Sponsors

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 146 not signed on

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (146)

146 members have not signed on to this bill.

Show all 146 →

"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

Subjects

healthcare health-insurance
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Frequently asked questions

What does HB 5681 do?
Health: medical records; medical record fees; modify. Amends sec. 9 of 2004 PA 47 (MCL 333.26269).
Who sponsors HB 5681?
HB 5681 is sponsored by Phil Green (Republican).
What is the current status of HB 5681?
This bill has been introduced in the House. Introduced June 24, 2026. It must pass committee before a floor vote.
Where can I track HB 5681?
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