Finance officials, attorney general clash on medical records tax

By John Lyon                       hospitals charge a tax when
Arkansas News Bureau               providing records directly to
LITTLE ROCK — A state finance      patients? Theis said doctors
official says he disagrees         and hospitals are not in the
with Attorney General Dustin       business of selling medical
McDaniel on whether companies      records.
that maintain medical records      “The isolated sales exemption
are required to collect a          says that those kinds of
sales tax when releasing           isolated transactions are not
those records to Arkansas          taxable, but when you have a
patients.                          business that accumulates
John Theis, assistant revenue      medical records and then
commissioner with the              turns and provides those
Arkansas Department of             medical records to a customer
Finance and Administration,        for a fee, then you’re
said today the companies are       selling a product,” he said.
required to collect a tax on       McDaniel declined to respond
the records, despite a recent      today to Theis’ comments, but
opinion to the contrary            late this afternoon he issued
issued by McDaniel.                a revised opinion summary
The issue is the subject of a      noting that “notwithstanding
class-action lawsuit filed         my opinion, the Department of
last week in Pope County           Finance and Administration,
Circuit Court. The lawsuit         which, absent a contrary
alleges HealthPort                 court ruling, has
Technologies, a Georgia-based      jurisdiction over this matter,
company that maintains             has reportedly concluded that
medical records for hospitals      the provision of these
and doctors, has been              records is subject to
charging Arkansans an illegal      taxation as the sale of
sales tax when they request        personal property.”
copies of their records.           Attorney Jimmy Streett, who
HealthPort says it has been        filed the lawsuit, said today
instructed by the state of         he agrees with McDaniel. He
Arkansas to collect the tax.       said DF&A erroneously views
The Streett Law Firm in            the providing of medical
Russellville filed the             records to patients as a
lawsuit after obtaining an         money-making venture for
opinion on the matter from         companies like HealthPort.
the attorney general’s office.     “Their profit-making
The opinion states that            mechanism is not from quote-
Section 16-46-106(a)(1) of         unquote ’selling’ patients’
the Arkansas Code “itemizes        medical information back to
in detail the specific costs       them,” Streett said. “They
a health-care provider may         make their money by working
charge a patient for               out arrangements with
supplying the records. At no       hospitals and medical
point does the statute             providers to manage their
suggest that a health-care         medical records.”
provider may charge a sales        Streett said Arkansas law
tax for supplying such             clearly limits companies like
records.”                          HealthPort to charging
Theis said today, “We              patients only enough to
disagree with their legal          recoup their costs.
conclusion.”                       “It’s not a sale, and as a
At least nine times since          matter of law it’s not
1995, DF&A has sent letters        allowed to be a sale,” he
to medical records suppliers       said.
advising them that they are        The lawsuit seeks
required to collect a sales        reimbursement for plaintiff
tax when providing copies of       Theresa Holbrook of
medical records to Arkansas        Russellville and all other
patients, Theis said.              Arkansans who have been
“The sales tax applies to the      charged a sales tax on
sale of tangible personal          medical records they obtained
property, and what we’ve said      from HealthPort. Streett said
is that a company such as the      the outcome of the case will
one involved here that is a        have “an enormous impact”
medical records supplier,          because Arkansans make
when that company sells the        thousands of requests for
medical items, they’re             medical records every year.
selling items of tangible          As for the difference of
personal property, just like       opinion between DF&A and the
anyone selling any other item,     attorney general’s office,
and the sales tax law would        Streett said, “The only
apply to that,” he said.           opinion that matters is the
So why don’t doctors and           judge’s.”                     

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