American Samoa Medical Record Retrieval, Statutory Copying Fee Caps & Subpoena Rules (A.S.C.A. Title 13 (American Samoa Medical Center Authority) & 45 CFR § 164.524)
Complete guide to American Samoa medical record retrieval, comparing the Federal HIPAA Patient Rate (45 CFR § 164.524) against American Samoa's third-party copying fee caps under A.S.C.A. Title 13 (American Samoa Medical Center Authority) & 45 CFR § 164.524 (post-Ciox Health v. Azar), mandatory 30 calendar days response deadlines, and A.S.H.C.R. Evid. 902(11) & High Court of American Samoa Subpoena Rules trial authentication.
American Samoa (AS) Medical Record Laws at a Glance
- Governing Fee Statute
- A.S.C.A. Title 13 (American Samoa Medical Center Authority) & 45 CFR § 164.524
- Mandatory Response Deadline
- 30 calendar days
- State Statutory Third-Party Copying Fee Schedule (Post-Ciox v. Azar)
- Federal 45 CFR § 164.524 Patient Rate applies to direct patient requests; LBJ Tropical Medical Center HIM fee schedule applies to third-party requests
- Custodian Affidavit & Evidence Rule
- A.S.H.C.R. Evid. 902(11) & High Court of American Samoa Subpoena Rules
- Minimum Record Retention Rule
- 7–10 years adult hospital retention
American Samoa Medical Record Fee Comparison: Patient Direct vs. Third-Party Law Firm
Under Ciox Health, LLC v. Azar, 435 F. Supp. 3d 30 (D.D.C. 2020), the federal HIPAA “Patient Rate” applies strictly to direct-to-patient requests, while third-party attorney and insurance requests in American Samoa are governed by A.S.C.A. Title 13 (American Samoa Medical Center Authority) & 45 CFR § 164.524:
| Requirement | Patient Direct (45 CFR § 164.524) | American Samoa Third-Party Attorney (A.S.C.A. Title 13 (American Samoa Medical Center Authority) & 45 CFR § 164.524) | American Samoa Civil Subpoena & Affidavit |
|---|---|---|---|
| Maximum Copying & Search Fee | Reasonable cost-based labor only when delivered directly to patient ($0 search fee) | Federal 45 CFR § 164.524 Patient Rate applies to direct patient requests; LBJ Tropical Medical Center HIM fee schedule applies to third-party requests | Statutory subpoena clerical & per-page limits under A.S.C.A. Title 13 (American Samoa Medical Center Authority) & 45 CFR § 164.524 |
| Mandatory Turnaround Window | 30 calendar days (or 30 days federal ceiling, whichever is shorter) | 30 calendar days | Subpoena return date + mandatory consumer notice window |
| Self-Authentication in Court | Uncertified unless Custodian Affidavit is requested | Certified Custodian Declaration under A.S.H.C.R. Evid. 902(11) & High Court of American Samoa Subpoena Rules | Mandatory Custodian Affidavit or Certificate of No Records (A.S.H.C.R. Evid. 902(11) & High Court of American Samoa Subpoena Rules) |
American Samoa County Subpoena Venues, Coroner Autopsy & EMS Run Sheet Hubs
Autopsy and forensic toxicology reports, 911 paramedic Prehospital Care Reports (PCRs), and trial court civil subpoenas in American Samoa are governed at the county/district level. Select a county below to view its trial court subpoena venue, Medical Examiner office, and 911 EMS agency:
Major American Samoa Medical Center Cities (HIM, Billing & PACS Routing)
Select a major medical center city in American Samoa to view its Level I/II trauma centers, acute-care hospitals, VA Medical Centers, and 3-department ROI vendor routing:
Major American Samoa Hospital Systems & Retrieval Hubs
We retrieve complete inpatient and outpatient clinical charts, UB-04 / CMS-1500 itemized billing ledgers, and DICOM radiology studies from all healthcare systems in American Samoa, including LBJ Tropical Medical Center (Pago Pago / Faga'alu), Tafuna Family Health Center, and regional clinics.