4. With regard to non-compliance by health data holders, where a health data holder withholds the electronic health data from health data access bodies with the manifest intention of obstructing the use of electronic health data, or does not respect the deadlines set out in Article 60(2), the health data access body shall have the power to fine the health data holder for each day of delay with a periodic penalty payment, which shall be transparent and proportionate. The amount of the fines shall be established by the health data access body in accordance with national law. In the event of repeated breaches by the health data holder of the obligation of cooperation with the health data access body, that body may exclude or initiate proceedings to exclude, in accordance with national law, the health data holder concerned from submitting health data access applications pursuant to this Chapter for a period of up to five years. During the period of that exclusion, the health data holder shall remain obliged to make data accessible under this Chapter, where applicable.