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<section article="ghg" article_name="Health - General" number="7-1010" title_number="7" title_name="Developmental Disabilities Law" subtitle_number="10" subtitle_name="Rights of Individuals">
  <level label="a">
    <text>Except as otherwise expressly provided in this section, a licensee may not disclose any record that the licensee keeps on an individual who has been served by the licensee, unless the individual gives written, informed consent to the disclosure.</text>
  </level>
  <level label="b">
    <level label="1">
      <text>Subject to the limitations of this subsection, a licensee shall disclose a record of an individual who is served by a licensee to:</text>
      <level label="i">
        <text>The individual with developmental disability, if:</text>
        <level label="1">
          <text>A person is not authorized to act on behalf of the individual with developmental disability; and</text>
        </level>
        <level label="2">
          <text>The executive officer or administrative head of the licensee determines that disclosure would not be detrimental to the individual with developmental disability;</text>
        </level>
      </level>
      <level label="ii">
        <text>A parent or guardian of the person with developmental disability who is:</text>
        <level label="1">
          <text>A minor; or</text>
        </level>
        <level label="2">
          <text>Unless the individual with developmental disability asks that disclosure to the parent or guardian not be allowed, an adult;</text>
        </level>
      </level>
      <level label="iii">
        <text>A lawyer or other individual who is authorized:</text>
        <level label="1">
          <text>By the individual with developmental disability; or</text>
        </level>
        <level label="2">
          <text>By another individual to whom, on behalf of the individual with developmental disability, disclosure of the record is authorized; or</text>
        </level>
      </level>
      <level label="iv">
        <text>To the executive director or a designee of the executive director of the State–designated protection and advocacy agency, if:</text>
        <level label="1">
          <text>The agency has received a request for an investigation; and</text>
        </level>
        <level label="2">
          <text>There is no other person to whom, on behalf of the individual with developmental disability, the record may be disclosed under this paragraph; or</text>
        </level>
        <level label="3">
          <text>The individual with developmental disability is unable to give written informed consent and the Deputy Secretary determines that disclosure is necessary to protect the rights of the individual with developmental disability.</text>
        </level>
      </level>
    </level>
    <level label="2">
      <text>A licensee shall comply within 14 days after an individual with developmental disability or a person who is authorized to act on behalf of that individual, asks in writing:</text>
      <level label="i">
        <text>To receive a copy of a record; or</text>
      </level>
      <level label="ii">
        <text>To see and copy the record disclosed.</text>
      </level>
    </level>
  </level>
  <level label="c">
    <text>If a licensee refuses to disclose a record under subsection (b)(1)(i) of this section, the executive officer or administrative head of a licensee shall apply, within 10 working days after the refusal, to the circuit court for the county where the individual making the request resides or where the site of services to the individual occurred for an order to permit the executive officer or administrative head of the licensee to continue to refuse disclosure to the individual with developmental disability.</text>
  </level>
  <level label="d">
    <text>A licensee shall disclose a record that is sought:</text>
    <level label="1">
      <text>By the staff of the licensee to carry out a purpose for which the record is kept;</text>
    </level>
    <level label="2">
      <text>By any other person who provides or coordinates services in accordance with the individual’s plan of habilitation;</text>
    </level>
    <level label="3">
      <text>By the Deputy Secretary or a designee of the Deputy Secretary; and</text>
    </level>
    <level label="4">
      <text>By a person to further the purposes of:</text>
      <level label="i">
        <text>A medical review committee;</text>
      </level>
      <level label="ii">
        <text>An accreditation board or commission;</text>
      </level>
      <level label="iii">
        <text>A licensing agency that is authorized by statute to review records;</text>
      </level>
      <level label="iv">
        <text>A court order;</text>
      </level>
      <level label="v">
        <text>A representative of the Division of Reimbursement of the Department;</text>
      </level>
      <level label="vi">
        <text>An auditor of the Department;</text>
      </level>
      <level label="vii">
        <text>An auditor of the Office of Legislative Audits of the Department of Legislative Services; or</text>
      </level>
      <level label="viii">
        <text>The Clients’ Rights Committee of the licensee unless the individual with developmental disability objects.</text>
      </level>
    </level>
  </level>
  <level label="e">
    <level label="1">
      <text>A licensee may require a person who asks for a copy of a record to pay a reasonable fee.</text>
    </level>
    <level label="2">
      <text>The fee may not exceed the cost of copying the record.</text>
    </level>
  </level>
  <level label="f">
    <level label="1">
      <text>Except for a disclosure that is made to the staff for its routine use under subsection (d)(1) of this section, a licensee shall keep a list of all disclosures of a record.</text>
    </level>
    <level label="2">
      <text>The list shall state:</text>
      <level label="i">
        <text>The date, nature, and purpose of each disclosure; and</text>
      </level>
      <level label="ii">
        <text>The name and address of each person to whom the disclosure is made.</text>
      </level>
    </level>
  </level>
</section>
