No provider of health care, health care service plan, or contractor shall disclose medical information regarding a patient of the provider of health care or an enrollee or subscriber of a health care service plan without first obtaining an authorization, except as provided in subdivision (b) or (c).
An insurance institution, agent, or insurance-support organization may disclose personal or privileged information about an individual to a certificate holder or policyholder for the purpose of providing information regarding the status of an insurance transaction.
An insurance institution or agent shall provide a notice of information practices to all applicants or policyholders in connection with insurance transactions within time limits set as specified for written applications for insurance, policy renewal, policy reinstatement, or change of insurance benefits. Notice shall be in writing, and is required state if personal information will be collected, possible disclosures, methods of collection, etc. The article also allows an alternative abbreviated notice that includes a notice of the right to access personal information
A health care service plan must authorize or deny a second opinion from another health professional upon the request from an enrollee or health professional treating an enrollee. The health professional providing the second opinion must provide the enrollee and the initial health professional with a consultation report.
Upon notice from the department that an enrollee has applied for an independent medical review, the plan or its contracting providers shall provide the requisite medical records (specified in (1) to (3)) to the independent medical review organization within 3 days. The confidentiality of any enrollee information shall be maintained in accordance with applicable laws.
The State Teachers' Retirement System may reject the disability allowance application if the member fails to provide requested medical documentation to substantiate a disability, within 45 days from the date of the request or within 30 days from the time that a legally designated representative is empowered to act on behalf of a member who is mentally or physically incapacitated.
If a patient with an emergency medical condition is covered by a health care service plan that requires prior authorization for poststabilization care, a noncontracting hospital shall seek to contact the patient's health care service plan or its contracting medical provider for authorization to provide poststabilization care.
Provides civil penalties for willful or negligent disclosure of results of a test for a genetic characteristic that are contained in the medical record of an applicant or enrollee of a health care service plan