<?xml version='1.0' encoding='utf-8'?>
<chapter num="08" heading="Sensitive Health Services" title_num="10" subtitle_num="11">
  <regulation prefix="Regulation" num=".01" heading="Purpose.">
    <text>This chapter:</text>
    <paragraph num="A.">
      <text>Defines:</text>
      <paragraph num="(1)">
        <text>Mifepristone data;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Health information exchange;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Electronic health network; and</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Protected Health Care Commission;</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>Lists the:</text>
      <paragraph num="(1)">
        <text>Mifepristone data, and diagnosis, procedure, and related codes for abortion care that are subject to the restrictions on the disclosure of health care information; and</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Diagnosis, procedure, and related codes for gender-affirming treatment that are subject to the restrictions on the disclosure of health care information;</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>Describes to whom these restrictions apply; and</text>
    </paragraph>
    <paragraph num="D.">
      <text>Sets forth the restrictions on data.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".02" heading="Definitions.">
    <paragraph num="A.">
      <text>In this chapter, the following terms have the meaning indicated.</text>
    </paragraph>
    <paragraph num="B.">
      <text>Terms Defined.</text>
      <paragraph num="(1)">
        <text>“Electronic health network” has the meaning stated in COMAR 10.25.09.02.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>“Gender-affirming treatment” has the meaning stated in Health-General Article, §15-151, Annotated Code of Maryland.</text>
      </paragraph>
      <paragraph num="(3)">
        <text>“Health information exchange” has the meaning stated in COMAR 10.25.18.02.</text>
      </paragraph>
      <paragraph num="(4)">
        <text>“Mifepristone data” means all medication or related codes pertaining to mifepristone use during any stage of pregnancy, and excludes any codes pertaining to the use of mifepristone for Cushing’s syndrome.</text>
      </paragraph>
      <paragraph num="(5)">
        <text>“Protected Health Care Commission” means the group established under Health-General Article, §4-310, Annotated Code of Maryland.</text>
      </paragraph>
      <paragraph num="(6)">
        <text>“Secretary” means the Secretary of the Maryland Department of Health.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".03" heading="Abortion Care Codes.">
    <text>A health information exchange and an electronic health network shall restrict the disclosure of the abortion care medical diagnosis codes and current procedural terminology (CPT) codes listed in the tables below.</text>
    <paragraph num="A.">
      <text>List of Medical Diagnosis Codes.</text>
    </paragraph>
    <paragraph num="B.">
      <text>List of the Current Procedural Terminology (CPT®) Codes.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".04" heading="Mifepristone Data Codes.">
    <text>A health information exchange and an electronic health network shall restrict the disclosure of mifepristone data Healthcare Common Procedure Coding System (HCPCS) codes and medication codes listed in the tables below.</text>
    <paragraph num="A.">
      <text>List of Healthcare Common Procedure Coding System ( HCPCS) Level 2 Codes.</text>
    </paragraph>
    <paragraph num="B.">
      <text>List of Medication Codes.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".05" heading="Restrictions on Disclosure of Mifepristone Data.">
    <text>Data is restricted in accordance with COMAR 10.25.18 and COMAR 10.25.07.</text>
  </regulation>
  <regulation prefix="Regulation" num=".06" heading="Gender-Affirming Treatment Codes.">
    <paragraph num="A.">
      <text>A health information exchange and an electronic health network shall restrict the disclosure of the gender-affirming treatment medical diagnosis codes and current procedural terminology (CPT) codes listed in §B below.</text>
    </paragraph>
    <paragraph num="B.">
      <text>List of Medical Diagnosis Codes.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".07" heading="Sensitive Health Services.">
    <text>The Secretary shall determine what sensitive health services are subject to restriction under this chapter based on the recommendations of the Protected Health Care Commission.</text>
  </regulation>
  <annotations>
    <annotation type="Authority">Health-General Article, §4-302.5 Annotated Code of Maryland</annotation>
    <annotation type="History" subtype="Administrative History">Effective date: September 16, 2024 (51:18 Md. R. 809)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .01B amended effective May 11, 2026 (53:9 Md. R. 413)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .02B amended effective May 11, 2026 (53:9 Md. R. 413)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .04B amended effective May 11, 2026 (53:9 Md. R. 413)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .06 recodified to Regulation .07 effective May 11, 2026 (53:9 Md. R. 413)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .06 adopted effective May 11, 2026 (53:9 Md. R. 413)</annotation>
  </annotations>
</chapter>