N.M. Stat. § 43-1-19
Disclosure of information.
A. Except as otherwise provided in the code, no person shall, without the
authorization of the client, disclose or transmit any confidential information from which a
person well acquainted with the client might recognize the client as the described
person, or any code, number or other means that can be used to match the client with
confidential information regarding the client.
B. Authorization from the client shall not be required for the disclosure or
transmission of confidential information in the following circumstances:
(1)
when the request is from a mental health or developmental disabilities
professional or from an employee or trainee working with a person with a mental
disability or developmental disability, to the extent that the practice, employment or
training on behalf of the client requires access to such information is necessary;
(2)
when such disclosure is necessary to protect against a clear and
substantial risk of imminent serious physical injury or death inflicted by the client on the
client's self or another;
(3)
when the disclosure is made pursuant to the provisions of the Assisted
Outpatient Treatment Act [43-1B-1 to 43-1B-14 NMSA 1978], using reasonable efforts
to limit protected health information to that which is minimally necessary to accomplish
the intended purpose of the use, disclosure or request;
(4)
when the disclosure of such information is to the primary caregiver of the
client and the disclosure is only of information necessary for the continuity of the client's
treatment in the judgment of the treating physician or certified psychologist who
discloses the information;
(5)
when such disclosure is to an insurer contractually obligated to pay part or
all of the expenses relating to the treatment of the client at the residential facility. The
information disclosed shall be limited to data identifying the client, facility and treating or
supervising physician and the dates and duration of the residential treatment. It shall
not be a defense to an insurer's obligation to pay that the information relating to the
residential treatment of the client, apart from information disclosed pursuant to this
section, has not been disclosed to the insurer;
(6)
when the request is from a physician, a licensed psychologist or a
qualified mental health professional licensed for independent practice and responsible
for the continuity of care of inmates with a mental or developmental disability who are in
a jail or corrections facility, and the disclosure is only of information necessary for the
continuity of the client's treatment in the judgment of an equally qualified treating
professional who discloses the information;
(7)
when such disclosure is by a physician, a licensed psychologist or a
qualified mental health professional licensed for independent practice and responsible
for the treatment of inmates in a jail or corrections facility to another equally qualified
treating professional responsible for the continuation of care of the inmate upon the
inmate's release from a jail or corrections facility, and the disclosure is only of
information necessary for the continuity of the client's treatment in the judgment of the
treating professional who discloses the information; or
(8)
for all confidential information in existence on and after July 1, 2024, when
the disclosure is made to a governmental agency or its agent or a state educational
institution, a duly organized state or county association of licensed physicians or
dentists or a licensed health facility or staff committees of such a facility for the purpose
of research, subject to the provisions of Section 14-6-1 NMSA 1978 and subject to the
review of an institutional review board in compliance with the federal Health Insurance
Portability and Accountability Act of 1996 or any succeeding legislation and any federal
regulations governing institutional review boards.
C. No authorization given for the transmission or disclosure of confidential
information shall be effective unless it:
(1)
is in writing and signed; and
(2)
contains a statement of the client's right to examine and copy the
information to be disclosed, the name or title of the proposed recipient of the information
and a description of the use that may be made of the information.
D. The client has a right of access to confidential information and has the right to
make copies of any information and to submit clarifying or correcting statements and
other documentation of reasonable length for inclusion with the confidential information.
The statements and other documentation shall be kept with the relevant confidential
information, shall accompany it in the event of disclosure and shall be governed by the
provisions of this section to the extent they contain confidential information. Nothing in
this subsection shall prohibit the denial of access to such records when a physician or
other mental health or developmental disabilities professional believes and notes in the
client's medical records that such disclosure would not be in the best interests of the
client. In any such case, the client has the right to petition the court for an order
granting such access.
E. Where there exists evidence that the client whose consent to disclosure of
confidential information is sought is incapable of giving or withholding valid consent and
the client does not have a guardian or treatment guardian appointed by a court, the
person seeking such authorization shall petition the court for the appointment of a
treatment guardian to make a substitute decision for the client, except that if the client is
less than fourteen years of age, the client's parent or guardian is authorized to consent
to disclosure on behalf of the client.
F. Information concerning a client disclosed under this section shall not be released
to any other person, agency or governmental entity or placed in files or computerized
data banks accessible to any persons not otherwise authorized to obtain information
under this section.
G. Nothing in the code shall limit the confidentiality rights afforded by federal statute
or regulation.
H. A person appointed as a treatment guardian in accordance with the Mental
Health and Developmental Disabilities Code may act as the client's personal
representative pursuant to the federal Health Insurance Portability and Accountability
Act of 1996, Sections 1171-1179 of the Social Security Act, 42 U.S.C. Section 1320d,
as amended, and applicable federal regulations to obtain access to the client's
protected health information, including mental health information and relevant physical
health information, and may communicate with the client's health care providers in
furtherance of such treatment.
- Cross-references to the US Code
- 42:1320d