A.__Proceedings held pursuant to the communicable disease laws, Title 22, chapter 251;

B.__Proceedings held pursuant to the Adult Protective Services Act, Title 22, chapter 958-A;

C.__Proceedings held pursuant to the child protection laws, Title 22, chapter 1071;

D.__Proceedings held pursuant to the mental health laws, Title 34-B, chapter 3, subchapter IV, article III; and

E.__Pursuant to a court order upon a showing of good cause, provided that the court order limits the use and disclosure of records and provides sanctions for misuse of records or sets forth other methods for ensuring confidentiality.

3.__Utilization review; research.__Nothing in this section may be interpreted to prohibit reviews of medical records for utilization review purposes by duly authorized utilization review committees or peer review organizations.__ Qualified personnel conducting scientific research, management audits, financial audits or program evaluation with the use of medical records may not identify, directly or indirectly, any individual patient in any report of such research, audit, evaluation or otherwise disclose the identities of persons tested in any manner.

4.__Access by health care providers.__Nothing in this section may prohibit access to medical records by the designated health care provider of the person who is the subject of an HIV test in accordance with section 19203, subsection 2.

5.__Confidentiality policy.__Health care providers and others with access to medical records containing HIV infection status information shall have a written policy providing for confidentiality of all patient information consistent with this chapter.__That policy must require, at a minimum, action consistent with disciplinary procedures for violations of the confidentiality policy.

Sec. 5. 22 MRSA §1711, as amended by PL 1997, c. 793, Pt. A, §1 and affected by §10, is further amended to read:

§1711. Patient access to hospital medical records

If a patient of an institution licensed as a hospital by the State, after discharge from such institution, makes written