The State-designated HIE shall operate as a health data utility for the State. The State-designated HIE shall implement a consent management application in accordance with Regulation .03D of this chapter. Disclosures by the State-designated HIE. Except as otherwise prohibited under this chapter or State or federal law, the State-designated HIE shall transmit clinical information or electronic health care transactions to the Maryland Department of Health, the Commission, or the Health Services Cost Review Commission for public health purposes upon written request. The State-designated HIE may not redisclose financial information in electronic health care transactions it receives in accordance with COMAR 10.25.07.09 to any person other than the Commission. Maryland Medical Care Data Base. The State-designated HIE shall be designated as a reporting entity to the Maryland Medical Care Data Base. The State-designated HIE shall report the electronic health care transactions information it receives pursuant to COMAR 10.25.07.09 to the Medicare Care Data Base in accordance with the reporting requirements found in COMAR 10.25.06. The State-designated HIE shall: Develop a process in which requests for data are submitted and data are shared, and post this information on its website; and Provide a written explanation for a denial of a request which shall include an appeal process. The State-designated HIE shall consult with the Maryland Department of Health, the Commission, and Health Services Cost Review Commission before identifying any specific purposes, type of data exchanged, and rules for interaction between users and the State-designated HIE pertaining to: A State health improvement program; Mitigation of a public health emergency; Improvement of patient safety; and Any other public health priorities identified by the Secretary. Consumer Advisory Council. The State-designated HIE shall establish a Consumer Advisory Council in accordance with Health-General Article, §19-145, Annotated Code of Maryland. The State-designated HIE shall: Appoint two consumer representatives identified by the Commission who have significant experience in public health and patient privacy as council members; Post advance notice of council meetings on its website, including an expected agenda; and Require the Consumer Advisory Council to comply with the requirements of the Maryland Open Meetings Act as if it were a public body.