<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".10" citation="COMAR 10.25.07.10" title_num="10" subtitle_num="25" chapter_num="07" heading="Withdrawal of Certification and Other Penalties.">
  <paragraph num="A.">
    <text>The Commission may withdraw certification from an MHCC-certified EHN if the Commission finds that:</text>
    <paragraph num="(1)">
      <text>The MHCC-certified EHN fails to meet the certification standards set forth in Regulation .05 of this chapter;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A principal or owner of the MHCC-certified EHN, or the entity itself, is convicted of, or pleads guilty or nolo contendere to, a crime related to the operation of the EHN or to a crime involving financial improprieties;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A principal or owner of the MHCC-certified EHN, or the entity itself, is notified by a qualified accreditation or certification organization or the Commission of a violation of HIPAA privacy or security standards and fails to take action to remedy the violation within the period of time specified by a qualified accreditation or certification organization or by the Commission;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The MHCC-certified EHN disclosed legally protected health information in violation of Health-General Article, §4-302.5, Annotated Code of Maryland; or</text>
    </paragraph>
    <paragraph num="(5)">
      <text>The MHCC-certified EHN fails to submit electronic health care transactions information to the State-designated HIE in accordance with Regulation .09 of this chapter.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Beginning June 1, 2024, a person who knowingly violates Health-General Article, §4-302.5, Annotated Code of Maryland, shall be guilty of a misdemeanor and on conviction is subject to a fine not to exceed $10,000 per day based on:</text>
    <paragraph num="(1)">
      <text>The extent of actual or potential public harm caused by the violation;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The cost of investigating the violation; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The person’s prior record of compliance.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>A MHCC-certified EHN that fails to submit electronic health transactions information to the State-designated HIE in accordance with Regulation .09 of this chapter may be subject to a financial penalty not to exceed $10,000 per day based on:</text>
    <paragraph num="(1)">
      <text>The extent of actual or potential public harm caused by the violation;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The cost of investigating the violation; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Whether the MHCC-certified EHN committed previous violations.</text>
    </paragraph>
  </paragraph>
</regulation>