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<section article="ghg" article_name="Health - General" number="13-109" title_number="13" title_name="Miscellaneous Health Care Programs" subtitle_number="1" subtitle_name="Hereditary and Congenital Disorders Programs">
  <level label="a">
    <text>Subject to the requirements of this section, the Department may adopt rules, regulations, and standards for the detection and management of hereditary and congenital disorders.</text>
  </level>
  <level label="b">
    <level label="1">
      <text>Before the Department adopts a rule, regulation, or standard, the Department shall consult:</text>
      <level label="i">
        <text>The public, especially communities and groups who particularly are affected by hereditary and congenital disorders programs;</text>
      </level>
      <level label="ii">
        <text>Where appropriate, experts in the medical, psychological, ethical, social, and economic effects of programs for the detection and management of hereditary and congenital disorders; and</text>
      </level>
      <level label="iii">
        <text>The Advisory Council.</text>
      </level>
    </level>
    <level label="2">
      <text>Before the Department adopts a rule, regulation, or standard, the Department shall consider:</text>
      <level label="i">
        <text>The incidence of each hereditary or congenital disorder; and</text>
      </level>
      <level label="ii">
        <text>The cost of detection and management of each hereditary or congenital disorder.</text>
      </level>
    </level>
  </level>
  <level label="c">
    <level label="1">
      <text>The rules, regulations, and standards of the Department shall require the Department and each person who conducts a hereditary and congenital disorders program to keep in code and treat as a confidential medical record all information that is gathered in the program and identifies an individual. However, this requirement does not prevent the disclosure of information if the individual or, if the individual is a minor or disabled person, a parent or guardian of the person:</text>
      <level label="i">
        <text>Is informed of the scope of information to be released and the purpose of the release; and</text>
      </level>
      <level label="ii">
        <text>Consents to the release.</text>
      </level>
    </level>
    <level label="2">
      <text>The rules, regulations, and standards of the Department shall provide that, subject to the restrictions on disclosure of confidential information, information on the operation of a hereditary and congenital disorders program shall be open and freely available to the public.</text>
    </level>
  </level>
  <level label="d">
    <text>The rules, regulations, and standards of the Department shall provide that procedures for a hereditary and congenital disorders program shall:</text>
    <level label="1">
      <text>Be accurate;</text>
    </level>
    <level label="2">
      <text>Provide maximum information;</text>
    </level>
    <level label="3">
      <text>Be set forth clearly; and</text>
    </level>
    <level label="4">
      <text>Be reviewed regularly.</text>
    </level>
  </level>
  <level label="e">
    <text>The rules, regulations, and standards of the Department shall:</text>
    <level label="1">
      <text>Require that, before an individual participates in a hereditary and congenital disorders program, the person who conducts the program shall inform the individual or, if the individual is a minor or disabled person, a parent or guardian of the person of the requirement that participation in the program be wholly voluntary and of any risk that is involved in participation;</text>
    </level>
    <level label="2">
      <text>Prohibit the testing of an individual for a hereditary or congenital disorder unless the individual or, if the individual is a minor or disabled person, a parent or guardian of the person:</text>
      <level label="i">
        <text>Is informed fully of the purpose of the test and the nature and consequences of being affected by a hereditary or congenital disorder or being a carrier of a hereditary disorder;</text>
      </level>
      <level label="ii">
        <text>Is given a reasonable opportunity to object; and</text>
      </level>
      <level label="iii">
        <text>Does not object to the test; and</text>
      </level>
    </level>
    <level label="3">
      <text>Require unambiguous diagnostic results to be made available through a physician or other source of health care to the individual or, if the individual is a minor or disabled person, to a parent or guardian of the person.</text>
    </level>
  </level>
  <level label="f">
    <text>The rules, regulations, and standards of the Department shall provide that a hereditary and congenital disorders program may not:</text>
    <level label="1">
      <text>Require participation in the program;</text>
    </level>
    <level label="2">
      <text>Require restriction of childbearing; or</text>
    </level>
    <level label="3">
      <text>Be prerequisite for eligibility for any service or other program.</text>
    </level>
  </level>
  <level label="g">
    <text>The rules, regulations, and standards of the Department shall provide that:</text>
    <level label="1">
      <text>Each participant in a hereditary and congenital disorders program shall be:</text>
      <level label="i">
        <text>Protected from undue physical or mental harm; and</text>
      </level>
      <level label="ii">
        <text>Informed of the nature, cost, benefits, and risks of any therapy or maintenance program available for an individual affected by a hereditary or congenital disorder; and</text>
      </level>
    </level>
    <level label="2">
      <text>Each participant in a screening program for a hereditary or congenital disorder shall have available counseling services that:</text>
      <level label="i">
        <text>Are nondirective;</text>
      </level>
      <level label="ii">
        <text>Emphasize informing the individual; and</text>
      </level>
      <level label="iii">
        <text>Do not require restriction of childbearing.</text>
      </level>
    </level>
  </level>
  <level label="h">
    <text>Only the Department may adopt rules, regulations, and standards under this subtitle.</text>
  </level>
</section>
