; and (2) made in accordance with any other applicable legal requirement, including Federal privacy laws and regulations. (i) Application to information in certain other records Nothing in this section shall be construed as limiting access to the information in a record created and maintained outside a medical quality assurance program, including the medical record of a patient, on the grounds that the information was presented during meetings of a review body that are part of a medical quality assurance program. (j) Penalty Any person who willfully discloses a medical quality assurance record of the Department other than as provided in this section, knowing that the record is a medical quality assurance record of the Department shall be fined not more than $3,000 in the case of a first offense and not more than $20,000 in the case of a subsequent offense. (k) Relationship to Coast Guard The requirements of this section shall not apply to any medical quality assurance record of the Department that is created by or for the Coast Guard as part of a medical quality assurance program. (l) Continued protection Disclosure under subsection (d) does not permit redisclosure except to the extent the further disclosure is authorized under subsection (d) or is otherwise authorized to be disclosed under this section. (m) Relationship to other law This section shall continue in force and effect, except as otherwise specifically provided in any Federal law enacted after the date of enactment of this Act. (n) Rule of construction Nothing in this section shall be construed to supersede the requirements of— (1) the Health Insurance Portability and Accountability Act of 1996 ( Public Law 104–191 ; 110 Stat. 1936) and its implementing regulations; (2) part 1 of subtitle D of title XIII of the Health Information Technology for Economic and Clinical Health Act ( 42 U.S.C. 17931 et seq. ) and its implementing regulations