Electronic Health Networks and Electronic Medical Record Vendors of Nursing Homes - Release of Records - Fees

HB 489 repeals a Maryland law that previously prohibited electronic health networks and medical record vendors serving nursing homes from charging fees for releasing patient records. The bill allows these vendors to charge fees when releasing records or electronic health transactions to nursing homes' business associates, as directed by the nursing home. Key provisions require vendors to provide records in standardized electronic formats and ensure timely access for patient care, but no longer ban fee-charging for these releases. This change affects nursing homes, their business associates, and the vendors managing their electronic health records, effective October 1, 2026.