Relating to electronic health record requirements; authorizing a civil penalty.

Requires electronic health records to be physically maintained in the United States or its territories

Mandates that EHR information be accessible only to individuals performing duties related to treatment, payment, or health care operations

Requires implementation of administrative, physical, and technical safeguards to protect EHR confidentiality, integrity, and availability

Prohibits collection, storage, or sharing of credit score or voter registration status information in EHRs

Allows AI use for diagnostic purposes with requirements for practitioner review and patient disclosure

Ensures minors have unrestricted access to their EHRs immediately upon request

Requires EHRs to include separate spaces for documenting biological sex and sexual development disorder information

Defines biological sex based on observed biological sex recorded at birth and includes provisions for sexual development disorders

Establishes civil penalties up to $250,000 for intentional violations involving financial gain

Sets effective date of September 1, 2025, with EHR storage requirements applying from January 1, 2026