26 | 27 | | 11 |
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27 | 28 | | Money Appropriated in this Bill: |
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28 | 29 | | 12 |
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29 | 30 | | None |
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30 | 31 | | 13 |
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31 | 32 | | Other Special Clauses: |
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32 | 33 | | 14 |
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33 | 34 | | None |
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34 | 35 | | 15 |
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35 | 36 | | Utah Code Sections Affected: |
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36 | 37 | | 16 |
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37 | 38 | | AMENDS: |
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38 | 39 | | 17 |
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39 | 40 | | 26B-8-217, as last amended by Laws of Utah 2024, Chapter 240 |
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40 | 41 | | 18 |
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41 | 42 | | |
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42 | 43 | | 19 |
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43 | 44 | | Be it enacted by the Legislature of the state of Utah: |
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44 | 45 | | 20 |
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45 | 46 | | Section 1. Section 26B-8-217 is amended to read: |
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46 | 47 | | 21 |
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47 | 48 | | 26B-8-217 . Records of medical examiner -- Confidentiality. |
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48 | 49 | | 22 |
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49 | 50 | | (1) For purposes of this section, "deidentify" means to remove personally identifying |
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50 | 51 | | 23 |
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51 | 52 | | information about a decedent or the decedent's family and any other information that |
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52 | 53 | | 24 |
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53 | 54 | | may be used to identify a decedent. |
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54 | 55 | | 25 |
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55 | 56 | | (2) The medical examiner shall maintain complete, original records for the medical |
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56 | 57 | | 26 |
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57 | 58 | | examiner record, which shall: |
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58 | 59 | | 27 |
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59 | 60 | | (a) be properly indexed, giving the name, if known, or otherwise identifying every |
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60 | 61 | | 28 |
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64 | 66 | | 30 |
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65 | 67 | | (c) indicate the date of death; |
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66 | 68 | | 31 |
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67 | 69 | | (d) indicate the cause and manner of death; |
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68 | 70 | | 32 |
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69 | 71 | | (e) indicate the occupation of the decedent, if available; |
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70 | 72 | | 33 |
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71 | 73 | | (f) include all other relevant information concerning the death; and |
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72 | 74 | | 34 |
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73 | 75 | | (g) include a full report and detailed findings of the autopsy or report of the investigation. |
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74 | 76 | | 35 |
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75 | 77 | | [(2)] (3)(a) Upon written request from an individual described in Subsections [(2)(a)(i)] |
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76 | 78 | | 36 |
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77 | 79 | | (3)(a)(i) through (iv), the medical examiner shall provide a copy of the autopsy |
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78 | 80 | | 37 |
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79 | 81 | | report, toxicology report, lab reports, investigative reports, documents generated by |
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80 | 82 | | 38 |
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81 | 83 | | the medical examiner related to any report, and any other specifically requested |
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82 | 84 | | 39 |
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83 | 85 | | portions of the medical examiner record, if any, to any of the following: |
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84 | 86 | | 40 |
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85 | 87 | | (i) a decedent's immediate relative; |
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86 | 88 | | 41 |
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87 | 89 | | (ii) a decedent's legal representative; |
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88 | 90 | | 42 |
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89 | 91 | | (iii) a physician or physician assistant who attended the decedent during the year |
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90 | 92 | | 43 |
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91 | 93 | | before the decedent's death; or |
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92 | 94 | | 44 |
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93 | 95 | | (iv) a county attorney, a district attorney, a criminal defense attorney, or other law |
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94 | 96 | | 45 |
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95 | 97 | | enforcement official with jurisdiction, as necessary for the performance of the |
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96 | 98 | | 46 |
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97 | 99 | | attorney or official's professional duties. |
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98 | 100 | | 47 |
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99 | 101 | | (b) Subject to Subsection [(2)(c)] (3)(c), upon written request from the director or a |
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100 | 102 | | 48 |
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101 | 103 | | designee of the director of an entity described in Subsections [(2)(b)(i)] (3)(b)(i) |
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102 | 104 | | 49 |
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103 | 105 | | through (iv), the medical examiner may provide a copy of any medical examiner |
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104 | 106 | | 50 |
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105 | 107 | | report or other portions of the medical examiner's record described in Subsection [ |
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106 | 108 | | 51 |
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107 | 109 | | (2)(a)] (3)(a), to any of the following entities as necessary for performance of the |
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108 | 110 | | 52 |
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109 | 111 | | entity's official purposes: |
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110 | 112 | | 53 |
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111 | 113 | | (i) a local health department; |
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112 | 114 | | 54 |
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113 | 115 | | (ii) a local mental health authority; |
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114 | 116 | | 55 |
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115 | 117 | | (iii) a public health authority; or |
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116 | 118 | | 56 |
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117 | 119 | | (iv) another state or federal governmental agency. |
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118 | 120 | | 57 |
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119 | 121 | | (c) The medical examiner may provide a copy of a report or portion of the medical |
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120 | 122 | | 58 |
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121 | 123 | | examiner's record described in Subsection [(2)(a)] (3)(a), if the report or portion of the |
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122 | 124 | | 59 |
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123 | 125 | | medical examiner's record relates to an issue of public health or safety, as further |
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124 | 126 | | 60 |
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125 | 127 | | defined by rule made by the department in accordance with Title 63G, Chapter 3, |
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126 | 128 | | 61 |
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127 | 129 | | Utah Administrative Rulemaking Act. |
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128 | 130 | | 62 |
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129 | 131 | | [(3)] (4) Reports provided under Subsection [(2)] (3) may not include records that the |
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133 | 135 | | 64 |
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134 | 136 | | death. |
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135 | 137 | | 65 |
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136 | 138 | | [(4)] (5)(a) The medical examiner may provide a medical examiner record to a researcher |
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137 | 139 | | 66 |
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138 | 140 | | who: |
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139 | 141 | | 67 |
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140 | 142 | | [(a)] (i) has an advanced degree; |
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141 | 143 | | 68 |
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142 | 144 | | [(b)] (ii)[(i)] (A) is affiliated with an accredited college or university, a hospital, or |
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143 | 145 | | 69 |
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144 | 146 | | another system of care, including an emergency medical response or a local |
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145 | 147 | | 70 |
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146 | 148 | | health agency; or |
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147 | 149 | | 71 |
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148 | 150 | | [(ii)] (B) is part of a research firm contracted with an accredited college or |
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149 | 151 | | 72 |
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150 | 152 | | university, a hospital, or another system of care; |
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151 | 153 | | 73 |
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152 | 154 | | [(c)] (iii) requests a medical examiner record for a research project or a quality |
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153 | 155 | | 74 |
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154 | 156 | | improvement initiative that will have a public health benefit, as determined by the |
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155 | 157 | | 75 |
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156 | 158 | | department; and |
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157 | 159 | | 76 |
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158 | 160 | | [(d)] (iv) provides to the medical examiner an approval from: |
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159 | 161 | | 77 |
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160 | 162 | | [(i)] (A) the researcher's sponsoring organization; and |
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161 | 163 | | 78 |
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162 | 164 | | [(ii)] (B) the Utah Department of Health and Human Services Institutional Review |
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163 | 165 | | 79 |
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164 | 166 | | Board. |
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165 | 167 | | 80 |
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166 | 168 | | [(5)] (b) Records provided under Subsection [(4)] (5)(a) may not include a third party |
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167 | 169 | | 81 |
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168 | 170 | | record, unless: |
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169 | 171 | | 82 |
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170 | 172 | | [(a)] (i) a court has ordered disclosure of the third party record; and |
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171 | 173 | | 83 |
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172 | 174 | | [(b)] (ii) disclosure is conducted in compliance with state and federal law. |
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173 | 175 | | 84 |
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174 | 176 | | [(6)] (c)(i) A person who obtains a medical examiner record under Subsection [(4)] |
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175 | 177 | | 85 |
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176 | 178 | | (5)(a) shall: |
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177 | 179 | | 86 |
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178 | 180 | | [(a)] (A) maintain the confidentiality of the medical examiner record [by removing |
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179 | 181 | | 87 |
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180 | 182 | | personally identifying information about a decedent or the decedent's family |
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181 | 183 | | 88 |
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182 | 184 | | and any other information that may be used to identify a decedent] and |
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183 | 185 | | 89 |
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184 | 186 | | deidentify the medical examiner record before using the medical examiner |
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185 | 187 | | 90 |
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186 | 188 | | record in research; |
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187 | 189 | | 91 |
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188 | 190 | | [(b)] (B) conduct any research within and under the supervision of the Office of |
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189 | 191 | | 92 |
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190 | 192 | | the Medical Examiner, if the medical examiner record contains a third party |
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191 | 193 | | 93 |
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192 | 194 | | record with personally identifiable information; |
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193 | 195 | | 94 |
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194 | 196 | | [(c)] (C) limit the use of a medical examiner record to the purpose for which the |
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195 | 197 | | 95 |
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196 | 198 | | person requested the medical examiner record; |
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197 | 199 | | 96 |
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198 | 200 | | [(d)] (D) destroy a medical examiner record and the data abstracted from the |
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202 | 204 | | 98 |
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203 | 205 | | requested the medical examiner record; |
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204 | 206 | | 99 |
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205 | 207 | | [(e)] (E) reimburse the medical examiner, as provided in Section 26B-1-209, for |
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206 | 208 | | 100 |
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207 | 209 | | any costs incurred by the medical examiner in providing a medical examiner |
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208 | 210 | | 101 |
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209 | 211 | | record; |
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210 | 212 | | 102 |
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211 | 213 | | [(f)] (F) allow the medical examiner to review, before public release, a publication |
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212 | 214 | | 103 |
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213 | 215 | | in which data from a medical examiner record is referenced or analyzed; and |
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214 | 216 | | 104 |
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215 | 217 | | [(g)] (G) provide the medical examiner access to the researcher's database |
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216 | 218 | | 105 |
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217 | 219 | | containing data from a medical examiner record, until the day on which the |
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218 | 220 | | 106 |
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219 | 221 | | researcher permanently destroys the medical examiner record and all data |
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220 | 222 | | 107 |
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221 | 223 | | obtained from the medical examiner record. |
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222 | 224 | | 108 |
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223 | 225 | | (ii) A person who fails to comply with the requirements of Subsections (5)(c)(i)(A) |
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224 | 226 | | 109 |
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225 | 227 | | through (D) is guilty of a class B misdemeanor. |
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226 | 228 | | 110 |
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