(4) On or after July 1, 1995, the fees charged under paragraph (3) of this subsection may be
adjusted annually for inflation in accordance with the Consumer Price Index.
(5) (i) Except as provided in subparagraph (ii) of this paragraph, a health care provider may
charge a fee, as authorized under paragraphs (3) and (4) of this subsection, for the retrieval,
copying, preparation, mailing, and actual cost of postage and handling of a medical record
disclosed under § 4-306 of this subtitle.
(ii) If a government unit or agency makes a request for the disclosure of a medical record
under § 4-306 of this subtitle, a health care provider may not charge the government unit or
agency a fee for the retrieval, copying, preparation, mailing, and actual cost of postage and
handling of the medical record.
(6) Notwithstanding any other provision of law, any person or entity who is not subject to the
provisions of this subsection and who obtains a medical record from a health care provider or the
provider's agent may not charge a fee for any subsequent copies of that medical record that
exceeds the fee authorized under paragraph (3)(i) of this subsection.
(d) Nonpayment of copying costs. -- Except for an emergency request from a unit of State or
local government concerning a child protective services case or adult protective services case, a
health care provider may withhold copying until the fee for copying is paid.
§ 4-305. Disclosures without authorization of person in interest -- In general
(a) Construction of section. -- This section may not be construed to impose an obligation on a
health care provider to disclose a medical record.
(b) Permitted disclosure. -- A health care provider may disclose a medical record without the
authorization of a person in interest:
(1) (i) To the provider's authorized employees, agents, medical staff, medical students, or
consultants for the sole purpose of offering, providing, evaluating, or seeking payment for health
care to patients or recipients by the provider;
(ii) To the provider's legal counsel regarding only the information in the medical record that
relates to the subject matter of the representation; or
(iii) To any provider's insurer or legal counsel, or the authorized employees or agents of a
provider's insurer or legal counsel, for the sole purpose of handling a potential or actual claim
against any provider if the medical record is maintained on the claimant and relates to the subject
matter of the claim;
(2) If the person given access to the medical record signs an acknowledgment of the duty under
this Act not to redisclose any patient identifying information, to a person for: