Some state laws exclude psychiatric records.
I'll make a probe and see whether I can find anything more. MDs historically had argued that it would do the patient more harm than good to have a copy of records, not to mention the jargon that a patient would not understand and phsicians' handwriting that only the in-group can recognize. I do not recall its name but your JAG should be able to run it down. It's likely to be in the USC wherever the Privay Act of 1974 is stashed. If you know anyone at EPIC you might give it a query.