Ch. 480 LAWS OF MARYLAND

(1) BE IN WRITING, DATED, AND SIGNED BY THE PERSON IN
INTEREST;

(2) STATE THE NAME OF THE HEALTH CARE PROVIDER;

(3) IDENTIFY TO WHOM THE INFORMATION IS TO BE
DISCLOSED;

(4) STATE THE PERIOD OF TIME THAT THE AUTHORIZATION IS
VALID, WHICH MAY NOT EXCEED 1 YEAR, EXCEPT:

(I) IN CASES OF CRIMINAL JUSTICE REFERRALS, IN
WHICH CASE THE AUTHORIZATION SHALL BE VALID UNTIL 30 DAYS
FOLLOWING FINAL DISPOSITION; OR

(II) IN CASES WHERE THE PATIENT ON WHOM THE MEDICAL
RECORD IS KEPT IS A RESIDENT OF A NURSING HOME, IN WHICH CASE THE
AUTHORIZATION SHALL BE VALID UNTIL REVOKED, OR FOR ANY TIME
PERIOD SPECIFIED IN THE AUTHORIZATION; AND

(5) APPLY ONLY TO A MEDICAL RECORD DEVELOPED BY THE
HEALTH CARE PROVIDER UNLESS IN WRITING:

(I) THE AUTHORIZATION SPECIFIES DISCLOSURE OF A
MEDICAL RECORD THAT THE HEALTH CARE PROVIDER HAS RECEIVED
FROM ANOTHER PROVIDER; AND

(II) THE OTHER PROVIDER HAS NOT PROHIBITED
REDISCLOSURE.

(C) A HEALTH CARE PROVIDER SHALL DISCLOSE A MEDICAL
RECORD ON RECEIPT OF A PREAUTHORIZED FORM THAT IS PART OF AN
APPLICATION FOR INSURANCE.

(C) (D) (1) EXCEPT IN CASES OF CRIMINAL JUSTICE REFERRALS,
A PERSON IN INTEREST MAY REVOKE AN AUTHORIZATION IN WRITING.

(2) A REVOCATION OF AN AUTHORIZATION BECOMES
EFFECTIVE ON THE DATE OF RECEIPT BY THE HEALTH CARE PROVIDER.

(3) A DISCLOSURE MADE BEFORE THE EFFECTIVE DATE OF A
REVOCATION IS NOT AFFECTED BY THE REVOCATION.

(&) (E) A COPY OF THE FOLLOWING SHALL BE ENTERED IN THE
MEDICAL RECORD OF A PATIENT OR RECIPIENT:

(1) A WRITTEN AUTHORIZATION;

(2) ANY ACTION TAKEN IN RESPONSE TO AN AUTHORIZATION;
AND

(3) ANY REVOCATION OF AN AUTHORIZATION.

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