HB21ENROLLED Page 0 HB21 LGGRYAY-3 By Representative Brown RFD: Judiciary First Read: 06-Feb-24 PFD: 01-Dec-23 1 2 3 4 5 6 HB21 Enrolled Page 1 PFD: 01-Dec-23 Enrolled, An Act, Relating to consumer privacy; to require genetic testing companies to protect the confidentiality of customers' genetic information; to require customer consent for certain uses by genetic testing companies of genetic information; and to further provide a civil penalty for violations of this act to be enforced by the Attorney General. BE IT ENACTED BY THE LEGISLATURE OF ALABAMA: Section 1. This act shall be known as the "Alabama Genetic Data Privacy Act." Section 2. For purposes of this act, the following words have the following meanings: (1) BIOLOGICAL SAMPLE. Any human material known to contain DNA, including, but not limited to, tissue, saliva, blood, or urine. (2) CONSUMER. Any individual who is an Alabama resident. (3) CONTRACTOR. A person that contracts with a genetic testing company to provide a service necessary to the genetic testing company's consumer products or services which requires possession of a consumer's biological sample or genetic data, including laboratory facilities for genetic testing. (4) DEIDENTIFIED DATA. Genetic data possessed by a genetic testing company that cannot be used to infer information about, or otherwise be linked to, an identifiable consumer and that either meets the requirements for deidentification of genetic data set forth in 45 C.F.R. 164.514 or is subject to the following: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 HB21 Enrolled Page 2 164.514 or is subject to the following: a. Administrative and technical measures put in place by the genetic testing company to ensure that the data cannot be associated with an identified consumer. b. A public commitment by the genetic testing company to undertake the following: 1. Maintain and use the data only in a deidentified form. 2. Prohibit any attempts to reidentify the data. 3. Take legal action to enforce contractual obligations that prohibit any recipient of the data from attempting to reidentify the data. (5) DNA. Deoxyribonucleic acid. (6) EXPRESS CONSENT. A consumer's acknowledgment or permission, in writing or captured electronically, to a clear, meaningful, and prominent written notice regarding the collection, use, retention, or disclosure of the consumer's biological sample or genetic data for a specific purpose. (7) GENETIC DATA. a. Any data derived from analysis of a biological sample which concerns a consumer's genetic characteristics and which may include, but is not limited to, any of the following formats or sources: 1. Raw data that results from sequencing all or a portion of a consumer's extracted DNA. 2. Genotypic and phenotypic information obtained from analyzing a consumer's raw sequence data. 3. Health information self-reported by the consumer to a genetic testing company to be used by the company in connection with analyzing the consumer's raw sequence data or 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 HB21 Enrolled Page 3 connection with analyzing the consumer's raw sequence data or for product development or scientific research. b. Genetic data does not include deidentified data. (8) GENETIC TESTING. Laboratory testing of a consumer's biological sample to analyze DNA, including, but not limited to, chromosomes and single nucleotide polymorphisms in order to derive and interpret genetic data. (9) GENETIC TESTING COMPANY or COMPANY. Any person, other than a health care provider, that directly solicits a biological sample from a consumer for analysis in order to provide products or services to the consumer which include disclosure of information that may include, but is not limited to, the following: a. The genetic link of the consumer to certain population groups based on ethnicity, geography, or anthropology. b. The probable relationship of the consumer to other individuals based on matching DNA for purposes that include genealogical research. c. Recommendations to the consumer for managing wellness which are based on physical or metabolic traits, lifestyle tendencies, or disease predispositions that are associated with genetic markers present in the consumer's DNA. (10) HEALTH CARE PROVIDER. Any hospital, as defined in Section 22-21-20, Code of Alabama 1975, licensed by the State Board of Health, and any physician, nurse, or other licensed medical practitioner, whether in individual, group, professional corporation, or professional association practice, which provides diagnostic services or treatment for 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 HB21 Enrolled Page 4 practice, which provides diagnostic services or treatment for a patient of such hospital, physician, nurse, or other licensed medical practitioner. Section 3. (a)(1) A genetic testing company shall prominently display to a consumer complete information regarding the company's policies and procedures governing the collection, use, maintenance, and disclosure of genetic data in plain language which includes all of the following: a. A privacy policy overview that includes basic information about the company's collection, use, or disclosure of genetic data. b. A privacy policy notice that sets forth the complete text of the company's collection, consent, use, access, disclosure, transfer, security, retention, and deletion policies or practices. c. A clear and complete notice that the consumer's genetic data may be included in deidentified data shared or disclosed by the company to a third party for research in compliance with the U.S. Department of Health and Human Services policy for the protection of human subjects, 45 C.F.R. Part 46. d. A clear description of how to file a complaint alleging a violation of this act. (2) A genetic testing company shall obtain the consumer's initial express consent for all of the following: a. Use of the biological sample and resulting genetic data to provide the product or service ordered by the consumer. b. Identification of who may have access to the 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 HB21 Enrolled Page 5 b. Identification of who may have access to the biological sample, genetic data, and test results, including a contractor, in order to fulfill the consumer's order. c. Permission to retain the biological sample and genetic data for future testing for other products or services offered by the company. d. Acknowledgment that the company may seek express consent in the future to transfer the biological sample or disclose the genetic data to a third party other than a contractor for a reason other than fulfillment of an order for the company's products or services. (3) A genetic testing company shall obtain the consumer's express consent every time the company does any of the following: a. Transferring the biological sample or disclosing the genetic data to a third party other than a contractor for a reason other than fulfillment of an order for the company's products or services. b. Using the biological sample or genetic data for a purpose other than the company's products or services ordered by the consumer. c. Marketing to a consumer based on the consumer's genetic data, or marketing to a consumer by a third party based on the consumer having ordered or purchased a genetic testing product or service. Marketing does not include the provision of customized content or offers on websites or through the applications or services provided by the direct-to-consumer genetic testing company with the first-party relationship to the consumer. 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 HB21 Enrolled Page 6 first-party relationship to the consumer. (4) A genetic testing company shall obtain the consumer's informed consent to transfer the biological sample or disclose the consumer's genetic data in compliance with 45 C.F.R. Part 46, in the following cases: a. For independent research conducted by a third party. b. For research conducted under the sponsorship of the genetic testing company for the purpose of product or service research and development, scientific publication, or promotion of the company. (5)a. A genetic testing company shall provide a process for the consumer to do all of the following: 1. Access the consumer's genetic data. 2. Delete the consumer's account. 3. Request the destruction of the consumer's biological sample and genetic data. 4. Revoke any express or informed consent given. b. 1. If the consumer requests the destruction of the consumer's biological sample and genetic data, the company shall comply with the request as soon as reasonably possible, but no more than 30 days after the request is made. 2. If the consumer revokes any express or informed consent given that resulted in the transfer of the consumer's biological sample or disclosure of the consumer's genetic data to a third party, the company shall secure the return of the biological sample and the genetic data as soon as reasonably possible, but no more than 60 days after the revocation is tendered. (b) A genetic testing company may disclose a consumer's 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 HB21 Enrolled Page 7 (b) A genetic testing company may disclose a consumer's genetic data to any law enforcement agency pursuant to a valid legal process. When a law enforcement agency requests data from a genetic testing company, the company shall not disclose the existence of the valid legal process or the fact of the company's compliance specifically to the party to whom the valid legal process pertains. Nothing in this subsection shall prevent a company from publishing a transparency report that details the number and types of law enforcement requests received and the number of times categories of information are shared, nor prevent a company from complying with other laws or policies, including a company's privacy policy. (c) A genetic testing company may not do any of the following without a consumer's express written consent: (1) Disclose a consumer's genetic data to any person issuing health, life, disability, or long-term care insurance. (2) Disclose a consumer's genetic data to any employer or prospective employer of the consumer. Section 4. (a) A contract between the genetic testing company and a contractor shall prohibit the contractor from using, retaining, or disclosing any biological sample, extracted genetic material, genetic data, or information identifying the consumer for any purpose other than performing the service specified in the contract. (b) A contractor shall be subject to the same confidentiality obligation as the company, consistent with each express consent given or withheld by a consumer with respect to using, retaining, or disclosing the consumer's 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 HB21 Enrolled Page 8 respect to using, retaining, or disclosing the consumer's biological sample, extracted genetic material, genetic data, or information identifying the consumer. Section 5. This act does not apply to any of the following: (1) A covered entity or business associate as those terms are defined in 45 C.F.R. Parts 160 and 164. (2) The collection, use, or retention of biological samples or genetic data for noncommercial purposes, including for research and instruction, by a public or private institution of higher learning or any entity owned or operated by a public or private institution of higher learning. (3) Biological samples or genetic data lawfully obtained by law enforcement pursuant to a criminal investigation. Section 6. (a) Any consumer may report a violation of this act to the the Consumer Division of the Office of the Attorney General. (b) The Consumer Division of the Office of the Attorney General may enforce this act by a civil action in circuit court to enjoin any practice or conduct in violation of this act or to recover a civil penalty of up to three thousand dollars ($3,000) for each violation. (c) Any civil penalty and costs may be waived if the genetic testing company or contractor has made full restitution or has paid actual damages to any consumer who has been injured by a violation of this act. (d) In any settlement of a claim or civil action resulting from a violation of this act, the Office of the 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 HB21 Enrolled Page 9 resulting from a violation of this act, the Office of the Attorney General shall receive reasonable attorney fees and costs. Section 7. This act shall become effective on October 1, 2024. 225 226 227 228 HB21 Enrolled Page 10 1, 2024. ________________________________________________ Speaker of the House of Representatives ________________________________________________ President and Presiding Officer of the Senate House of Representatives I hereby certify that the within Act originated in and was passed by the House 20-Feb-24, as amended. John Treadwell Clerk Senate 08-May-24 Amended and Passed House 08-May-24 Concurred in Senate Amendment 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261