EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW. [Brackets] indicate matter deleted from existing law. Underlining indicates amendments to bill. Strike out indicates matter stricken from the bill by amendment or deleted from the law by amendment. *hb0866* HOUSE BILL 866 I3 2lr2894 CF SB 766 By: Delegate Qi Introduced and read first time: February 7, 2022 Assigned to: Economic Matters Committee Report: Favorable with amendments House action: Adopted Read second time: March 10, 2022 CHAPTER ______ AN ACT concerning 1 Commercial Law – Consumer Protection – Genetic Information Privacy 2 – Consumer Protection and Forensic Genealogy 3 FOR the purpose of regulating the use of genetic data by direct–to–consumer genetic testing 4 companies, including by requiring a direct–to–consumer genetic testing company to 5 provide consumers with certain information regarding the company’s policies and 6 procedures, obtain certain consents from consumers before collecting, using, or 7 disclosing the consumer’s genetic data, and develop and implement certain policies 8 and procedures to protect genetic data and provide for certain disclosures to law 9 enforcement and other government agencies; altering the direct–to–consumer or 10 publicly available open–data personal genomics databases that may be used to 11 conduct forensic genetic genealogical DNA analysis and search to require that the 12 databases seek express consent from their service users regarding the substance of 13 a certain notice; and generally relating to genetic information privacy. 14 BY repealing and reenacting, with amendments, 15 Article – Commercial Law 16 Section 13–301(14)(xxxiv) and (xxxv) 17 Annotated Code of Maryland 18 (2013 Replacement Volume and 2021 Supplement) 19 BY adding to 20 Article – Commercial Law 21 Section 13–301(14)(xxxvi); and 14–4401 through 14–4408 to be under the new 22 subtitle “Subtitle 44. Genetic Information Privacy Act” 23 2 HOUSE BILL 866 Annotated Code of Maryland 1 (2013 Replacement Volume and 2021 Supplement) 2 BY repealing and reenacting, without amendments, 3 Article – Criminal Procedure 4 Section 17–101(a), (c), (e), and (g) and 17–102(a) 5 Annotated Code of Maryland 6 (2018 Replacement Volume and 2021 Supplement) 7 BY adding to 8 Article – Criminal Procedure 9 Section 17–101(c–1) 10 Annotated Code of Maryland 11 (2018 Replacement Volume and 2021 Supplement) 12 BY repealing and reenacting, with amendments, 13 Article – Criminal Procedure 14 Section 17–102(d) and 17–103(a)(4) 15 Annotated Code of Maryland 16 (2018 Replacement Volume and 2021 Supplement) 17 SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 18 That the Laws of Maryland read as follows: 19 Article – Commercial Law 20 13–301. 21 Unfair, abusive, or deceptive trade practices include any: 22 (14) Violation of a provision of: 23 (xxxiv) The federal Servicemembers Civil Relief Act; [or] 24 (xxxv) [§] SECTION 11–210 of the Education Article; or 25 (XXXVI) TITLE 14, SUBTITLE 44 OF THIS ARTICLE; OR 26 SUBTITLE 44. GENETIC INFORMATION PRIVACY ACT. 27 14–4401. 28 (A) IN THIS SUBTITLE THE FOLLOWING WORDS HAVE THE MEANINGS 29 INDICATED. 30 HOUSE BILL 866 3 (B) (1) “BIOLOGICAL SAMPLE ” MEANS A MATERIAL PAR T OR A 1 DERIVATIVE OF OR DIS CHARGE FROM A MATERI AL PART OF A HUMAN K NOWN TO 2 CONTAIN DNA. 3 (2) “BIOLOGICAL SAMPLE ” INCLUDES HUMAN TISSU E, BLOOD, 4 URINE, AND SALIVA. 5 (C) (1) “DEIDENTIFIED DATA ” MEANS DATA THAT : 6 (I) CANNOT REASONABLY BE : 7 1. USED TO INFER INFORMA TION ABOUT A CONSUME R; 8 OR 9 2. LINKED TO AN IDENTIFI ABLE CONSUMER ; AND 10 (2) IS SUBJECT TO: 11 (I) ADMINISTRATIVE AND TE CHNICAL MEASURES TO ENSURE 12 THAT THE DATA CANNOT BE ASSOCIATED WITH A PARTICULAR CONSUMER ; 13 (II) PUBLIC COMMITMENT BY THE COMPANY TO MAINT AIN AND 14 USE DATA IN A DEIDEN TIFIABLE FORM AND NO T ATTEMPT TO REIDENT IFY DATA; 15 AND 16 (III) LEGALLY ENFORCEABLE C ONTRACTUAL OBLIGATIO NS 17 THAT PROHIBIT A RECI PIENT OF THE DATA FR OM ATTEMPTING TO REI DENTIFY THE 18 DATA. 19 (D) (1) “DIRECT–TO–CONSUMER GENETIC TES TING COMPANY ” MEANS 20 AN ENTITY THAT: 21 (1) (I) OFFERS GENETIC TESTIN G PRODUC TS OR SERVICES 22 DIRECTLY TO A CONSUM ER; OR 23 (2) (II) COLLECTS, USES, OR ANALYZES GENETIC DATA THAT 24 RESULTED FROM A DIRE CT–TO–CONSUMER GENETIC TES TING PRODUCT OR 25 SERVICE THAT WAS PROVIDED TO THE COMP ANY BY A CONSUMER . 26 (2) “DIRECT–TO–CONSUMER GENETIC TESTING COMPANY ” DOES NOT 27 INCLUDE AN ENTITY ON LY WHEN THE ENTITY I S ENGAGED IN COLLECT ING, 28 ANALYZING, RETAINING, OR DISCLOSING GENETI C DATA OR BIOLOGICAL SAMPLES 29 4 HOUSE BILL 866 IN THE CONTEXT OF RE SEARCH, AS DEFINED IN 45 C.F.R. 164.501, CONDUCTED IN 1 ACCORDANCE WITH : 2 (I) THE FEDERAL POLICY FO R THE PROTECTION OF HUMAN 3 SUBJECTS ESTABLISHED IN 45 C.F.R. PART 46; 4 (II) THE GOOD CLINICAL PRACTICE GUIDELINES ISSUED BY 5 THE INTERNATIONAL COUNCIL FOR HARMONISATION ; OR 6 (III) THE U.S. FOOD AND DRUG ADMINISTRATION PROTECTION 7 OF HUMAN SUBJECTS UNDER 21 C.F.R. PARTS 50 AND 56. 8 (E) “DNA” MEANS DEOXYRIBONUCLE IC ACID. 9 (F) “EXPRESS CONSENT ” MEANS AN AFFIRMATIVE RESPONSE BY A 10 CONSUMER TO A SPECIF IC, DISCRETE, FREELY GIVEN, AND UNAMBIGUOUS NOTI CE 11 REGARDING THE COLLEC TION, USE, OR DISCLOSURE OF THE CONSUMER ’S GENETIC 12 DATA FOR A SPECIFIC PURPOSE. 13 (G) (1) “GENETIC DATA” MEANS DATA, IN ANY FORMAT, THAT CONCERNS 14 THE GENETIC CHARACTE RISTICS OF A CONSUME R. 15 (2) “GENETIC DATA” INCLUDES: 16 (I) RAW SEQUENCE DATA THA T RESULT FROM SEQ UENCING OF 17 A CONSUMER ’S COMPLETE EXTRACTED DNA OR A PORTION OF THE CONSUMER’S 18 COMPLETE EXTRACTED DNA; 19 (II) GENOTYPIC AND PHENOTY PIC INFORMATION THAT 20 RESULTS FROM ANALYZI NG RAW SEQUENCE DATA ; AND 21 (III) INFORMATION EXTRAPOLA TED, DERIVED, OR INFERRED 22 FROM THE ANALYSIS OF RAW SEQUENCE DATA ; AND 23 (III) (IV) SELF–REPORTED HEALTH INFO RMATION SUBMITTED 24 TO A DIRECT –TO–CONSUMER GENETIC TES TING COMPANY BY A CO NSUMER 25 REGARDING THE CONSUM ER’S HEALTH CONDITIONS : 26 1. THAT IS USED FOR SCIE NTIFIC RESEARCH OR 27 PRODUCT DEVELOPMENT ; AND 28 2. ANALYZED IN CONNECTIO N WITH THE CONSUMER ’S 29 RAW SEQUENCE DATA . 30 HOUSE BILL 866 5 (3) “GENETIC DATA” DOES NOT INCLUDE DEI DENTIFIED DATA WHEN 1 USED FOR RESEARCH PR OJECTS. 2 (H) “GENETIC TESTING ” MEANS A LABORATORY T EST OF THE COMPLETE 3 DNA, REGIONS OF DNA, CHROMOSOMES , GENES, OR GENE PRODUCTS OF A 4 CONSUMER TO DETERMIN E THE GENETIC CHARAC TERISTICS OF THE CON SUMER. 5 (I) “MARKETING” DOES NOT INCLUDE THE PROVIDING CUSTOMIZED 6 CONTENT OR OFFERS ON THE WEBSITES OR THRO UGH THE APPLICATIONS OR 7 SERVICES PROVIDED BY THE DI RECT–TO–CONSUMER GENETIC TES TING COMPANY 8 WITH THE FIRST–PARTY RELATIONSHIP T O THE CONSUMER . 9 14–4402. 10 THIS SUBTITLE DOES NO T APPLY TO: 11 (1) PROTECTED PROTECTED HEALTH INFORMATION T HAT IS 12 COLLECTED BY A COVER ED ENTITY OR BUSINES S ASSOCIATE AS DEFINED IN 45 13 C.F.R. PARTS 160 AND 164; 14 (2) AN INSTITUTION OF HIG HER EDUCATION , AS DEFINED IN § 10–101 15 OF THE EDUCATION ARTICLE; OR 16 (3) AN ENTITY OWNED OR OP ERATED BY AN INSTITU TION OF HIGHER 17 EDUCATION, AS DEFINED IN § 10–101 OF THE EDUCATION ARTICLE. 18 14–4403. 19 (A) A DIRECT–TO–CONSUMER GENETIC TES TING COMPANY SHALL P ROVIDE 20 A CONSUMER WITH CLEA R AND COMPLETE INFOR MATION REGARDING THE 21 COMPANY’S POLICIES AND PROCE DURES FOR COLLECTING , USING, OR DISCLOSING 22 GENETIC DATA , INCLUDING: 23 (1) A HIGH–LEVEL OVERVIEW OF TH E COMPANY’S PRIVACY POLICY 24 THAT INCLUDES BASIC AND ESSENTIAL INFORM ATION ABOUT HOW THE COMPANY 25 COLLECTS, USES, AND DISCLOSES GENETI C DATA; AND 26 (2) A PRIVACY NOTICE THAT , AT A MINIMUM , INCLUDES 27 INFORMATION ABOUT TH E COMPANY’S DATA COLLECTION , CONSENT, USE, ACCESS, 28 DISCLOSURE, TRANSFER, SECURITY, AND RETENTION AND DE LETION PRACTICES . 29 6 HOUSE BILL 866 (B) THE INFORMATION REQUI RED TO BE PROVIDED U NDER SUBSECTION (A) 1 OF THIS SECTION SHAL L BE: 2 (1) MADE PUBLICLY AVAILAB LE; AND 3 (2) PLACED IN A PR OMINENT AREA OF THE DIRECT–TO–CONSUMER 4 GENETIC TESTING COMP ANY’S WEBSITE. 5 14–4404. 6 A DIRECT–TO–CONSUMER GENETIC TES TING COMPANY , AT A MINIMUM , 7 SHALL OBTAIN THE FOL LOWING CONSENTS FROM A CONSUMER BEFORE 8 COLLECTING, USING, OR DISCLOSING THE CO NSUMER’S GENETIC DATA: 9 (1) INITIAL EXPRESS CONSE NT THAT CLEARLY : 10 (I) DESCRIBES THE USES OF THE GENETIC DATA COL LECTED 11 THROUGH THE GENETIC TESTING PRODUCT OR S ERVICE; AND 12 (II) SPECIFIES: 13 1. WHO HAS ACCESS TO THE RESULTS OF THE GENET IC 14 TESTING; AND 15 2. HOW THE GENETIC DATA MAY BE SHARED ; 16 (2) EXPRESS CONSENT FOR T RANSFERRING OR DISCL OSING THE 17 CONSUMER ’S GENETIC DATA TO A PERSON OTHER THAN TH E COMPANY’S VENDORS 18 AND SERVICE PROVIDER S; 19 (3) EXPRESS CONSENT FOR U SING GENETIC DATA BE YOND THE 20 PRIMARY PURPOSE OF THE GENET IC TESTING PRODUCT O R SERVICE REQUESTED BY 21 THE CONSUMER ; 22 (4) EXPRESS CONSENT FOR T HE RETENTION OF A BI OLOGICAL 23 SAMPLE PROVIDED BY T HE CONSUMER AFTER TH E INITIAL TESTING SE RVICE 24 REQUESTED BY THE CON SUMER IS COMPLETED ; 25 (5) EXPRESS CONSENT TO BE MARKETE D TO BY: 26 (I) THE DIRECT–TO–CONSUMER GENETIC TES TING COMPANY 27 BASED ON THE CONSUME R’S GENETIC DATA; AND 28 HOUSE BILL 866 7 (II) A THIRD PARTY BASED ON THE CONSUMER HAVING 1 ORDERED OR PURCHASED A GENETIC TESTING PR ODUCT OR SERVICE ; AND 2 (6) INFORMED CONSENT IN COMPLIANC E WITH THE FEDERAL P OLICY 3 FOR THE PROTECTION O F HUMAN RESEARCH SUB JECTS FOR TRANSFER O R 4 DISCLOSURE OF THE CO NSUMER’S GENETIC DATA TO TH IRD PARTIES FOR 5 RESEARCH PURPOSES OR RESEARCH CONDUCTED U NDER THE CONTROL OF THE 6 COMPANY FOR THE PUR POSE OF PUBLICATION OR GENERALIZABLE KNO WLEDGE. 7 14–4405. 8 (A) A DIRECT–TO–CONSUMER GENETIC TES TING COMPANY SHALL 9 ESTABLISH LEGAL POLI CIES AND PROCESSES F OR DISCLOSING GENETI C DATA TO 10 LAW ENFORCEMENT OR A NOTHER GOVERNMENT AG ENCY WITHOUT A CONSU MER’S 11 EXPRESS WRITTEN CONSENT . 12 (B) A DIRECT–TO–CONSUMER GENETIC TES TING COMPANY SHALL 13 DEVELOP, IMPLEMENT, AND MAINTAIN A COMPR EHENSIVE SECURITY PR OGRAM TO 14 PROTECT CONSUMERS ’ GENETIC DATA AGAINST UNAUTHORIZED ACCESS , USE, OR 15 DISCLOSURE. 16 (C) A DIRECT–TO–CONSUMER GENETIC TESTING COMP ANY SHALL 17 ESTABLISH A PROCESS FOR A CONSUMER TO : 18 (1) ACCESS THE CONSUMER ’S GENETIC DATA; 19 (2) DELETE THE CONSUMER ’S ACCOUNT AND GENETI C DATA; AND 20 (3) REQUEST THE DESTRUCTI ON OF THE CONSUMER ’S BIOLOGICAL 21 SAMPLE. 22 (D) NOTWITHSTAN DING ANY OTHER PROVI SIONS OF LAW , A 23 DIRECT–TO–CONSUMER GENETIC TES TING COMPANY MAY NOT , WITHOUT THE 24 CONSUMER ’S WRITTEN CONSENT , DISCLOSE A CONSUMER ’S GENETIC DATA TO : 25 (1) AN ENTITY OFFERING HE ALTH INSURANCE , LIFE INSURANCE , 26 DISABILITY INSURANCE , OR LONG–TERM CARE INSURANCE ; OR 27 (2) AN EMPLOYER OF THE CO NSUMER. 28 14–4406. 29 8 HOUSE BILL 866 (A) A VIOLATION OF THIS SE CTION IS AN UNFAIR , ABUSIVE, OR DECEPTIVE 1 TRADE PRACTICE WITHI N THE MEANING OF TITLE 13 OF THIS ARTICLE AND IS 2 SUBJECT TO THE ENFOR CEMENT AND PENALTY P ROVISIONS CONTAINED IN TITLE 3 13 OF THIS ARTICLE. 4 (B) THIS SECTION DOES NOT PREVENT AN INDIVIDUA L FROM PURSUING 5 ANY OTHER REMEDY PRO VIDED BY LAW. 6 14–4407. 7 THE DISCLOSURE OF GEN ETIC DATA IN ACCORDA NCE WITH THIS SUBTIT LE 8 SHALL COMPLY WITH AL L STATE AND FEDERA L LAWS FOR THE PROTE CTION OF 9 PRIVACY AND SECURITY . 10 14–4408. 11 THIS SUBTITLE MAY BE KNOWN AND CITED AS T HE MARYLAND GENETIC 12 INFORMATION PRIVACY ACT. 13 Article – Criminal Procedure 14 17–101. 15 (a) In this title the following words have the meanings indicated. 16 (c) “Direct–to–consumer genetic genealogy services” means genetic genealogy 17 services that are offered by private companies directly to members of the public and law 18 enforcement agencies rather than through clinical health care providers, typically via 19 customer access to secure online websites. 20 (C–1) “EXPRESS CONSENT ” HAS THE MEANING STAT ED IN § 14–4401 OF THE 21 COMMERCIAL LAW ARTICLE. 22 (e) “Forensic genetic genealogical DNA analysis and search” or “FGGS” means: 23 (1) the forensic genetic genealogical DNA analysis of biological material 24 using SNP or other sequencing techniques to develop an FGG profile; 25 (2) a subsequent search using the FGG profile in a publicly available 26 open–data personal genomics database or a direct–to–consumer genetic genealogy service 27 to find individuals related to the source of the FGG profile; and 28 (3) a genealogical search using public records and other lawful means to 29 obtain information in accordance with this title. 30 HOUSE BILL 866 9 (g) “Publicly available open–data personal genomics database” means a database 1 in which persons voluntarily submit their genomics data or genetic profiles, typically 2 processed through direct–to–consumer genetic genealogy services, for the purposes of 3 comparison or searching against the genetic profiles of other individuals to evaluate 4 potential familial relationships between the reference sample and other service user 5 samples. 6 17–102. 7 (a) (1) FGGS may not be initiated without judicial authorization and without 8 certifying before the court that the forensic sample and the criminal case satisfy the criteria 9 set forth in this section. 10 (2) If an FGGS is certified before a court in accordance with this section, 11 the court shall authorize the initiation of the FGGS. 12 (d) FGGS may only be conducted using a direct–to–consumer or publicly available 13 open–data personal genomics database that: 14 (1) provides explicit notice to its service users and the public that law 15 enforcement may use its service sites to investigate crimes or to identify human remains; 16 and 17 (2) seeks acknowledgement and EXPRESS consent from its service users 18 regarding the substance of the notice described in item (1) of this subsection. 19 17–103. 20 (a) A defendant in a criminal case charged with a crime of violence under § 21 14–101 of the Criminal Law Article or a defendant convicted of a crime of violence under § 22 14–101 of the Criminal Law Article and seeking postconviction DNA testing is entitled to 23 seek judicial authorization for an FGGS by filing an affidavit with a trial court or 24 postconviction court certifying that: 25 (4) an FGGS shall only be conducted using a direct–to–consumer or 26 publicly available open–data personal genomics database that: 27 (i) provides explicit notice to its service users and the public that 28 law enforcement may use its service sites to investigate crimes or to identify human 29 remains; and 30 (ii) seeks acknowledgment and EXPRESS consent from its service 31 users regarding the substance of the notice described in item (i) of this paragraph; 32 SECTION 2. AND BE IT F URTHER ENACTED, That this Act shall take effect 33 October 1, 2022. 34