; and (2) by amending subsection (c) to read as follows: (c) Use of records in criminal proceedings (1) In general Except as authorized by a court order granted under subsection (b)(2)(C), no record referred to in subsection (a) may be used to initiate or substantiate any criminal charges against a patient or to conduct any investigation of a patient. (2) Additional protections In the case of a use or disclosure of a record referred to in subsection (a) for purposes of treatment, payment, or health care operations as provided for under subsection (b), no further disclosure or redisclosure of such record is allowed to initiate or substantiate any criminal charges against a patient or to conduct any investigation of a patient except as authorized by a court order granted under subsection (b)(2)(C) of this section. (3) Exclusionary effect and dismissal Any record referred to in subsection (a) that has been used or disclosed to initiate or substantiate any criminal charges against a patient or to conduct any investigation of a patient in violation of paragraph (1) or (2), shall be excluded from evidence in any proposed or actual proceedings relating to such criminal charges or investigation and absent good cause shown shall result in the automatic dismissal of any proceedings for which the content of the record was offered. .