WILLIAM DONALD SCHAEFER, Governor Ch. 480

(1) To the individual on whom the record is kept or the individual's agent
or representative; or

(2) As authorized in Article 48A, Subtitle 20 of the Code.

(b) Any provider of medical care who has custody of medical records may not
reveal specific medical information contained in those records to any person unless
authorized by the individual on whom the record is kept.

(e) Subsection (b) of this section does not apply to a provider of medical care
who has custody of medical records if the provider is:

(1) Performing medical services or allied support services for or on behalf
of a patient;

(2) Providing information requested by or to further the purpose of a
medical review committee, accreditation board, or commission, or in response to legal
process;

(3) Providing information required to conduct the proper activities of the
health care provider;

(4) Providing information to a government agency performing its lawful
duties as authorized by an act of the Maryland General Assembly or the United States
Congress;

(5) Providing information at the request of a researcher for medical and
health care research under a protocol approved by an institutional review board;

(6) Revealing the contents of medical records under circumstances where
the identity of the patient is not disclosed to the recipient of the records;

(7) Providing information to an insurance company or to a defendant or
the defendant's legal counsel, in connection with a potential or actual malpractice claim
against a provider of medical care;

(8) Providing information requested by another provider of medical care
for the sole purpose of treating the individual on whom the record is kept;

(9) Providing information to a third party payor for billing purposes only;

(10) Providing information to a nonprofit health service plan or a Blue
Cross or Blue Shield Plan to coordinate benefit payments under more than one sickness
and accident, dental, or hospital and medical insurance policy other than an individual
policy; or

(11) Providing information to organ and tissue procurement personnel
under the restrictions of § 5-408 of this article at the request of a physician for a patient
whose organs and tissues may be donated for the purpose of evaluating the patient for
possible organ and tissue donation.

(d) A provider of medical care who knowingly violates any provision of this

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