Ch. 480 LAWS OF MARYLAND

(4) A NOTICE OF REFUSAL SHALL CONTAIN:

(I) EACH REASON FOR THE REFUSAL; AND

(II) THE PROCEDURES, IF ANY, THAT THE HEALTH CARE
PROVIDER HAS ESTABLISHED FOR REVIEW OF THE REFUSAL.

(5) IF THE FINAL DETERMINATION OF THE HEALTH CARE
PROVIDER IS A REFUSAL TO CHANGE THE MEDICAL RECORD, THE
PROVIDER:

(I) SHALL PERMIT A PERSON IN INTEREST TO INSERT IN
THE MEDICAL RECORD A CONCISE STATEMENT OF THE REASON THAT
THE PERSON IN INTEREST DISAGREES WITH THE RECORD; AND

(II) MAY INSERT IN THE MEDICAL RECORD A STATEMENT
OF THE REASONS FOR THE REFUSAL.

(6) A HEALTH CARE PROVIDER SHALL GIVE A NOTICE OF A
CHANGE IN A MEDICAL RECORD OR A COPY OF A STATEMENT OF
DISAGREEMENT:

(I) TO ANY INDIVIDUAL THE PERSON IN INTEREST HAS
DESIGNATED TO RECEIVE THE NOTICE OR STATEMENT; AND

(II) TO WHOM THE HEALTH CARE PROVIDER HAS
DISCLOSED AN INACCURATE, AN INCOMPLETE, OR A DISPUTED
MEDICAL RECORD WITHIN THE PREVIOUS 6 MONTHS.

(7) IF A HEALTH CARE PROVIDER DISCLOSES A MEDICAL
RECORD AFTER AN ADDITION, CORRECTION, OR STATEMENT OF
DISAGREEMENT HAS BEEN MADE, THE PROVIDER SHALL INCLUDE WITH
THE MEDICAL RECORD A COPY OF EACH ADDITION, CORRECTION, OR
STATEMENT OF DISAGREEMENT.

(C) A HEALTH CARE PROVIDER MAY REQUIRE A PERSON IN
INTEREST OR ANY OTHER AUTHORIZED PERSON WHO REQUESTS A
COPY OF A MEDICAL RECORD TO PAY THE COST OF COPYING:

(1) FOR STATE FACILITIES REGULATED BY THE DEPARTMENT
OF HEALTH AND MENTAL HYGIENE, AS PROVIDED IN § 10-621 OF THE
STATE GOVERNMENT ARTICLE; OR

(2) FOR ALL OTHER HEALTH CARE PROVIDERS, THE
REASONABLE COST OF PROVIDING THE INFORMATION REQUESTED.

(D) EXCEPT FOR AN EMERGENCY REQUEST FROM A UNIT OF STATE
OR LOCAL GOVERNMENT CONCERNING A CHILD PROTECTIVE SERVICES
CASE OR ADULT PROTECTIVE SERVICES CASE, A HEALTH CARE
PROVIDER MAY WITHHOLD COPYING UNTIL THE FEE FOR COPYING IS
PAID.

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