HOUSE BILL No. 5874

 

May 12, 2004, Introduced by Reps. Kooiman, Ehardt, Vander Veen, Ward, Garfield, Hune, Gaffney, Palsrok, Hummel, Moolenaar, Steil, Pappageorge, Mortimer, Milosch, DeRoche, Shackleton, Wenke, Robertson, Koetje and Farhat and referred to the Committee on Health Policy.

        

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                 A bill to amend 1978 PA 368, entitled                                             

                                                                                

    "Public health code,"                                                       

                                                                                

    by amending section 16648 (MCL 333.16648), as amended by 1998 PA            

                                                                                

    496.                                                                        

                                                                                

                THE PEOPLE OF THE STATE OF MICHIGAN ENACT:                      

                                                                                

1       Sec. 16648.  (1) Information relative to the care and                       

                                                                                

2   treatment of a dental patient acquired as a result of providing             

                                                                                

3   professional dental services is confidential and privileged.                

                                                                                

4   Except  with the written consent of the patient or the patient's            

                                                                                

5   attorney in fact or personal representative, or except  as                  

                                                                                

6   otherwise permitted or required under the health insurance                  

                                                                                

7   portability and accountability act of 1996, Public Law 104-191,             

                                                                                

8   and regulations promulgated under that act, 45 CFR parts 160 and            

                                                                                

9   164, or as otherwise provided in subsection (2), a dentist or a             

                                                                                

10  person employed by the dentist shall not disclose or be required            

                                                                                


                                                                                

1   to disclose that information.                                               

                                                                                

2       (2) This section does not prohibit disclosure of the                        

                                                                                

3   information described in subsection (1) in the following                    

                                                                                

4   instances:                                                                  

                                                                                

5       (a) Disclosure as part of the defense to a claim in a court                 

                                                                                

6   or administrative agency challenging the dentist's professional             

                                                                                

7   competence.                                                                 

                                                                                

8       (b) Disclosure pursuant to 1967 PA 270, MCL 331.531 to                      

                                                                                

9   331.533.                                                                    

                                                                                

10      (c) Disclosure in relation to a claim for payment of fees.                  

                                                                                

11      (d) Disclosure to a third party payer of information relating               

                                                                                

12  to fees for services in the course of a good faith examination of           

                                                                                

13  the dentist's records to determine the amount and correctness of            

                                                                                

14  fees or the type and volume of services furnished pursuant to               

                                                                                

15  provisions for payment established by a third party payer, or               

                                                                                

16  information required for a third party payer's predeterminations,           

                                                                                

17  post treatment reviews, or audits.  For purposes of this                    

                                                                                

18  subdivision, "third party payer" includes, but is not limited to,           

                                                                                

19  a nonprofit dental care corporation, nonprofit health care                  

                                                                                

20  corporation, insurer, benefit fund, health maintenance                      

                                                                                

21  organization, and dental capitation plan.                                   

                                                                                

22      (e) Disclosure, pursuant to a court order, to a police agency               

                                                                                

23  as part of a criminal investigation.                                        

                                                                                

24      (f) Disclosure as provided in section 2844a.                                

                                                                                

25      (g) Disclosure made pursuant to section 16222 if the licensee               

                                                                                

26  reasonably believes it is necessary to disclose the information             

                                                                                

27  to comply with section 16222.                                               


                                                                                

1       (h) Disclosure under section 16281.