The Office for Civil Rights (OCR) at the US Department of Health and Human Services is announcing its second enforcement action and settlement under its HIPAA Right of Access Initiative. OCR announced this initiative earlier this year promising to vigorously enforce the rights of patients to get access to their medical records promptly, without being overcharged, and in the readily producible format of their choice. Korunda Medical, LLC (Korunda) has agreed to take corrective actions and pay $85,000 to settle a potential violation of HIPAA’s right of access provision. In March of 2019, OCR received a complaint concerning a Korunda patient alleging that, despite repeatedly asking, Korunda failed to forward a patient’s medical records in electronic format to a third party. Not only did Korunda fail to timely provide the records to the third party, but Korunda also failed to provide them in the requested electronic format, and charged more than the reasonably cost-based fees allowed under HIPAA. OCR provided Korunda with technical assistance on how to correct these matters and closed the complaint. Despite OCR’s assistance, Korunda continued to fail to provide the requested records, resulting in another complaint to OCR. As a result of OCR’s second intervention, the requested records were provided for free in May 2019, and in the format requested. In addition to the monetary settlement, Korunda will undertake a corrective action plan that includes one year of monitoring.